Localisation and William Macewen's early brain surgery Part I: the controversy

Neurosurgery for the removal of brain tumours based on localising signs is usually dated from the 1884 operation by Bennett and Godlee. However, within weeks of that operation claims were made on behalf of William Macewen, the Glasgow surgeon, to have been the real pioneer of such surgery. According to Macewen's protagonists, he had conducted seven similar operations earlier than Bennett and Godlee and, in a notable 1888 address, Macewen described these seven pre-1884 cases and a number of others operated on after 1884. This paper, which is in two parts, contains an evaluation of the claims made for the priority of Macewen's pre-1884 operations. Part I deals mainly with Macewen's work in fields other than brain surgery that are relevant to it and sets out the facts of the controversy. It begins with a brief biography of Macewen, describes his pioneering work in antiseptic and aseptic surgery, his work on osteotomy and bone regeneration, and his use in brain surgery of the knowledge so gained. Part I concludes with an examination of the battle waged in the newspapers between Macewen's and Bennett's and Godlee's supporters, and of previously unpublished correspondence between Macewen himself, David Ferrier and Hughes Bennett. The primary records of the patients on whom Macewen operated, together with other materials relevant to the controversy, are examined in Part II.     

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 What remains of the case material on the operations is examined, the accounts in unpublished sources and published versions compared, and Macewen’s use of knowledge of localization bearing on the claim for his priority evaluated.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.     

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 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.     

Phineas Gage's contribution to brain surgery

In much contemporary literature the Phineas Gage case is described as contributing to the development of lobotomy and leucotomy but the historical evidence shows this to be an almost completely erroneous view. His case was, however, important in the development of brain surgery itself. I begin this paper by briefly mentioning four early cases of brain surgery and describing the Gage case. I then set out the context of the localisation debate, concentrating particularly on Broca's clinical observations, because Macewen planned the first operation on the brain in the light of Broca's findings. I then turn to that context as it was developed through Jackson's observations and Ferrier's experiments, because Bennett and Godlee used it in planning the first operation for the removal of a brain tumour. It was also in the localisation context that Starr first drew attention to the significance of the changes in Gage for localising frontal tumours. By the turn of the century, several operations had been performed on the frontal lobes and various difficulties with Starr's criteria had become apparent. The reasons for the difficulties will be brought out and I conclude with a brief discussion of the relation between the Gage case and the operations performed by Burckhardt, Moniz, and Freeman.     

‘A este oficio me obligan los dolores ajenos’: In Memoriam,Juan Gelman (1930–2014)

This essay commemorates the poetic work of Juan Gelman on the occasion of his death in January 2014. It considers the controversy surrounding his political and literary work, which was reignited after his death, and counters the charges that his poetry represented a turn away from politics or a redemption of Leftist political militancy through the portrayal of a martyred subjectivity. It argues that contrary to these claims, Gelman's poetry shows how political action necessarily exceeds both redemptive frameworks and subjective autonomy.     

SIGNS OF THE TIMES: THOMAS JACKSON AND THE CONTROVERSY OVER PRODIGIES IN THE REIGN OF CHARLES I

Abstract

This article focuses on Hobbes's use of metaphor, particularly the larger structural metaphor of the artificial man in Leviathan. Hobbes claims to draw his political animal according to the figurative outlines of the natural one, despite the significant differences between these two bodies. In Part I we see the scientifically-minded Hobbes reject the old dualistic imagery of body and soul, act and will; but in Part II the politically-minded Hobbes appeals to exactly these dualistic distinctions in order to lend his radical vision of the state the numinous appeal of the medieval and Tudor formulations. An understanding of Hobbes's rhetorical strategy, and what I call his strategic use of dualism, can show how the recent linguistic turn in Hobbes studies can in fact re-open the much older debate on the overall unity of his philosophical system.     

