The Third Man: Robert Dunn’s (1799–1877) Contribution to Aphasia Research in Mid-Nineteenth-Century England

Throughout his medical career, Robert Dunn (1799–1877) published a number of clinical cases with postmortem reports involving acquired language disorders, with the first noted in 1842. He developed a physiologically informed approach to psychological function during the 1850s along with a group of notable colleagues Benjamin Collins Brodie, Henry Holland, Thomas Laycock, John Daniel Morell, and Daniel Noble. He was also active in ethnographic research on human origins and racial diversity. As such, Dunn represents an interesting player in the developing fields of neurology, psychology, and anthropology in England in the latter part of the nineteenth century. These various strands converged at the meeting of the British Association of the Advancement of Science in 1868, where Dunn shared the program of lectures on the cutting-edge topic of aphasia with Paul Broca (1824–1880) and John Hughlings Jackson (1835–1911). Dunn’s ideas developed over a longer time frame than his younger colleagues and as such represent a unique blending of concepts from the earlier work of Franz Josef Gall (1758–1828) and Jean-Baptiste Bouillaud (1798–1881) to the perspectives on language organization in the brain developed after 1861.     

Perkins’s patent metallic “Tractors”: Development,adoption, and early dissemination of an eighteenth-century therapeutic fad

ABSTRACT

The metallick Tractors were patented by Elisha Perkins, a Connecticut physician, in 1796, for the treatment of various ailments, particularly those associated with pain. They were subsequently rapidly and widely disseminated on the basis of testimonials and aggressive marketing tactics. Dissemination was facilitated by endorsements from prominent physicians, politicians, and clergy, by quasi-theoretical explanations of efficacy based on then-current experiments of Galvani and others, and by the apparent simplicity and safety of the procedure. Abandonment of this ineffective therapy was later prompted by the application of blinded placebo-controlled trials using sham devices.     

Did Herbert Spencer Have Reading Epilepsy?

Herbert Spencer, the nineteenth-century philosopher, has frequently been dismissed as a “fantastical hypochondriac” (as his most recent biographer, Mark Francis, terms him). Yet he left a record in his Autobiography of symptoms that suggest a very different diagnosis. Abruptly at age 35, he found that the activity of reading, previously indulged in without difficulty, triggered paroxysmal episodes of disturbing “head-sensations” including “giddiness” (so Spencer described them); these severely curtailed his ability to carry out his philosophical studies. Of all possible explanations for such episodes, none seems as likely as reading epilepsy. Enduring preconceptions about Spencer's presumed neurosesmay have kept modern historians from appreciating that Spencer suffered from a legitimate, if esoteric, neurological malady.     

Localization and William Macewen’s Early Brain Surgery Part II: The Cases

This paper contains Part II of an evaluation of the claims made for the priority of Macewen’s pre-1884 brain surgery over that of Bennett and Godlee. Although the primary sources – Macewen’s Private Journals and the Ward Records of the Glasgow Royal Infirmary – confirm that the operations were carried out when Macewen said they were, problems with the sources make it difficult to evaluate the extent to which he actually used knowledge of localization in all seven operations. What remains of the case material on the operations is examined, the accounts in unpublished sources and published versions compared, and Macewen’s use of knowledge of localization bearing on the claim for his priority evaluated. Part II concludes with citations from archival correspondence and the contemporary and near contemporary medical press confirming Macewen’s priority.     

The Emergence of Multiple Sclerosis as a Nosological Category in France, 1838–1868

Neurologists have retold a story about the discovery of multiple sclerosis (MS) in essentially the same form from the 1870s to the present. Upon close analysis this narrative was found to be problematic. Once the nosological category of MS came into existence in 1868, physicians reread the scientific past through this new category and created a linear story. Following generations received this story uncritically, rereading the past through the conceptual lens of their own times. Writers selected the earlier cases, illustrations, and medical writings in the literature for inclusion in the discovery narrative and did not analyze them in their original historical contexts. The author offers an alternative account of the discovery of MS. The creation of the disease category of MS by Charcot in France was the result of several converging factors including a new histopathological technology, a unique relationship between patient and physicians in the clinic, a unique relationship between the clinic and the autopsy room, and a neurological culture emphasizing disease specificity.     

Samuel Tissot’s Traité de l’épilepsie—250 years old

A quarter of a millennium ago, Samuel Tissot (1728–1797), a Swiss physician who had achieved a substantial European reputation, authored a monograph entitled Traité de l’épilepsie. The book was translated into several European languages and appeared in various editions over the following 70 years, although an English-language version was never published. In his Traité, Tissot provided a thorough account and critical analysis of the previous relevant literature concerning epilepsy, added data from his own experience in practice, and raised issues, some of which remain important today. The appearance of the book was propitious, occurring during the period of the European Enlightenment, when medicine was increasingly divesting itself of ancient modes of thinking and veneration for the opinions of great names from the remote past. At least in Western Europe, the Traité de l’épilepsie became an intellectual launching pad for the considerable expansion in knowledge of epilepsy that occurred over the century or longer that followed its publication.     

“British Tribute to Virginia Valor”: Unveiling the Stonewall Jackson Memorial Statue

This article outlines the political agendas surrounding the dedication of the Stonewall Jackson Memorial Statue, an early Confederate monument commissioned in Britain in 1863 and unveiled with much fanfare in Richmond, Virginia in 1875. It argues that the statue’s British provenance made it an ideal means of expressing the distinctive claims of the Conservative Party of Virginia. By commemorating both General Jackson and Britain’s Confederate sympathizers, modernizers in the Conservative Party presented themselves as representatives of an Anglo‐Saxon Christian value system, guardians of the “Old Dominion’s” immemorial character, and defenders of political views that held national and international significance. Thus the Conservatives dedicated an international monument to a transatlantic and implicitly racist cultural tradition as part of their larger effort to facilitate Virginia’s integration into the reconstructed national union on terms favorable to the former Confederates.