The Royal College of Physicians celebrates its 500th anniversary in 2018, and to observe this landmark is publishing this series of ten books. Each of the books focuses on fifty themed elements that have contributed to making the RCP what it is today, together adding up to 500 reflections on 500 years. Some of the people, ideas, objects and manuscripts featured are directly connected to the College, while others have had an influence that can still be felt in its work. Written exactly fifty years after the opening of the building in 1964, this first book in the series, Anatomy of a Building, is a meditation on the architecture of the college, focusing particularly on its current home, a Grade 1 listed building, designed by Denys Lasdun.

This book explores the history of pharmacy in France and its relationship to the discipline of chemistry as it emerged at the beginning of the nineteenth century. It argues that an appreciation of the history of pharmacy is essential to a full understanding of the constitution of modern science, in particular the discipline of chemistry. As such, it provides a novel interpretation of the chemical revolution (c.1770-1789) that will, no doubt, generate much debate on the place of the chemical arts in this story, a question that has hitherto lacked sufficient scholarly reflection. Furthermore, the book situates this analysis within the broader context of the French Revolution, arguing that an intimate and direct link can be drawn between the political upheavals and our vision of the chemical revolution. The story of the chemical revolution has usually been told by focusing on the small group of French chemists who championed Lavoisier's oxygen theory, or else his opponents. Such a perspective emphasises competing theories and interpretations of critical experiments, but neglects the challenging issue of who could be understood as practising chemistry in the eighteenth century. In contrast, this study traces the tradition of pharmacy as a professional pursuit that relied on chemical techniques to prepare medicines, and shows how one of the central elements of the chemical revolution was the more or less conscious disassociation of the new chemistry from this ancient chemical art.

At the Restoration of the Monarchy in 1660, amongst the first acts of Charles II's government was the abolition of the New Model Army and the sweeping away of the legislation and institutions that had supported it, including most of the medical provisions provided by the republican regime. Nevertheless, a small rump of the Commonwealth forces was retained to form a royal standing army, which rapidly expanded over the next sixty years to become a formidable fighting force. Inevitably, as this force grew, the new government was compelled to provide medical care for its soldiers and ex-servicemen. Taking a broadly chronological approach, this book explores the nature and the quality of medical, nursing and welfare facilities provided in hospitals for soldiers during the formative years of the British standing army between 1660 and 1714. It shows how, over the course of latter part of the seventeenth century, the British army adapted and developed its facilities in line with new advances in science, medicine and military theory. Increased involvement in continental wars and contact with European armies provided inspiration for the founding of the well-known Royal Hospitals at Chelsea and Kilmainham, based on Louis XIV's HAtel des Invalides. The work also provides an in-depth examination of the work of the hitherto sparsely documented field hospitals that provided acute casualty care to troops during the reigns of James II, William III and Queen Anne. Following on from his ground-breaking study of medical care during the English Civil Wars (Justice to the Maimed Soldier), Eric Gruber von Arni in this study shows how the British army of the Restoration period struggled to develop systems and institutions that could cope with the increasing scale of contemporary warfare. Through extensive archival research and a thorough understanding of military medical requirements, a lucid account is provided that will be of interest not only to military and medical historians, but also anyone interested in the development of early modern institutions and organisations.