Rousseau's Discarded Children: The Panoply of Excuses and the Question of Hypocrisy

Summary

Although Rousseau's treatment of his children has provoked much controversy, sustained and scholarly discussions are rare. This study is the first to present the evidence comprehensively and systematically. It engages each of Rousseau's contentions about his children in order to carefully discern the significance of this episode for his life and work. It offers an analytical table of each rationale—nineteen different ones, of five major types. It discusses documents of 1751 and 1778 which strongly defend the actions, the ambiguous arguments in the Second Part of the Confessions (1769–1770), the oscillations in the period surrounding the Confessions (1764–1770), and finally the development of unqualified remorse in the middle period of Emile (1757–1762). It concludes by advancing a middle position between those who ultimately see his behaviour and associated excuses as demonstrating his unchecked individualism and subjectivism, and those who ultimately absolve this episode in order to find him a moralist in good standing.     

“A Twist in the Tale” of a Surgeon and his Patient: An Australian First in Seizure Localization

In 1894 at St. Vincent's Hospital Melbourne, George Adlington Syme removed a meningioma from a patient with symptomatic focal epilepsy. The operation stands as the first surgery based on seizure localization in Australia. It is also the country's first documented successful resection of an intracranial meningioma. It followed William Macewen's landmark cerebral localization case on the boy John McKinley by 18 years and Victor Horsley's first epilepsy case on Hughlings Jackson's patient James B. by a mere 8 years. Syme's patient, Constable John G., survived the operation by some 23 years, dying from a gunshot wound to the head in 1917. Newly discovered inquest papers reveal that the coroner's judgment that the death was accidental completely fails to address the more credible scenario of suicide. The story makes for a fascinating epilogue to an important landmark in Australia's neurosurgical history.     

The Concept of Reading: Kierkegaard,Irony, and Duality—A Response to Mark Cortes Favis

In a recent article in The European Legacy, Mark Cortes Favis argued that the figure of Kierkegaard expressed a tension between two aspects of writing—the Socratic and the Platonic. While Favis is correct to see a duality in Kierkegaard's writing, his article does not fully answer the problem of how we can account for our interpretation of this tension. Given that the duality within Kierkegaard's writing transgresses the boundaries of author and reader, we cannot easily circumscribe any claims on his writing without considering its effect on our reading. Rather, the characteristic duality of his authority manifests itself in a number of ways in the task of identifying the philosophical meaning of his texts. Kierkegaard's relationship to Socrates is thus symptomatic of a number of figural dualities that pervade interpretations of his work. By surveying the ways in which these interpretations draw on the axiom of duality in order to ascribe an authority to Kierkegaard's texts, I suggest Favis's argument that Kierkegaard's writing expresses both Socratic and Platonic aspects should be placed within the wider duality at work in the interpretation of Kierkegaard's work.     

Culture and Truth: Nietzsche and Classical Philology

Several recent studies have returned to the famous controversy over the reception of Nietzsche’s Birth of Tragedy from the Spirit of Music (1872). By reinterpreting it within the immediate context of Germany in the early 1870s, James Whitman understands this controversy as a Methodenstreit within Classical Philology and James I. Porter claims that, through this controversy, Nietzsche developed an extensive critique of modern culture. I contend that Nietzsche’s reaction to the scholarly rejection of his first publication resulted in no immediate response on his behalf; rather, it led to three years of intense rethinking and strengthening of the position he took in The Birth of Tragedy. This is evidenced in his early published essays and notebooks of 1872–1875. From the first readers of these early notebooks, Karl Schlechta and Anni Anders, to its most recent interpreters, Richard T. Grey and Alexander Nehamas, these scholars are unanimous in understanding them as Nietzsche’s attempt to work through a number of conventional philosophical problems. I argue that Nietzsche developed in these essays and notebooks a type of criticism that broke away from all traditional philosophical problems and creatively introduced such notions as cultural horizon, background phenomena, and life as a philosophical measure — all of which would be further refined in his mature texts of the 1880s and underpin his innovative concepts of the will to power and eternal recurrence.     

A critique of freedom and equality

The study of historiography is undergoing a revolution akin to that which took place in the history of political thought in the 1960s, and the work of J.G.A. Pocock is central to both. Pocock's continuing exploration, in Barbarism and Religion (1999-), of the intellectual contexts of Gibbon's History of the Decline and Fall of the Roman Empire, is central to this enterprise, and this essay situates the origins of his own work within a pre-‘Cambridge School’ Cambridge and its experience of what might be called the Butterfieldian moment. That was marked by a desire to treat religion seriously as a driving force in history; and the same concern is applied here to further understanding an eighteenth-century controversy in which history and religion were dramatically involved, and which profoundly affected Gibbon's own historical and religious views. The work of Conyers Middleton and John Jortin is critically examined from this perspective. These preludes to Gibbon lead to a series of postludes examining the particular contexts in which Victorian and twentieth-century historians and writers, from Henry Hart Milman to Evelyn Waugh, variously appreciated and interpreted Gibbon. The whole is to be seen as a reflexive engagement with Pocock's vitally illuminating studies in eighteenth-century historiography.     

