Social Histories of Medicine Series

Examining the popular discourse of nerves and stress, this book provides a historical account of how ordinary Britons understood, explained and coped with the pressures and strains of daily life during the twentieth century. It traces the popular, vernacular discourse of stress, illuminating not just how stress was known, but the ways in which that knowledge was produced. Taking a cultural approach, the book focuses on contemporary popular understandings, revealing continuity of ideas about work, mental health, status, gender and individual weakness, as well as the changing socio-economic contexts that enabled stress to become a ubiquitous condition of everyday life by the end of the century. With accounts from sufferers, families and colleagues it also offers insight into self-help literature, the meanings of work and changing dynamics of domestic life, delivering a complementary perspective to medical histories of stress.

This electronic version has been made available under a Creative Commons (BY-NC-ND) open access license. This book is available as an open access ebook under a CC-BY-NC-ND licence. Vaccinating Britain shows how the British public has played a central role in the development of vaccination policy since the Second World War. It explores the relationship between the public and public health through five key vaccines – diphtheria, smallpox, poliomyelitis, whooping cough and measles-mumps-rubella (MMR). It reveals that while the British public has embraced vaccination as a safe, effective and cost-efficient form of preventative medicine, demand for vaccination and trust in the authorities that provide it has ebbed and flowed according to historical circumstances. It is the first book to offer a long-term perspective on vaccination across different vaccine types. This history provides context for students and researchers interested in present-day controversies surrounding public health immunisation programmes. Historians of the post-war British welfare state will find valuable insight into changing public attitudes towards institutions of government and vice versa.

This electronic version has been made available under a Creative Commons (BY) open access license. This book is available as an open access ebook under a CC-BY-NC-ND licence. Through its study of diabetes care in twentieth-century Britain, Managing diabetes, managing medicine offers the first historical monograph to explore how the decision-making and labour of medical professionals became subject to bureaucratic regulation and managerial oversight. Where much existing literature has cast health care management as either a political imposition or an assertion of medical control, this work positions managerial medicine as a co-constructed venture. Although driven by different motives, doctors, nurses, professional bodies, government agencies and international organisations were all integral to the creation of managerial systems, working within a context of considerable professional, political, technological, economic and cultural change.

Migrant Architects draws on 45 oral history interviews and extensive archival research to offer a radical reappraisal of how the National Health Service was made. It tells the story of migrant South Asian doctors who became general practitioners in the NHS. Imperial legacies, professional discrimination and an exodus of UK-trained doctors combined to direct these doctors towards work as GPs in some of the most deprived parts of the UK. In some areas, they made up over half of the general practitioner workforce. The NHS was structurally dependent on them and they shaped British society and medicine through their agency. This book is aimed at students and academics with interests in the history of immigration, immigration studies, the history of medicine, South Asian studies and oral history. It will also be of interest to anyone who wants to know more about how Empire and migration have contributed to making Britain what it is today.

Germs and governance brings together leading historians, practitioners and policy makers to consider the past, present and future of hospital infection control. Combining historical case-studies with practitioner experiences, this volume offers a new understanding of the emergence of theories of germ transmission and containment and how these theories played out in real-world environments, networks and professional organisations. Exploring the historical context in which technologies like gloves were developed and popularised, as well as how relationships between communities and hospitals, doctors and nurses, and the emerging role of hospital bacteriologists have shaped infection control practices, the collection emphasises the diverse contexts in which ideas about germs, infection and safety circulated. The volume also addresses the historical neglect of the critical role of nurses in the development and success of infection control measures.

For the first time, this volume explores the identities of leprosy sufferers and other people affected by the disease in medieval Europe. The chapters, including contributions by leading voices such as Luke Demaitre, Carole Rawcliffe and Charlotte Roberts, challenge the view that people with leprosy were uniformly excluded and stigmatised. Instead, they reveal the complexity of responses to this disease and the fine line between segregation and integration. Ranging across disciplines, from history to bioarchaeology, Leprosy and identity in the Middle Ages encompasses post-medieval perspectives as well as the attitudes and responses of contemporaries. Subjects include hospital care, diet, sanctity, miraculous healing, diagnosis, iconography and public health regulation. This richly illustrated collection presents previously unpublished archival and material sources from England to the Mediterranean.