The poor and the sick-poor have always presented a problem to the governments and churches of Europe. Whose responsibility are they? Are they a wilful burden on the honest working population, or are they a necessary presence for the true Christian to live the true Christian life? In the 18th and 19th centuries what happened to the poor and the sick-poor in the north and south of Europe was different. In the north there occurred first the Reformation in the 16th century, which changed attitudes to the poor, and then the advent of industrialisation, with its far-reaching effects of pauperisation of people both in town and countryside. In the Catholic south, where industrialisation did not appear so soon, the Catholic Church introduced a programme of reform at all levels but along traditional lines. This included the founding of new orders dedicated to the care of the poor and sick, of new institutions within which to house and care for them. At all times it was taken for granted that it was a necessary aspect of being a Christian that one should give for the care of the needy, and that this was not the duty of the state or of secular institutions. The secularising movement did however reach the southern countries by way both of the Enlightenment and - more drastically - in the form of the Napoleonic invasions. But after the defeat of Napoleon, the Church reasserted its right to administer and control the support of the poor and sick, and this situation continued until 1900 in most areas. Moreover the effects of industrialisation and the concomitant increase in population did make itself felt in the south in the course of the 19th century, which put great stress on the institutions for poor relief and health care for the poor. All this is still relevant today, since the situations that governments and the Catholic Church found themselves confronted with, and the stark choices they had to make, are being replayed to some extent today. Who is responsible for the poor, who is to blame for their being poor? How should their poverty be relieved, how should the health care of the many be funded? These are still live issues today. While complete in itself the present volume also forms the fourth and last of a four-volume survey of health care and poor relief in Europe between 1500 and 1900, edited by Ole Peter Grell and Andrew Cunningham

Throughout the early modern period in France, surgeon men-midwives were predominantly associated with sexual impropriety and physical danger; yet over time they managed to change their image, and by the eighteenth century were summoned to attend even the uncomplicated deliveries of wealthy, urban clients. In this study, Lianne McTavish explores how surgeons strove to transform the perception of their midwifery practices, claiming to be experts who embodied obstetrical authority instead of intruders in a traditionally feminine domain. McTavish argues that early modern French obstetrical treatises were sites of display participating in both the production and contestation of authoritative knowledge of childbirth. Though primarily written by surgeon men-midwives, the texts were also produced by female midwives and male physicians. McTavish's careful examination of these and other sources reveals representations of male and female midwives as unstable and divergent, undermining characterizations of the practice of childbirth in early modern Europe as a gender war which men ultimately won. She discovers that male practitioners did not always disdain maternal values. In fact, the men regularly identified themselves with qualities traditionally respected in female midwives, including a bodily experience of childbirth. Her findings suggest that men's entry into the lying-in chamber was a complex negotiation involving their adaptation to the demands of women. One of the great strengths of this study is its investigation of the visual culture of childbirth. McTavish emphasizes how authority in the birthing room was made visible to others in facial expressions, gestures, and bodily display. For the first time here, the vivid images in the treatises are analysed, including author portraits and engravings of unborn figures. McTavish reveals how these images contributed to arguments about obstetrical authority instead of merely illustrating the written content of the books. At the same time, her arguments move far beyond the lying-in chamber, shedding light on the exchange of visual information in early modern France, a period when identity was largely determined by the precarious act of putting oneself on display.

This impressive volume presents a thorough examination of all aspects of physical impairment and disability in medieval Europe. Examining a popular era that is of great interest to many historians and researchers, Irene Metzler presents a theoretical framework of disability and explores key areas such as:

• medieval theoretical concepts
• theology and natural philosophy
• notions of the physical body
• medical theory and practice.

Bringing into play the modern day implications of medieval thought on the issue, this is a fascinating and informative addition to the research studies of medieval history, history of medicine and disability studies scholars the English-speaking world over.

Health, Sickness, Medicine and the Friars in the Thirteenth and Fourteenth Centuries explores the attitudes and responses of the mendicant orders to illness, their contribution to medical history, the influence of health and sickness as a factor in the orders' decision making, the extent of their participation in treatments, their relationship with physicians or their own involvement in medical practice, and the problems which occurred as a result of these matters. Apart from brief details of the last illness noted in some convent obituaries, the sick friar is usually conspicuous by his absence from the records. This book addresses this absence. By focusing on these neglected aspects of the mendicant orders it is possible to begin to reconstruct their attitudes and practices towards sickness, health and medical treatment. In so doing, a picture begins to emerge which provides a much fuller understanding of both mendicant and wider medical history. Through such an approach, the book demonstrates how preserving health as well as treating illness were matters of interrelated and vital concern to the friars, a concern that coincided with a rising interest in health matters in wider society during the thirteenth and fourteenth centuries.

