%PDF-1.3 1 0 obj << /Type /Catalog /Outlines 2 0 R /Pages 3 0 R >> endobj 2 0 obj << /Type /Outlines /Count 0 >> endobj 3 0 obj << /Type /Pages /Kids [6 0 R 14 0 R 16 0 R 18 0 R ] /Count 4 /Resources << /ProcSet 4 0 R /Font << /F1 8 0 R /F2 9 0 R /F3 10 0 R >> /XObject << /I1 11 0 R >> >> /MediaBox [0.000 0.000 595.280 841.890] >> endobj 4 0 obj [/PDF /Text /ImageC ] endobj 5 0 obj << /Creator (DOMPDF) /CreationDate (D:20140721134628+01'00') /ModDate (D:20140721134628+01'00') /Title (Performing Medicine: Medical Culture and Identity in Provincial England, c.1760-1850) >> endobj 6 0 obj << /Type /Page /Parent 3 0 R /Annots [ 12 0 R ] /Contents 7 0 R >> endobj 7 0 obj << /Length 4056 >> stream q 381.750 0 0 120.000 34.016 687.874 cm /I1 Do Q 0.000 0.000 0.000 rg BT 34.016 676.469 Td /F1 12.0 Tf [(Published on )] TJ ET BT 99.356 676.469 Td /F2 12.0 Tf [(Reviews in History)] TJ ET BT 190.016 676.469 Td /F1 12.0 Tf [( \()] TJ ET 0.000 0.000 0.800 rg BT 197.012 676.469 Td /F1 12.0 Tf [(http://www.history.ac.uk/reviews)] TJ ET 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d 197.012 675.075 m 357.332 675.075 l S 0.000 0.000 0.000 rg BT 357.332 676.469 Td /F1 12.0 Tf [(\))] TJ ET 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d 34.391 653.743 526.499 1.500 re S BT 34.016 615.321 Td /F3 18.0 Tf [(Performing Medicine: Medical Culture and Identity in Provincial )] TJ ET BT 34.016 593.937 Td /F3 18.0 Tf [(England, c.1760-1850)] TJ ET BT 34.016 251.939 Td /F2 12.0 Tf [(Performing Medicine)] TJ ET BT 137.000 251.939 Td /F1 12.0 Tf [(, an exploration of the transformation of the cultures, values and meanings of medicine )] TJ ET BT 34.016 237.683 Td /F1 12.0 Tf [(across the late 18th and early 19th centuries, constitutes a new and welcome contribution to the )] TJ ET BT 34.016 223.427 Td /F1 12.0 Tf [(historiography of medical life and the creation of a modern medical profession. Through a case study of the )] TJ ET BT 34.016 209.171 Td /F1 12.0 Tf [(social and intellectual activities of medical practitioners in the city of York, the book presents a much )] TJ ET BT 34.016 194.915 Td /F1 12.0 Tf [(broader set of arguments around the crucial shifts in the culture of medicine between the 1760s and the )] TJ ET BT 34.016 180.659 Td /F1 12.0 Tf [(1850s. York, as Brown points out, has particular advantages for a study of this sort: it formed a geographical )] TJ ET BT 34.016 166.403 Td /F1 12.0 Tf [(midway point between two key medical metropolises ? London and Edinburgh; it did not experience the )] TJ ET BT 34.016 152.147 Td /F1 12.0 Tf [(transformations associated with the processes of industrialization; yet it was shaped by many of the specific )] TJ ET BT 34.016 137.891 Td /F1 12.0 Tf [(characteristics of the period such as political factionalism, the urban renaissance movement and ideologies of )] TJ ET BT 34.016 123.635 Td /F1 12.0 Tf [(socio-scientific progressivism. A rich archive of minute books, letters, memoirs and newspapers produces a )] TJ ET BT 34.016 109.379 Td /F1 12.0 Tf [(wealth of material covering medical lives and their individual and collective encounters with fellow citizens )] TJ ET BT 34.016 95.123 Td /F1 12.0 Tf [(and medical