McGill-Queen's/AMS Healthcare Studies in the History of Medicine, Health, and Society – serie

During the apartheid era, thousands of South African political activists, militants, and refugees fled arrest by crossing into neighbouring southern African countries. Although they had escaped political oppression, many required medical attention during their period of exile. An Ambulance on Safari describes the efforts of the African National Congress (ANC) to deliver emergency healthcare to South African exiles and, in the same stroke, to establish political legitimacy and foster anti-apartheid sentiment on an international stage. Banned in South Africa from 1960 to 1990, the ANC continued its operations underground in anticipation of eventual political victory, styling itself as a "government in waiting." In 1977 it created its own Health Department, which it presented as an alternative medical service and the nucleus of a post-apartheid healthcare system. By publicizing its own democratic policies as well as the racist practices of healthcare delivery in South Africa, the Health Department won international attention for its cause and provoked widespread condemnation of the apartheid state. While the global campaign was unfolding successfully, the department's provision of healthcare on the ground was intermittent as patients confronted a fledgling medical system experiencing various growing pains. Still, the legacy of the department would be long, as many medical professionals who joined the post-apartheid Department of Health in South Africa had been trained in exile during the liberation struggle. With careful attention to both the international publicity campaign and on-the-ground medical efforts, An Ambulance on Safari reveals the intricate and significant political role of the ANC's Health Department and its influence on the anti-apartheid movement.

When the CBC organized a national contest to identify the greatest Canadian of all time, few were surprised when the father of Medicare, Tommy Douglas, won by a large margin: Medicare is central to Canadian identity. Yet focusing on Douglas and his fight for social justice obscures other important aspects of the construction of Canada's national health insurance - especially its longstanding dependence on immigrant doctors.Foreign Practices reconsiders the early history of Medicare through the stories of foreign-trained doctors who entered the country in the three decades after the Second World War. By making strategic use of oral history, analyzing contemporary medical debates, and reconstructing doctors' life histories, Sasha Mullally and David Wright demonstrate that foreign doctors arrived by the hundreds at a pivotal moment for health care services. Just as Medicare was launched, Canada began to prioritize "highly skilled manpower" when admitting newcomers, a novel policy that drew thousands of professionals from around the world. Doctors from India and Iran, Haiti and Hong Kong, and Romania and the Republic of South Africa would fundamentally transform the medical landscape of the country.Charting the fascinating history of physician immigration to Canada, and the ethical debates it provoked, Foreign Practices places the Canadian experience within a wider context of global migration after the Second World War.

Between the decriminalization of contraception in 1969 and the introduction of the Charter of Rights and Freedoms in 1982, a landmark decade in the struggle for women's rights, public discourse about birth control and family planning was transformed. At the same time, a transnational conversation about the "population bomb" that threatened global famine caused by overpopulation embraced birth control technologies for a different set of reasons, revisiting controversial ideas about eugenics, heredity, and degeneration. In Challenging Choices Erika Dyck and Maureen Lux argue that reproductive politics in 1970s Canada were shaped by competing ideologies on global population control, poverty, personal autonomy, race, and gender. For some Canadians the 1970s did not bring about an era of reproductive liberty but instead reinforced traditional power dynamics and paternalistic structures of authority. Dyck and Lux present case studies of four groups of Canadians who were routinely excluded from progressive, reformist discourse: Indigenous women and their communities, those with intellectual and physical disabilities, teenage girls, and men. In different ways, each faced new levels of government regulation, scrutiny, or state intervention as they negotiated their reproductive health, rights, and responsibilities in the so-called era of sexual liberation. While acknowledging the reproductive rights gains that were made in the 1970s, the authors argue that the legal changes affected Canadians differently depending on age, social position, gender, health status, and cultural background. Illustrating the many ways to plan a modern family, these case studies reveal how the relative merits of life and choice were pitted against each other to create a new moral landscape for evaluating classic questions about population control.

What is the relationship between culture and mental health? Is mental illness universal? Are symptoms of mental disorders different across social groups? In the late 1960s these questions gave rise to a groundbreaking series of articles written by the psychiatrist Henri Ellenberger, who would go on to publish The Discovery of the Unconscious: The History and Evolution of Dynamic Psychiatry in 1970. Fifty years later they are presented for the first time in English translation, introduced by historian of science Emmanuel Delille. Ethnopsychiatry explores one of the most controversial subjects in psychiatric research: the role of culture in mental health. In his articles Ellenberger addressed the complex clinical and theoretical problems of cultural specificity in mental illness, collective psychoses, differentiations within cultural groups, and biocultural interactions. He was especially attuned to the correlations between rapid cultural transformations in postwar society, urbanization, and the frequency of mental illness. Ellenberger drew from a vast and varied primary and secondary literature in several languages, as well as from his own findings in clinical practice, which included work with indigenous peoples. In analyzing Ellenberger's contributions Delille unveils the transnational and interdisciplinary origins of transcultural psychiatry, which grew out of knowledge networks that crisscrossed the globe. The book has a rich selection of appendices, including Ellenberger's lecture notes on a case of peyote addiction and his correspondence with anthropologist and psychoanalyst Georges Devereux. These original essays, and their masterful contextualization, provide a compelling introduction to the foundations of transcultural psychiatry and one of its most distinguished and prolific researchers.

In the early twentieth century, the eugenics movement won many supporters with its promise that social ills such as venereal disease, alcoholism, and so-called feeble-mindedness, along with many other conditions, could be eliminated by selective human breeding and other measures. The provinces of Alberta and British Columbia passed legislation requiring that certain “unfit” individuals undergo reproductive sterilization. Ontario, being home to many leading proponents of eugenics, came close to doing the same.In the Public Good examines three legal processes that were used to advance eugenic ideas in Ontario between 1910 and 1938: legislative bills, provincial royal commissions, and the criminal trial of a young woman accused of distributing birth control information. Taken together, they reveal who in the province supported these ideas, how they were understood in relation to the public good, and how they were debated. Elizabeth Koester shows the ways in which the law was used both to promote and to deflect eugenics, and how the concept of the public good was used by supporters to add power to their cause.With eugenic thinking finding new footholds in the possibilities offered by reproductive technologies, proposals to link welfare entitlement to “voluntary” sterilization, and concerns about immigration, In the Public Good adds depth to our understanding. Its exploration of the historical relationship between eugenics and law in Ontario prepares us to face the implications of “newgenics” today.

In the early twentieth century, the eugenics movement won many supporters with its promise that social ills such as venereal disease, alcoholism, and so-called feeble-mindedness, along with many other conditions, could be eliminated by selective human breeding and other measures. The provinces of Alberta and British Columbia passed legislation requiring that certain “unfit” individuals undergo reproductive sterilization. Ontario, being home to many leading proponents of eugenics, came close to doing the same.In the Public Good examines three legal processes that were used to advance eugenic ideas in Ontario between 1910 and 1938: legislative bills, provincial royal commissions, and the criminal trial of a young woman accused of distributing birth control information. Taken together, they reveal who in the province supported these ideas, how they were understood in relation to the public good, and how they were debated. Elizabeth Koester shows the ways in which the law was used both to promote and to deflect eugenics, and how the concept of the public good was used by supporters to add power to their cause.With eugenic thinking finding new footholds in the possibilities offered by reproductive technologies, proposals to link welfare entitlement to “voluntary” sterilization, and concerns about immigration, In the Public Good adds depth to our understanding. Its exploration of the historical relationship between eugenics and law in Ontario prepares us to face the implications of “newgenics” today.