Since the middle of the twentieth century, the development of plastics has been one of the main factors influencing the history of medicine. For example, an anaesthesiologist was formerly an expert in delivering drugs by inhalation. Today, this expert delivers drugs through plastic catheters, in particular via intravenous and epidural routes. Traditionally, the scalpel was the symbol of surgery. Today, surgeons operate on internal organs with flexible plastic endoscopes - without cutting the skin. A typical modern woman in labour has one of her arms connected to a plastic bag through a plastic tube, while a plastic catheter is inserted in the epidural space in her spine. Focusing on obstetrics, this first book about the history of medicine in relation to the plastic revolution asks vital questions about childbirth today - and tomorrow - and demonstrates that the current turning point in the history of childbirth is also a turning point in the history of humanity. Introduced as a medical student to the surgical unit of a Paris hospital in 1949, and still involved in several fields of medicine, Michel Odent has the authority to study contemporary history from this new perspective.

Get a fresh perspective on the day-to-day use of medicine! A Social History of Medicines in the Twentieth Century explores the most perplexing issues concerning the uses of prescriptions and other medicines on both sides of the Atlantic. The book equips you with a thorough understanding of the everyday use of medicine in the United States, Canada, and Britain, concentrating on its recent past. Dr. John K. Crellin, author of several influential books on the history of medicine and pharmacy, addresses vital topics such as: the emergence of prescription-only medicines; gate-keeping roles for pharmacists; the role of the drugstore; and the rise of alternative medicines. A Social History of Medicines in the Twentieth Century adds the historical perspective missing from most medical and pharmaceutical literature about trends in the day-to-day use of medicines in society. The book is essential reading for anyone taking regular medication, either as self-care or by a physician's prescription. Topics discussed include the non-scientific factors that validate medicines, the relevance of the control of narcotics, marketing strategies used by the pharmaceutical industry, the changing authority of physicians and pharmacists, over-the-counter medicines, tonics and sedatives, and patient complianceand non-compliance. A Social History of Medicines in the Twentieth Century also addresses: medicines for weakness (health foods, fortifiers, digestives/laxatives) poison and pharmacy legislation placebos tranquilizers and antidepressants hormones side-effects psychoactive medications herbal medicines a brief history of the use of medicines from the 17th to 19th centuries suggestions for future policies and much more! A Social History of Medicines in the Twentieth Century is equally vital as a professional resource for physicians, pharmacists, and health care administrators, as a classroom guide for academics working in the medical and pharmaceutical fields, and as a resource for patients.

A DAILY MAIL BOOK OF THE WEEK 'Spare Parts is a fascinating read filled with adventure, delight and surprise' RAHUL JANDIAL, surgeon author of 'Life on a Knife's Edge' 'This is a joyful romp through a fascinating slice of medical history' WENDY MOORE, author of 'The Knife Man' _______________________________________________________________ How did an architect help pioneer blood transfusion in the 1660s? Why did eighteenth-century dentists buy the live teeth of poor children? And what role did a sausage skin and an enamel bath play in making kidney transplants a reality? We think of transplant surgery as one of the medical wonders of the modern world. But transplant surgery is as ancient as the pyramids, with a history more surprising than we might expect. Paul Craddock takes us on a journey - from sixteenth-century skin grafting to contemporary stem cell transplants - uncovering stories of operations performed by unexpected people in unexpected places. Bringing together philosophy, science and cultural history, Spare Parts explores how transplant surgery constantly tested the boundaries between human, animal and machine, and continues to do so today. Witty, entertaining and at times delightfully macabre, Spare Parts shows us that the history - and future - of transplant surgery is tied up with questions about not only who we are, but also what we are, and what we might become. . .

