Revisiting black medical school extinctions in the Flexner era

Abraham Flexner's 1910 exposé on medical education recommended that only two of the seven extant medical schools for blacks be preserved and that they should train their students to "serve their people humbly" as "sanitarians." Addressing charges of racism, this article traces the roots of the recommendation that blacks serve a limited professional role to the schools themselves and presents evidence that, in endorsing the continuance of Howard's and Meharry's medical programs, Flexner exhibited greater leniency than he had toward comparable schools for white students. Whether his recommendations to eliminate the other five schools were key factors in their extinction is addressed here by examining 1901-30 enrollment patterns. Those patterns suggest that actions of the American Medical Association and state licensing boards, combined with the broader problem of limited premedical educational opportunities for blacks, were more consequential than was the Flexner report both for the extinction of the schools and for the curtailed production of black doctors.     

Policing the social boundaries of the American Medical Association, 1847-70

In May 1870 the American Medical Association (AMA) voted to deny the admission of black delegates and their white colleagues to the national meeting in Washington, D.C. Historians of race and medicine have customarily viewed this decision as marking a crucial milestone in the formation of the nexus between racism and the development of the American medical profession in the era after the Civil War (1861-64). This study recasts this narrative by locating the 1870 decision in relation to the antebellum practices of the association and their social consequences for American medicine. It argues that the viability of the AMA as the national voice of the profession was critically dependent on rejecting racial equality. Indeed, at a moment when the question of the abolition of slavery polarized the nation, the AMA was founded in 1847 to create a voluntary professional organization, national in scope, dedicated to raising the standards of medical training and practice. To this end, the AMA elected presidents and selected host cities for annual meetings in the North, South, and West. Seven out of the fourteen meetings and six out of fourteen presidents were from slave and/or border states. These institutional practices together with the representation of blacks as different and enjoying an appropriate status as slaves grounded the national identity of the profession in black subordination. Similarly, the gendered discourses about healing and practices of female exclusion privileged medical authority as male by drawing on and reinforcing patriarchy. In the wake of the war, leaders hoped to restore the national character of the organization by resuming antebellum practices. In response to the new possibilities for blacks in medicine--as represented by the biracial National Medical Society--the AMA took steps to vigorously police the racial boundaries of the national profession. As this study will show, the 1870 decision reflected the logic of the racial politics at the heart of the association's antebellum past and would loom large in its future.     

The business of ethics: gender, medicine, and the professional codification of the American Physiotherapy Association, 1918-1935

The history of codes of ethics in health care has almost exclusively been told as a story of how medical doctors developed their own professional principles of conduct. Yet telling the history of medical ethics solely from the physicians' perspective neglects not only the numerous allied health care workers who developed their own codes of ethics in tandem with the medical profession, but also the role that gender played in the writing of such professional creeds. By focusing on the predominantly female organization of the American Physiotherapy Association (APA) and its 1935 "Code of Ethics and Discipline," I demonstrate how these women used their creed to at once curry favor from and challenge the authority of the medical profession. Through their Code, APA therapists engaged in a dynamic dialogue with the male physicians of the American Medical Association (AMA) in the name of professional survival. I conclude that, contrary to historians and philosophers who contend that professional women have historically operated under a gender-specific ethic of care, the physiotherapists avoided rhetoric construed as feminine and instead created a "business-like" creed in which they spoke solely about their relationship with physicians and remained silent on the matter of patient care.     

"The very model of modern urban decay": outsiders' narratives of industry and urban decline in Gary, Indiana

In the eyes of many, the steel city of Gary, Indiana, entered a period of decline in the middle of the twentieth century. The once great city was seemingly racked by job loss, crime, racial division, or moral decay. Which of these caused the decline of the city depended upon the perspective of the story's teller. Each narrative of decline contained a different moment where the city went wrong and it began to decay. For some it was the moral decay of the 1950s, for others it was the rise of black power and politics in the 1960s, for still others it was the white backlash against civil rights in the 1970s. Some saw a microcosm of America, some saw a dangerous cauldron of race and ethnicity. The source of decline and the origins of the urban crisis were largely in the eye of the beholder. The stories people chose to tell about Gary mattered because for much of the twentieth century, Gary was at the center of American narratives about industrialism. These were outsider narratives of decline read onto the Indiana steel city because Gary represented larger debates. People read onto Gary their changing expectations and anxieties about industry and industrial spaces. This article traces the changing attitudes outsiders held toward Gary from the middle of the twentieth century through the period of deindustrialization at the end of the century and examines American narratives about deindustrialization and urban decline.     

