History of Medicine in Context – serie

Authority, Gender, and Midwifery in Early Modern Italy: Contested Deliveries explores attempts by church, state, and medical authorities to regulate and professionalize the practice of midwifery in Italy from the late sixteenth to the late eighteenth century. Medical writers in this period devoted countless pages to investigating the secrets of women’s sexuality and the processes of generation. By the eighteenth century, male practitioners in Britain and France were even successfully advancing careers as male midwives. Yet, female midwives continued to manage the vast majority of all early modern births. An examination of developments in Italy, where male practitioners never made successful inroads into childbirth, brings into focus the complex social, religious, and political contexts that shaped the management of reproduction in early modern Europe. Authority, Gender, and Midwifery in Early Modern Italy argues that new institutional spaces to care for pregnant women and educate midwives in Italy during the eighteenth century were not strictly medical developments but rather socio-political responses both to long standing concerns about honor, shame, and illegitimacy, and contemporary unease about population growth and productivity. In so doing, this book complicates our understanding of such sites, situating them within a longer genealogy of institutional spaces in Italy aimed at regulating sexual morality and protecting female honor. It will be of interest to scholars of the history of medicine, religious history, social history, and Early Modern Italy.

Authority, Gender, and Midwifery in Early Modern Italy: Contested Deliveries explores attempts by church, state, and medical authorities to regulate and professionalize the practice of midwifery in Italy from the late sixteenth to the late eighteenth century. Medical writers in this period devoted countless pages to investigating the secrets of women’s sexuality and the processes of generation. By the eighteenth century, male practitioners in Britain and France were even successfully advancing careers as male midwives. Yet, female midwives continued to manage the vast majority of all early modern births. An examination of developments in Italy, where male practitioners never made successful inroads into childbirth, brings into focus the complex social, religious, and political contexts that shaped the management of reproduction in early modern Europe. Authority, Gender, and Midwifery in Early Modern Italy argues that new institutional spaces to care for pregnant women and educate midwives in Italy during the eighteenth century were not strictly medical developments but rather socio-political responses both to long standing concerns about honor, shame, and illegitimacy, and contemporary unease about population growth and productivity. In so doing, this book complicates our understanding of such sites, situating them within a longer genealogy of institutional spaces in Italy aimed at regulating sexual morality and protecting female honor. It will be of interest to scholars of the history of medicine, religious history, social history, and Early Modern Italy.

Post-mortems may have become a staple of our TV viewing, but the long history of this practice is still little known. This book provides a fresh account of the dissections that took place across early modern Europe on those who had died of a disease or in unclear circumstances. Drawing on different approaches and on sources as varied as notes taken at the dissection table, legal records and learned publications, the chapters explore how autopsies informed the understanding of pathology of all those involved. With a broad geography, including Rome, Amsterdam and Geneva, the book recaptures the lost worlds of physicians, surgeons, patients, families and civic authorities as they used corpses to understand diseases and make sense of suffering. The evidence from post-mortems was not straightforward, but between 1500 and 1750 medical practitioners rose to the challenge, proposing various solutions to the difficulties they encountered and creating a remarkable body of knowledge. The book shows the scope and diversity of this tradition and how laypeople contributed their knowledge and expectations to the wide-ranging exchanges stimulated by the opening of bodies.

This book surveys a neglected set of sources, German plague prints and treatises published between 1473 and 1573, in order to explore the intertwined histories of plague, print, medicine and religion during the Reformation era. It argues that a particularly German reform of healing flourished in printed texts during the Renaissance and Reformation as physicians and clerics devised innovative responses to the era’s persistent epidemics. These reforms are "German" since they reflect the innovative trends that originated in or were particularly strong within German-speaking lands, including the rapid growth of vernacular print, Protestantism, and new interest in alchemy and the native plants of Northern Europe that were unknown to the ancients. Their reforms are also "German" in the sense that they unfolded mainly in vernacular print, which encouraged physicians to produce local knowledge, grounded in personal experience and local observations as much as universal theories. This book contributes to the history of medicine and science by tracing the growth of more empirical forms of medical knowledge. It also contributes to the history of the Renaissance and Reformation by uncovering the innovative contributions of various forgotten physicians. This book presents the broadest study of German plague treatises in any language.