Human history hinges on the battle to confront our most dangerous enemies - the half-dozen diseases responsible for killing almost all of mankind. The story of our medical triumphs reveals an inspiring tapestry of human achievement, but the journey was far from smooth. It is a tale replete with dramatic episodes as spellbinding as any blockbuster Hollywood movie. In The Masters of Medicine, Dr. Andrew Lam, an award-winning author and retinal surgeon, distills the long arc of medical progress down to the crucial moments that were responsible for the world’s greatest medical miracles. He brings to life heroic tales of embattled mavericks who endured ridicule and sometimes risked their own lives to conceive the incredible, life-saving cures we depend on, and often take for granted, today. Readers will discover fascinating true stories throughout history, including: Rival surgeons who killed patient after patient in their race to operate on beating hearts - and put us on the path toward the life-saving heart transplant, A quartet of Canadians who miraculously discovered insulin in a saga marred by jealousy and resentment, The discovery of penicillin, and the long-suffering doctors who gave it to the world but were robbed of the credit, The feud between two Americans in the quest for the polio vaccine, a contest that persisted long after both died and continues today, The discredited New York surgeon whose “heretical” idea to cure patients by deliberately infecting them has now inspired our next best hope to defeat cancer, The Hungarian doctor who solved the greatest mystery of maternal deaths in childbirth, only to be ostracized for his discovery. The Masters of Medicine is a fascinating chronicle of human courage, audacity, error, and luck. This riveting ode to mankind expertly highlights the battle against deaths from heart attacks, diabetes, infection, cancer, trauma, and childbirth, revealing why the past is prelude to the game-changing breakthroughs of tomorrow.

Examine a previously unexplored aspect of Civil War military medicine! Here is the first comprehensive examination of pharmaceutical practice and drug provision during the Civil War. While numerous books have recounted the history of medicine in the Civil War, little has been said about the drugs that were used, the people who provided and prepared them, and how they were supplied. This is the first book to provide detailed discussion of the role of pharmacy. Among the topics covered in this essential volume are the duties of medical purveyors, the role of the hospital steward, and the nature and state of medical substances commonly used in the 1860s. This last subject would become a matter of considerable controversy and ultimately cost William Hammond, the brilliant and innovative Surgeon General, his career in the Union Army. This richly detailed book shows why the South found drug provision especially difficult and describes the valiant efforts of Confederate sympathizers to run the Union blockade in order to smuggle in their precious cargoes. You'll also learn about the scurrilous privateers who were out to make a personal fortune at the expense of both the Union and the Confederacy. In addition, Civil War Pharmacy illuminates the systematic effort of pharmacists, physicians, and botanists to derive from Southern plants adequate substitutes for foreign substances that were difficult, if not impossible, to obtain in the Confederacy. In this painstakingly researched yet highly readable book, Michael A. Flannery, co-author of the critically acclaimed America's Botanico-Medical Movements: Vox Populi, examines all these topics and more. In addition, he assesses the relative successes and failures of the pharmaceutical aspect of health care at the timesuccesses and failures that affected every man in army camps and in the field. Civil War Pharmacy: A History of Drugs, Drug Supply and Provision, and Therapeutics for the Union and Confederacy includes photographs, helpful tables and figures, and six appendices that make hard-to-find information easy to access and understand. You'll find: the Standard Supply Table of Indigenous Remedies (1863) Circular No. 6 from the Surgeon General's Office (May 4, 1863), calling for the removal of calomel and tartar emetic from the Supply Table instructions on reading and filling a 19th century prescriptionwith a glossary of Latin phrases and approximate measures, an excerpt from The Hospital Steward's Manual, and more! a circular from the Confederate Medical Purveyor's Office a Materia Medica for the South: A list of medicinal substances from Porcher's Resources of the Southern Fields and Forests common prescriptions of the Civil War period as well as basic syrups of the era with monographs on their principal substances: alcohol, cinchona, hydrargyrum (mercury), opium, and quinine Packed with more information than can be listed here and, just as importantly, presented in a reader-friendly manner, this is a book that no one interested in Civil War historyor pharmacy historyshould be without!

