Neurology and Literature, 1860–1920 by Anne Stiles (ed.)

Abstract

Research from many perspectives has been made on the work of the French neurologist, J.‐M. Charcot (1825–1893) with particular reference to his fame for his studies and “construction”; of hysteria. What has not been demonstrated so far is the extent to which Charcot's construction can be explained by the perceived relationship between hysteria and epilepsy and Charcot's access to epileptic patients at La Salpêtrière. From the confusion that reigned concerning hysteria and epilepsy, both separately and in relation to each other, Charcot claimed to have isolated hysteria as a distinctive and universal pathology. This claim was partly based on the “grande attaque”;, representing the most intense degree of hysteria. A comparison with Gowers, the contemporary English neurologist suggests that diagnosis was the function of the practitioners’ preferences; and a linguistic analysis pinpoints Charcot's problems in describing an isolated pathology in terms of its relation to its neighbour, epilepsy.     

The Three Musketeers and the Twelve Cranial Nerves

The present account includes a brief life history of Walter Rudolf Hess (1881-1973) and a review of his major neurophysiological contributions. Hess belonged to the nearly extinct generation of great universalists among students of human physiology. He began his scientific work in hemodynamics and ophthalmology, then studied the functional organization and regulation of circulation and respiration and developed a number of highly sophisticated instruments which fostered his international reputation. By electrically stimulating the brain of the unanesthetized, freely moving animal he explored the functional organization and localization of the cat diencephalon in terms of autonomic, extrapyramidal motor functions, and instinctive behavior, e.g. hunger, thirst, fear, and rage. His thoughts on biological order led him to consider the problems of psychic forces. He was convinced of the close correlation of behavioral research and neurophysiology and believed that neuronal patterns determine the content of consciousness without providing clues concerning the transformation of such patterns into subjective experience.     

Professor Penck's Bluff: Geography,Espionage and Hysteria in World War I

This article considers the image of geography during World War I through a discussion of newspaper controversies about the pre‐war activities of German and British geographers. Early in the war, Sven Hedin and Albrecht Penck, renowned geographers whose achievements had been widely celebrated by the British geographical establishment, were named in the media as enemy spies whose supposedly disinterested scientific inquiries in Britain and the Empire had masked their real intention to pass sensitive information to the German High Command. British geography stood accused of collusion with enemy ‘super spies’. This article examines how Britain's geographical community, represented by the Royal Geographical Society, sought to defend the discipline's patriotic virtue and head off a full‐scale media witch‐hunt. In so doing, the article comments on the media's role in shaping the image of geography and on geography's place in public debates about the sanctity of the national space.     

Differentiation between Seizure and Hysteria in a Tenth-Century Persian Text: Hidāyat of al-Akhawayni (d. 983 AD)

Although hysteria is associated largely with the nineteenth century, we find the subject treated in a tenth-century Persian medical text, the Hidayat al-Muta`allemin Fi al-Tibb [A Guide to Medical Learners] by al-Akhawayni Bukhari (d. 983 AD), a prominent physician in the Persian history of medicine. In this article, we discuss al-Akhawayni’s views on seizure and hysteria and his differentiation between the two conditions, and we place it in a historical context.     

Decadence as historical myth and cultural theory

This article traces the early history of the concept of European decadence with special emphasis on its manifestations in French literary production in the period between 1860 and 1900. It argues that decadence was not a historical reality, but a cultural myth, that gave expression to a new, specifically urban experience of modernity first thematized in Baudelaire's poetry and prose work. It further claims that this concept continues to have important contemporary relevance in the form of debates about the “second modernity” and the new “cosmopolitanism.”     

SHORT COMMUNICATION Autopsy Practises for Brain Dissections and Rembrandt's Anatomy Lesson of Dr. Deyman

Illustrations, previous to the 19th century, provide evidence that brain dissections were executed on an isolated head, contrary to Rembrandt's anatomy lesson of Dr. Deyman. This paradox seems to be explained by clever biased composition.     