As recently as fifty years ago most people expected to lose their teeth as they aged. Few children benefited from braces to straighten their teeth, and cosmetic procedures to change the appearance of smiles were largely unknown. Today, many Canadians enjoy straight, white teeth and far more of them are keeping their teeth for the entirety of their lives. Yet these advances have not reached everyone.The Smile Gap examines the enormous improvements that have taken place over the past century. The use of fluorides, emphasis on toothbrushing, the rise of cosmetic dentistry, and better access to dental care have had a profound effect on the oral health and beauty of Canadians. Yet while the introduction of employer-provided dental insurance in the 1970s has allowed for regular visits to the dentist for many people, a significant number of Canadians still lack access to good oral health care, especially disabled Canadians, those on social assistance, the working poor, the elderly, and new immigrants. At the same time, an attractive smile has become increasingly important in the workplace and in relationships. People with damaged and missing teeth are at a substantial disadvantage, not just because of the pain and suffering caused by poor oral health, but because we live in a society that prizes good teeth and warm smiles.The first history of oral health in Canada, The Smile Gap reveals that despite the gains made, too many Canadians go without any dental care, with damaging consequences for their oral health, general physical health, and self-image. To complete our health care system, it is time to close the gap.

As recently as fifty years ago most people expected to lose their teeth as they aged. Few children benefited from braces to straighten their teeth, and cosmetic procedures to change the appearance of smiles were largely unknown. Today, many Canadians enjoy straight, white teeth and far more of them are keeping their teeth for the entirety of their lives. Yet these advances have not reached everyone.The Smile Gap examines the enormous improvements that have taken place over the past century. The use of fluorides, emphasis on toothbrushing, the rise of cosmetic dentistry, and better access to dental care have had a profound effect on the oral health and beauty of Canadians. Yet while the introduction of employer-provided dental insurance in the 1970s has allowed for regular visits to the dentist for many people, a significant number of Canadians still lack access to good oral health care, especially disabled Canadians, those on social assistance, the working poor, the elderly, and new immigrants. At the same time, an attractive smile has become increasingly important in the workplace and in relationships. People with damaged and missing teeth are at a substantial disadvantage, not just because of the pain and suffering caused by poor oral health, but because we live in a society that prizes good teeth and warm smiles.The first history of oral health in Canada, The Smile Gap reveals that despite the gains made, too many Canadians go without any dental care, with damaging consequences for their oral health, general physical health, and self-image. To complete our health care system, it is time to close the gap.

In recent decades, researchers have studied the cultures of medicine and the ways in which context and identity shape both individual experiences and structural barriers in medical education. The essays in this collection offer new insights into the deep histories of these processes, across time and around the globe.Transforming Medical Education compiles twenty-one historical case studies that foreground processes of learning, teaching, and defining medical communities in educational contexts. The chapters are organized around the themes of knowledge transmission, social justice, identity, pedagogy, and the surprising affinities between medical and historical practice. By juxtaposing original research on diverse geographies and eras – from medieval Japan to twentieth-century Canada, and from colonial Cameroon to early Republican China – the volume disrupts traditional historiographies of medical education by making room for schools of medicine for revolutionaries, digital cadavers, emotional medical students, and the world’s first mandatory Indigenous community placement in an accredited medical curriculum. This unique collection of international scholarship honours historian, physician, and professor Jacalyn Duffin for her outstanding contributions to the history of medicine and medical education.An invaluable scholarly resource and teaching tool, Transforming Medical Education offers a provocative study of what it means to teach, learn, and belong in medicine.

For centuries, recurrent plague outbreaks took a grim toll on populations across Europe and Asia. While medical interventions and treatments did not change significantly from the fourteenth century to the eighteenth century, understandings of where and how plague originated did.Through an innovative reading of medical advice literature produced in England and France, Patterns of Plague explores these changing perceptions across four centuries. When plague appeared in the Mediterranean region in 1348, physicians believed the epidemic’s timing and spread could be explained logically and the disease could be successfully treated. This confidence resulted in the widespread and long-term circulation of plague tracts, which described the causes and signs of the disease, offered advice for preventing infection, and recommended therapies in a largely consistent style. What, where, and especially who was blamed for plague outbreaks changed considerably, however, as political, religious, economic, intellectual, medical, and even publication circumstances evolved.Patterns of Plague sheds light on what was consistent about plague thinking and what was idiosyncratic to particular places and times, revealing the many factors that influence how people understand and respond to epidemic disease.

For centuries, recurrent plague outbreaks took a grim toll on populations across Europe and Asia. While medical interventions and treatments did not change significantly from the fourteenth century to the eighteenth century, understandings of where and how plague originated did.Through an innovative reading of medical advice literature produced in England and France, Patterns of Plague explores these changing perceptions across four centuries. When plague appeared in the Mediterranean region in 1348, physicians believed the epidemic’s timing and spread could be explained logically and the disease could be successfully treated. This confidence resulted in the widespread and long-term circulation of plague tracts, which described the causes and signs of the disease, offered advice for preventing infection, and recommended therapies in a largely consistent style. What, where, and especially who was blamed for plague outbreaks changed considerably, however, as political, religious, economic, intellectual, medical, and even publication circumstances evolved.Patterns of Plague sheds light on what was consistent about plague thinking and what was idiosyncratic to particular places and times, revealing the many factors that influence how people understand and respond to epidemic disease.

While almost all universal health coverage in Canada is provided under the Canada Health Act, there is Medicare coverage that is provided outside of the act. This is the first book to explain the nature of these boundary health services, why they exist, and how to navigate them in practice. The Boundaries of Medicare examines the complex range of public health care services and coverage arrangements that predate or have developed alongside the Canada Health Act. These provisions – including for workers' compensation, military personnel and veterans, incarcerated persons, migrants, and Indigenous Peoples – are often not well understood, even by those working at policy and delivery levels. Katherine Fierlbeck and Gregory Marchildon aim to improve understanding of these boundary services: why they were established, who is eligible for them, how services are provided, how they are paid for, and how they are managed within a multilevel governance system. They also look at the dramatic increase in virtual health care services since the onset of the COVID-19 pandemic and their relationship to the Canada Health Act.Explaining the origins, operations, and tensions of government-funded health care outside the Canada Health Act, The Boundaries of Medicare is an essential resource for policymakers, providers, administrators, and patients seeking to navigate Medicare in Canada.

In eighteenth-century Britain the worlds of literature and medicine were closely intertwined, and a diverse group of people participated in the circulation of medical knowledge. In this pre-professionalized milieu, several women writers made important contributions by describing a range of common yet often devastating illnesses.In Reimagining Illness Heather Meek reads works by six major eighteenth-century women writers – Jane Barker, Anne Finch, Lady Mary Wortley Montagu, Hester Lynch Thrale Piozzi, Mary Wollstonecraft, and Frances Burney – alongside contemporaneous medical texts to explore conditions such as hysteria, melancholy, smallpox, maternity, consumption, and breast cancer. In novels, poems, letters, and journals, these writers drew on their learning and literary skill as they engaged with and revised male-dominated medical discourse. Their works provide insight into the experience of suffering and interrogate accepted theories of women’s bodies and minds. In ways relevant both then and now, these women demonstrate how illness might be at once a bodily condition and a malleable construct full of ideological meaning and imaginative possibility.Reimagining Illness offers a new account of the vital period in medico-literary history between 1660 and 1815, revealing how the works of women writers not only represented the medicine of their time but also contributed meaningfully to its developments.

From 1650 to 1750 the provision of medical care for injured seamen in the Royal Navy underwent a major transformation, shifting from care provided by civilians in private homes to care at hospitals run by the navy. Early Modern Naval Health Care in England examines the factors responsible for the emergence of centralized naval health care over the course of a century.In 1650 sick and injured Royal Navy sailors were billeted in homes in coastal communities where civilians were paid to look after them. Care work, which involved making meals and feeding patients, administering medicines, washing clothes and bed linens, and shaving and cutting hair, was essential to the recovery of tens of thousands of seamen – and it was done mostly by women. Beginning at the turn of the eighteenth century, naval health care moved to a more centralized system based in hospitals, where the conduct of sailors and care workers could be overseen. A key factor driving this change was the relationships between naval officials and female civilian caregivers, which were often fraught. Yet even with the shift to naval hospital settings, most care for convalescing sailors continued to be provided by women.Early Modern Naval Health Care in England shines a light on the care work that lay behind England’s formidable Royal Navy during the Age of Sail.