practitioners across social and political spheres.)] TJ ET BT 34.016 68.867 Td /F1 12.0 Tf [(The book opens with a brief survey of York?s political, economic and social landscape in the late 18th )] TJ ET BT 34.016 54.611 Td /F1 12.0 Tf [(century which establishes the values attributed to gentility, polite sociability and civic belonging. York?s )] TJ ET BT 34.016 563.315 Td /F3 12.0 Tf [(Review Number:)] TJ ET BT 34.016 549.059 Td /F1 12.0 Tf [(1231)] TJ ET BT 34.016 534.803 Td /F3 12.0 Tf [(Publish date:)] TJ ET BT 34.016 520.547 Td /F1 12.0 Tf [(Thursday, 29 March, 2012)] TJ ET BT 34.016 506.291 Td /F3 12.0 Tf [(Author:)] TJ ET BT 34.016 492.035 Td /F1 12.0 Tf [(Michael Brown)] TJ ET BT 34.016 477.779 Td /F3 12.0 Tf [(ISBN:)] TJ ET BT 34.016 463.523 Td /F1 12.0 Tf [(9780719077975)] TJ ET BT 34.016 449.267 Td /F3 12.0 Tf [(Date of Publication:)] TJ ET BT 34.016 435.011 Td /F1 12.0 Tf [(2011)] TJ ET BT 34.016 420.755 Td /F3 12.0 Tf [(Price:)] TJ ET BT 34.016 406.499 Td /F1 12.0 Tf [(60.00)] TJ ET BT 34.016 392.243 Td /F3 12.0 Tf [(Pages:)] TJ ET BT 34.016 377.987 Td /F1 12.0 Tf [(272pp.)] TJ ET BT 34.016 363.731 Td /F3 12.0 Tf [(Publisher:)] TJ ET BT 34.016 349.475 Td /F1 12.0 Tf [(Manchester University Press)] TJ ET BT 34.016 335.219 Td /F3 12.0 Tf [(Publisher url:)] TJ ET BT 34.016 320.963 Td /F3 12.0 Tf [(Place of Publication:)] TJ ET BT 34.016 306.707 Td /F1 12.0 Tf [(Manchester)] TJ ET BT 34.016 292.451 Td /F3 12.0 Tf [(Reviewer:)] TJ ET BT 34.016 278.195 Td /F1 12.0 Tf [(Stephanie Snow)] TJ ET endstream endobj 8 0 obj << /Type /Font /Subtype /Type1 /Name /F1 /BaseFont /Times-Roman /Encoding /WinAnsiEncoding >> endobj 9 0 obj << /Type /Font /Subtype /Type1 /Name /F2 /BaseFont /Times-Italic /Encoding /WinAnsiEncoding >> endobj 10 0 obj << /Type /Font /Subtype /Type1 /Name /F3 /BaseFont /Times-Bold /Encoding /WinAnsiEncoding >> endobj 11 0 obj << /Type /XObject /Subtype /Image /Width 509 /Height 160 /Filter /FlateDecode /DecodeParms << /Predictor 15 /Colors 3 /Columns 509 /BitsPerComponent 8>> /Mask [ 255 255 255 255 255 255 ] /ColorSpace /DeviceRGB /BitsPerComponent 8 /Length 3280>> stream x[EQ㎦fVttҒ +3O{?lGDQԯDrB^.ϯ%~'0۠/2>0AG_>0j0GCfE67>rB^}@  !&y+r?INp:erc b8f=rQC!~-Wf^^zF[)G 2ޯe7V_Go3Ke GEGOo8rώ#\1ZY~N6^H}yLxS-!:412V+u\-LSO?xVvZ|GjǮT_8EYJF=Tw^ 7GxfN/S:Ʌ~ʟtt?5n÷J'JcF-GVξx{rO~tJd;#a\7}|~y'>}c2C vR}f׈**h.)_&@pfzjsx:5;S\vKhM5j=!Cn+h"u]a EUN]jn=k<,:Ք>sU!ni~6EJ)¦72?G}[y}_vc$t?iSܟ2Zݞ,VN?_`='RFK1A2qv&X_lLRWY'%:I㢖zb_UEx\>&ɆBˏ~K@ \gYØU4}$8Dv!'Q'*+Εj(UCGo[#< 2Ja(sZi9fZKE Rn`u\9r^Zmɯ׹}mstO4uc~#'jEvۼ Dx[z ޏQ4KL5,5u3>i^uÒ-53ba ~,~/pyt1fMU'CVm:qv~=Y'Es"WsφG?l_kN5}],Ow7 uh`xƫ?zMl7ٻv$A(4Dl(wwH} ?=[=S;yC]^BK>㕪9`Z'Wj;E|:bf>kCԘ#RY,iv쵗~}n'"1u" *uO΄/2^Sxr(!/DD\~mJyZ!MmrA!#u[if|99WB WΡpp}w}sh#,\ &:%˳X?D3 %W0cC?o̲^} F3XLVn]Cߖiϧ!7}yZJ#P7]=)7Ρp;>> Ye^xx{Oafw{ ;>4gfLt ʊ:q%#r/)pv!O4wGh|dS ӣݽހ-gVUC'pBxrB^} 7JA^} /'8!`:r?}}],X  }6y!`/~Br?}Q< >k7vx"] ,' .3jn{-i}|~%-};b6#U)7繎kiEw 㤳:E}[޼c"rꬊ7Dc$~"/Y&zSd:tFȌCrʙ`7u .#[-<)j ?TGS(j~oTup(hjU4PlJ=}|it.ҽ@\wʨuXÞZcx18Wo<~ikOg,ވ\^?EneyZcc0[R١z|zv7_m:_n]a?osS3~j^ hD.a_X'KfBX6w wݶ"Oa:,bvhrWH[uCF-Xfc}>x+Rz)2N-B 7y^٨;[/vg? | |2Sve}=o䑰j[vWjF0{굦?VI~}xM(_TlG__+]:#к?S} c>GŸD7 !w{S{B =x7a?oE#)+Gz:o_4Q<;n?\tt7?mGCџQGu4kņOF>F?#} hP&ђߴM#u!.