From the Silk Road to the Railroad (and Back): The Means and Meanings of the Iranian Encounter with China

In view of the recent expansion of Indo-Persian studies, the neglect of the Sino-Persian nexus is a missed opportunity to place Iranian history on a larger Asian stage. While Iranian contact with China has continued episodically from antiquity to modernity, scholars have so far focused almost exclusively on the pre-modern phases of exchange. As a contribution to developing the field of Sino-Persian studies, this article situates two twentieth century Iranian travelers to China against the changing background of Chinese–Iranian exchange from the medieval to modern period. In so doing, it demonstrates the infrastructural and conceptual apparatus that enabled the modern Iranian encounter with China while asking how, if at all, twentieth century intellectuals were able to draw on a longer history of interaction to find meanings for Sino-Persian exchange.     

“Resurrection Men” in Dallas: The Illegal Use of Black Bodies as Medical Cadavers (1900–1907)

Although illegal in Texas in the early twentieth century for the bodies of indigents to be used as medical cadavers, archival accounts document Dallas’s early medical schools duplicity in such acts, with secret agreements between medical schools and city and county officials. Evidence of African-American bodies stolen for use as medical cadavers was also uncovered archaeologically during the Freedman’s Cemetery Project in Dallas, Texas, in the early 1990s. The repercussion of these and other acts of racism and exploitation are explored.     

THE CAUSES OF THE ASIAN FERTILITY DECLINE

The Asian demographic transition is treated as one aspect of the global Industrial Revolution, which started in the West but now involves the whole world. In fact, the multiplication of per capita income in Asia in the second half of the twentieth century has been the world's fastest. With the rise in female education, urban living and non-agricultural employment, as well as the mortality decline that began early in the twentieth century and government family planning programmes, fertility fell nearly everywhere from the 1960s presaging below-replacement fertility levels. The continent's macro changes are outlined and micro studies of the causes of fertility decline and the delay or forgoing of marriage are drawn from India, Bangladesh, Sri Lanka, Thailand and South Korea. It is concluded that marriages will be increasingly forgone or delayed and that most, perhaps all, ESCAP Asia will this century experience below-replacement fertility. The path followed is much more likely to resemble that of Mediterranean Europe than Northern Europe.     

US Foreign Relations in the Twentieth Century: from World Power to Global Hegemony

The turn of the millennium has produced much thinking about the current direction of American foreign policy. In an interpretative essay on the broad patterns of American foreign relations during the twentieth century, Michael Dunne traces some recurrent themes in American diplomatic practice and its underlying ideologies. His conclusion is that the traditional introversion of American culture is likely to be projected abroad, as it has been in the past, by a rhetorical mixture of national and supranational idealism couched in the peculiar and self-referential discourse deriving from the earliest days of the Republic.     

Country Music and the South: A Cultural Geography Perspective

Cultural geographers have failed to examine one of the most significant culture items unique to the American South— country music. Examination of the history, folklore, and sociology literature provides data on the area of origin and diffusion routes of the vocal and instrumental characteristics of early country music. The mixing of musical cultures in the South led to the origin and evolution of seven substyles of country music during the twentieth century: traditional, singing cowboy, western swing, honky tonk, bluegrass, country pop, and country rock. Despite recent cultural homogenization in the United States, country music continues to maintain its regional association with the American South.     

The shaping of the American Empire

This paper creates a traditional, counterfactual, historical geography that proposes the rise of an American Empire in the 1800s instead of the British. The industrialization of the British world-economy of the early 1800s, victory in the Napoleonic Wars, and the consequent success of the British Empire fundamentally depended on cotton textiles, thus on American cotton agriculture. Cotton was, to the economies of the nineteenth century, very much like oil is to those of the late twentieth and early twenty-first enturies. The development of the American cotton South after 1800 was based heavily on the reproduction of slaves within the South. Had Jefferson ended slavery, as he at one time considered, I suggest that an alternative America would have arisen in which Jeffersonian idealism would have encouraged family farms as the principal units of agricultural production. I further argue that, absent the availability of cheap British manufactures, the Philadelphia School of Protectionists would also have likely triumphed early and an American industrial development based on internal growth fueled by cotton grown on family farms would have allowed America to come to dominate the world-economy of the late 1800s. Protectionist policies would have similarly excluded French manufactures and the industrial development based on cotton the French were also attempting in the late 1700s would have failed just as did that of Britain. French military victory in the Napoleonic Wars would not have produced a French world-economy. An America without serious global opposition would not have resisted annexing all of Mexico and Canada in the 1840s and expanding aggressively into Asia via the Pacific basin and Hawaii to create an American Empire.     