From 1650 to 1750 the provision of medical care for injured seamen in the Royal Navy underwent a major transformation, shifting from care provided by civilians in private homes to care at hospitals run by the navy. Early Modern Naval Health Care in England examines the factors responsible for the emergence of centralized naval health care over the course of a century.In 1650 sick and injured Royal Navy sailors were billeted in homes in coastal communities where civilians were paid to look after them. Care work, which involved making meals and feeding patients, administering medicines, washing clothes and bed linens, and shaving and cutting hair, was essential to the recovery of tens of thousands of seamen – and it was done mostly by women. Beginning at the turn of the eighteenth century, naval health care moved to a more centralized system based in hospitals, where the conduct of sailors and care workers could be overseen. A key factor driving this change was the relationships between naval officials and female civilian caregivers, which were often fraught. Yet even with the shift to naval hospital settings, most care for convalescing sailors continued to be provided by women.Early Modern Naval Health Care in England shines a light on the care work that lay behind England’s formidable Royal Navy during the Age of Sail.

Although Canadian history has no shortage of stories about disasters and accidents, the phenomena of risk, upset, and misfortune have been largely overlooked by historians. Disasters get their due, but not so the smaller-scale accident where fate is more intimate. Yet such events often have a vivid afterlife in the communities where they happen, and the way in which they are explained and remembered has significant social, cultural, and political meaning.An Accidental History of Canada brings together original studies of an intriguing range of accidents stretching from the 1630s to the 1970s. These include workplace, domestic, childhood, and leisure accidents in colonial, Indigenous, rural, and urban settings. Whether arising from colonial power relations, urban dangers, perils in resource extraction, or hazardous recreations, most accidents occur within circumstances of vulnerability, and reveal precarity and inequities not otherwise apparent. Contributors to this volume are alert to the intersections of the settler agenda and the elevation of risk that it brings. Indigenous and settler ways of understanding accidents are juxtaposed, with chapters exploring the links between accidents and the rise of the modern state.An Accidental History of Canada makes plain that whether they are interpreted as an intervention by providence, a miscalculation, an inevitability, or the result of observable risk, accidents – and our responses to them – reveal shared values.

More than one billion people live with hearing loss, making deafness one of the most common disabilities in the world. Despite the size of deaf communities and their rich cultural histories, in the Western world deafness is perceived primarily as a medical problem requiring a fix. In nineteenth-century Britain the shift from viewing deafness as auditory difference to framing it as a condition in need of medical intervention came at the insistence of an emerging group of professionals: aurists.Echoes of Care describes how British ear specialists sought to reshape deafness as a curable affliction that they were uniquely able to treat. Navigating a medical landscape fraught with professional rivalries and public distrust about the likelihood of a cure, aurists extended their authority towards key sites of intervention – the census, school medical testing, public health, deaf schools – to argue for the necessity of specialist care. Beneath the surface of these claims lay deeper questions about access to healthcare, cultural perceptions of disability, and the rise of eugenics.Jaipreet Virdi explores the complex legacy of the medicalization of deafness and its profound implications for deaf history, culture, and lived experience.

The twentieth century witnessed two devastating world wars that led to the exodus of millions of people. Counted among them were hundreds of neuroscientists and biological psychiatrists from Nazi Germany and its surrounding countries who were forced to emigrate in the 1930s and 1940s. Many of them settled in North America, where they profoundly influenced the development of the biomedical sciences.Focusing on the years between 1933 and 1989, Great Minds in Despair examines the long-term effects of this forced migration on scientific and medical cultures in North America and on the researchers themselves. Frank Stahnisch traces the lives and careers of approximately four hundred German-speaking doctors, scientists, and researchers over two generations. Placed in unfamiliar research settings in Canada and the United States, they helped to build the fields of neuroscience, psychiatry, clinical psychology, and the cognitive sciences, even as they rebuilt their own lives amid myriad challenges including cultural adaption and the complications of relicensing. Stahnisch explores how generational factors, gender, international networking, refugee organizations, and national funding agencies shaped their experiences and affected postwar remigration.Great Minds in Despair provides an important revision to the brain gain thesis in migration studies by turning attention to the working conditions and social acculturation of an influential academic refugee group in North America.