The first book to provide a social and cultural history of bacteriology in colonial India, situating it at the confluence of colonial medical practices, institutionalization, and social movements. During the nineteenth century, European scientists and physicians considered the tropics the natural home of pathogens. Hot and miasmic, the tropical world was the locus of disease, for Euopeans the great enemy of civilization. Inthe late nineteenth century when bacteriological laboratories and institutions were introduced to British India, they were therefore as much an imperial mission to cleanse and civilize a tropical colony as a medical one to eradicate disease. Bacteriology offered a panacea in colonial India, a way by which the multifarious political, social, environmental, and medical problems and anxieties, intrinsically linked to its diseases, could have a single resolution. Bacteriology in British India is the first book to provide a social and cultural history of bacteriology in colonial India, situating it within the confluence of advances in germ theory, Pastuerian vaccines, colonial medicine, laboratory science, and British imperialism. It recounts the genesis of bacteriology and laboratory medicine in India through a complex history of conflict and alignment between Pasteurism and British imperial medicine. By investigating an array of laboratory notes, medical literature, and literary sources, the volume links colonial medical research with issues of poverty, race, nationalism, and imperial attitudes toward tropical climate andwildlife, contributing to a wide field of scholarship like the history of science and medicine, sociology of science, and cultural history. Pratik Chakrabarti is Chair in History of Science and Medicine, University of Manchester.

One of the key themes of the Enlightenment was the search for universal laws and truths that would help illuminate the workings of the universe. It is in such attitudes that we trace the origins of modern science and medicine. However, not all eighteenth century scientists and physicians believed that such universal laws could be found, particularly in relation to the differences between living and inanimate matter. From the 1740s physicians working in the University of Medicine of Montpellier began to contest Descartes's dualist concept of the body-machine that was being championed by leading Parisian medical 'mechanists'. In place of the body-machine perspective that sought laws universally valid for all phenomena, the vitalists postulated a distinction being living and other matter, offering a holistic understanding of the physical-moral relation in place of mind-body dualism. Their medicine was not based on mathematics and the unity of the sciences, but on observation of the individual patient and the harmonious activities of the 'body-economy'. Vitalists believed that Illness was a result of disharmony in this 'body-economy' which could only be remedied on an individual level depending on the patient's own 'natural' limitations. The limitations were established by a myriad of factors such as sex, class, age, temperament, region, and race, which negated the use of a single universal treatment for a particular ailment. Ultimately Montpelier medicine was eclipsed by that of Paris, a development linked to the dynamics of the Enlightenment as a movement bent on cultural centralisation, acquiring a reputation as a kind of anti-science of the exotic and the mad. Given the long-standing Paris-centrism of French cultural history, Montpellier vitalism has never been accorded the attention it deserves by historians. This study repairs that neglect.

The development of ophthalmology to its present level of sophisticated practice is an extraordinary story of research, experiment, and achievement. Dates in Ophthalmology: A Chronological Record of Progress in Ophthalmology over the Last Millennium charts the progress of that achievement over the last millennium, highlighting and describing the key dates of advancement. It presents a concise listing of the chief personages, periods, publications, and events in the history of ophthalmology from ancient times to the present.

The book demonstrates how ideas, discoveries, and technologies cross borders and oceans. It illustrates the interplay of subspecialties, the changing pre-eminence of countries and cities, and the explosions of creativity and generations of dormancy in various areas. The author highlights the numerous and diverse events and people responsible for shaping this specialty.

There are many ways of looking at history: from the standpoint of the lives of major figures, of society and impact, of subspecialties, of countries, of institutions, and of books. By presenting its information chronologically, Dates in Ophthalmology explores the how these areas intersect, influence, and impact each other.