СtL2^#o nIk_i.~7tr@n 1P~3?.[]=S5b߮~Yo^HFH YBi8a4iom>CKgMy*;?zqEӕ` >zB9iFzC?XF?ޟIܰ펉A}{I5ᄊx%ez#Mp@rߎpi]IOVjzuJt\۰f׺u5><,J~PTJp1)}){9N {!`/> endstream endobj 12 0 obj << /Type /Annot /Subtype /Link /A 13 0 R /Border [0 0 0] /H /I /Rect [ 197.0117 675.3895 357.3317 687.2695 ] >> endobj 13 0 obj << /Type /Action /S /URI /URI (http://www.history.ac.uk/reviews) >> endobj 14 0 obj << /Type /Page /Parent 3 0 R /Contents 15 0 R >> endobj 15 0 obj << /Length 7361 >> stream 0.000 0.000 0.000 rg 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d BT 34.016 796.469 Td /F1 12.0 Tf [(medical ?faculty? was relatively small at the time, consisting of around 20 physicians, surgeons and )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(apothecaries and this heightened the value of interpersonal relationships. \(Bristol for example had 230 )] TJ ET BT 34.016 767.957 Td /F1 12.0 Tf [(practitioners at the same period\). A vignette of the Doctors Club demonstrates the tight connections between )] TJ ET BT 34.016 753.701 Td /F1 12.0 Tf [(medical culture and identity and the broader values of politeness, gentility and sociability. The Club?s male-)] TJ ET BT 34.016 739.445 Td /F1 12.0 Tf [(only members met weekly from 1781 until the turn of the century and activities were focused on dining, )] TJ ET BT 34.016 725.189 Td /F1 12.0 Tf [(drinking and socializing. Only a small proportion of members were medical practitioners; the majority were )] TJ ET BT 34.016 710.933 Td /F1 12.0 Tf [(local merchants who were amongst the elite of York society. The Club?s rules promoted geniality: ?no party )] TJ ET BT 34.016 696.677 Td /F1 12.0 Tf [(disputes are to be suffered in the Club in regard to any election of members to represent this City in )] TJ ET BT 34.016 682.421 Td /F1 12.0 Tf [(Parliament? \(p. 26\). On marriage, Club members were bound to treat their fellows to supper and punch. )] TJ ET BT 34.016 668.165 Td /F1 12.0 Tf [(After dinner activities included betting and again the rules determined that winnings should be spent in the )] TJ ET BT 34.016 653.909 Td /F1 12.0 Tf [(Club. Notably, Brown?s analysis of the minute book shows that bets pivoted on claims and assertions of )] TJ ET BT 34.016 639.653 Td /F1 12.0 Tf [(knowledge; one example was the speed at which members could find the word ?mahogany? in a shilling )] TJ ET BT 34.016 625.397 Td /F1 12.0 Tf [(dictionary. This supports the argument that such fora were crucial spaces in which medical practitioners )] TJ ET BT 34.016 611.141 Td /F1 12.0 Tf [(could cultivate personae as polite and sociable civic gentlemen. Chapter one ends with a discussion of )] TJ ET BT 34.016 596.885 Td /F1 12.0 Tf [(apothecary Oswald Allen?s trajectory from 13-year-old apprentice in 1781 to his establishment in the )] TJ ET BT 34.016 582.629 Td /F1 12.0 Tf [(medical, cultural and social spheres of York. Despite Allen?s inauspicious beginnings and the negative trade )] TJ ET BT 34.016 568.373 Td /F1 12.0 Tf [(associations surrounding the dispensing of medicine, he succeeded in developing networks of patronage )] TJ ET BT 34.016 554.117 Td /F1 12.0 Tf [(which won him the appointment of Apothecary to the York Dispensary and facilitated