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MEDICAL MUSES

THE CULTURE OF HYSTERIA IN NINETEENTH-CENTURY PARIS

A compelling analysis of hysteria told through the stories of three young women afflicted with the illness.

In the late 1800s, the Salpetriere Hospital in Paris was notorious for its controversial director, neurologist Jean-Martin Charcot, and for its large population of women diagnosed as hysterics. The illness was mysterious, as Charcot's careful clinical methods failed to reveal a biological source of symptoms, and its treatment equally opaque; hypnosis, ether and metallotherapy are a few examples of Charcot's experimental methods. Three of the hysterics, Blanche, Augustine and Genevieve, all young women when they were admitted, became celebrities under Charcot's care. Their dramatic physical transformations when suffering a hysterical attack, and Charcot's ability to direct their minds and bodies while they were hypnotized, fascinated the public that clamored to see the spectacle for themselves. Hustvedt (A Society without Fathers or Husbands: The Na of China, 2001, etc.) delves into the stories of these three women, exploring how their experiences inform modern psychology and medicine, as well as revealing the true stories behind their treatment and exposure. The author questions whether these women were truly afflicted, or were they playing a role? Was Charcot truly reaching medical breakthroughs with his analysis, or was he manipulating his clients in order to gain prestige? Citing ample historical evidence, Hustvedt contends that the women were legitimately affected by chronic physical symptoms that fell into the grey area between psychosomatic and somatic disorder. In some ways, she suggests, it's possible that the manner in which women were treated in 19th-century French society may have been manifested through these symptoms. Many of the women at the hospital were unmarried, poor, fatherless or abused, and strange myths about femininity abounded. Charcot was a pioneer for treating hysteria as a legitimate medical affliction, but after his death, his reputation suffered. However, he—and the stories of his three star patients—raise important questions about the mind-body paradigm, especially in women, a tension that the author suggests remains misunderstood in modern medicine. Insightful, provocative medical history.

 

Pub Date: May 23, 2011

ISBN: 978-0-393-02560-6

Page Count: 336

Publisher: Norton

Review Posted Online: April 4, 2011

Kirkus Reviews Issue: March 15, 2011

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BETWEEN THE WORLD AND ME

NOTES ON THE FIRST 150 YEARS IN AMERICA

This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”

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The powerful story of a father’s past and a son’s future.

Atlantic senior writer Coates (The Beautiful Struggle: A Father, Two Sons, and an Unlikely Road to Manhood, 2008) offers this eloquent memoir as a letter to his teenage son, bearing witness to his own experiences and conveying passionate hopes for his son’s life. “I am wounded,” he writes. “I am marked by old codes, which shielded me in one world and then chained me in the next.” Coates grew up in the tough neighborhood of West Baltimore, beaten into obedience by his father. “I was a capable boy, intelligent and well-liked,” he remembers, “but powerfully afraid.” His life changed dramatically at Howard University, where his father taught and from which several siblings graduated. Howard, he writes, “had always been one of the most critical gathering posts for black people.” He calls it The Mecca, and its faculty and his fellow students expanded his horizons, helping him to understand “that the black world was its own thing, more than a photo-negative of the people who believe they are white.” Coates refers repeatedly to whites’ insistence on their exclusive racial identity; he realizes now “that nothing so essentialist as race” divides people, but rather “the actual injury done by people intent on naming us, intent on believing that what they have named matters more than anything we could ever actually do.” After he married, the author’s world widened again in New York, and later in Paris, where he finally felt extricated from white America’s exploitative, consumerist dreams. He came to understand that “race” does not fully explain “the breach between the world and me,” yet race exerts a crucial force, and young blacks like his son are vulnerable and endangered by “majoritarian bandits.” Coates desperately wants his son to be able to live “apart from fear—even apart from me.”

This moving, potent testament might have been titled “Black Lives Matter.” Or: “An American Tragedy.”

Pub Date: July 8, 2015

ISBN: 978-0-8129-9354-7

Page Count: 176

Publisher: Spiegel & Grau

Review Posted Online: May 5, 2015

Kirkus Reviews Issue: July 1, 2015

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WHEN BREATH BECOMES AIR

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular...

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A neurosurgeon with a passion for literature tragically finds his perfect subject after his diagnosis of terminal lung cancer.

Writing isn’t brain surgery, but it’s rare when someone adept at the latter is also so accomplished at the former. Searching for meaning and purpose in his life, Kalanithi pursued a doctorate in literature and had felt certain that he wouldn’t enter the field of medicine, in which his father and other members of his family excelled. “But I couldn’t let go of the question,” he writes, after realizing that his goals “didn’t quite fit in an English department.” “Where did biology, morality, literature and philosophy intersect?” So he decided to set aside his doctoral dissertation and belatedly prepare for medical school, which “would allow me a chance to find answers that are not in books, to find a different sort of sublime, to forge relationships with the suffering, and to keep following the question of what makes human life meaningful, even in the face of death and decay.” The author’s empathy undoubtedly made him an exceptional doctor, and the precision of his prose—as well as the moral purpose underscoring it—suggests that he could have written a good book on any subject he chose. Part of what makes this book so essential is the fact that it was written under a death sentence following the diagnosis that upended his life, just as he was preparing to end his residency and attract offers at the top of his profession. Kalanithi learned he might have 10 years to live or perhaps five. Should he return to neurosurgery (he could and did), or should he write (he also did)? Should he and his wife have a baby? They did, eight months before he died, which was less than two years after the original diagnosis. “The fact of death is unsettling,” he understates. “Yet there is no other way to live.”

A moving meditation on mortality by a gifted writer whose dual perspectives of physician and patient provide a singular clarity.

Pub Date: Jan. 19, 2016

ISBN: 978-0-8129-8840-6

Page Count: 248

Publisher: Random House

Review Posted Online: Sept. 29, 2015

Kirkus Reviews Issue: Oct. 15, 2015

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