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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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GRATITUDE

If that promise of clarity is what awaits us all, then death doesn’t seem so awful, and that is a great gift from Sacks. A...

Valediction from the late neurologist and writer Sacks (On the Move: A Life, 2015, etc.).

In this set of four short essays, much-forwarded opinion pieces from the New York Times, the author ponders illness, specifically the metastatic cancer that spread from eye to liver and in doing so foreclosed any possibility of treatment. His brief reflections on that unfortunate development give way to, yes, gratitude as he examines the good things that he has experienced over what, in the end, turned out to be a rather long life after all, lasting 82 years. To be sure, Sacks has regrets about leaving the world, not least of them not being around to see “a thousand…breakthroughs in the physical and biological sciences,” as well as the night sky sprinkled with stars and the yellow legal pads on which he worked sprinkled with words. Sacks works a few familiar tropes and elaborates others. Charmingly, he reflects on his habit since childhood of associating each year of his life with the element of corresponding atomic weight on the periodic table; given polonium’s “intense, murderous radioactivity,” then perhaps 84 isn’t all that it’s cut out to be. There are some glaring repetitions here, unfortunate given the intense brevity of this book, such as his twice citing Nathaniel Hawthorne’s call to revel in “intercourse with the world”—no, not that kind. Yet his thoughts overall—while not as soul-stirringly inspirational as the similar reflections of Randy Pausch or as bent on chasing down the story as Christopher Hitchens’ last book—are shaped into an austere beauty, as when Sacks writes of being able in his final moments to “see my life as from a great altitude, as a sort of landscape, and with a deepening sense of the connection of all its parts.”

If that promise of clarity is what awaits us all, then death doesn’t seem so awful, and that is a great gift from Sacks. A fitting, lovely farewell.

Pub Date: Nov. 24, 2015

ISBN: 978-0-451-49293-7

Page Count: 64

Publisher: Knopf

Review Posted Online: Oct. 31, 2015

Kirkus Reviews Issue: Nov. 15, 2015

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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.

Atlanticsenior 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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