his marriage to the )] TJ ET BT 34.016 539.861 Td /F1 12.0 Tf [(sister of one of York?s most noted physicians.)] TJ ET BT 34.016 513.605 Td /F1 12.0 Tf [(The book then explores the ways through which medical practitioners fashioned their identities through )] TJ ET BT 34.016 499.349 Td /F1 12.0 Tf [(public displays of knowledges such as botany, natural history, poetry and literature. Quaker and physician )] TJ ET BT 34.016 485.093 Td /F1 12.0 Tf [(William White submitted papers to the Royal Society in 1778 and 1781 which were published in the )] TJ ET BT 34.016 470.837 Td /F2 12.0 Tf [(Philosophical Transactions)] TJ ET BT 166.364 470.837 Td /F1 12.0 Tf [(. The first gave an account of experiments White had undertaken using a )] TJ ET BT 34.016 456.581 Td /F1 12.0 Tf [(eudiometer to measure the quantity of phlogiston in the atmosphere of the city and its rivers and marshes. )] TJ ET BT 34.016 442.325 Td /F1 12.0 Tf [(Hippocrates had drawn attention to the dangers posed to health by ?bad? air from natural environments )] TJ ET BT 34.016 428.069 Td /F1 12.0 Tf [(many centuries earlier but the new gas chemistry of the 1770s had intensified interest in air quality and it )] TJ ET BT 34.016 413.813 Td /F1 12.0 Tf [(was topic of much social and medical interest. His second paper mapped the numbers of births and deaths in )] TJ ET BT 34.016 399.557 Td /F1 12.0 Tf [(York between 1770 and 1776 according to the season and compared them to similar figures compiled )] TJ ET BT 34.016 385.301 Td /F1 12.0 Tf [(between 1728 and 1753. Improvements in the health of the population, he suggested, were principally due to )] TJ ET BT 34.016 371.045 Td /F1 12.0 Tf [(the civic improvements in York such as paving and new drains as well as inoculation and other medical )] TJ ET BT 34.016 356.789 Td /F1 12.0 Tf [(advances. Brown suggests that White?s coupling of his experimental work with some of the prime issues in )] TJ ET BT 34.016 342.533 Td /F1 12.0 Tf [(York polite society and prominent questions in science and medicine helped formulate a social identity )] TJ ET BT 34.016 328.277 Td /F1 12.0 Tf [(which allowed him entre into civic circles. As a Quaker, White would not have participated in many of the )] TJ ET BT 34.016 314.021 Td /F1 12.0 Tf [(Anglican-dominated civic activities. Importantly for Brown?s thesis, White?s story illuminates the pluralist )] TJ ET BT 34.016 299.765 Td /F1 12.0 Tf [(nature of medical knowledge of the time.)] TJ ET BT 34.016 273.509 Td /F1 12.0 Tf [(The scandal resulting from public challenges to the conditions and treatments for patients within the York )] TJ ET BT 34.016 259.253 Td /F1 12.0 Tf [(Lunatic Asylum between 1813 and 1815 is the focus for chapter three. The reformers demanded ?public? )] TJ ET BT 34.016 244.997 Td /F1 12.0 Tf [(scrutiny of the ?private? space of the institution which they claimed was self-regulated by corrupt medical )] TJ ET BT 34.016 230.741 Td /F1 12.0 Tf [(practitioners and local elites. Through the York press which was becoming more radical and politically )] TJ ET BT 34.016 216.485 Td /F1 12.0 Tf [(polarized, they called for new regulations which would permit visitors to monitor the condition of the )] TJ ET BT 34.016 202.229 Td /F1 12.0 Tf [(patients and regulate the conduct of the staff. Brown shows that previous challenges to medical authority )] TJ ET BT 34.016 187.973 Td /F1 12.0 Tf [(over asylums had failed in the 1780s and argues that the success of the 1813?15 campaign illustrated how )] TJ ET BT 34.016 173.717 Td /F1 12.0 Tf [(significantly moral, political and cultural forces had swung towards a reformist agenda. For medical )] TJ ET BT 34.016 159.461 Td /F1 12.0 Tf [(practitioners, these public and visible controversies in the context of wider social and political agitations )] TJ ET BT 34.016 145.205 Td /F1 12.0 Tf [(across York critically undermined medical identities grown from old values of civic gentility and polite )] TJ ET BT 34.016 130.949 Td /F1 12.0 Tf [(association.)] TJ ET BT 34.016 104.693 Td /F1 12.0 Tf [(The final chapters explore the ways in which a new culture of medicine, hinged on the values of expertise )] TJ ET BT 34.016 90.437 Td /F1 12.0 Tf [(and public service took shape over successive decades. The 1820s in York were a time of profound change )] TJ ET BT 34.016 76.181 Td /F1 12.0 Tf [(with the demise of polite society and political factionalism. Medical practice became increasingly )] TJ ET BT 34.016 61.925 Td /F1 12.0 Tf [(competitive as a consequence of the numbers of practitioners increasing at a time when numbers of private )] TJ ET endstream endobj 16 0 obj << /Type /Page /Parent 3 0 R /Contents 17 0 R >> endobj 17 0 obj << /Length 7523 >> stream 0.000 0.000 0.000 rg 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d BT 34.016 796.469 Td /F1 12.0 Tf [(patients were decreasing due to many of York?s wealthy families leaving the city. The formation of the )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(Associated Body of Surgeons and Apothecaries in 1818 was a response to local pressures but also )] TJ ET BT 34.016 767.957 Td /F1 12.0 Tf [(epitomised the shift from medical practitioners? participation in civil social groups to more vocationally )] TJ ET BT 34.016 753.701 Td /F1 12.0 Tf [(specific associations. The new visions of medical practitioners as experts and public servants devoted to the )] TJ ET BT 34.016 739.445 Td /F1 12.0 Tf [(health and welfare of a new social order are revealed through the intense debates on the practice of body-)] TJ ET BT 34.016 725.189 Td /F1 12.0 Tf [(snatching and the social functions of anatomy. The gradual disaggregation of medical knowledge from other )] TJ ET BT 34.016 710.933 Td /F1 12.0 Tf [(physical sciences is exemplified in the early history of the British Association for the Advancement of )] TJ ET BT 34.016 696.677 Td /F1 12.0 Tf [(Science \(BAAS\). York was the location for the inaugural meeting of the BAAS in 1831 and numbers of )] TJ ET BT 34.016 682.421 Td /F1 12.0 Tf [(medical practitioners were exceeded only by clergymen. But the relations between medical knowledge and )] TJ ET BT 34.016 668.165 Td /F1 12.0 Tf [(?universal science? were disputed: in 1833 anatomy and physiology were separated from sciences such as )] TJ ET BT 34.016 653.909 Td /F1 12.0 Tf [(zoology and botany; by 1844 medicine was no longer included in the BAAS.)] TJ ET BT 34.016 