The war in Vietnam was an ethical minefield for the medical humanitarians who volunteered to treat the injured and dying. The United States government used humanitarian aid as a counterinsurgency strategy and weapon of war. The Vietnamese people could not understand why the Americans and their allies sought at once to attack them and to save them by providing medical care. Civilian medical teams increasingly questioned their complicity in the war and whether neutrality was possible.Behead and Cure explores the ethics of humanitarianism in Vietnam through the stories of seven medical teams from the United States, Britain, Canada, and Australia. Non-combatant women played key roles in all aspects of caring for civilians; this book repositions them from the sidelines of the Vietnam War to the centre. Drawing on interviews and first-hand accounts, Susan Armstrong-Reid considers how personality, life experience, place, and the culture of medical teams affected women's professional and personal lives in Vietnam and their lives afterwards. Confronted daily with the horrors of war, they were expected to fulfill their gendered roles as purveyors of Western medical care, humanitarian ambassadors, and models of femininity. Some proved resilient and pursued a lifelong commitment to peace movements and humanitarian causes. Others suffered burnout and sought to expunge the memory of their years in Vietnam.Behead and Cure provides a new perspective on the ethical dilemmas facing humanitarian workers and the collateral human costs of war that remain timely today. It reveals how the experience of Vietnam changed humanitarians' views of their profession, their own countries' foreign policies, and the place of the United States in the world.

Tuberculosis, once a leading cause of death in Europe and North America, was understood to be preventable and even curable by the early twentieth century. Yet despite growing knowledge about the disease and interventions that would slow its spread, tuberculosis deaths among First Nations in Canada remained staggeringly high. Government policies rooted in colonialism exacerbated a tuberculosis epidemic.Wilful Neglect explores the devastating consequences of the Department of Indian Affairs’ failed responses to tuberculosis among First Nations in Canada from 1867 to 1945. Even when medical treatment for tuberculosis became widely available, and despite the codification of the federal government’s obligations in treaties and other legislation, the basic health needs of First Nations remained unmet. The government instead prioritized an assimilationist agenda, including the placement of Indigenous children in residential schools, which became hotbeds for the spread of the infection. Drawing on the department’s own annual reports, memoranda, and budgets over more than seventy years, Jane Thomas traces key moments, decisions, and individuals involved in shaping federal health policy, laying bare the repercusions of racializing a disease.Health policies developed by colonial governments without the involvement of First Nations have always failed. Wilful Neglect demonstrates a direct link between the federal government’s historical health policies and the disparities that continue into the present.

By the mid-eighteenth century, anatomy was one of medicine’s most dynamic fields, dominated by men but reliant on women’s bodies and knowledge. This dependence gave women a complicated and often overlooked role in the development of modern medicine.Women, Gender, and Anatomy in Enlightenment France reveals how the dissection, study, and representation of female bodies became central to the professional training and social authority of medical practitioners, transforming anatomy into both a scientific enterprise and a performance of expertise. Margaret Carlyle demonstrates how women shaped anatomical culture not only as objects of study but also as educators, entrepreneurs, and practitioners working alongside male surgeons and physicians. She argues that this participation reflected a broader feminization of anatomy, marked by a growing fascination with women’s reproductive bodies, the rise of lifelike female anatomical models in wax and plaster, and the specialized training of surgeons and midwives. Women contributed directly to anatomical practice through dissection, modelling, illustration, and teaching, as seen in the careers of Marie-Marguerite Biheron and Marie-Geneviève-Charlotte Thiroux d’Arconville. Yet even as women participated across arenas of anatomical knowledge production – from classrooms and amphitheatres to museums, print culture, and workshops – their involvement remained controversial and their contributions marginalized.By placing women’s bodies and labour at the heart of eighteenth-century medical science in France, this history presents a gendered rethinking of the origins of modern anatomy.

