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I find that the further we get away from the Cold War the more difficult it is to explain to younger students the impact that paranoia and anxiety of the war had on American society. This is problematic because the Cold War shaped American society and it even plays a role in your story. What role does the Cold War play in your book? Additionally, how do you explain to students the impact of the Cold War (an ideological and military conflict between the USSR and US) on American sex?
When I looked at the larger discussions taking place in the medical journals, I saw a Venn diagram with three circles: one was discussions about sexuality and reproduction; one was discussions about the family medicine specialty; and one was anxiety about the Cold War. I was interested in the place where those three circles overlapped. The Cold War entered into medical journal articles in really surprising ways. I did not expect this. Yet, it was right there. An article about how to talk to your patients about their sex lives, and the author makes reference to how the Soviets were trying to undermine our values. Or how without good sexual values, our society will crumble with just a little outside pressure. In an era in which physicians were also writing articles about how to prepare for civil defense in the likely event of a nuclear attack, this was especially meaningful. The Cold War clearly drove a lot of the assumptions regarding gender and sexuality in this era, and it was no different in the medical journals than anywhere else.
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As for how to explain the impact of the Cold War, whether on sex or anything else, I don’t find it that difficult. Students today have grown up in the shadow of 9/11. In the spring, I taught an introductory level course in American Cold War Culture. A lot of the material resonated with the students. This is not to say that the eras are the same; I certainly do not mean that at all. But they “get it.” And, as one student told me, now they “get” their parents and grandparents, too.