This edited volume presents the latest research on the intersection of religion and medicine in Asia. It features chapters by internationally known scholars, who bring to bear a range of methodological and geographic expertise on this topic. The book’s central question is to what extent ‘religion’ and ‘medicine’ have overlapped or interrelated in various Asian societies. Collectively, the contributions explore a number of related issues, such as: which societies separated out religious from medical concerns, at which times and in what ways? Where have medicine and religion converged, and how has such knowledge been defined by scholars and cultural actors? Are ‘religion’ and ‘medicine’ the best terms by which scholars can grapple with knowledge about the sacred and the self, destiny and disease?

This book uses amputation and prostheses to tell a new story about medicine and embodied knowledge-making in early modern Europe. It draws on the writings of craft surgeons and learned physicians to follow the heated debates that arose from changing practices of removing limbs, uncovering tense moments in which decisions to operate were made. Importantly, it teases out surgeons’ ideas about the body embedded in their technical instructions. This unique study also explores the material culture of mechanical hands that amputees commissioned locksmiths, clockmakers, and other artisans to create, revealing their roles in developing a new prosthetic technology. Over two centuries of surgical and artisanal interventions emerged a growing perception, fundamental to biomedicine today, that humans could alter the body — that it was malleable.

The early 2020s marked the fortieth anniversary of the first confirmed cases of AIDS and a new wave of historical interest in the ongoing epidemic. This edited collection showcases some of this exciting new work, with a particular focus on less well-known histories from western Europe. Featuring research from social, cultural and public historians, sociologists and area studies scholars, its eight chapters address experiences, events and memories across regions and nations including Scotland, Wales, Italy, Norway and the Netherlands, paying careful attention to often-overlooked groups including drug users, sex workers, nurses, mothers and people in prison. Offering new perspectives on the development and implementation of policy, the nature of activism and expertise and which (or whose) histories are remembered, it is essential reading not only for historians of health but also for all those working in HIV/AIDS studies.

The COVID-19 pandemic has resulted in a renewed interest in the relationship between public health authorities and the public. Particular attention has been paid to ‘problem publics’ who do not follow health advice. This is not a new issue. As the chapters in this collection demonstrate, the designation of certain groups or populations as problem publics has long been a part of health policy and practice. By exploring the creation and management of these problem publics in a range of time periods and geographical locations, the collection sheds light on what is both specific and particular. For health authorities, publics themselves were often thought to pose problems, because of their behaviour, identity or location. But publics could and did resist this framing. There were, and continue to be, many problems with seeing publics as problems.

This is the first full-length study of spectacles in the Victorian period. It examines how the Victorians shaped our understanding of functional visual capacity and the concept of 20:20 vision. Demonstrating how this unique assistive device can connect the histories of medicine, technology and disability, it charts how technology has influenced our understanding of sensory perception, both through the diagnostic methods used to measure visual impairment and the utility of spectacles to ameliorate its effects. Taking a material culture approach, the book assesses how the design of spectacles thwarted ophthalmologists’ attempts to medicalise their distribution and use, as well as creating a mainstream marketable device on the high street.

Communicating the History of Medicine critically assesses the idea of audience and communication in medical history. This collection offers a range of case studies on academic outreach from historical and current perspectives. It questions the kind of linear thinking often found in policy or research assessment, instead offering a more nuanced picture of both the promises and pitfalls of engaging audiences for research in the humanities. For whom do academic researchers in the humanities write? For academics and, indirectly, at least for students, but there are hopes that work reaches broader audiences and that it will have an impact on policy or among professional experts outside of the humanities. Today impact is more and more discussed in the context of research assessment. Seen from a media theoretical perspective, impact may however be described as a case of ‘audiencing’ and the creation of audiences by means of media technologies.

The phrase ‘global health’ appears ubiquitously in contemporary medical spheres, from academic research programs to websites of pharmaceutical companies. In its most visible manifestation, global health refers to strategies addressing major epidemics and endemic conditions through philanthropy, and multilateral, private-public partnerships. This book explores the origins of global health, a new regime of health intervention in countries of the global South born around 1990, examining its assemblages of knowledge, practices and policies. The volume proposes an encompassing view of the transition from international public health to global health, bringing together historians and anthropologists to analyse why new modes of “interventions on the life of others” recently appeared and how they blur the classical divides between North and South. The contributors argue that not only does the global health enterprise signal a significant departure from the postwar targets and modes of operations typical of international public health, but that new configurations of action have moved global health beyond concerns with infectious diseases and state-based programs. The book will appeal to academics, students and health professionals interested in new discussions about the transnational circulation of drugs, bugs, therapies, biomedical technologies and people in the context of the "neo-liberal turn" in development practices.