The British apprenticeship model of nurse training, developed under Florence Nightingale’s influence from 1860 at St Thomas’s Hospital, gained national and world-wide recognition. Its end was heralded with the publication of the last national syllabus from the General Nursing Council for England and Wales in 1977. This apprenticeship model, a crucial part of the history of British health care for over a century, is the subject of this book. Primary evidence, much of it original, is gained from Parliamentary debates and reports, syllabuses, long neglected nursing textbooks, major governmental and professional reports, and the voices of nurses themselves expressed through their professional journals. Primary sources are systematically re-examined and contextually interpreted in the light of new evidence. The study in particular interprets the contemporary attitudes and moral values underpinning the apprenticeship system, especially the place of vocation. The reasons for the ending of this system, arising in part from the cultural shifts of the 1960s, are explained in relation to this historical moral context. The reader sees how the self-understanding of the profession shifts, with much tension and disagreement, as mores change. The book fills a major gap in the history of nurse training, by giving a sustained account of the apprenticeship model of nursing in context, and charting changing values away from the historic vocational tradition. Its copious use of primary sources will make this a key text for nurses, historians and policy makers.

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.

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.

In the popular imagination, the notion of military medicine prior to the twentieth century is dominated by images of brutal ignorance, superstition and indifference. In an age before the introduction of anaesthetics, antibiotics and the sterilisation of instruments, it is perhaps unsurprising that such a stereotyped view has developed, but to what degree is it correct? Whilst it is undoubtedly true that by modern standards, the medical care provided in previous centuries was crude and parochial, it would be wrong to think that serious attempts were not made by national bodies to provide care for those injured in the military conflicts of the past. In this ground breaking study, it is argued that both sides involved in the civil wars that ravaged the British Isles during the mid seventeenth century made concerted efforts to provide medical care for their sick and wounded troops. Through the use of extensive archival sources, Dr Gruber von Arni has pieced together the history of the welfare provided by both Parliamentarian and Royalist causes, and analyses the effectiveness of the systems they set up.

The name of Hippocrates has been invoked as an inspiration of medicine since antiquity, and medical practitioners have turned to Hippocrates for ethical and social standards. While most modern commentators accept that medicine has sometimes fallen short of Hippocratic ideals, these ideals are usually portrayed as having a timeless appeal, departure from which is viewed as an aberration that only a return to Hippocratic values will correct. Recent historical work has begun to question such an image of Hippocrates and his medicine. Instead of examining Hippocratic ideals and values as an unchanging legacy passed to us from antiquity, historians have increasingly come to explore the many different ways in which Hippocrates and his medicine have been constructed and reconstructed over time. Thus scholars have tended to abandon attempts to extract a real Hippocrates from the mass of conflicting opinions about him. Rather, they tend to ask why he was portrayed in particular ways, by particular groups, at particular times. This volume explores the multiple uses, constructions, and meanings of Hippocrates and Hippocratic medicine since the Renaissance, and elucidates the cultural and social circumstances that shaped their development. Recent research has suggested that whilst the process of constructing and reconstructing Hippocrates began during antiquity, it was during the sixteenth century that the modern picture emerged. Many scholastic endeavours today, it is claimed, are attempts to answer Hippocratic questions first posed in the sixteenth century. This book provides an opportunity to begin to evaluate such claims, and to explore their relevance in areas beyond those of classical scholarship.

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.

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.

