%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 17 0 R 22 0 R 24 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:20141002032253+01'00') /ModDate (D:20141002032253+01'00') /Title (The Neurological Patient in History) >> endobj 6 0 obj << /Type /Page /Parent 3 0 R /Annots [ 12 0 R 15 0 R ] /Contents 7 0 R >> endobj 7 0 obj << /Length 4184 >> 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 [(The Neurological Patient in History)] TJ ET BT 34.016 259.067 Td /F1 12.0 Tf [(From the advent of the new social history, the patient has received extensive attention from historians of )] TJ ET BT 34.016 244.811 Td /F1 12.0 Tf [(medicine. Encouraged by Roy Porter?s cries for a medical ?history from below?, scholars have produced )] TJ ET BT 34.016 230.555 Td /F1 12.0 Tf [(numerous accounts that detail encounters between practitioners and patients in a variety of different settings )] TJ ET BT 34.016 216.299 Td /F1 12.0 Tf [(and periods.)] TJ ET 0.000 0.000 0.800 rg BT 92.672 216.299 Td /F1 12.0 Tf [(\(1\))] TJ ET 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d 92.672 214.905 m 106.664 214.905 l S 0.000 0.000 0.000 rg BT 106.664 216.299 Td /F1 12.0 Tf [( The historiography, however, has overlooked several types of patients, including those )] TJ ET BT 34.016 202.043 Td /F1 12.0 Tf [(seeking assistance and treatment from neurologists. As a doctoral student with interests in modern )] TJ ET BT 34.016 187.787 Td /F1 12.0 Tf [(psychiatry and neurology, I expected to be bombarded with accounts of the neurological patient in history )] TJ ET BT 34.016 173.531 Td /F1 12.0 Tf [(but I was left wanting. Indeed, the history of neurology has yet to receive extensive scholarship with only a )] TJ ET BT 34.016 159.275 Td /F1 12.0 Tf [(few publications detailing the development of the profession, links with other disciplines, and intellectual )] TJ ET BT 34.016 145.019 Td /F1 12.0 Tf [(biographies of the ?great men?. Consequently L. Stephen Jacyna?s and Stephen T. Casper?s edited volume, )] TJ ET BT 34.016 130.763 Td /F2 12.0 Tf [(The Neurological Patient in History)] TJ ET BT 207.356 130.763 Td /F1 12.0 Tf [(, can be considered to be an important contribution to the histories of )] TJ ET BT 34.016 116.507 Td /F1 12.0 Tf [(neurology, the patient, and modern medicine, as it gives due attention to a neglected medical profession and )] TJ ET BT 34.016 102.251 Td /F1 12.0 Tf [(its patients.)] TJ ET BT 34.016 75.995 Td /F1 12.0 Tf [(Jacyna, Director of the UCL Centre for the History of Medicine, and Casper, an assistant professor at )] TJ ET BT 34.016 61.739 Td /F1 12.0 Tf [(Clarkson University, make the purpose of their volume clear: to assess broader questions about the patient in )] TJ ET BT 34.016 584.699 Td /F3 12.0 Tf [(Review Number:)] TJ ET BT 34.016 570.443 Td /F1 12.0 Tf [(1304)] TJ ET BT 34.016 556.187 Td /F3 12.0 Tf [(Publish date:)] TJ ET BT 34.016 541.931 Td /F1 12.0 Tf [(Thursday, 23 August, 2012)] TJ ET BT 34.016 527.675 Td /F3 12.0 Tf [(Editor:)] TJ ET BT 34.016 513.419 Td /F1 12.0 Tf [(Stephen Jacyna)] TJ ET BT 34.016 499.163 Td /F1 12.0 Tf [(Stephen Casper)] TJ ET BT 34.016 484.907 Td /F3 12.0 Tf [(ISBN:)] TJ ET BT 34.016 470.651 Td /F1 12.0 Tf [(9781580464123)] TJ ET BT 34.016 456.395 Td /F3 12.0 Tf [(Date of Publication:)] TJ ET BT 34.016 442.139 Td /F1 12.0 Tf [(2012)] TJ ET BT 34.016 427.883 Td /F3 12.0 Tf [(Price:)] TJ ET BT 34.016 413.627 Td /F1 12.0 Tf [(50.00)] TJ ET BT 34.016 399.371 Td /F3 12.0 Tf [(Pages:)] TJ ET BT 34.016 385.115 Td /F1 12.0 Tf [(264pp.)] TJ ET BT 34.016 370.859 Td /F3 12.0 Tf [(Publisher:)] TJ ET BT 34.016 356.603 Td /F1 12.0 Tf [(Rochester University Press)] TJ ET BT 34.016 342.347 Td /F3 12.0 Tf [(Publisher url:)] TJ ET BT 34.016 328.091 Td /F3 12.0 Tf [(Place of Publication:)] TJ ET BT 34.016 313.835 Td /F1 12.0 Tf [(Rochester, NY)] TJ ET BT 34.016 299.579 Td /F3 12.0 Tf [(Reviewer:)] TJ ET BT 34.016 285.323 Td /F1 12.0 Tf [(Lynsey Shaw)] 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 [6 0 R /Fit] endobj 15 0 obj << /Type /Annot /Subtype /Link /A 16 0 R /Border [0 0 0] /H /I /Rect [ 92.6717 215.2195 106.6637 227.0995 ] >> endobj 16 0 obj << /Type /Action >> endobj 17 0 obj << /Type /Page /Parent 3 0 R /Annots [ 20 0 R ] /Contents 18 0 R >> endobj 18 0 obj << /Length 7982 >> stream 0.000 0.000 0.000 rg 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d BT 34.016 796.469 Td /F1 12.0 Tf [(history, and argue that despite extensive scholarship, the patient has been poorly examined, as historians )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(have employed an ?essentialist; and ?ahistorical view?. They believe that theoretically informed accounts )] TJ ET BT 34.016 767.957 Td /F1 12.0 Tf [(and attempts at postmodern analysis are few in number and often ignored \(p. 6\). I would argue, however, )] TJ ET BT 34.016 753.701 Td /F1 12.0 Tf [(that although most works on the patient are not guided by these principles, they have had an enduring impact )] TJ ET BT 34.016 739.445 Td /F1 12.0 Tf [(and a broad readership. Former accounts of the patient were influenced by social history, which remains the )] TJ ET BT 34.016 725.189 Td /F1 12.0 Tf [(dominant historiographical approach. If all accounts were theoretically informed or postmodern in nature, )] TJ ET BT 34.016 710.933 Td /F1 12.0 Tf [(they would likely alienate readers and be very unlikely to achieve the same level of acceptance, on account )] TJ ET BT 34.016 696.677 Td /F1 12.0 Tf [(of their sheer complexity. Jacyna and Casper attempt to justify this bold contention by arguing that questions )] TJ ET BT 34.016 682.421 Td /F1 12.0 Tf [(regarding how the patient has been constituted in the era of modern medicine have largely been ignored ? a )] TJ ET BT 34.016 668.165 Td /F1 12.0 Tf [(fair criticism, but I maintain that their critique of the current historiography is too harsh. The essays in this )] TJ ET BT 34.016 653.909 Td /F1 12.0 Tf [(volume cover a wide range of neurological patients and illnesses, with a focus on Western medicine in the )] TJ ET BT 34.016 639.653 Td /F1 12.0 Tf [(modern period. Contributors are drawn from the history of science and medicine, medical science, and )] TJ ET BT 34.016 625.397 Td /F1 12.0 Tf [(linguistics; demonstrating that the history of the neurological patient is not merely the concern of the )] TJ ET BT 34.016 611.141 Td /F1 12.0 Tf [(medical historian. The volume is organised into neat couplets and consists of five separate sections that )] TJ ET BT 34.016 596.885 Td /F1 12.0 Tf [(examine how the neurological patient has been constructed in different settings.)] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(Part one examines how medicine constructed the neurological patient, with contrasting contributions by )] TJ ET BT 34.016 556.373 Td /F1 12.0 Tf [(Stephen Casper and Ellen Dwyer. Casper?s chapter focuses on the history of the British neurological )] TJ ET BT 34.016 542.117 Td /F1 12.0 Tf [(examination from the early modern period to the 1940s, with great emphasis placed on the ?internal logic? )] TJ ET BT 34.016 527.861 Td /F1 12.0 Tf [(of the examination and the ways by which practitioners transmitted and interpreted the examination between )] TJ ET BT 34.016 513.605 Td /F1 12.0 Tf [(one generation and another. The strength of this chapter, I believe, lies in his inclusion of how the patient )] TJ ET BT 34.016 499.349 Td /F1 12.0 Tf [(experienced and participated in the examination. Casper argues that during the 19th century, the patient?s )] TJ ET BT 34.016 485.093 Td /F1 12.0 Tf [(narrative was incorporated into the neurological examination and an understanding of the patient?s )] TJ ET BT 34.016 470.837 Td /F1 12.0 Tf [(individuality was considered as important as postmodern pathology \(p. 26\). This poses a challenge to the )] TJ ET BT 34.016 456.581 Td /F1 12.0 Tf [(traditional belief that the patient was a passive set of quantifiable symptoms and raw material upon which )] TJ ET BT 34.016 442.325 Td /F1 12.0 Tf [(the practitioner could exercise his power, as argued by scholars such as Nicholas Jewson and Michel )] TJ ET BT 34.016 428.069 Td /F1 12.0 Tf [(Foucault.)] TJ ET 0.000 0.000 0.800 rg BT 79.016 428.069 Td /F1 12.0 Tf [(\(2\))] TJ ET 0.24 w 0 J [ ] 0 d 79.016 426.675 m 93.008 426.675 l S 0.000 0.000 0.000 rg BT 93.008 428.069 Td /F1 12.0 Tf [( This is a strong chapter, but I do believe that a brief discussion regarding )] TJ ET BT 448.952 428.069 Td /F2 12.0 Tf [(how )] TJ ET BT 471.956 428.069 Td /F1 12.0 Tf [(a sick person )] TJ ET BT 34.016 413.813 Td /F1 12.0 Tf [(became a neurological patient and sought examination in the first instance would have been a beneficial )] TJ ET BT 34.016 399.557 Td /F1 12.0 Tf [(addition. In contrast, Ellen Dwyer emphasises the lack of power and voice that American epileptics had as )] TJ ET BT 34.016 385.301 Td /F1 12.0 Tf [(experimental subjects, with particular reference to the experiments conducted by Northwestern researchers. )] TJ ET BT 34.016 371.045 Td /F1 12.0 Tf [(Her knowledge of the experiments, conducted from the 1920s to the 1950s, is encyclopaedic and her )] TJ ET BT 34.016 356.789 Td /F1 12.0 Tf [(emphasis on the lack of patient autonomy is clear. The purpose of her chapter, however, is to emphasise )] TJ ET BT 34.016 342.533 Td /F1 12.0 Tf [(changing attitudes toward the use of neurological patients in experimental research, and this is not fully )] TJ ET BT 34.016 328.277 Td /F1 12.0 Tf [(achieved. Her article merely assesses the dispassionate, unethical and ambivalent attitudes of the researchers )] TJ ET BT 34.016 314.021 Td /F1 12.0 Tf [(involved, attitudes that prevailed until the 1950s. At this point, they fought against the stereotyping of )] TJ ET BT 34.016 299.765 Td /F1 12.0 Tf [(epileptics but this was included as a mere afterthought \(p. 56\).)] TJ ET BT 34.016 273.509 Td /F1 12.0 Tf [(Part two of this volume is concerned with public and private constructions of the neurological patient. )] TJ ET BT 34.016 259.253 Td /F1 12.0 Tf [(Marjorie Perlman Lorch?s chapter gives an example of the public constructions of the neurological patient )] TJ ET BT 34.016 