Victorian Pain

The nineteenth century introduced developments in science and medicine that made the eradication of pain conceivable for the first time. This new understanding of pain brought with it a complex set of moral and philosophical dilemmas. If pain serves no obvious purpose, how do we reconcile its existence with a well-ordered universe? Examining how writers of the day engaged with such questions, Victorian Pain offers a compelling new literary and philosophical history of modern pain. Rachel Ablow provides close readings of novelists Charlotte Brontë and Thomas Hardy and political and natural philosophers John Stuart Mill, Harriet Martineau, and Charles Darwin, as well as a variety of medical, scientific, and popular writers of the Victorian age. She explores how discussions of pain served as investigations into the status of persons and the nature and parameters of social life. No longer conceivable as divine trial or punishment, pain in the nineteenth century came to seem instead like a historical accident suggesting little or nothing about the individual who suffers. A landmark study of Victorian literature and the history of pain, Victorian Pain shows how these writers came to see pain as a social as well as a personal problem. Rather than simply self-evident to the sufferer and unknowable to anyone else, pain was also understood to be produced between persons—and even, perhaps, by the fictions they read.

A grand, devastating portrait of three generations of the Sackler family, famed for their philanthropy, whose fortune was built by Valium and whose reputation was destroyed by OxyContin, by the prize-winning, bestselling author of Say Nothing The Sackler name adorns the walls of many storied institutions—Harvard, the Metropolitan Museum of Art, Oxford, the Louvre. They are one of the richest families in the world, known for their lavish donations to the arts and the sciences. The source of the family fortune was vague, however, until it emerged that the Sacklers were responsible for making and marketing a blockbuster painkiller that was the catalyst for the opioid crisis. Empire of Pain begins with the story of three doctor brothers, Raymond, Mortimer and the incalculably energetic Arthur, who weathered the poverty of the Great Depression and appalling anti-Semitism. Working at a barbaric mental institution, Arthur saw a better way and conducted groundbreaking research into drug treatments. He also had a genius for marketing, especially for pharmaceuticals, and bought a small ad firm. Arthur devised the marketing for Valium, and built the first great Sackler fortune. He purchased a drug manufacturer, Purdue Frederick, which would be run by Raymond and Mortimer. The brothers began collecting art, and wives, and grand residences in exotic locales. Their children and grandchildren grew up in luxury. Forty years later, Raymond’s son Richard ran the family-owned Purdue. The template Arthur Sackler created to sell Valium—co-opting doctors, influencing the FDA, downplaying the drug’s addictiveness—was employed to launch a far more potent product: OxyContin. The drug went on to generate some thirty-five billion dollars in revenue, and to launch a public health crisis in which hundreds of thousands would die. This is the saga of three generations of a single family and the mark they would leave on the world, a tale that moves from the bustling streets of early twentieth-century Brooklyn to the seaside palaces of Greenwich, Connecticut, and Cap d’Antibes to the corridors of power in Washington, D.C. Empire of Pain chronicles the multiple investigations of the Sacklers and their company, and the scorched-earth legal tactics that the family has used to evade accountability. The history of the Sackler dynasty is rife with drama—baroque personal lives; bitter disputes over estates; fistfights in boardrooms; glittering art collections; Machiavellian courtroom maneuvers; and the calculated use of money to burnish reputations and crush the less powerful. Empire of Pain is a masterpiece of narrative reporting and writing, exhaustively documented and ferociously compelling. It is a portrait of the excesses of America’s second Gilded Age, a study of impunity among the super elite and a relentless investigation of the naked greed and indifference to human suffering that built one of the world’s great fortunes.

The nineteenth century was a period of science and imagery: when scientific theories and discoveries challenged longstanding boundaries between animal, plant, and human, and when art and visual culture produced new notions about the place of the human in the natural world. Just as scientists relied on graphic representation to conceptualize their ideas, artists moved seamlessly between scientific debate and creative expression to support or contradict popular scientific theories—such as Darwin’s theory of evolution and sexual selection—deliberately drawing on concepts in ways that allowed them to refute popular claims or disrupt conventional knowledges. Focusing on the close kinship between the arts and sciences during the Victorian period, the art historians contributing to this volume reveal the unique ways in which nineteenth-century British and American visual culture participated in making science, and in which science informed art at a crucial moment in the history of the development of the modern world. Together, they explore topics in geology, meteorology, medicine, anatomy, evolution, and zoology, as well as a range of media from photography to oil painting. They remind us that science and art are not tightly compartmentalized, separate influences. Rather, these are fields that share forms, manifest as waves, layers, lines, or geometries; that invest in the idea of the evolution of form; and that generate surprisingly kindred responses, such as pain, pleasure, empathy, and sympathy.

Offers new readings of Ralph Waldo Emerson, Harriet Jacobs, Emily Dickinson, Henry James, Elizabeth Stuart Phelps, and Alice James. Demonstrates how pain generates literary language and shapes individual and collective identities. Examines how nineteenth-century US literature mobilizes and challenges sentimentalism as a response to the problem of pain. Uses sustained close reading to illuminate the theoretical and historical work of literature.

This book presents a study of the ways in which concepts of pain were treated across a broad range of late Victorian writing, placing literary texts alongside sermons, medical textbooks and the campaigning leaflets. Pain is not a shared, cross-cultural phenomenon and this book uses the examples of fire-walking, flogging, and tattooing to show that, despite the fact that pain is often invoked as a marker of shared human identity, understandings of pain are sharply affected by class, gender, race, and supposed degree of criminality. In arguing this case, Virginia Woolf's claim that there is no language for pain is taken seriously, but the importance of this book lies in its exploration of the ways in which the seemingly incommunicable experience of bodily suffering can be conveyed.

List of IllustrationsAcknowledgmentsIntroduction: An Invitation to the Seance1: Discovery of the Island of Mesmeria 2: Animal Magnetism Comes to London 3: Experimental Subjects as Scientific Instruments 4: Carnival, Chapel, and Pantomime 5: The Peripatetic Power of the "New Science" 6: Consultations, Conversaziones, and Institutions 7: The Invention of Anesthesia and the Redefinition of Pain 8: Colonizing Sensations in Victorian India9: Emanations from the Sickroom 10: The Mesmeric Cure of Souls 11: Expertise, Common Sense, and the Territories of Science 12: The Social Body and the Invention of Consensus Conclusion: The Day after the Feast Notes Bibliography Index Copyright © Libri GmbH. All rights reserved.

With the increasing risk of litigation in midwifery, there is often a move to err on the side of caution and classify women as 'at risk' even if they present with only a hint of a problem. Reflecting the need for global professional standards, this unique book presents the available evidence on normality in childbirth and proposes new approaches and paradigms for future research and practice. Covering a variety of subjects, international contributors present evidence-based, practical expertise on normal birth to help readers become aware of the wide parameters of "normal" in order to practice effectively and safely. Explores the nature and implications of normal childbirth as opposed to birth with medical intervention. Challenges the fundamental assumptions underpinning current beliefs and attitudes surrounding normal birth. Synthesizes evidence to provide different ways of seeing normality and interpreting its meanings. Provides a highly applicable reference for readers with an interest in the multiple aspects of normal birth. With 18 expert contributors