REPORT The British Contribution to the Neurosciences

The evolution of techniques to manage patients with head injuries has served as the basis for the treatment of other neurosurgical disorders, including brain tumors, intracranial infections, and cerebrovascular disease. In the nineteenth century, advances in anesthesia, asepsis, and cerebral localization slowly took hold and created the groundwork for modern neurosurgery. To better understand the advances in the treatment of brain injuries in the late 1800s and early 1900s, we examine relevant historical literature and, through the courtesy of the Alan Mason Chesney Medical Archives, we review Dr. Harvey Cushing's patient records (1898–1909) in the Johns Hopkins Hospital surgical archives. The original case histories of 10 patients (6 in detail) who suffered head injuries and underwent treatment by Cushing illustrate some of Cushing's early attempts at intracranial surgery. We also examine the influences on Cushing as he developed into a leader in the new era of modern neurosurgery.     

Traumatic masculinities: the gendered geographies of Georgian IDPs from Abkhazia

Over 200,000 people became internally displaced after several violent conflicts in the early 1990s in Georgia. For many internally displaced persons (IDPs), gender relations have been transformed significantly. This translates to many women taking on the role of breadwinner for their family, which often is accompanied by the process of demasculinization for men. In this article, we examine the construction of masculinities and analyze the gendered processes of displacement and living in post-displacement for Georgian IDPs from Abkhazia. We identify the formation of ‘traumatic masculinities’ as a result of the threats to, though not usurpation of, hegemonic masculinities. Drawing on interviews, we highlight how IDPs conceptualize gender norms and masculinities in Georgia. Despite the disruptions that displacement has brought about, with the subsequent challenges to IDPs' ideal masculine roles, the discourses of hegemonic masculinities still predominate amongst IDPs. We further illustrate this point by identifying two separate gendered discourses of legitimization that attempt to reconcile hegemonic masculinities with the current contexts and circumstances that IDPs face. These new traumatic masculinities do coexist with hegemonic masculinities, although the latter are reformed and redefined as a result of the new contexts and new places within which they are performed.     

Using cultural trauma: Gandhi's assassination,partition and secular nationalism in post‐independence India

Nationalism theorists have noted the link between traumatic events and national identity, and cultural trauma theory presents a framework for understanding how these events become trauma narratives. I argue for greater consideration of how these narratives are strategically linked to ideological frames of national identity. A case study of post‐Independence India considering the assassination of Mahatma Gandhi and the Partition of India and Pakistan demonstrates how two very different events were promoted as cultural traumas by various carrier groups in order to promote a secular vision of the Indian nation. Adapting Armstrong and Crage (2006), I suggest that the success of these trauma narratives depend on several criteria: the ease of narrating the event, how it is linked to underlying cultural meanings/frames and how the event interacts with historical contingencies.     

A palaeopathological investigation of the third intercondylar tubercle of Parsons

The third intercondylar tubercle of Parsons (TITP) is a bony protuberance which is sometimes present on the tibial plateau. It corresponds to the insertion of the anterior fibres of the anterior cruciate ligament (ACL). Reasons why TITP is present in some knees and not others are at present unclear. TITP is studied in knee joints from 68 adult individuals from a medieval cemetery. Associations are investigated with age, sex, knee osteoarthritis, clinical and subclinical DISH, and skeletal signs of trauma, with the aim of evaluating existing ideas on the causation of TITP. Only trauma showed an association with the presence of TITP. The results offer support for the aetiology of trauma to the ACL in the formation of TITP. Copyright © 2008 John Wiley & Sons, Ltd.     

Warfare in Prehistoric and Early Historic Eastern North America

Recent criticisms of the use of historically and ethnographically recorded conflicts as models for warfare in prehistoric times force archaeologists to reexamine assumptions about the frequency, severity, and effects of intergroup fighting. In eastern North America, skeletons of victims and palisaded settlements—the only information consistently available on intergroup hostilities—indicate that the prevalence of conflicts varied greatly over time and space. Occasionally the attacks, typically ambushes of small numbers of people, cumulatively resulted in numerous casualties.Variation in palisade strength is consistent with the organizational structure and warrior mobilization potential of late prehistoric societies in different parts of the Eastern Woodlands.     