This collection of essays offers important new insights across a range of topics relating to medicine in early modern Ireland. Of particular note is the substantial attention devoted to the often neglected period before 1750. Among the key subjects addressed by the contributors are Gaelic medicine, warfare, the impact of new medical ideas, migration, patterns of disease, midwifery and childbirth, book collecting, natural history, and urban medicine. The twelve essays effectively situate Irish medicine in relation to long-term social and cultural change on the island, as well as to appropriate international contexts; British, European and Atlantic. Early Modern Ireland and the world of medicine brings together a selection of established scholars as well as early career historians. It will be of interest to academics and students of the history of early modern medicine. It also contains much that will be essential reading for historians of Ireland.

At the core of this book are three central contentions: That medical welfare became the totemic function of the Old Poor Law in its last few decades; that the poor themselves were able to negotiate this medical welfare rather than simply being subject to it; and that being doctored and institutionalised became part of the norm for the sick poor by the 1820s, in a way that had not been the case in the 1750s. Exploring the lives and medical experiences of the poor largely in their own words, Sickness, medical welfare and the English poor offers a comprehensive reinterpretation of the so-called crisis of the Old Poor Law from the later eighteenth century. The sick poor became an insistent presence in the lives of officials and parishes and the (largely positive) way that communities responded to their dire needs must cause us to rethink the role and character of the poor law.

This book examines the powerful influence of civil law on understandings and responses to madness in England and in New Jersey. The influence of civil law on the history of madness has not hitherto been of major academic investigation. This body of law, established and developed over a five hundred year period, greatly influenced how those from England’s propertied classes understood and responded to madness. Moreover, the civil law governing the response to madness in England was successfully exported into several of its colonies, including New Jersey. Drawing on a well-preserved and rare collection of trials in lunacy in New Jersey, this book reveals the important ties of civil law, local custom and perceptions of madness in transatlantic perspectives. This book will be highly relevant to scholars interested in law, medicine, psychiatry and madness studies, as well as contemporary issues in mental capacity and guardianship.

Challenging histories of plastic surgery that posit a complete disappearance of Gaspare Tagliacozzi’s rhinoplasty operation after his death in 1599, Rhinoplasty and the nose in early modern British medicine and culture traces knowledge of the procedure within the early modern British medical community, through to its impact on the nineteenth-century revival of skin-flap facial surgeries. The book explores why such a procedure was controversial, and the cultural importance of the nose, offering critical readings of literary noses from Shakespeare to Laurence Sterne. Medical knowledge of the graft operation was accompanied by a spurious story that the nose would be constructed from flesh purchased from a social inferior, and would drop off when that person died. The volume therefore explores this narrative in detail for its role in the procedure’s stigmatisation, its engagement with the doctrine of medical sympathy, and its unique attempt to commoditise living human flesh.

Whether in the Swiss countryside or in a doctor's office in Boston, in German, English or French hospitals or within multinational organizations, with early vaccinations or with new pharmaceuticals from Big Pharma today, or in early modern Saxon mining towns or in Prussian military healthcare – for at least 500 years, accounting has been an essential part of medical practice with significant moral, social and epistemological implications. Covering the period between 1500–2000, the book examines in short case studies the importance of calculative practices for medicine in very different contexts. Thus, Accounting for Health offers a synopsis of the extent to which accounting not only influenced medical practices over centuries, but shaped modern medicine as a whole.

This book offers the first comprehensive study of nineteenth-century medical societies as scientific institutions. It analyses how physicians gathered to share, discuss, evaluate, publish and even celebrate their studies, uncovering the codes of conduct that underpinned these activities. The book discusses the publishing procedures of medical journals, the tradition of oratory in academies, the networks of anatomists and the commemorations of famous physicians such as Vesalius. Its setting is nineteenth-century Belgium, a young nation state in which the freedoms of press and association were constitutionally established. The book shows how Belgian physicians participated in a civil society shaped by the values of social engagement, polite debate and a free press. Given its broad focus on science, sociability and citizenship, it will be of interest to all those seeking to understand the position of science in nineteenth-century society.