"Vital Signs" offers both a compelling reinterpretation of the
nineteenth-century novel and a methodological challenge to literary
historians. Rejecting theories that equate realism with
representation, Lawrence Rothfield argues that literary history
forms a subset of the history of discourses and their attendant
practices. He shows how clinical medicine provided Balzac,
Flaubert, Eliot, and others with narrative strategies,
epistemological assumptions, and models of professional authority.
He also traces the linkages between medicine's eventual decline in
scientific and social status and realism's displacement by
naturalism, detective fiction, and modernism.
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