Medical America In The Nineteenth Century

Prior to the nineteenth century, the practice of medicine in the Western world was as much art as science. But, argues W. F. Bynum, 'modern' medicine as practiced today is built upon foundations that were firmly established between 1800 and the beginning of World War I. He demonstrates this in terms of concepts, institutions, and professional structures that evolved during this crucial period, applying both a more traditional intellectual approach to the subject and the newer social perspectives developed by recent historians of science and medicine. In a wide-ranging survey, Bynum examines the parallel development of biomedical sciences such as physiology, pathology, bacteriology, and immunology, and of clinical practice and preventive medicine in nineteenth-century Europe and North America. Focusing on medicine in the hospitals, the community, and the laboratory, Bynum contends that the impact of science was more striking on the public face of medicine and the diagnostic skills of doctors than it was on their actual therapeutic capacities.

In the late nineteenth century, as Americans debated the "woman question," a battle over the meaning of biology arose in the medical profession. Some medical men claimed that women were naturally weak, that education would make them physically ill, and that women physicians endangered the profession. Mary Putnam Jacobi (1842-1906), a physician from New York, worked to prove them wrong and argued that social restrictions, not biology, threatened female health. Mary Putnam Jacobi and the Politics of Medicine in Nineteenth-Century America is the first full-length biography of Mary Putnam Jacobi, the most significant woman physician of her era and an outspoken advocate for women's rights. Jacobi rose to national prominence in the 1870s and went on to practice medicine, teach, and conduct research for over three decades. She campaigned for co-education, professional opportunities, labor reform, and suffrage--the most important women's rights issues of her day. Downplaying gender differences, she used the laboratory to prove that women were biologically capable of working, learning, and voting. Science, she believed, held the key to promoting and producing gender equality. Carla Bittel's biography of Jacobi offers a piercing view of the role of science in nineteenth-century women's rights movements and provides historical perspective on continuing debates about gender and science today.

"The Nation has lost sight of its public health goals and has allowed the system of public health to fall into 'disarray'," from The Future of Public Health. This startling book contains proposals for ensuring that public health service programs are efficient and effective enough to deal not only with the topics of today, but also with those of tomorrow. In addition, the authors make recommendations for core functions in public health assessment, policy development, and service assurances, and identify the level of government--federal, state, and local--at which these functions would best be handled.

Students of the history of medicine and of American history in general will welcome this collection of thirty papers originally published in nineteenth-century medical journals and lay publications. Each highlights a specific problem or medical attitude of the period, and together they present an illuminating panorama of the medical profession and of public health in nineteenth-century America. Many of the problems faced by students, practitioners, and patients of the last century are surprisingly similar to those still being encountered today. Dr. Brieger has selected papers that illustrate the issues and developments in medical education, medical practice, surgery, hospitals, hygiene, and psychiatry. They range from Benjamin Rush's "On the Cause of Death in Diseases That Are Not Incurable," to a paper by Robert F. Weir "On the Antiseptic Treatment of Wounds, and Its Results" and an article by Stephen Smith, "New York the Unclean." The final selection, the Announcement of The Johns Hopkins Medical School, stands as a landmark that foretells the beginning of a new era.

In the early nineteenth century, Edinburgh was the leading centre of medical education and research in Britain. It also laid claim to a thriving periodical culture, which served as a significant medium for the dissemination and exchange of medical and literary ideas throughout Britain, the colonies, and beyond. Literature and Medicine in the Nineteenth-Century Periodical Press explores the relationship between the medical culture of Romantic-era Scotland and the periodical press by examining several medically-trained contributors to Blackwood?s Edinburgh Magazine, the most influential and innovative literary periodical of the era.

"[According to a survey of medical historians] the most important book of the past decade was William G. Rothstein's American Physicians in the Nineteenth Century."--Reviews in American History.