Throughout history governments have had to confront the problem of how to deal with the poorer parts of their population. During the medieval and early modern period this responsibility was largely borne by religious institutions, civic institutions and individual charity. By the eighteenth century, however, the rapid social and economic changes brought about by industrialisation put these systems under intolerable strain, forcing radical new solutions to be sought to address both old and new problems of health care and poor relief. This volume looks at how northern European governments of the eighteenth and nineteenth centuries coped with the needs of the poor, whilst balancing any new measures against the perceived negative effects of relief upon the moral wellbeing of the poor and issues of social stability. Taken together, the essays in this volume chart the varying responses of states, social classes and political theorists towards the great social and economic issue of the age, industrialisation. Its demands and effects undermined the capacity of the old poor relief arrangements to look after those people that the fits and starts of the industrialisation cycle itself turned into paupers. The result was a response that replaced the traditional principle of 'outdoor' relief, with a generally repressive system of 'indoor' relief that lasted until the rise of organised labour forced a more benign approach to the problems of poverty. Although complete in itself, this volume also forms the third of a four-volume survey of health care and poor relief provision between 1500 and 1900, edited by Ole Peter Grell and Andrew Cunningham.

Much of contemporary medical theory and practice focuses on the identification of specific causes of disease. However, this has not always been the case: until the early nineteenth century physicians thought of diseases in quite different terms. The modern quest for causes of disease can be seen as a single Lakatosian research programme. One can track the rise and elaboration of this programme by a series of case histories. The success of work on bacterial diseases such as cholera and tuberculosis tends to eclipse the broad context in which those studies were embedded. Yet, in the 1830s, fifty years before Koch's publications on tuberculosis, specific causes were already being identified for several non-bacterial diseases including scabies, muscardine and ringworm. Moreover, by the end of the century, the quest for specific causes had spread well beyond bacterial diseases. The expanding research programme included Freud's early work on psychopathology, the discovery of viruses, the discovery of vitamins, and the recognition of genetic disorders such as Down's syndrome. Existing historical discussions of research in these areas, for example, histories of work on the deficiencies diseases, take the view that success in bacteriology was a positive obstacle to the identification of causes for other kinds of diseases. Treating the quest for causes as a single coherent research programme provides a better understanding of the disease concepts that characterise the last 150 years of medical thought.

Galenism, a rational, coherent medical system embracing all health and disease related matters, was the dominant medical doctrine in the Latin West during the Middle Ages and the Renaissance. Deriving from the medical and philosophical views of Galen (129-c.210/6) as well as from his clinical practice, Latin Galenism had its origins in 12th-century Salerno and was constructed from the cultural exchanges between the Arabic and Christian worlds. It flourished all over Europe, following the patterns of expansion of the university system during the subsequent centuries and was a major factor in shaping the healing systems of the Christian, Jewish and Muslim communities - the subject of a previous volume by Professor GarcA a-Ballester. The present collection deals with a wide array of issues regarding the historical Galen and late medieval and Renaissance Galenism, but focuses in particular on the relationship between theory and practice. It includes first English versions of two major studies originally published in Spanish.

This volume brings together cutting edge research by historians from Britain, Germany, France, the US, Japan and New Zealand. Innovative in its approach to innovation, it focuses on diffusion and resistance, and organization as well as technology.
The collection features issues such as control and compliance, professional power and economic constraint, cultural divides, 'configured users' and ingenuity. The introductory essay relates the collection to history and sociology of innovation and technology, asking 'what is distinctive about medicine and health?' Explorations of recent cases, along with deeper probing of the past century, call into question how the past relates to the future. Health policy makers and analysts, practitioners, users and historians will find the editor's claims for the uses of history provocative.
With its emphasis on clarity of writing, its mix of empirical details and analysis, and its rich bibliography, this volume offers rewards to academic and health service readers alike.