244.997 Td /F1 12.0 Tf [(through a case-study of the medico-legal aspects of aphasia in 19th century Britain. Lorch contends that )] TJ ET BT 34.016 230.741 Td /F1 12.0 Tf [(those living with the condition had their civil identity redefined because of developments in the medical and )] TJ ET BT 34.016 216.485 Td /F1 12.0 Tf [(legal spheres. This was due to the redefinition of aphasia from mere ?speechlessness? to a brain illness that )] TJ ET BT 34.016 202.229 Td /F1 12.0 Tf [(affected thought expression, and developments in ideas surrounding the medical term ?mental defects? and )] TJ ET BT 34.016 187.973 Td /F1 12.0 Tf [(the legal term ?unsound mind? \(p. 64\). She argues that as soon as aphasia became a medical category, )] TJ ET BT 34.016 173.717 Td /F1 12.0 Tf [(questions were raised regarding whether this was limited to language or was linked to intelligence, memory, )] TJ ET BT 34.016 159.461 Td /F1 12.0 Tf [(and reason, which would then have a bearing on the determination of mental soundness and ability to testify )] TJ ET BT 34.016 145.205 Td /F1 12.0 Tf [(\(p. 70\). This resulted in considerable debate in medical and legal circles concerning the distinction between )] TJ ET BT 34.016 130.949 Td /F1 12.0 Tf [(speech defects and mental impairment; these discussions were as much about their condition as it was about )] TJ ET BT 34.016 116.693 Td /F1 12.0 Tf [(the need for a refinement of criteria for legal determination of mental capacity. Contrasting this, Katrina )] TJ ET BT 34.016 102.437 Td /F1 12.0 Tf [(Gatley?s chapter focuses on the private sphere and is particularly valuable because it constitutes an attempt )] TJ ET BT 34.016 88.181 Td /F1 12.0 Tf [(to include caregivers and informal care in the historiography ? something that has been overlooked due to )] TJ ET BT 34.016 73.925 Td /F1 12.0 Tf [(the all-encompassing nature of the modern welfare state \(p. 81\). Her chapter examines the private )] TJ ET BT 34.016 59.669 Td /F1 12.0 Tf [(construction of the neurological patient Jacques Raverat by his wife. Gwen Raverat acted as primary )] TJ ET endstream endobj 19 0 obj [17 0 R /Fit] endobj 20 0 obj << /Type /Annot /Subtype /Link /A 21 0 R /Border [0 0 0] /H /I /Rect [ 79.0157 426.9895 93.0077 438.8695 ] >> endobj 21 0 obj << /Type /Action >> endobj 22 0 obj << /Type /Page /Parent 3 0 R /Contents 23 0 R >> endobj 23 0 obj << /Length 7421 >> stream 0.000 0.000 0.000 rg 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d BT 34.016 796.469 Td /F1 12.0 Tf [(caregiver, advocate, and confidante, whilst rarely relying upon professional medical support in the care of )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(her husband. This is a powerful account that clearly shows how the care process can deeply affect the )] TJ ET BT 34.016 767.957 Td /F1 12.0 Tf [(caregiver as well as the patient. The most important matter that these chapters highlight, I believe, is the )] TJ ET BT 34.016 753.701 Td /F1 12.0 Tf [(range of sources that the historian can draw upon in the construction of the neurological patient. Lorch )] TJ ET BT 34.016 739.445 Td /F1 12.0 Tf [(examines a broad range of ?public? sources, including medical journals, newspaper articles and court )] TJ ET BT 34.016 725.189 Td /F1 12.0 Tf [(transcripts. In contrast, Gatley examines a collection of ?private? sources belonging to Gwen Raverat, which )] TJ ET BT 