William Bennett's Heresy: Male Same-Sex Desire and the Art of the Eucharist

In 1869, W.J.E. Bennett, one of the most prominent Anglo-Catholic ritualists in Victorian England, was on trial for heresy. He had caused particular outrage by claiming that Jesus Christ was visually present in the Eucharist. This article explores the links between Bennett's writings and his campaign of rebuilding works at his parish church at Frome in Somerset. Bennett advanced a form of incarnational theology that was sufficiently radical that he can be said to have participated in, and even to have contributed to, the development of the visual expression of same-sex desire in later Victorian Britain. The cultural politics of the aestheticized body of Christ mean that incarnational theology can be considered in relation to the development of new forms of homoerotic expression. Bennett's visual and textual legacy suggests avenues for further research into the aesthetic aspects of Victorian religiosity and the religiosity of art.     

Babylon in Paris: Alfred Loisy as Assyriologist

Alfred Loisy is well known by scholars of the Roman Catholic Modernist controversy for his work in theology and biblical studies, which ended with his excommunication in 1908. His later work in the history of religions is also well known. What is less recognised by scholars is his early work in Assyriology, and in particular the religious texts and traditions of the ancient Assyrians and Babylonians. Yet his Assyriological work laid the foundation for his biblical studies and later work in the history of religions. This article situates Loisy's Assyriological work in the context of the early history of the discipline of Assyriology.     

The Reward of a King: Machiavelli,Aquinas, and Shakespeare's Richard III

Abstract

Richard III centers on the rise and fall of a man who claims that he will “set the murderous Machiavel to school” and proceeds to seize the crown of England, only to lose his grip on that coveted prize in his own sudden personal and political unraveling. Insofar as we see Richard as a genuine but failed Machiavellian, it remains difficult to determine the extent to which Shakespeare's critique of Richard is a critique of Machiavelli. Yet Shakespeare's account of Richard's hopes, successes, and failures, examined in light of relevant classical texts, points to fatal flaws in Machiavelli's account of reason, conscience, and the end of human actions, demonstrating that the concept of the objective good is an essential component of any meaningful and coherent account of human action. Thus, Richard's ultimate descent into madness is a sign of the fate that even the “best” Machiavellian statesman or society is destined to share.     

The Reign of Grace: Liberalism and Heresy in the New World

This article examines the controversy surrounding The Reign of Grace (1888), a pamphlet published in Dunedin by William Salmond (d. 1917), a Presbyterian intellectual. It came in for harsh criticism. James MacGregor, a conservative minister, and Adam Johnston, a layman, wrote rebutting pamphlets. The controversy occurred during a period in which Presbyterianism's leadership was dividing along liberal and traditionalist lines. It dominated proceedings at the Presbytery of Dunedin for months, featured at the 1888 Synod of Otago and Southland, and received some coverage abroad. At stake was Salmond's proposal for an extended “reign of grace” that allowed for postmortem repentance. His opponents considered this an attack on Christian mission. I discuss the controversy in terms of Salmond's views on the Bible, his challenge to the Westminster Confession, and his specific proposition for extending grace's “reign.” I argue that while the debate reflected a stark liberal–traditionalist polarisation — something seen particularly in regard to the Confession — there was something further at play. Regarding Salmond's extension of grace's reign, the debate was not between liberals and traditionalists, but between a man largely standing alone against an array of liberals and traditionalists who found his idea dangerous.     