Related link: The Society for the Social History of Medicine
eBook available with sample pages: 0203471512

An Open Access edition of this book is available on the Liverpool University Press website and the OAPEN library. Colonialism created exclusive economic and segregatory social spaces for the exploitation and management of natural and human resources, in the form of plantations, ports, mining towns, hill stations, civil lines and new urban centres for Europeans. Contagion and Enclaves studies the social history of medicine within two intersecting enclaves in colonial India; the hill station of Darjeeling which incorporated the sanitarian and racial norms of the British Raj; and in the adjacent tea plantations of North Bengal, which produced tea for the global market. This book studies the demographic and environmental transformation of the region: the racialization of urban spaces and its contestations, establishment of hill sanatoria, expansion of tea cultivation, labour emigration and the paternalistic modes of healthcare in the plantation. It examines how the threat of epidemics and riots informed the conflictual relationship between the plantations with the adjacent agricultural villages and district towns. It reveals how Tropical Medicine was practised in its 'field'; researches in malaria, hookworm, dysentery, cholera and leprosy were informed by investigations here, and the exigencies of the colonial state, private entrepreneurship, and municipal governance subverted their implementation. Contagion and Enclaves establishes the vital link between medicine, the political economy and the social history of colonialism. It demonstrates that while enclaves were essential and distinctive sites of articulation of colonial power and economy, they were not isolated sites. The book shows that the critical aspect of the enclaves was in their interconnectedness; with other enclaves, with the global economy and international medical research.

The four works in this volume are the only known exclusively medical texts written by women during the Restoration. Their importance is denoted by their dramatic challenge to the generalisations once made about medical practice and female healers in this period. Jane Sharp's The Midwives Book was the first and only midwifery manual to be printed in English before 1700, and continued to be influential into the early eighteenth century. The principal focus of Elizabeth Cellier's To Dr.--- (1688) is the attempt to legitimate the notion of a female corporation of midwives through historical precedent. To Dr.--- was in fact borne out of a previously unpublished effort, 'A Scheme for the Foundation of a Royal Hospital', sent to James II in 1687. In the document, Cellier outlined a specific scheme for training female midwives and supporting poor, pregnant women and abandoned children. Mary Trye began practising 'chymical physic' at her father's side in London in 1663. Her only known work, Medicatrix, was published in 1675. Trye claimed female medical authorship to be unique, in that women observed nature truly and administered genuine medical solutions to the sick. The writings of Sharp, Cellier and Trye have helped to overturn historians' assumptions about a woman's role in medicine and healing. These texts reveal their female authors to be as learned in the humanities and sciences as they were in medical matters.

This pioneering study is a treasure trove of new information, illustrating the lives and professional experiences of the people involved in such a way as to demonstrate clearly both the obstacles they faced and the status they achieved. Its wealth of detail, in many cases fleshing out the careers of leading Jewish professional figures for the first time, makes engaging reading. The narrative proceeds chronologically with careful attention to social context, starting with the Victorian and Edwardian eras. For the medical profession, the account of subsequent changes begins with the influx of Jews into medical schools after 1914. John Cooper goes on to describe the problems these Jewish medical students, most of them from immigrant families, encountered. Finding employment even as general practitioners was problematic, and almost insurmountable barriers confronted aspirants to consultant status. Afraid of antisemitic claims that Jews were flooding the market, the leaders of Anglo-Jewry even tried in the 1930s to dissuade young Jews from becoming doctors and lawyers. In this context, Cooper also considers the position of refugee doctors before and during the Second World War. The establishment of the National Health Service in 1948 resulted in fundamental changes, particularly in the way in which consultants were selected, and Cooper shows how this permitted Jewish doctors to enter specialties from which they had previously been excluded and to climb to the highest rungs within the medical hierarchy. He summarizes the careers of many prominent Jewish doctors. The experience of Jews in the legal profession, both as solicitors and barristers, is examined in similar detail. Cooper sets the context with a discussion of the treatment of Jewish litigants in the early years of the twentieth century in the Whitechapel County Court and the criminal courts. He shows how the persistence of an anti-Jewish bias in the inter-war period limited opportunities for Jews and dissuaded them from entering the law; he also considers the position of Jewish refugee lawyers who came to England during the 1930s and 1940s. After the war, major changes in the economy and legal system allowed Jewish law firms to expand rapidly, challenging the dominance of the City law firms in the commercial world. Many of these firms consequently began to admit Jewish partners for the first time, and Jewish barristers, hitherto confined to the less remunerative areas of civil and criminal law, were likewise able to enter the more lucrative pastures of company and tax law. From the late 1960s, Jews were also promoted in increasing numbers to position on the High Court Bench. As well as giving a detailed picture of these mainstream developments the book also looks at the careers of Jewish communist, socialist, and maverick lawyers. The story John Cooper tells will appeal not only to readers with a general interest in the subject but also to social historians. It is based on a wide range of sources, including newspapers and professional journals, archival material, law reports, and interviews conducted by the author, and there are detailed indexes of names and subjects. As well as providing an illuminating account of recent Jewish social history, the book makes a valuable contribution to the history of the medical and legal professions and to the scholarly debate as to whether or not antisemitism was of peripheral or central importance in Anglo-Jewish history.