Based on recollections of patients, interviews with participants in the government programs, available literature and statistics, and records of the Northern Affairs Program, Grygier examines the programs for the Inuit in all parts of Canada. She also explores the history of tuberculosis in Canada, conditions of life in the North for both Inuit and non-Natives, and the development and modification of government administration of the North. This important study will be of interest to those in Native and northern studies, Canadian social and political history, and the history of medicine in Canada.

While her journal concentrates on her efforts to teach weaving, carving, metal work, pottery, carpentry, basket weaving, and her best known accomplishment, the hooked mats that have become famous for their strong designs and meticulous craftsmanship, she also describes the local people and customs of St Anthony and life in the household of the Grenfell workers. After she left Newfoundland, Luther became one of the pioneers of occupational therapy in the United States, spending the rest of her professional life as director of occupational therapy at the Butler Hospital in Providence, Rhode Island. Edited by Ronald Rompkey, author of the most authoritative biography of Grenfell, Luther's journal provides an unusually intimate account of Wilfred Grenfell during these four years B his idiosyncracies, his attempts to meet the needs of the community, his rescue from a floating ice pan, his marriage B and brings to life the Newfoundlanders with whom she worked.

Unlike other studies, Committed to the State Asylum shows the important role that the community played in shaping the asylum and tackles the thorny issue of state development, explaining how state asylums developed differently in each province. He considers Canada?s pioneering institutional efforts at dealing with the criminally insane and why those efforts lasted only a short time, shedding new light on the debate about the nature and extent of state involvement in nineteenth-century Canadian society. Committed to the State Asylum offers new insights into the ways in which both ordinary families and the state understood and responded to those they thought had crossed the boundaries of sane behaviour.

Adams argues that the many significant changes seen in this period were due not to architects' efforts but to the work of feminists and health reformers. Contrary to the widely held belief that the home symbolized a refuge and safe haven to Victorians, Adams reveals that middle-class houses were actually considered poisonous and dangerous and explores the involvement of physicians in exposing "unhealthy" architecture and designing improved domestic environments. She examines the contradictory roles of middle-class women as both regulators of healthy houses and sources of disease and danger within their own homes, particularly during childbirth. Architecture in the Family Way sheds light on an ambiguous period in the histories of architecture, medicine, and women, revealing it to be a time of turmoil, not of progress and reform as is often assumed.

In the early years of the twentieth century medical research in Canada was the job of a select few. By mid-century it had grown into a systematic, large-scale venture that involved teams of professional scientists and dozens of laboratories in universities, government, and industry. J.B. Collip - skilled both as a bench scientist and an entrepreneur - played a leading role in this transformation. In J.B. Collip and the Development of Medical Research in Canada Alison Li details how Collip leapt into prominence in 1921-22 as part of the team at the University of Toronto that isolated insulin. When the Nobel Prize was awarded to Frederick Banting and J.J.R. Macleod in 1923, Banting announced he was sharing his award with Charles Best; Macleod in turn announced he was sharing his award with Collip. Collip was known for his remarkable skills in making hormone extracts, many of which proved to have therapeutic, and therefore commercial, value. At McGill University in the 1930s he headed a thriving research group that carried out investigations of the pituitary and sex hormones, including development of one of the first orally active estrogen products. Collip's story sheds light on early negotiations between academic science and the pharmaceutical industry and on the complexities of sustaining a research laboratory before the rise of government funding. As the head of the National Research Council's medical research division during its formative years, Collip helped shape the foundations of organized support for medical research in Canada.

The first national study of the history of cancer in Canada.

An analysis of the 2003 SARS outbreak by physicians involved in the crisis, historians, and policy experts.

How patients experienced disability at a famous rehabilitation centre.