HOW WE LIVE WITH THE PAST NOW

Michael Roth's new collection of essays, written over the last two decades, is held together by its author's pervasive concern with human temporality: our individual and collective passages through time, recorded by the faculty of memory, which pose some of our most intractable problems. The essays treat, and indeed provide a map to, several adjacent areas of inquiry: the history of the psychopathology of memory in the long nineteenth century; the vicissitudes of the trauma‐concept from its relatively modest medical origins to its postmodern apotheosis; and photography as a medium and art form embroiled in our relationship with the past. Roth's major interventions are threefold. First, while persuaded of the value of the psychoanalytic version of the trauma‐concept, he critiques the so‐called traumatophilia of postmodern theorists who, usually with reference to the Holocaust, seek to invest trauma with ethical valences and powers of legitimation or even, as in the case of Agamben, raise it to ontological status. Second, through his fine‐grained account of Freud's convergence with and divergence from his French colleagues, especially Charcot and Janet, Roth argues that the stunning breakthrough of psychoanalysis was to take the past seriously, to recognize the inevitable penetration of the past into the present in the human psyche as well our affective investment in and need to narrativize the past. For Roth, Freud's continued relevance today resides in what he has taught us about living with the past. Finally, Roth begins to develop the concept of “piety” as an attitude toward the past that fuels the writing of history. He leaves the concept in rudimentary form, but his evocative remarks suggest the fruitfulness of developing it further.     

Hospital Drama: Visual Theatres of the Medical Rendezvous from Asylum to Hospital with Reference to Specific Works by Anna Furse

Abstract

This paper is informed by Furse’s practice as a theatre maker in two fields of output that are connected by two factors: first, the presence of the woman patient — hysteric/subfertile respectively — within the clinical gaze; second, the significance of the womb to each pathology. In the treatment of each (explored in Furse’s theatre), lens based technologies play their part, whilst the cultural and medical can be seen to have overlapped to produce specific meaning with regard to Her body and its spectacularity. The article presents an overview of some of the key issues in precisely how the woman’s body becomes spectacular within this prosthetic medical gaze and how the medical — and theatrically designed spaces to represent these — become meaningful and potent proxemics that in turn inform medical/ theatrical spectatorship. Overarching nineteenth-century protocols at the Salpêtrière Hospital in Paris (where Furse’s Augustine (Big Hysteria) is set) to contemporary imaging technologies used in the treatment of subfertility with Assisted Reproduction Technologies (the topic of her Art of A.R.T. projects), it examines the way in which photography develops through cinema to X-Ray, ultrasound and then 3D/4D ultrasound to ‘capture’ the woman’s body in ways by which she becomes muted and exposed. These occular technologies that extend the gaze, first to an exterior subject and then, eventually, traversing the flesh without knife, lend specific performativity to the ‘patient’ women, within the context of hysterias and reproductive impairments respectively. Finally, issues of suspension of disbelief are addressed. The spectator’s faith in the screen-based image of Her spectacular body is interrupted in Furse’s work, which is also keenly interested in the effect of such imagery on the woman’s sense of Self. The historical and cultural leaps in this article argue that there is indeed a trajectory through the history of medical imaging since the first application of photography to anatomy to the more advanced scoping technologies of medical imaging today, and that in each era, the production of these images remain fraught with cultural implications.     

Railway spine: The advent of compensation for concussive symptoms

ABSTRACT

The introduction of railway transportation in Great Britain in the early-nineteenth century saw an increased frequency of trauma cases involving persisting symptoms without objective evidence of injury. In 1866, a prominent surgeon, Sir John Eric Erichsen, attributed such symptoms to concussion of the spine (popularized as “railway spine”) that involved an organic pathology, inflammation of the spinal cord in the absence of spinal fracture, with potential psychological overlay. This was widely accepted within the medico-legal context throughout the 1870s, whereby passengers sought compensation for collision-related injuries. In 1883, a railway surgeon named Herbert William Page countered the assertion that many of Erichsen’s cases likely had sustained direct physical injury to the spine, the cord, and/or the spinal nerves; and in cases without such injury, the symptoms were psychogenic, as in traumatic neurasthenia and/or hysteria. Similarities between Erichsen’s and Page’s medico-legal positions, such as conscious and unconscious forms of symptom exaggeration that would both resolve upon settlement of the case, ushered in the era of medical injury compensation.