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Christian Dittus
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THE SLOW MOON CLIMBS

Susan P. Mattern

The Science, History, and Meaning of Menopause

The first comprehensive look at menopause from prehistory to today.

Are the ways we look at menopause all wrong? Historian Susan Mattern says yes, and The Slow Moon Climbs reveals just how wrong we have been. Taking readers from the rainforests of Paraguay to the streets of Tokyo, Mattern draws on historical, scientific, and cultural research to reveal how our perceptions of menopause developed from prehistory to today. For most of human history, people had no word for menopause and did not view it as a medical condition. Rather, in traditional foraging and agrarian societies, it was a transition to another important life stage. This book, then, introduces new ways of understanding life beyond fertility.

Mattern examines the fascinating “Grandmother Hypothesis”—which argues for the importance of elders in the rearing of future generations—as well as other evolutionary theories that have generated surprising insights about menopause and the place of older people in society. She looks at agricultural communities where households relied on postreproductive women for the family's survival. And she explores the emergence of menopause as a medical condition in the Western world. It was only around 1700 that people began to see menopause as a dangerous pathological disorder linked to upsetting symptoms that rendered women weak and vulnerable. Mattern argues that menopause was another syndrome, like hysterical suffocation or melancholia, that emerged or reemerged in early modern Europe in tandem with the rise of a professional medical class.

The Slow Moon Climbs casts menopause, at last, in the positive light it deserves—not only as an essential life stage, but also as a key factor in the history of human flourishing.

Susan P. Mattern is Distinguished Research Professor of History at the University of Georgia. Her many books include The Prince of Medicine: Galen in the Roman Empire and Rome and the Enemy.
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Published 2019-10-01 by Princeton University Press

Comments

"A celebration of menopause as a life stage vital to our species' survival, but one that has now been trivialized as a disease to be treated. . . . A wise history of a subject that is 'deeply . . . implicated in the human condition.'"

"By historicizing menopause the syndrome and showing how the long lives of post-menopausal women may have been a crucial factor in the success of our species, Mattern offers a counternarrative to the harridans and hags of our cultural consciousness." —Anna Reser, Lady Science "That menopause may enable a new role and stature for women is the central argument of The Slow Moon Climbs . . . . Mattern sees [menopause] as an opening-up." —Liza Mundy, The Atlantic "In The Slow Moon Climbs, Mattern dispels old myths about menopause and illuminates the evolutionary, social, and personal advantages of a long-misunderstood natural phase of life: freedom from fertility. This is an important book, filled with vivid examples, scientific realities, and new insights." — Adrienne Mayor, author of The Amazons "In a masterful survey of breathtaking scope, Mattern reveals that menopause has played an essential role in making us human and building civilization. A truly transformative breakthrough—and a joy to read." — Walter Scheidel, author of The Great Leveler "The Slow Moon Climbs is a work of great breadth on an essential subject." — Laura Betzig, editor of Human Nature: A Critical Reader