A Calculus Of Suffering

Analyzes the impact of anesthesia on nineteenth-century medicine, discusses the advantages and disadvantages of anesthesia, and explains how rules for its use were developed

Health, Disease and Society in Europe, 1800-1930 provides readers with unrivaled access to a comprehensive range of sources on major themes in nineteenth and early twentieth-century medicine. The book covers issues such as the changing role of the hospital, disease, colonial and imperial medicine, women, war, the emergence of modern surgery, welfare and the state, and the growth of asylum. Extracts from contemporary writings vividly illustrate key aspects of medical thought and practice, while a selection of classic historical research and up-to-date work in the field gives a sense of our understanding of medical history. Introductions make the sources accessible to the student as well as the interested general reader.

In this book, public health ethicist Daniel S. Goldberg sets out to characterize the subjective experience of pain and its undertreatment within the US medical establishment, and puts forward public policy recommendations for ameliorating the undertreatment of pain. The book begins from the position that the overwhelming focus on opioid analgesics as a means for improving the undertreatment of pain is flawed, and argues instead that dominant Western models of biomedicine and objectivity delegitimize subjective knowledge of the body and pain in the US. This general intolerance for the subjectivity of pain is part of a specific American culture of pain in which a variety of actors take part, including not only physicians and health care providers, but also pain sufferers, caregivers, and policymakers. Concentrating primarily on bioethics, history, and public policy, the book brings a truly interdisciplinary approach to an urgent practical ethical problem. Taking up the practical challenge, the book culminates in a series of policy recommendations that provide pathways for moral agents to move beyond contests over drug policy to policy arenas that, based on the evidence, hold more promise in their capacity to address the devastating and inequitable undertreatment of pain in the US.

The postbellum period saw many privileged Americans pursuing a civilized ideal premised on insulation from pain. Medico-scientific advances in anesthetics and analgesics and emergent religious sects like Christian Science made pain avoidance seem newly possible. The upper classes could increasingly afford to distance themselves from the suffering they claimed to feel more exquisitely than did their supposedly less refined contemporaries and antecedents. The five US literary realists examined in this study resisted this contemporary revulsion from pain without going so far as to join those who celebrated suffering for its invigorating effects. William Dean Howells, Henry James, Edith Wharton, Mark Twain, and Charles Chesnutt embraced the concept of a heightened sensitivity to pain as a consequence of the civilizing process but departed from their peers by delineating alternative definitions of a superior sensibility indebted to suffering. Although the treatment of pain in other influential nineteenth century literary modes including sentimentalism and naturalism has attracted ample scholarly attention, this book offers the first sustained analysis of pain's importance to US literary realism as practiced by five of its most influential proponents.

Zen Awakening and Society considers the relationship between Zen and social ethics by examining ethical facets of Zen practice and satori, as well as the traditional socio-political role of Zen in Japan, ethical reflection by key Zen thinkers, those resources and pitfalls in Zen relevant to ethics, and possible avenues along which Zen Buddhists could begin to formulate a self-critical, systematic social ethic.

Provost argues that the intersection between religion, nationalism, and other vectors of difference in both Canada and Israel offers a revealing laboratory in which to examine multiculturalism in particular and the governance of diversity in general. For several decades, 'culture' played a central role in challenging the liberal tradition. More recently, religion seems to have re-emerged as the new central challenge facing Western liberal societies' conception of multiculturalism.

In this work, Pearson seeks to understand the institutional, cultural, legal, and political significance of the perceived bond between animals and children, and the attempts made to protect them.

Among all the great discoveries and inventions of the nineteenth century, few offer us a more fascinating insight into Victorian society than the discovery of anaesthesia. Now considered to be one of the greatest inventions for humanity since the printing press, anaesthesia offered pain-free operations, childbirth with reduced suffering, and instant access to the world beyond consciousness. And yet, upon its introduction, Victorian medics, moralists, clergymen, and scientists, were plunged into turmoil. This vivid and engaging account of the early days of anaesthesia unravels some key moments in medical history: from Humphry Davy's early experiments with nitrous oxide and the dramas that drove the discovery of ether anaesthesia in America, to the outrage provoked by Queen Victoria's use of chloroform during the birth of Prince Leopold. And there are grisly ones too: frequent deaths, and even notorious murders. Interweaved throughout the story, a fascinating social change is revealed. For anaesthesia caused the Victorians to rethink concepts of pain, sexuality, and the links between mind and body. From this turmoil, a profound change in attitudes began to be realised, as the view that physical suffering could, and should, be prevented permeated through society, most tellingly at first in prisons and schools where pain was used as a method of social control. In this way, the discovery of anaesthesia left not only a medical and scientific legacy that changed the world, but a compassionate one too.