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The hygienic utopia in Jules Verne, Camille Flammarion, and William Morris
Manon Mathias

Manon Mathias analyses new attitudes towards disease and hygiene in the nineteenth century in the context of the unprecedented growth of cities in this period, which provoked a parallel rise in diseases from human excrement (such as typhus, typhoid fever, and cholera). This analysis is placed in the context of new scientific understandings of bacteria that began to develop in the late nineteenth century, as the realisation that germs spread through human contact led to an acute fear of dirt and an increased obsession with cleanliness. As human excrement came to dominate discussions of public health and disease, fictions of the period provoked and explored imaginative extensions of these concerns. Jules Verne’s Cinq cents millions de la Bégum (1880), Camille Flammarion’s Uranie (1889), and William Morris’s News from Nowhere (1890) each created compelling fantasies of alternative, faeces-free societies in which bodily waste and dirt have been eradicated. These somewhat anodyne and sterile hygienic utopias, however, also reveal the potential unintended consequences of extreme cleanliness. Implicated in the rational rejection of disease and infection, Mathias argues, is a rejection of human physicality, intimacy, and passion.

in Progress and pathology
Fatigue and the fin de siècle
Steffan Blayney

In this chapter, Steffan Blayney focuses on the ongoing tension between the overwhelmingly fast pace of industrial modernity, and the natural rhythms and pulses of the finite energies of the human body. Demands for increased velocity of thought and action inculcated a variety of concerns about modernity and its limits, and about social, political, and cultural decline. Fatigue emerged in the latter decades of the century as a particularly disturbing symptom of modernity, representing both its degrading effects and its immanent limits. Blayney examines constructions of fatigue at the end of the nineteenth century, as both scientific object and cultural metaphor, situating this condition alongside other such fin-de-siècle signifiers as decadence and degeneration. In this context, Blayney approaches fatigue as the bodily manifestation of the second law of thermodynamics, as well as a critical part of the new medical terminology that proliferated in order to designate the exhausting effects of modern life. It was expressive of the inevitable dissipation of energy that accompanied the performance of work in this period. Paradoxically, an epidemic of fatigue appeared both as the main obstacle to the progressive development of industrial civilisation, and as the most indubitable evidence of its ascendancy.

in Progress and pathology
Daktar Binodbihari Ray Kabiraj and the metaphorics of the nineteenth-century Ayurvedic body
Projit Bihari Mukharji

‘Western’ medicine is not the only tradition to have engaged with constructions of modernity. During the nineteenth century, so-called ‘traditional’ medicines around the globe were also forced to confront the notion of modernity in all its diversity. The Ayurveda tradition of South Asia was one such medical practice, and at the core of this chapter by Projit Bihari Mukharji is a demonstration of the modernity of Ayurveda. The interplay between Ayurvedic practice and social, cultural, and economic change in nineteenth-century South Asia was, he shows, twofold. Ayurvedic physicians such as Daktar Binodbihari Ray Kabiraj not only developed a self-conscious discourse about modernity and its effects upon the body and mind, but they explicitly drew upon the language of modernity in order to radically reconfigure the Ayurvedic body. Railways and telegraphs, for these physicians, were not simply new material realities; they were also a rich ideational resource that encouraged and inspired them to think in new ways about the human body and its operations.

in Progress and pathology
Dr Williams’ Pink Pills for Pale People and the hybrid pathways of Chinese modernity
Alice Tsay

In this chapter, Alice Tsay tracks the global history of a patent medicine known as Dr Williams’ Pink Pills for Pale People, from its invention in Canada in 1866 to promotional spreads in Chinese-language publications in early twentieth-century Shanghai. By the time they made their appearance in Shanghai in the early decades of the twentieth century, Dr Williams’ pills were widely derided in England and North America as an archetypal example of quackery, with commentators identifying the pills’ continued ubiquity as a sign of the public’s refusal to recognise scientific progress. Foreign advertisements for Dr Williams’ pills, however, engaged with notions of modernity from within their own social and cultural framework. Rather than simply translating their Anglo-American counterparts, Shanghai advertisements for the pills came to articulate a distinctly Chinese vision of twentieth-century society in their depiction of new gender roles, their absorption of non-Western medical discourse, and their use of baihua, the emerging vernacular. The discourse of the modern, in the case of this consumer product, was carefully tailored to its audience, and was part of an ongoing dialogue between producers and consumers.

in Progress and pathology
Open Access (free)
The ‘pathology’ of childhood in late nineteenth-century London
Steven Taylor

Using the records of children admitted to the Church of England-sponsored Waifs and Strays Society as its principal source material, the chapter constructs a new paradigm that seeks to better understand the lives of poor and disabled children, youngsters who were thought to be beyond the clutches of state improvement and impervious to the evangelical efforts of reformers and rescuers. It does so by exploring nineteenth-century ideas about childhood disability, and how these reinforced and challenged perceptions of what it meant to be a ‘modern’ child in nineteenth-century England. The key years in establishing the pathologically different childhood as a distinct conceptual entity were, the chapter shows, between 1870 and 1914, which was the height of child rescue efforts. Detailed examinations of family testimony and institutional responses during this period demonstrate that the romantic desire to ‘protect’ children, which was imposed on urban, working families by an evangelical and reforming middle class, was the very impetus that created the notion of the ‘imperfect’ youngster who did not, or could not, conform to the enlightenment ideal of modern childhood.

