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Patient organisations and health consumerism in Britain

Over the last fifty years, British patients have been made into consumers. This book considers how and why the figure of the patient-consumer was brought into being, paying particular attention to the role played by patient organisations. Making the Patient-Consumer explores the development of patient-consumerism from the 1960s to 2010 in relation to seven key areas. Patient autonomy, representation, complaint, rights, information, voice and choice were all central to the making of the patient-consumer. These concepts were used initially by patient organisations to construct the figure of the patient-consumer, but by the 1990s the government had taken over as the main actor shaping ideas about patient consumerism. Making the Patient-Consumer is the first empirical, historical account of a fundamental shift in modern British health policy and practice. The book will be of use to historians, public policy analysts and all those attempting to better understand the nature of contemporary healthcare.

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A history of a medical specialty in modern Britain, c. 1789–2000

Since the 1990s, the English-speaking world has seen the rise of a neuroculture derived from neurology and neuroscience. The Neurologists is a book that asks how did we arrive at this moment? What is it about neurology and neuroscience that makes neuroculture seem self-evident? To tell this story The Neurologists charts a chronological course from the time of the French Revolution to after the ‘Decade of the Brain’ that outlines the rise of medical and scientific neurology and the emergence of neuroculture. With its focus chiefly on Great Britain, arguably the place where it all began, The Neurologists describes how Victorian physicians located in a medical culture that privileged general knowledge over narrow specialism came to be transformed into the specialized physicians now called neurologists. The Neurologists therefore recasts the received history of neurology and the history of professions and specialties. It provides new insights into the social, cultural, and institutional practices of British medical and scientific culture in the nineteenth and twentieth century. Delving into how and why physicians and scientists were interested in nerves, the nervous system, the brain, and the psyche, The Neurologists explores how Renaissance-styled men and women of medicine and science made neurology the medical field seemingly most concerned by the ‘philosophical status of man.’

Managing madness in early nineteenth-century asylums

An archaeology of lunacy examines the historic lunatic asylum from an interdisciplinary perspective, employing methods drawn from archaeology, social geography, and history to create a holistic view of the built heritage of the asylum as a distinctive building type. In the popular imagination, historic lunatic asylums were dark, monolithic, and homogenous, instruments for social confinement and punishment. This book aims to redress this historical reputation, showing how the built environment and material worlds of lunatic asylums were distinctive and idiosyncratic – and highly regional. They were also progressive spaces and proving grounds of architectural experimentation, where the reformed treatment practices known as moral management were trialled and refined. The standing remains of the nineteenth-century lunatic asylum system represent a unique opportunity to study a building-type in active transition, both materially and ideologically. When they were constructed, asylums were a composite of reform ideals, architectural materials, and innovative design approaches. An archaeological study of these institutions can offer a materially focused examination of how the buildings worked on a daily basis. This study combines critical analysis of the architecture, material remains, and historical documentary sources for lunatic asylums in England and Ireland. Students and scholars of later historical archaeology and built heritage will find the book a useful overview of this institutional site type, while historians of medicine will find the focus on interior design and architecture of use. The general public, for whom asylums frequently represent shadowy ruins or anonymous redevelopments, may be interested in learning more about the buildings.

Medicine, science and improvement, 1845–1922

Reforming food in post-Famine Ireland: Medicine, science and improvement, 1845-1922 is the first dedicated study of how and why Irish eating habits dramatically transformed between the Famine and independence. It also investigates the simultaneous reshaping of Irish food production after the Famine. Adopting an interdisciplinary approach, the book draws from the diverse methodological disciplines of medical history, history of science, cultural studies, Irish studies, gender studies and food studies. Making use of an impressive range of sources, it maps the pivotal role of food in the reshaping of Irish society onto a political and social backdrop of famine, Land Wars, political turbulence, the First World War and the struggle for independence. It is of interest to historians of medicine and science as well as historians of modern Irish social, economic, political and cultural history.

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The history of medicine in Ireland has attracted varying degrees of scholarly attention for centuries. As early as 1765, the Limerick-based surgeon and antiquarian Sylvester O’Halloran sounded an optimistic note on the state of the field. Writing to a friend, he announced that ‘Enough has already been collected, to demonstrate, that Physic, and Surgery have been here, in a very respectable state, even before the birth of Christ’. 1 A similarly patriotic outlook was offered half a century later by Edward O

in Early Modern Ireland and the world of medicine

) only in the 1990s and after the turn of the twenty-first century. Specialisation Histories of specialisation and professionalisation have been a staple in the History of Medicine for at least two generations, and as such are, as one reviewer has put it, ‘untrendy’. 36 Weisz has highlighted their tendency to teleology; while this book has explicitly laid out ‘a history of’ an area of medical practice which is now a specialty it should be clear that specialism was not inevitable and that sports medicine itself was not a homogenous entity over the twentieth century

in A history of British sports medicine
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Problems of definition and historiography

everything, whether people, objects or ideas, is socially constructed. The question of social constructionism in medical history elicited two important articles by Jordanova and Harley, the latter arousing a lively debate, all in the journal Social History of Medicine.17 Jordanova argued for the usefulness of social constructionism for medical history, considering the link between cultural history and medical history especially fruitful. Harley in turn emphasised semiotic frames of reference as lying at the heart of medical METZLER 9780719096365 PRINT.indd 5 15

in Fools and idiots?
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Case studies of five Irish women medical graduates

, unlike traditional case studies in the history of medicine in Ireland, which tend to highlight the lives of ‘great men’ and ‘great women’, they give us an insight into the lives and careers of women doctors who might be classed as ‘ordinary’. Emily Winifred Dickson (RCSI, 1891) 1 E mily Winifred Dickson was born in Dungannon, Tyrone, in 1866, the daughter of the Ulster Liberal MP Thomas A. Dickson and his wife Elizabeth Greer McGeagh. Winifred was the second youngest of seven children, three boys, James, John McGeagh and Thomas, and four girls, Sarah Louise, Mary

in Irish women in medicine, c.1880s–1920s

of funding to gain a better understanding of the changing character of British healthcare during this period. The question of whether a hospital could remain a charity whilst taking payments from patients, the recipients of that charity, is hard to separate from a wider historiographical debate in the social histories of medicine in Britain, Europe and North America, on whether the hospital had by now lost its social function. 52

in Payment and philanthropy in British healthcare, 1918–48

intangible elements of medical relationships. Put simply, if a surgeon could not gain the trust of those in his care, he did not have authority. If he did not have authority, it was more difficult to perform the experiments and procedures that brought recognition. Through threads such as these, Australian voyages bind together the histories of medicine, social power, colonialism, and migration across national borders and geographical space. Notes 1 John Hood, Australia and the East (London: John Murray

in Health, medicine, and the sea