Evidence of interpersonal violence at the Chalcolithic village of Shiqmim (Israel)

Three circumscribed depressed fractures were found on the skull of an adolescent boy recovered from a primary intramural burial at the Chalcolithic site of Shiqmim, northern Negev, Israel dated to (∼4500–3200 BCE). The fractures were located on the left side and back of the skull. They are circular in outline and have sharp margins containing numerous small bone fragments. These indicate that the skull was fractured when the bone was still fresh and were the probable cause of death. The location of the fractured areas is typical of blows inflicted by a right‐handed individual in face‐to‐face conflict. The size and shape of the fractures, suggests that they were inflicted by a blunt instrument, possibly a mace head. The absence of any signs of healing or infection indicates that all fractures occurred within a short space of time and resulted in death. Neither biological characteristics nor burial pattern show any unique features that distinguish this individual from others recovered at this site. Copyright © 2003 John Wiley & Sons, Ltd.     

Radiographic clues to fractures of distal humerus in archaeological remains

Today, distal humeral fractures occur most frequently in children and adolescents, and are usually the result of a fall onto extended arms, or less often on flexed elbows. Trauma to the distal humerus at the physis and epiphyses often produces non‐displaced or mildly displaced fractures that are difficult to recognize radiographically. To help identify these types of injuries, clinicians have developed two measurement techniques that are applied to the X‐rays of the injured bones. In a preliminary attempt to assess the usefulness of these measurement techniques for recognizing trauma in archaeological skeletal remains, 25 humeri from two Ontario ossuary samples were submitted to radiography. Clinical data on distal humeral fractures, their incidence, and mechanisms of injury were also used to interpret the lifestyles and cultural activities of the aboriginal individuals under study. While only one healed fracture was suspected after gross observation, a total of four fractures were ultimately identified using the two measurements, the humerotangential‐angle (HTA) and the anterior hunieral line (AHL). Our results provide indirect, but telling, evidence of accidental childhood injuries to distal humerus in an archaeological population. Copyright © 2001 John Wiley & Sons, Ltd.     

Two decapitations from Roman Towcester

Two young adult males from a Roman cemetery at Towcester show unambiguous evidence of decapitation In one, the skull had been placed over the lower legs, and in the other, the skull was in its correct anatomical position. The significance of this variation and the reasons for decapitation are discussed. Copyright © 2001 John Wiley & Sons, Ltd.     

Bearing Witness: Hope for the Unseen

Beginning with an identification of the ethical and political ambivalence surrounding hope, this essay considers whether an analysis of the activity of bearing witness to truth could offer a theoretical framework for thinking about hope differently. Specifically it argues that hope can be taken as a discipline, or practice, one which is both required for, and enacted in, the act of bearing witness. Through a consideration of the process of bearing witness in Truth and Reconciliation Commissions responding to national and intergenerational trauma, the essay explores the way in which bearing witness is a fundamentally hopeful action in so far as it ceaselessly seeks to speak to the truth of an event while acknowledging the inability to ever fully capture that event in words.     

Wilful Design: The Sampler in Nineteenth-Century Britain

This article recovers the cultural significance of the sampler in nineteenth-century Britain. I argue that this mainstay of female education models a circular shape of development in which the young girl painfully revises earlier experience; the subject is conceived of as perpetually reworking herself without obvious linear progression. Though this article is situated against canonical works of Victorian fiction, it focuses primarily on actual samplers to argue that these pieces of childhood embroidery should be recognized as a form of life-writing. After establishing the conventions of the sampler, I turn to an apparently anomalous example that exemplifies the temporal and affective patterns ingrained by the pedagogical exercise of sampler sewing. My central artefact is an autobiographical sampler from the needle of a 17-year-old Sussex girl named Elizabeth Parker. Currently housed in the Victoria and Albert Museum, this textile from 1830 recounts Parker’s childhood experiences in service, and the horrors of physical abuse and sexual assault that led her to contemplate suicide, all compressed into 46 lines of cross-stitch. I argue that the sampler as a pedagogical tool resists the Bildungsroman’s model of the self as formed through temporal progression towards self-contained adult agency. Instead, the sampler materially and thematically enforces the recursive temporal dynamics of conversion.