in Progress and pathology
Open Access (free)
Melissa Dickson, Emilie Taylor-Brown, and Sally Shuttleworth

The introduction demonstrates that nineteenth-century advances in the fields of technology, science, and medicine, while clearly constituting ‘progress’ for some, nonetheless prompted deep concern about the problems and pathologies that could potentially be induced by modern life. An increasing number of references to the problems of ‘modern times’ and the ‘wear and tear’ of modern life can be traced throughout the nineteenth-century medical and general press across national boundaries and cultures, in nations with distinctive politics, practices, and body imaginaries. Taking up the concept of ‘modernity’ as a self-referential concept, employed and applied within any given social and cultural moment by those seeking to express what they regard as new conditions in the social order, we outline the central aim of our volume: to track a range of anxieties and varieties of experience, as they were expressed and explored in the literature, science, and medicine of the time. The volume explores their impact upon social, cultural, and medical formations of the mind and body.

in Progress and pathology
Torsten Riotte

In this chapter, Torsten Riotte takes up the interaction between medical and political spheres in the context of nineteenth-century Germany, and poses questions about accountability, medical negligence, and the nature of individual and collective responsibility in relation to accidents. Beginning with the first recorded court case in 1811, when a doctor at the Berlin Charité hospital sued a colleague over the death of a female patient, Riotte draws upon the files of the so-called medical commissions (medical advisory boards to ministries of the interior in the German states) in order to analyse the professional and public debate that ensued and to engage in a discussion of medical negligence as an aspect of professional accountability. The emergence of medical courts of honour from the mid-1870s onwards, and the complementary development of liability insurance for doctors, illuminate the shifting moral, economic, and social structures in which medical practices were embedded.

in Progress and pathology
The Fowlers and modern brain disorder
Kristine Swenson

In this chapter, Kristine Swenson turns to popular reform movements which arose in response to what mainstream medicine considered largely innate, unchangeable conditions. Drawing on the emergence of the American Fowler family – led by the brothers Orson and Lorenzo, their sister, Charlotte, and her husband Samuel Wells – as her central case study, Swenson considers the Fowlers’ empire of phrenological lecture tours, publishing, and therapeutics as a practice that not only kept phrenology in the public eye long after its dismissal from scientific practice, but also responded to the perceived ills of industrialised capitalism by touting progressive self-improvement and self-care. The Fowlers exploited the potential of phrenology as a form of practical self-help allied to hydropathy, dietetics, vegetarianism, dress reform, and temperance. As cultural fears of degeneration and race suicide spread, and the middle classes were increasingly seen as subject to the ‘modern illnesses’ of neurasthenia and dyspepsia, the Fowlers sought means of facilitating social and personal adjustment to the demands of a newly industrialised society. Their reform-oriented late-century phrenology promised personal improvement through proper living habits and ‘exercising’ of the faculties, and seemed to mitigate the harsh physiological and psychological consequences of Darwinian evolution and hereditary conditions.

in Progress and pathology
Hysterical tetanus in the Victorian South Pacific
Daniel Simpson

In this chapter, Daniel Simpson delineates a complex model of imperial and cultural entanglement in the context of the death of the naval captain James Graham Goodenough under a hail of poisonous arrows on the Santa Cruz Islands in 1875. This was a moment in which previously vague British fears of the poisons of Santa Cruz were seemingly confirmed. However, the ship’s surgeon, Adam Brunton Messer, pointed to certain medical, cultural, and environmental factors that countered this popular hysteria. Superstitious dread of the reputed poisons of the region, Messer argued, had predisposed British sailors to a nervous irritability which either mimicked or encouraged the onset of tetanus. Furthermore, he insisted, endemic neurosis amongst sailors was responsible for the increasing prevalence of tetanus in the wounds of those struck by ostensibly poisonous arrows. Drawing upon new psychopathological understandings of the relations between mind and body, Messer effectively collapsed any distinctions between ‘civilised’ and ‘uncivilised’ peoples clashing in the South Pacific by imagining that modern medical education might work in both cases to supplant antiquated superstitions and anecdotal evidence. His medical hypotheses, deployed at a juncture of intense intercultural contact, served both to characterise and to realise a form of medical modernity.

in Progress and pathology
Open Access (free)
Medicine and culture in the nineteenth century

This collaborative volume explores changing perceptions of health and disease in the context of the burgeoning global modernities of the long nineteenth century. During this period, popular and medical understandings of the mind and body were challenged, modified, and reframed by the politics and structures of ‘modern life’, understood in industrial, social, commercial, and technological terms. Bringing together work by leading international scholars, this volume demonstrates how a multiplicity of medical practices were organised around new and evolving definitions of the modern self. The study offers varying and culturally specific definitions of what constituted medical modernity for practitioners around the world in this period. Chapters examine the ways in which cancer, suicide, and social degeneration were seen as products of the stresses and strains of ‘new’ ways of living in the nineteenth century, and explore the legal, institutional, and intellectual changes that contributed to both positive and negative understandings of modern medical practice. The volume traces the ways in which physiological and psychological problems were being constituted in relation to each other, and to their social contexts, and offers new ways of contextualising the problems of modernity facing us in the twenty-first century.