34.016 710.933 Td /F1 12.0 Tf [(include letters and personal artwork.)] TJ ET BT 34.016 684.677 Td /F1 12.0 Tf [(The volume then moves to examine how patient groups have constructed the neurological patient, )] TJ ET BT 34.016 670.421 Td /F1 12.0 Tf [(highlighting and contrasting two very different neurological conditions. Jesse F. Ballenger?s chapter )] TJ ET BT 34.016 656.165 Td /F1 12.0 Tf [(concerns the rising public role of people with dementia in the meaning and politics of Alzheimers in modern )] TJ ET BT 34.016 641.909 Td /F1 12.0 Tf [(America. Ballenger argues that the public role of dementia sufferers lent support to the goals of medical )] TJ ET BT 34.016 627.653 Td /F1 12.0 Tf [(research and policy-making through raising public awareness and money for research. Later, however, )] TJ ET BT 34.016 613.397 Td /F1 12.0 Tf [(public speakers also spoke critically about the shortcomings of research and policy, and the stigma attached )] TJ ET BT 34.016 599.141 Td /F1 12.0 Tf [(to dementia. This chapter highlights how the use of autobiography and the testimony of ?exemplary disease )] TJ ET BT 34.016 584.885 Td /F1 12.0 Tf [(victims?, such as Rita Hayworth and Ronald Reagan, were employed to assert that this disease was a cruel )] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(killer that caused great suffering for its victims and their families, and to clearly distinguish it from senility )] TJ ET BT 34.016 556.373 Td /F1 12.0 Tf [(\(pp. 116?17\). By doing so, this patient group had made dementia a household word and more visible than )] TJ ET BT 34.016 542.117 Td /F1 12.0 Tf [(ever before. Ballenger clearly shows how this patient group constructed itself as a specific neurological )] TJ ET BT 34.016 527.861 Td /F1 12.0 Tf [(patient but the chapter seems unfinished. It does not assess the impact that the public roles of dementia )] TJ ET BT 34.016 513.605 Td /F1 12.0 Tf [(patients had on subsequent policy-making and research, which would have provided a firm conclusion. In )] TJ ET BT 34.016 499.349 Td /F1 12.0 Tf [(contrast, Howard I. Kushner?s chapter attempts to examine the patient group construction of Tourette )] TJ ET BT 34.016 485.093 Td /F1 12.0 Tf [(syndrome sufferers, but does not manage to do so as effectively as Ballenger. This chapter suffers from a )] TJ ET BT 34.016 470.837 Td /F1 12.0 Tf [(significant balance problem: the author spends too much time outlining the initial research conducted into )] TJ ET BT 34.016 456.581 Td /F1 12.0 Tf [(the nature and symptomatology of Tourette syndrome before moving to assess the aims and activities of the )] TJ ET BT 34.016 442.325 Td /F1 12.0 Tf [(Tourette Syndrome Association. Kushner?s knowledge of the historical aspects of Tourette syndrome is )] TJ ET BT 34.016 428.069 Td /F1 12.0 Tf [(excellent, but could be better placed in a separate chapter in a different book or a journal article. )] TJ ET BT 34.016 413.813 Td /F1 12.0 Tf [(Furthermore, he does not outline a specific research question, making this chapter very difficult to analyse. If )] TJ ET BT 34.016 399.557 Td /F1 12.0 Tf [(the purpose of this section of the volume was not laid down by the editors, it would be difficult for the reader )] TJ ET BT 34.016 385.301 Td /F1 12.0 Tf [(to understand its relevance or focus.)] TJ ET BT 34.016 359.045 Td /F1 12.0 Tf [(The fourth part of this volume assesses constructions