Florence Nightingale and the Health of the Raj presents in detail Nightingale's involvement with India and Indians, and shows how she progressed from being concerned with the narrow sphere of army sanitation to the socio-economic condition of the whole of India. Despite her interest in the country, Florence Nightingale never actually visited India, yet she still managed to instigate and inspire a number of sanitary and social reforms there. Starting in 1857 with army sanitation she had by the end of her involvement with India in 1896 shifted her attention to such social issues as village sanitation and female education. In between she was involved with the development of hospitals, irrigation, famine relief, the land tenure system in Bengal, urban sanitation, and female nursing. In Florence Nightingale and the Health of the Raj, Jharna Gourlay covers all these aspects of Florence Nightingale’s work, tracing her political involvement and her growing awareness of Indian problems, showing how she gradually moved from an imperialist position to one advocating power sharing with Indians. Her story is also one of how a private individual without official position, moreover a woman in a patriarchal society, could influence government policy and public opinion on matters of immense importance. Based on primary sources from both Britain and India, particularly her own correspondence and articles, this book tells Florence Nightingale’s story through her own words, whilst simultaneously placing it in the wider historical context. As such it will prove a fascinating and illuminating study for a wide range of scholars interested in nineteenth century imperialist, medical, gender and social history.

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.

Birth control holds an unusual place in the history of medicine. Largely devoid of doctors or hospitals, only relatively recently have birth control histories included tales of laboratory-based therapeutic innovation. Instead, these histories elucidate the peculiar slippages between individual bodies and a body politic occasioned by the promotion of techniques to manipulate human reproduction. The history of birth control in India brings these as well as additional complications to the field. Contrary to popular belief, India has one of the most long-lasting, institutionalized, far-reaching, state sponsored family planning programs in the world. During the inter-war period the country witnessed the formation of groups dedicated to promoting the cause of birth control. This book outlines the early history of birth control in India, particularly the Tamil south. In so doing, it illuminates India's role in a global network of birth control advocacy. The book also argues how Indians' contraceptive advocacy and associationalism became an increasingly significant realm of action in which they staked claims not just about the utility of contraception but simultaneously over their ability and right to self-rule.

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

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 Hôtel 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.

In the first book to chart late Imperial and Soviet health policy and its impact on the health of the collective in Russia’s former capital and second "regime" city, Christopher Williams argues that in pre-revolutionary St. Petersburg radical sections of the medical profession and the Bolsheviks highlighted the local and Tsarist government’s failure to protect the health of poor peasants and the working class due to conflicts over the priority and direction of health policy, budget constraints and political division amongst doctors. They sought to forge alliances to change the law on social insurance and to prioritise the health of the collective. Situating pre- and post-revolutionary health policies in the context of revolutions, civil war, market transition and Stalin’s rise to power, Williams shows how attempts were made to protect the Body Russian/Soviet and to create a healthier lifestyle and environment for key members of the new Soviet state. This failed due to shortages of money, ideology and Soviet medical and cultural norms. It resulted in ad hoc interventions into people’s lives and the promotion of medical professionalization, and then the imposition of restrictions resulting from changes in the Party line. Williams shows that when the health of the collective was threatened and created medical disorder, it led to state coercion.

The Enlightenment period, here understood as covering the years 1650 to 1789, is usually considered to be a period when religion was obliged to give way to rationality. With respect to medicine this means that the religious elements in the treatment and interpretation of diseases to all intents and purposes disappeared. However, there are growing indications in recent scholarship that this may well be an overstatement. Indeed it appears that religion retained many of its customary relations with medicine. This volume explores how far, and the ways in which, this was still the case. It looks at this multi-faceted relationship with respect to among others: medical care and death in hospitals, religious vocation and nursing, chemical medicine and religion, the clergy and medicine, the continued significance of popular medicine, faith healing, dissection and religion, and religious dissent and medical innovation. Within these significant areas the volume provides a European perspective which will make it possible to draw comparisons and determine differences.