627.653 Td /F1 12.0 Tf [(The cholera epidemic of 1832 devastated many localities, and medical practitioners differed vehemently on )] TJ ET BT 34.016 613.397 Td /F1 12.0 Tf [(its causes and treatments. Nevertheless it was a defining moment in the history of professionalisation as it )] TJ ET BT 34.016 599.141 Td /F1 12.0 Tf [(was the first time that medical practitioners held official roles on the state-organised and legally-constituted )] TJ ET BT 34.016 584.885 Td /F1 12.0 Tf [(Boards of Health. At the same time in various centres, including York, medical practitioners established )] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(medical societies and in many cases this seems to have been prompted by the desire to create a collective )] TJ ET BT 34.016 556.373 Td /F1 12.0 Tf [(forum in which medical views and opinions about cholera could be debated. Brown draws on the story of )] TJ ET BT 34.016 542.117 Td /F1 12.0 Tf [(Thomas Laycock, son of a Wesleyan minister, who after training in London and Paris was elected )] TJ ET BT 34.016 527.861 Td /F1 12.0 Tf [(apothecary to the York County Hospital in February 1836. Laycock may not have been representative of the )] TJ ET BT 34.016 513.605 Td /F1 12.0 Tf [(rank and file but his visions of ?political medicine?, a distinct branch and science of medicine with specialist )] TJ ET BT 34.016 499.349 Td /F1 12.0 Tf [(literature and practitioners whose work had the authority of the state, illustrated the remarkable speed at )] TJ ET BT 34.016 485.093 Td /F1 12.0 Tf [(which public health as a medical domain had taken root in society.)] TJ ET BT 34.016 458.837 Td /F1 12.0 Tf [(The creation of the York Medical Society \(1832\) and the York Medical School \(1834\) were followed in )] TJ ET BT 34.016 444.581 Td /F1 12.0 Tf [(1842 by the establishment of the York District Branch of the Provincial Medical and Surgical Association, )] TJ ET BT 34.016 430.325 Td /F1 12.0 Tf [(founded by Sir Charles Hastings in 1832 and known from 1856 as the British Medical Association. These )] TJ ET BT 34.016 416.069 Td /F1 12.0 Tf [(successive enactments of medical identity and authority set the stage for a new compact between medicine )] TJ ET BT 34.016 401.813 Td /F1 12.0 Tf [(and society in which medical practitioners were nationally cast as experts in medical science with a )] TJ ET BT 34.016 387.557 Td /F1 12.0 Tf [(collective desire and duty to alleviate disease and suffering. The transformations undergone in the culture, )] TJ ET BT 34.016 373.301 Td /F1 12.0 Tf [(values and meanings of medicine since 1760 are underlined by the public?s acceptance of the Medical )] TJ ET BT 34.016 359.045 Td /F1 12.0 Tf [(School?s authority, under the provisions of the Anatomy Act, to dissect the body of a local man who had )] TJ ET BT 34.016 344.789 Td /F1 12.0 Tf [(drowned in the river Ouse in 1835. Only three years earlier, as Brown points out, popular resistance to such )] TJ ET BT 34.016 330.533 Td /F1 12.0 Tf [(activities during the cholera epidemic was high indeed. The epilogue makes a sound case for the relevance )] TJ ET BT 34.016 316.277 Td /F1 12.0 Tf [(of this history to the present dilemmas and controversies over