of the neurological patient by the patients themselves )] TJ ET BT 34.016 344.789 Td /F1 12.0 Tf [(and is, in my opinion, the strongest section. L. Stephen Jacyna?s chapter examines the construction of the )] TJ ET BT 34.016 330.533 Td /F1 12.0 Tf [(neurological patient by poet, dramatist and neurasthenic Robert Nichols in the early 20th century. His use of )] TJ ET BT 34.016 316.277 Td /F1 12.0 Tf [(correspondence between this patient and eminent neurologist Henry Head is both analytical and fascinating. )] TJ ET BT 34.016 302.021 Td /F1 12.0 Tf [(Jacyna clearly shows that Nichols? construction of himself as a patient was multi-layered: he had a strong )] TJ ET BT 34.016 287.765 Td /F1 12.0 Tf [(emotional relationship with his neurologists, made a real effort to self-analyse his condition, and gained as )] TJ ET BT 34.016 273.509 Td /F1 12.0 Tf [(much information about his neurological complaint as possible, particularly favouring the work of Pierre )] TJ ET BT 34.016 259.253 Td /F1 12.0 Tf [(Janet. Jacyna argues that Nichols can be viewed as representative of the functional cases treated by )] TJ ET BT 34.016 244.997 Td /F1 12.0 Tf [(neurologists in the early 20th century \(p. 167\). I, however, question this statement as Nichols? occupational )] TJ ET BT 34.016 230.741 Td /F1 12.0 Tf [(background and correspondence show him to be a very articulate and ?dramatic? person with a real talent for )] TJ ET BT 34.016 216.485 Td /F1 12.0 Tf [(words and observation, and he enjoyed a very strong emotional relationship with his neurologist. Perhaps )] TJ ET BT 34.016 202.229 Td /F1 12.0 Tf [(Jacyna could elaborate upon his statement further, as it would be useful to know if other neurological )] TJ ET BT 34.016 187.973 Td /F1 12.0 Tf [(patients enjoyed the same strong relationship and had the same tendency for self-analysis. This is a very )] TJ ET BT 34.016 173.717 Td /F1 12.0 Tf [(strong chapter but it is unfortunate that Head?s responses to Nichols? letters have gone missing, as it would )] TJ ET BT 34.016 159.461 Td /F1 12.0 Tf [(be interesting to see if Head invested the same amount of time and effort in this relationship and if he )] TJ ET BT 34.016 145.205 Td /F1 12.0 Tf [(approved of Nichols? self-constructions. Paul Foley?s chapter concerns the condition encephalitis lethargica )] TJ ET BT 34.016 130.949 Td /F1 12.0 Tf [(and particularly, the reports of the condition by patients ?from within? during the early 20th century \(p. 187\). )] TJ ET BT 34.016 116.693 Td /F1 12.0 Tf [(Foley argues that the patients reporting of their condition laid bare the interdependencies of neurological and )] TJ ET BT 34.016 102.437 Td /F1 12.0 Tf [(psychological functions in the brain, which meant that certain psychiatric nosologic entities should be )] TJ ET BT 34.016 88.181 Td /F1 12.0 Tf [(regarded as syndromes \(p. 207\). This is also a strong chapter, as the patient?s construction of the )] TJ ET BT 34.016 73.925 Td /F1 12.0 Tf [(neurological patient shines throughout.)] TJ ET endstream endobj 24 0 obj << /Type /Page /Parent 3 0 R /Annots [ 26 0 R 28 0 R 30 0 R ] /Contents 25 0 R >> endobj 25 0 obj << /Length 5705 >> stream 0.000 0.000 0.000 rg 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d BT 34.016 784.469 Td /F1 12.0 Tf [(The final section of this book examines how historians have constructed the neurological patient, with two )] TJ ET BT 34.016 770.213 Td /F1 12.0 Tf [(chapters critiquing the contributions in this volume. Roger Cooter?s article critically assesses scholarship on )] TJ ET BT 34.016 755.957 Td /F1 12.0 Tf [(the patient in ?historyland? and argues that ?it is a shifting product of its historical times. It moves with its )] TJ ET BT 34.016 741.701 Td /F1 12.0 Tf [(historiography? \(p. 215\). He draws examples from the chapters of Casper and Ballenger, which are )] TJ ET BT 34.016 727.445 Td /F1 12.0 Tf [(modernist and structuralist, and post-modernist and post-structuralist in nature respectively. Cooter?s main )] TJ ET BT 34.016 713.189 Td /F1 12.0 Tf [(argument is that representations and constructions of the neurological patient by historians are always )] TJ ET BT 34.016 698.933 Td /F1 12.0 Tf [(embedded in the dominant discourse of the historian?s time, which clearly poses a challenge to the editors? )] TJ ET BT 34.016 684.677 Td /F1 12.0 Tf [(assertion that theoretically informed accounts are important but ignored \(p. 6\). Essentially, it could be argued )] TJ ET BT 34.016 670.421 Td /F1 12.0 Tf [(that even though the editors have avoided being ?essentialist? or ?ahistorical?, this volume has the same )] TJ ET BT 34.016 656.165 Td /F1 12.0 Tf [(impact as the older accounts because they are reflecting the author?s approach and beliefs, and adding to the )] TJ ET BT 34.016 641.909 Td /F1 12.0 Tf [(same historiography. Max Stadler?s contribution is largely complimentary and states that this volume has )] TJ ET BT 34.016 627.653 Td /F1 12.0 Tf [(made it clear that the historiography requires more complex studies of the neurological patient and makes )] TJ ET BT 34.016 613.397 Td /F1 12.0 Tf [(great advances in this respect \(p. 229\). Both of these chapters make excellent points and should give the )] TJ ET BT 34.016 599.141 Td /F1 12.0 Tf [(editors and contributors food for thought. More edited volumes should include these critical commentaries. I )] TJ ET BT 34.016 584.885 Td /F1 12.0 Tf [(would be interested to hear how Jacyna and Casper intend to respond to these critiques, particularly the )] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(arguments made by Cooter.)] TJ ET BT 34.016 544.373 Td /F1 12.0 Tf [(Overall, Jacyna and Casper?s edited volume )] TJ ET BT 249.632 544.373 Td /F2 12.0 Tf [(The Neurological Patient in History)] TJ ET BT 422.972 544.373 Td /F1 12.0 Tf [( is a valuable and welcome )] TJ ET BT 34.016 530.117 Td /F1 12.0 Tf [(addition to the historiography. It not only places the neurological patient firmly in the spotlight, it also )] TJ ET BT 34.016 515.861 Td /F1 12.0 Tf [(encourages readers to re-examine the patient using fresh and thought-provoking lines of enquiry. Any )] TJ ET BT 34.016 501.605 Td /F1 12.0 Tf [(criticisms I have made have been levelled at style and structure. The inclusion of chapters by ?non-)] TJ ET BT 34.016 487.349 Td /F1 12.0 Tf [(historians? with interests in the neurological patient has largely been successful and is important in the )] TJ ET BT 34.016 473.093 Td /F1 12.0 Tf [(current climate, where funding councils encourage historians to work with scholars from other disciplines. )] TJ ET BT 34.016 458.837 Td /F1 12.0 Tf [(As my first review assignment, this has been an absolute pleasure to read and I firmly believe that this )] TJ ET BT 34.016 444.581 Td /F1 12.0 Tf [(volume