Melancholy is rightly taken to be a central topic of concern in early modern culture, and it continues to generate scholarly interest among historians of medicine, literature, psychiatry and religion. This book considerably furthers our understanding of the issue by examining the extensive discussions of melancholy in seventeenth- and eighteenth- century religious and moral philosophical publications, many of which have received only scant attention from modern scholars. Arguing that melancholy was considered by many to be as much a 'disease of the soul' as a condition originating in bodily disorder, Dr. Schmidt reveals how insights and techniques developed in the context of ancient philosophical and early Christian discussions of the good of the soul were applied by a variety of early modern authorities to the treatment of melancholy. The book also explores ways in which various diagnostic and therapeutic languages shaped the experience and expression of melancholy and situates the melancholic experience in a series of broader discourses, including the language of religious despair dominating English Calvinism, the late Renaissance concern with the government of the passions, and eighteenth-century debates surrounding politeness and material consumption. In addition, it explores how the shifting languages of early modern melancholy altered and enabled certain perceptions of gender. As a study in intellectual history, Melancholy and the Care of the Soul offers new insights into a wide variety of early modern texts, including literary representations and medical works, and critically engages with a broad range of current scholarship in addressing some of the central interpretive issues in the history of early modern medicine, psychiatry, religion and culture.

Immunity is as old as illness itself, yet historians have only just begun to take up the challenge of reconstructing the modern transformation of attempts to protect against disease. Crafting Immunity assembles in one volume the most recent efforts of an international group of scholars to place the diverse practices of immunity in their historical contexts. It is this diversity that provides the book with its greatest source of strength. Collectively, the papers in this volume suggest that it was the craft-like, small-scale, and local conditions of clinical medicine that turned the immunity of individuals and populations into biomedical objects. That is to say, the modern conception of immunity was at least as much the product of the work of healing as it was the systematic result of discoveries about the immune system. Working outside the narrow confines of laboratory histories, Crafting Immunity is the first attempt to set the problems of immunity into a variety of social, technological, institutional and intellectual contexts. It will appeal not only to historians and sociologists of health, but also to social and cultural historians interested in the biomedical creation of modern health regimens.

This book explores the identity of the 'French disease' (alias the 'French pox' or 'Morbus Gallicus') in the German Imperial city of Augsburg between 1495 and 1630. Rejecting the imposition of modern conceptions of disease upon the past, it reveals how early modern medical theory facilitated enormous flexibility in defining disease, and how disease identification was a local matter, and one of constant negotiation and renegotiation. Drawing on a wealth of primary source material this work combines concern with the conceptualisation of the disease with its practical application, and argues for the inseparability of both. It focuses on how theoretical understanding of the pox shaped the various therapeutic reactions, and vice versa. It exemplifies this in the specific socio-cultural context of sixteenth- and seventeenth-century Augsburg, through an investigation of the city's municipal and private pox hospitals. Combining medical, religious, economic, municipal and institutional history this book offers a fascinating insight into how early modern society came to terms with disease both in a practical and theoretical sense. This revised English translation of Dr Stein's original German book adds new layers of understanding to a fascinating but complex subject.

This book studies how doctors responded to - and helped shape - deep-seated fears about nervous degeneracy and population decline in France between 1750 and 1850. It uncovers a rich and far-ranging medical debate in which four generations of hygiene activists used biomedical science to transform the self, sexuality and community in order to regenerate a sick and decaying nation; a programme doctors labelled 'physical and moral hygiene'. Moreover, it is shown how doctors imparted biomedical ideas and language that allowed lay people to make sense of often bewildering socio-political changes, thereby giving them a sense of agency and control over these events. Combining a chronological and thematic approach, the six chapters in this book trace how doctors began their medical crusade during the middle of the Enlightenment, how this activism flowered during the French Revolution, and how they then revised their views during the period of post-revolutionary reaction. The study concludes by arguing that medicine acquired an unprecedented political, social and cultural position in French society, with doctors becoming the primary spokesmen for bourgeois values, and thus helped to define the new world that emerged from the post-revolutionary period.