20世纪美国少数族裔的命运变迁

美国的少数族裔主要包括黑人、拉美裔人、亚裔人和原土著印第安人。20世纪是美国少数族裔经历重大命运转折的历史时期：20世纪上半期．各少数族裔深受种族歧视之苦,毫无权利可言．生活一贫如洗;从50年代中期开始,少数族裔开展了民权运动,自此处境有了很大的改善,然而种族问题在美国并没有得到最终解决;90年代以来,美国的种族矛盾再次激化。可见,在将来很长时间里,种族问题仍将是美国国内最棘手的社会问题,少数族裔要在美国社会取得真正的平等,其道路是漫长而艰辛的。     

当代俄罗斯史学中动乱学研究的新趋向

苏联解体后,俄罗斯学界开始反思20世纪初的革命,在深化对17世纪初大动乱研究的基础上,形成一种以“动乱”取代“革命”的话语,采用多学科综合研究的方法,构建以“动乱—帝国”为模型的俄国国家系统性危机理论体系的动乱学研究范式。该范式强调,17世纪初、20世纪初和20世纪末发生的历史事件是俄国国家制度的三次系统性危机(即动乱),前两次危机都以建立帝国而结束,俄国历史在“动乱—帝国”的周期性节律中循环。动乱学的提出,是21世纪“俄罗斯学”和“帝国学”研究热潮下的产物,也是一部分俄国学者对当前俄罗斯向何处去的一种回答。但作为建构一门新学科的尝试,其学科体系尚待进一步深化。     

Economic fears of mass migration from southern Italy in early twentieth century America

ABSTRACT

Economic fears in the early twentieth century America about Italian immigration united trade unions and white collar workers and were motivated by reasons that ranged from the belief that migrants were disrupting the labour market and were temporary opportunist earners, unwilling to integrate and living in isolated communities, to the idea that southern Italians did not offer sufficient human capital: they were mainly illiterate, and had high dropout rates in schools, and were widely believed to have children with mental disabilities. These American fears were wildly overstated, however. First, Southern Italian migrants had to undergo a two-stage positive selection for literacy, while, secondly only 28.4 per cent of the massive incoming flow of Italians decided to stay; most Italian immigrants chose to return to their country of origin and the minority who remained did not delay long to join in the American melting pot.     

Rev. John G. Lansing (1851–1906) on Preaching the Gospel to Muslims

At the turn of the twentieth century, the interest of American Protestant churches in foreign missions increased dramatically. “The evangelization of the world in this generation” became a powerful slogan and a new understanding of the Great Commission or the instruction of the resurrected Jesus Christ to his disciples, was among factors that “revolutionized American missionary movement.”¹ This article presents the views on Islam of Rev. John G. Lansing from the New Brunswick Seminary of the Reformed Church of America,² and suggests that Lansing changed the view that Islam is not approachable and awakened the imagination of his disciples concerning the land of Islam and its inhabitants as people to whom the words of the gospel should be addressed. Although the Arabian Mission established by Lansing in 1889 finally failed in ensuring mass conversions of Muslims, it did result in a great discovery of Islam by the missionaries.     

中世纪研究在美国的建立及其早期风格

自19世纪70年代以来,美国的中世纪研究开始形成较为完整的知识与话语体系,亨利·亚当斯、赫伯特·亚当斯以及乔治·亚当斯在这个过程中扮演了重要角色。在早期建设阶段,业余学者和专门学会成为了推动学术发展和学科专业化的主要参与者,大学培养模式则主要受德国和法国的影响。到20世纪30年代,美国的欧洲中世纪研究形成了重视教科书写作、在对欧洲中世纪历史理解中的他者性和继承性相互叠加、宏大视野与碎片化研究相互交织等特色。这些早期风格塑造了美国中世纪研究的核心范式,同时也对20世纪中期以来国际中世纪史学界的发展产生了深远影响。     