will be used as a reference text for years to come and will encourage historians to examine the )] TJ ET BT 34.016 430.325 Td /F1 12.0 Tf [(history of neurology and its patients further. I would encourage historians, students and lay-readers to )] TJ ET BT 34.016 416.069 Td /F1 12.0 Tf [(engage with this volume and I look forward to similar works and, I hope, a follow-up volume in the near )] TJ ET BT 34.016 401.813 Td /F1 12.0 Tf [(future.)] TJ ET BT 34.016 366.915 Td /F3 18.0 Tf [(Notes)] TJ ET BT 48.816 336.298 Td /F1 12.0 Tf [(1.)] TJ ET BT 64.016 336.293 Td /F1 12.0 Tf [(Roy Porter, ?The patient?s view: doing medical history from below?, )] TJ ET BT 399.308 336.293 Td /F2 12.0 Tf [(Theory and Society)] TJ ET BT 491.960 336.293 Td /F1 12.0 Tf [(, 14, \(1985\), )] TJ ET BT 64.016 322.037 Td /F1 12.0 Tf [(175?98)] TJ ET 0.000 0.000 0.800 rg BT 99.344 322.037 Td /F1 12.0 Tf [(Back to \(1\))] TJ ET 0.24 w 0 J [ ] 0 d 99.344 320.643 m 153.332 320.643 l S 0.000 0.000 0.000 rg BT 48.816 307.786 Td /F1 12.0 Tf [(2.)] TJ ET BT 64.016 307.781 Td /F1 12.0 Tf [(Nicholas D. Jewson, ?The disappearance of the sick-man from medical cosmology, 1770?1870?, )] TJ ET BT 64.016 293.525 Td /F2 12.0 Tf [(Sociology)] TJ ET BT 111.344 293.525 Td /F1 12.0 Tf [(, 10, \(1976\), 225?44; M. Foucault, )] TJ ET BT 279.668 293.525 Td /F2 12.0 Tf [(The Birth of the Clinic)] TJ ET BT 387.680 293.525 Td /F1 12.0 Tf [( \(London, 1976\).)] TJ ET 0.000 0.000 0.800 rg BT 469.004 293.525 Td /F1 12.0 Tf [(Back to \(2\))] TJ ET 0.24 w 0 J [ ] 0 d 469.004 292.131 m 522.992 292.131 l S 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d 34.391 276.799 526.499 1.500 re S 0.000 0.000 0.000 rg BT 34.016 259.019 Td /F3 12.0 Tf [(Source URL:)] TJ ET 0.000 0.000 0.800 rg BT 104.672 259.019 Td /F1 12.0 Tf [(http://www.history.ac.uk/reviews/review/1304)] TJ ET 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d 104.672 257.625 m 328.316 257.625 l S 0.000 0.000 0.000 rg BT 34.016 232.648 Td /F3 12.0 Tf [(Links:)] TJ ET BT 34.016 218.248 Td /F1 12.0 Tf [([1] http://www.history.ac.uk/reviews/item/29701)] TJ ET endstream endobj 26 0 obj << /Type /Annot /Subtype /Link /A 27 0 R /Border [0 0 0] /H /I /Rect [ 99.3437 320.9575 153.3317 332.8375 ] >> endobj 27 0 obj << /Type /Action /S /GoTo /D 14 0 R >> endobj 28 0 obj << /Type /Annot /Subtype /Link /A 29 0 R /Border [0 0 0] /H /I /Rect [ 469.0037 292.4455 522.9917 304.3255 ] >> endobj 29 0 obj << /Type /Action /S /GoTo /D 19 0 R >> endobj 30 0 obj << /Type /Annot /Subtype /Link /A 31 0 R /Border [0 0 0] /H /I /Rect [ 104.6717 257.9395 328.3157 269.8195 ] >> endobj 31 0 obj << /Type /Action /S /URI /URI (http://www.history.ac.uk/reviews/review/1304) >> endobj xref 0 32 0000000000 65535 f 0000000008 00000 n 0000000073 00000 n 0000000119 00000 n 0000000342 00000 n 0000000379 00000 n 0000000538 00000 n 0000000627 00000 n 0000004863 00000 n 0000004972 00000 n 0000005082 00000 n 0000005191 00000 n 0000008752 00000 n 0000008880 00000 n 0000008964 00000 n 0000008993 00000 n 0000009120 00000 n 0000009156 00000 n 0000009240 00000 n 0000017275 00000 n 0000017305 00000 n 0000017431 00000 n 0000017467 00000 n 0000017532 00000 n 0000025006 00000 n 0000025104 00000 n 0000030862 00000 n 0000030989 00000 n 0000031044 00000 n 0000031172 00000 n 0000031227 00000 n 0000031355 00000 n trailer << /Size 32 /Root 1 0 R /Info 5 0 R >> startxref 31451 %%EOF