professionalism and medicine and rightly )] TJ ET BT 34.016 302.021 Td /F1 12.0 Tf [(stresses the social and political contingency of medical ideas and values.)] TJ ET BT 34.016 275.765 Td /F1 12.0 Tf [(Brown takes a cultural historical approach to his enquiries focusing on the transformations around medical )] TJ ET BT 34.016 261.509 Td /F1 12.0 Tf [(culture, identity and performance. He crafts his analysis by grouping together the varied social and )] TJ ET BT 34.016 247.253 Td /F1 12.0 Tf [(intellectual practices of medical practitioners into two categories: knowledge and association. This strategy, )] TJ ET BT 34.016 232.997 Td /F1 12.0 Tf [(he argues, reveals the ways in which medical identity and culture were transformed over the period from the )] TJ ET BT 34.016 218.741 Td /F1 12.0 Tf [(late 18th?century importance of liberal learning and the values of gentility and politeness to the early )] TJ ET BT 34.016 204.485 Td /F1 12.0 Tf [(19th?century focus on vocationally specific forms of knowledge and association. Throughout, his arguments )] TJ ET BT 34.016 190.229 Td /F1 12.0 Tf [(are well-supported and convincing and each chapter contributes clearly to the wider thesis. Brown succeeds )] TJ ET BT 34.016 175.973 Td /F1 12.0 Tf [(entirely in what he sets out to do and it is particularly welcome that he chooses the provincial setting of )] TJ ET BT 34.016 161.717 Td /F1 12.0 Tf [(York, as this offers a nice corollary to the London-heavy literature around professionalisation.)] TJ ET BT 34.016 135.461 Td /F1 12.0 Tf [(It may be unfair then to criticize such a well-executed work but I was left wishing that Brown had created a )] TJ ET BT 34.016 121.205 Td /F1 12.0 Tf [(more expansive framework through which to interrogate the transformations in medicine and had included )] TJ ET BT 34.016 106.949 Td /F1 12.0 Tf [(explorations of the practical elements of performance. How were changes in culture and identity enacted in )] TJ ET BT 34.016 92.693 Td /F1 12.0 Tf [(medical practitioners? encounters with patients in private homes and public medical institutions? Did the )] TJ ET BT 34.016 78.437 Td /F1 12.0 Tf [(disaggregation of medical knowledge from other knowledges impact on routine practices such as )] TJ ET BT 34.016 64.181 Td /F1 12.0 Tf [(correspondence between practitioners and the writing of patient case notes? And how did changes in medical )] TJ ET BT 34.016 49.925 Td /F1 12.0 Tf [(practice and therapeutics over the period link to shifts in the cultural and intellectual aspects of performance? )] TJ ET BT 34.016 35.669 Td /F2 12.0 Tf [(Performing Medicine)] TJ ET endstream endobj 18 0 obj << /Type /Page /Parent 3 0 R /Annots [ 20 0 R ] /Contents 19 0 R >> endobj 19 0 obj << /Length 1023 >> stream 0.000 0.000 0.000 rg 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d BT 34.016 796.469 Td /F1 12.0 Tf [(is a work of sophisticated research which presents a convincing account of the )] TJ ET BT 412.928 796.469 Td /F1 12.0 Tf [(irrevocable changes to the )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(cultures, values and meanings of medicine which occurred between 1760 and 1850. 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