‘One single ivory cell’: Oscar Wilde and the Brain

This paper considers Oscar Wilde's ongoing interest in the image of a single brain cell as a souvenir of human autonomy in a world of matter. Taking a long view of Wilde's career that demonstrates the relevance to his literary work of his college interests in physiology and philosophy, this paper shows how Wilde's socialism can be explained by his uniquely aesthetic take on the brain. For many late Victorians brain science threatened both the autonomy of human action and the legitimacy of beauty because it had the potential to invalidate conscious experience, but writers whose work Wilde knew, like Ernst Haeckel, W.K. Clifford and John Tyndall, apply aesthetic vocabularies to their own discussions of cells. Their theories illuminate Wilde's representation of the cell as an aesthetic object. Wilde's art collaborates with science to reject action, as action is conventionally understood, without relinquishing beauty as his ultimate value. His discovery of beauty in matter that is beyond the pale of human experience, yet intimately and strangely constitutive of our experience, directs the senses to a new field of experience that values the molecular life the species holds in common, in which individuals and their actions matter less to the possibility of social change than does the necessity of pleasure.     

Daily life in the country. The co-existence of Jews and Christians at the end of the Weimar Republic

Godwin's controversial claim for earthly immortality in the first edition of Political Justice has been largely dismissed by scholars as a flaw in his philosophy or as absurd speculation which Godwin cannily omitted from the later editions of the text. In this paper, I will demonstrate, not only that such claims were not nearly as idiosyncratic or eccentric as they have been presented, but that they constitute an intrinsic part of his overall philosophy regarding perfectibility and human progress. Moreover, by examining the revisions made to Political Justice in the second and third editions, it will be possible to prove that the essence of his argument regarding material immortality was not as radically altered as is widely accepted. I will further show how the population controversy of the 18th century forced Godwin to apply his perfectibilist theory to contemporary demographic challenges and how he defended his concept of immortality from both the principle of population and, more particularly, Malthusian philosophy.     

Introduction

This paper is a discussion of Mark Bevir's The Logic of the History of Ideas (Cambridge University Press, Cambridge, 1999). It focuses on three topics central to Bevir's book: his weak intentionalism; his anthropological epistemology; and his priority claim regarding sincere, conscious, and rational beliefs. It is argued that Bevir's position on these issues is problematic in certain important respects, and that some of his related critical claims against Pocock, Skinner and others are misconceived.     

Halford Mackinder's “new” political geography and the geographical tradition

This article re-examines Halford Mackinder's conception of geography in general and his practise as a political geographer in particular by placing his work in the context of the history of geography. The nature and politicisation of early modern (c.1600–1850) geography are depicted, and used as a contextual standard against which to assess Mackinder's claims to have propounded a “new” geography and a “new” form of political geography. Mackinder's conception of geography is found to have been a substantial departure from the early modern one, in terms of its definition of geography, its textual format and its placing of geography in a broader educative structure. By contrast, Mackinder's political geography is shown to effect a far less radical break, for whilst Mackinder's rhetoric suggests that geography will drive his political analysis, it is in fact his pre-existent politics as a tariff-reforming conservative which drove his political geography. To the extent that geography acted as a container for politics, Mackinder was still in the tradition of the early modern period, although he did change the form of that argument.     

Walter Moyle's Machiavellianism,declared and otherwise,in An Essay upon the Constitution of the Roman Government

Walter Moyle's work, An Essay upon the Constitution of the Roman Government, is much more Machiavellian than it initially announces itself to be. Informed by James Harrington's and Niccolò Machiavelli's earlier commentaries on Rome, Moyle readily embraces that on which both of his predecessors agree—the desirability of a republic that seeks armed increase. Harrington, though, explicitly disagrees with Machiavelli's embrace of a tumultuous republic that seeks a return to its beginning through fostering fear. In contrast to Machiavelli, Harrington looks to economic and institutional arrangements that will render a republic so serene and stable that he claims immortality for it. Although initially Moyle forthrightly endorses Harrington's analysis, he ultimately relies on the harshest teachings of Machiavelli to maintain a republic, a reliance which finds him endorsing the distinctively Machiavellian directives to suspect, accuse, and punish its leaders in such a way as to return the republic to its beginnings. These teachings make Moyle's work a vessel for the transmission of a stern, aggressive republicanism. Even in this eventual enthusiastic embrace of Machiavelli's teachings, however, Moyle still displays some hesitation in citing him as the sole source for them as his attributions couple the Florentine's name inaccurately with other, more reputable republicans.