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Buzzers for Bedwetters: Incontinence and the Urinary Body in Britain, 1870-1970

Lead Research Organisation: University of Kent
Department Name: Sch of History

Abstract

Urine incontinence is common to the human experience. It is estimated that more than 14 million people in Britain currently experience some form of incontinence. Many with the condition do so in silence and feel unable to discuss such a socially taboo topic or obtain the necessary support and advice. And yet, the current stigmatisation of incontinence was not inevitable, and neither was stigmatisation experienced by all of those who suffered from incontinence throughout history. By tracing incontinence over a century from its initial medicalisation in the 1870s until the emergence of privatised social care in 1970, this project seeks to uncover how the incontinent body acquired its modern stigmatised status in Britain and how that stigmatisation was experienced by those with incontinence.

The project aims to analyse how the processes of medicalisation, commercialisation and stigmatisation conceived of the incontinent body as not solely a medical problem, but as a moral one too, reflecting wider anxieties about Britain's social order in this period. Accordingly, the incontinent body came to be seen as fixable through new surgical, pharmaceutical, psychological and technological interventions but simultaneously, it was newly experienced as burdensome, embarrassing and shameful.

The project will focus on four key incontinent bodies prominent in the period - the child; the reproductive (including the post-partum woman and the male masturbator); the war veteran and the elderly - in order to chronologically trace the impact of medicalisation, commercialisation and stigmatisation across the life cycle and across the social dynamics of class, gender, race and (dis)ability. Its focus on these incontinent bodies will demonstrate the centrality of incontinence to Britain's modern moralising mission, and by extension the significance of the urinary body to everyday life.

It is through this focus that the project brings together and extends the fields of the history of medicine, the body and social and cultural history; fields in which the incontinent body has been largely neglected. Alongside this in-depth historical work examined in an Open Access monograph, the project will build an international and multi-disciplinary research network with scholars in the humanities and social sciences and charities that work with those with incontinence today, in order to more broadly explore the conceptions and treatment of incontinence in the past and present, as well as considering its wider connections to urine, urination and bodily waste. These explorations will be achieved through a series of collaborative outputs, including workshops, a conference and presentations.

The project demonstrates how the contemporary stigmas and taboos towards incontinence, and urination in general, have been historically shaped and thus, the history it uncovers is essential to understanding the issues faced today. Throughout, the project will both be shaped by and feed into the work of Britain's two main incontinence charities - Bladder and Bowel UK and ERIC, The Children's Bowel & Bladder Charity - who aim to reduce the stigma surrounding this condition and to create public awareness of the distress and debilitation that stigmatisation causes. A series of workshops linking academics with the health care professionals and workers that support those with incontinence will enable the discussion of the key challenges of tackling such stigmatisation and result in educational and creative outputs for young people, health professionals and families that seek to overcome them. These outputs, including printed and digital resources, a blog and an online exhibition, will be the first steps towards drawing on history to break the social taboos around urine and urination practices, giving those with incontinence and their families a chance to lead easier and less stigmatised lives.

Publications

10 25 50
 
Description The Leaky Body: A New Turn in the Humanities and Social Sciences?
Amount £1,000 (GBP)
Organisation Society for the Social History of Medicine (SSHM) 
Sector Learned Society
Country United Kingdom
Start 11/2024 
End 03/2025
 
Description University of Kent AHRC Impact Acceleration Account
Amount £5,000 (GBP)
Organisation University of Kent 
Country United Kingdom
Start 03/2025 
End 03/2026
 
Description Academic Workshop 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact We hosted an academic workshop for scholars across the humanities and social sciences, as well as for interested patients and carers (output 3). Attendees were from all over the world. Workshop feedback demonstrated how the concept of 'the leaky body' made them rethink their scholarship, practice and experience and an edited collection from this workshop may be a future project output.
Year(s) Of Engagement Activity 2025
URL https://research.kent.ac.uk/buzzers-for-bedwetters/the-leaky-body-a-new-turn-in-the-humanities-and-s...
 
Description Professional networking 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact I attended Bladder & Bowel UK's annual conference in September 2024 and engaged approximately 25 specialist incontinence nurses in the history of incontinence, with the view to building professional interest in the project and relationships for future engagement. The aim is for the history uncovered in this project to impact on specialist nurses' everyday practice and the way they interact with patients (output 2).
Year(s) Of Engagement Activity 2024
URL https://research.kent.ac.uk/buzzers-for-bedwetters/the-project-launches-at-bladder-bowel-uks-healthc...
 
Description Project Workshops 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact The project partners meet in-person semi-regularly for full day workshops in order to discuss the historical and contemporary concerns around incontinence, in order that this might impact on charitable and professional policy and practice. Two workshops have been held to date (August and December 2024, output 2).
Year(s) Of Engagement Activity 2024