As a maritime trading nation, the issue of quarantine was one of constant concern to Britain. Whilst naturally keen to promote international trade, there was a constant fear of importing potentially devastating diseases into British territories. In this groundbreaking study, John Booker examines the methods by which British authorities sought to keep their territories free from contagious diseases, and the reactions to, and practical consequences of, these policies. Drawing upon a wealth of documentary sources, Dr Booker paints a vivid picture of this controversial episode of British political and mercantile history, concluding that quarantine was a peculiarly British disaster, doomed to inefficiency by the royal prerogative and concerns for trade and individual liberty. Whilst it may not have fatally hindered the economic development of Britain, it certainly irritated the City and the mercantile elites and remained a source of constant political friction for many years. As such, an understanding of British maritime quarantine provides a fuller picture of attitudes to trade, culture, politics and medicine in the eighteenth and nineteenth centuries.

The eighteenth-century practitioners of anatomy saw their own period as 'the perfection of anatomy'. This book looks at the investigation of anatomy in the 'long' eighteenth century in disciplinary terms. This means looking in a novel way not only at the practical aspects of anatomizing but also at questions of how one became an anatomist, where and how the discipline was practised, what the point was of its practice, what counted as sub-disciplines of anatomy, and the nature of arguments over anatomical facts and priority of discovery. In particular pathology, generation and birth, and comparative anatomy are shown to have been linked together as sub-disciplines of anatomy. At first sight anatomy seems the most long-lived and stable of medical disciplines, from Galen and Vesalius to the present. But Cunningham argues that anatomy was, like so many other areas of knowledge, changed irrevocably around the end of the eighteenth century, with the creation of new disciplines, new forms of knowledge and new ways of investigation. The 'long' eighteenth century, therefore, was not only the highpoint of anatomy but also the endpoint of old anatomy.

The story of early modern medicine, with its extremes of scientific brilliance and barbaric practice, has long held a fascination for scholars. The great discoveries of Harvey and Jenner sit incongruously with the persistence of Galenic theory, superstition and blood-letting. Yet despite continued research into the period as a whole, most work has focussed on the metropolitan centres of England, Scotland and France, ignoring the huge range of national and regional practice. This collection aims to go some way to rectifying this situation, providing an exploration of the changes and developments in medicine as practised in Ireland and by Irish physicians studying and working abroad during the seventeenth and eighteenth centuries. Bringing together research undertaken into the neglected area of Irish medical and social history across a variety of disciplines, including history of medicine, Colonial Latin American history, Irish, and French history, it builds upon ground-breaking work recently published by several of the contributors, thereby augmenting our understanding of the role of medicine within early modern Irish society and its broader scientific and intellectual networks. By addressing fundamental issues that reach beyond the medical institutions, the collection expands our understanding of Irish medicine and throws new light on medical practices and the broader cultural and social issues of early modern Ireland, Europe, and Latin America. Taking a variety of approaches and sources, ranging from the use of eplistolary exchange to the study of medical receipt books, legislative practice to belief in miracles, local professionalization to international networks, each essay offers a fascinating insight into a still largely neglected area. Furthermore, the collection argues for the importance of widening current research to consider the importance and impact of early Irish medical traditions, networks, and practices, and their interaction with related issues, such as politics, gender, economic demand, and religious belief.