The Rise of Vo¨lkisch-Nationalism and the Decline of German Liberalism: A Comparison of Liberal Political Cultures in Schleswig-Holstein and Silesia 1912-1924

Historians have tended to focus on political economic and political organisational factors in order to explain the rise of liberalism in the nineteenth century and the decline of liberalism in the twentieth. But these factors tell only part of the story, particularly in the German case. For the precipitous decline of German liberalism after 1890 cannot be understood without examining the rise of Austro-German völkisch (ethnic) nationalism in the same period. Comparing Germany's two most liberal regions, Schleswig-Holstein and Silesia, this article argues that liberalism became increasingly dependent for its political survival on an accomodation with ethnic nationalism. It is hoped that such a comparison will lead to a reexamination of the conventional ways in which German liberal success and failure are understood, and a re-evaluation of what it meant to be a liberal in Germany and Europe during the first third of the twentieth century.     

Śāntideva's Bodhicaryāvatāra in Translation: A Century of Interpretation of a Sanskrit Mahāyāna Text

Many translations of ?āntideva's Bodhicaryāvatāra, a Sanskrit Mahāyāna Buddhist text of seventh/eighth‐century India, have been published since 1892. ?āntideva's Bodhicaryāvatāra is one of the few Indian Mahāyāna Buddhist texts available in Sanskrit and it was influential in Tibetan Buddhist schools. This article explores how translation of the Bodhicaryāvatāra is no longer the preserve of scholars but has moved to being carried out by Buddhist practitioners influenced by Tibetan schools of Buddhism. It shows how translators’ motives for translating the text have reflected changing attitudes to Buddhism and its texts. ?āntideva's Bodhicaryāvatāra has been translated as a source of information, a literary work, an inspirational work and, with the rise of Western interest in Tibetan Buddhism in the late twentieth century, as a vehicle for the transmission of Buddhist teachings. Nevertheless, further scholarly investigation of the Sanskrit text of the Bodhicaryāvatāra remains to be done.     

William H. Tillinghast, John K. Wright, and some antecedents of American humanistic geography

The antecedents of twentieth century humanistic geography in America lie in part in the cultivation of geography by classicists, historians, librarians, and other nineteenth and early twentieth century humanistic scholars and writers. One of them, William H. Tillinghast, a Harvard College librarian trained both in classics and history, wrote an exemplary essay in the 1880s on ‘The Geographical Knowledge of the Ancients’ that provided a model analysis of early Western geographic ideas anticipating that of John K. Wright in the 1920s. Institutional analysis suggests their common rootage in an evolving Harvard ‘school’ of humanistic geography based in history and classics, the product both of a sequence of mentor/disciple relationships and a broader institutional environment shaping Wright's early concepts concerning the history of geography. 2003 Published by Elsevier Science Ltd.     

The Americanisation of Europe after 1945? The Case of the German Universities

Academic discourse about America's influence on Europe constitutes an important contribution to the understanding of intercultural transfer-processes. In this context particularly the twentieth century has to be considered, because it was during this period when the decline of more than 400 years of the Europeanisation of the world ran parallel to the beginning of its Americanisation. The thesis presented here pursues an aspect of Amercanisation which has hardly been analysed: namely, the direct and indirect American influences on the German universities and academic system after the Second World War. In this case, the term Americanisation does not mean a one-sided transfer of the American higher education system, but rather a gradual merging of American influences with the German university tradition.     

Into the Crater: The Mine Attack at Petersburg

In concentrating on spiritualism’s mediums and intellectual captains, scholars have paid little attention to the movement’s meaning to average séance‐goers. An investigation of spiritualism in nineteenth‐century California and Nevada – and especially in San Francisco – shows that mediums offered their patrons a valuable social product by tying together religion with entertainment and therapy. In doing so, spiritualists created a cultural technology of ‘spirit materialization’ that prefigured the electronic technology of spirit materialization in the twentieth century – telephone, film, radio, television. Spiritualists also helped create a therapeutic culture that prefigured psychotherapy. In reconciling Americans to the transience of nineteenth‐century social life, in offering them new conceptions of family and community, and by setting the stage for modern therapeutic culture and mass entertainment, Spiritualism became both a bridge to modernity and part of the infrastructure of modernity. The tension between religion, therapy, and entertainment, however, propelled spiritualism in contrary directions and ensured that it would not retain its popularity in the twentieth century.