The present collection by Professor GarcA a-Ballester deals with medicine and science (i.e. natural philosophy) in the Spanish kingdoms of Castile and Aragon between the 13th and the 17th centuries. It includes a new English version of a major study first published in Spanish. While sharing much, including Galenism (which is the subject of a further collection) as a dominant medical doctrine, with other parts of medieval and Renaissance Europe, Spain was unique in having a medical marketplace uniting Christian, Jewish, Muslim and converso practitioners. The complex processes of cultural interchange that resulted form the main theme in this book. Together, these studies have thrown new light on problems of theory and practice, perceptions of health and disease, and the doctor-patient relationship, as well as on the social and legal settings where the healers (physicians, surgeons, barbers, and apothecaries) of these different religious communities were at work.

This book demystifies the cultural work of syphilis from the late nineteenth century to the present. By interrogating the motivations that engender habits of belief, thought, and conduct regarding the disease and notions of the self, this interdisciplinary volume investigates constructions of syphilis that had a significant role in shaping modern subjectivity. Chapters draw from a variety of scholarly methods, such as cultural and literary studies, sociology, and anthropology. Authors unravel the representations and influence of syphilis in various cultural forms: cartography, medical writings, literature, historical periodicals, and contemporary popular discourses such as internet forums and electronic news media. Exploring the ways syphilitic rhetoric responds to, generates, or threatens social systems and cultural capital offers a method by which we can better understand the geographies of blame that are central to the conceptual heritage of the disease. This unique volume will appeal to students and scholars in the medical humanities, medical sociology, the history of medicine, and Victorian and modernist studies.

Historians have long recognized epidemics to be a significant, though sometimes hidden, factor in the fortunes of societies and civilizations. The study of epidemics heightens our understanding of relationships between economic systems and living conditions. It illuminates the ideologies and religious beliefs of the affected community and illustrates the efforts and inadequacies of public health systems. This investigation of the history of epidemics in various parts of Peru during the twentieth century opens up a new field for Latin American studies to include health and disease. These are important areas of the past that enable us to understand better the living conditions of people, the role of state authority and the dynamics of social movement. Marcos Cueto examines five series of epidemics: the bubonic plague of 1903-1930; the fever epidemic of 1919-1922; the typhus and small pox epidemics in the Andes; attempts to control and eradicate malaria, and the cholera epidemics of 1991. In each case he studies the biological and ecological factors that caused the outbreak, and the techniques and policies applied to fight it, together with the response of the affected society. The experience of epidemics in Peru has been cyclical. Poverty breeds disease which in turn results in further poverty. One of the aims of this study is to highlight areas of success and failure in the fight against epidemics in the hope that such awareness may help break this vicious circle.