Students notoriously vote with their feet, seeking out the best and most innovative teachers of their subject. The most ambitious students have been travelling long distances for their education since universities were first founded in the 13th century, making their own educational pilgrimage or peregrinatio. This volume deals with the peregrinatio medica from the viewpoint of the travelling students: who went where; how did they travel; what did they find when they arrived; what did they take back with them from their studies. Even a single individual could transform medical studies or practice back home on the periphery by trying to reform teaching and practice the way they had seen it at the best universities. Other contributions look at the universities themselves and how they were actively developed to attract students, and at some of the most successful teachers, such as Boerhaave at Leiden or the Monros at Edinburgh. The essays show how increasing levels of wealth allowed more and more students to make their pilgrimages, travelling for weeks at a time to sit at the feet of a particular master. In medicine this meant that, over the period c.1500 to 1789, a succession of universities became the medical school of choice for ambitious students: Padua and Bologna in the 1500s, Paris, Leiden and Montpellier in the 1600s, and Leiden, Göttingen and Edinburgh in the 1700s. The arrival of foreign students brought wealth to the university towns and this significant economic benefit meant that the governors of these universities tried to ensure the defence of freedom of religion and freedom of speech, thus providing the best conditions for the promotion of new views and innovation in medicine. The collection presents a new take on the history of medical education, as well as universities, travel and education more widely in ancien régime Europe.

While the writings of early modern medical practitioners habitually touch on performance and ceremony, few illuminate them as clearly as the Protestant physicians Felix Platter and Thomas Platter the Younger, who studied in Montpellier and practiced in their birth town of Basle, or the Catholic physician Hippolytus Guarinonius, who was born in Trent, trained in Padua and practiced in Hall near Innsbruck. During his student years and brilliant career as early modern Basle's most distinguished municipal, court and academic physician, Felix Platter built up a wide network of private, religious and aristocratic patients. His published medical treatises and private journal record his professional encounters with them as a healer. They also offer numerous vivid accounts of theatrical events experienced by Platter as a scholar, student and gifted semi-professional musician, and during his Grand Tour and long medical career. Here Felix Platter's accounts, many unavailable in translation, are examined together with relevant extracts from the journals of his younger brother Thomas Platter, and Guarinonius's medical and religious treatises. Thomas Platter is known to Shakespeare scholars as the Swiss Grand Tourist who recorded a 1599 London performance of Julius Caesar, and Guarinonius's descriptions of quack performances represent the earliest substantial written record of commedia dell'arte lazzi, or comic stage business. These three physicians' records of ceremony, festival, theatre, and marketplace diversions are examined in detail, with particular emphasis on the reactions of 'respectable' medical practitioners to healing performers and the performance of healing. Taken as a whole, their writings contribute to our understanding of many aspects of European theatrical culture and its complex interfaces with early modern healthcare: in carnival and other routine manifestations of the Christian festive year, in the extraordinary performance and ceremony of court festivals, and above all in the rarely welcomed intrusions of quacks and other itinerant performers.

Bodies and body parts of the dead have long been considered valuable material for use in medical science. Over time and in different places, they have been dissected, autopsied, investigated, harvested for research and therapeutic purposes, collected to turn into museum and other specimens, and then displayed, disposed of, and exchanged. This book examines the history of such activities, from the early nineteenth century through to the present, as they took place in hospitals, universities, workhouses, asylums and museums in England, Australia and elsewhere. Through a series of case studies, the volume reveals the changing scientific, economic and emotional value of corpses and their contested place in medical science.

Forty Days: Quarantine and the Traveller, c. 1700 –1900 provides a timely reminder that no traveller in past centuries could return from the East without spending up to 40 days in a lazaretto to ensure that no symptoms of plague were developing. Quarantine was performed in virtual prisons ranging from mud huts in the Danube basin to a converted fort on Malta, evoking every emotion from hatred and hostility through to resignation and even contentment. Drawing on the diaries and journals of some 300 men and women of many nationalities over more than two centuries, the author describes the inadequate accommodation, poor food and crushing boredom experienced by detainees. The book also draws attention to comradeship, sickness, and death in detention, as well as Casanova’s unique ability to do what he did best even in the lazaretto of Ancona. Other well-known detainees included Hans Christian Andersen, Mark Twain and Sir Walter Scott. Lavishly illustrated, the work includes a gazetteer of 49 lazarettos in Europe and Asia Minor, with inmates’ comments on each. This book will appeal to all those interested in the history of medicine and the history of travel.