%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:20140721055506+01'00') /ModDate (D:20140721055506+01'00') /Title (Medical Conflicts in Early Modern London: Patronage, Physicians, and Irregular Practitioners 1550-1640) >> endobj 6 0 obj << /Type /Page /Parent 3 0 R /Annots [ 12 0 R ] /Contents 7 0 R >> endobj 7 0 obj << /Length 4434 >> 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 [(Medical Conflicts in Early Modern London: Patronage, Physicians, )] TJ ET BT 34.016 593.937 Td /F3 18.0 Tf [(and Irregular Practitioners 1550-1640)] TJ ET BT 34.016 266.195 Td /F1 12.0 Tf [(Margaret Pelling, author of)] TJ ET BT 164.660 266.195 Td /F2 12.0 Tf [(The Common Lot: Sickness, Medical Occupations and the Urban Poor in Early )] TJ ET BT 34.016 251.939 Td /F2 12.0 Tf [(Modern England)] TJ ET BT 115.676 251.939 Td /F1 12.0 Tf [( \(London: Longman, 1998\) and currently Reader in the Social History of Medicine at the )] TJ ET BT 34.016 237.683 Td /F1 12.0 Tf [(University of Oxford, has produced a new volume in the Oxford Studies in Social History series, )] TJ ET BT 501.956 237.683 Td /F2 12.0 Tf [(Medical )] TJ ET BT 34.016 223.427 Td /F2 12.0 Tf [(Conflicts in Early Modern London)] TJ ET BT 200.024 223.427 Td /F1 12.0 Tf [(. She continues to focus on those marginalized by the forces of history and )] TJ ET BT 34.016 209.171 Td /F1 12.0 Tf [(by historians, in this case the 714 irregular practitioners referred to in the )] TJ ET BT 387.284 209.171 Td /F2 12.0 Tf [(Annals)] TJ ET BT 420.620 209.171 Td /F1 12.0 Tf [( of the Royal College of )] TJ ET BT 34.016 194.915 Td /F1 12.0 Tf [(Physicians for the ninety years between 1550 and 1640. In her comprehensive examination of the Annals she )] TJ ET BT 34.016 180.659 Td /F1 12.0 Tf [(finds a wealth of information about a city in flux, its neighbourhoods, and its denizens. She also relentlessly )] TJ ET BT 34.016 166.403 Td /F1 12.0 Tf [(disparages the College for its collective suppression of medical rivals, a would-be domination of healing )] TJ ET BT 34.016 152.147 Td /F1 12.0 Tf [(based not on a responsibility to safeguard the public good, but on economic, social, and sexual insecurities.)] TJ ET BT 34.016 125.891 Td /F1 12.0 Tf [(In its official capacity as the guardian of London?s health and regulator of the medical profession, the )] TJ ET BT 34.016 111.635 Td /F1 12.0 Tf [(College, through the offices of President and Censor, prosecuted unlicensed practitioners whose activities )] TJ ET BT 34.016 97.379 Td /F1 12.0 Tf [(were brought to its attention by outside complainants, including those at court, or by the Fellows themselves. )] TJ ET BT 34.016 83.123 Td /F1 12.0 Tf [(While in the majority of cases no chief plaintiff can be identified, College members, patients, and other )] TJ ET BT 34.016 68.867 Td /F1 12.0 Tf [(medical providers lead the list of identifiable petitioners. Londoners viewed the College as a ?potential )] TJ ET BT 34.016 54.611 Td /F1 12.0 Tf [(resource in the management of their own affairs? \(p. 84\), ?one recourse among many? \(p. 113\), but the )] 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 [(386)] 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 [(Sunday, 1 February, 2004)] 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 [(Margaret Pelling)] 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 [(199257809X)] 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 [(2003)] 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 [(65.00)] 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 [(426pp.)] 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 [(Clarendon Press)] TJ ET BT 34.016 335.219 Td /F3 12.0 Tf [(Place of Publication:)] TJ ET BT 34.016 320.963 Td /F1 12.0 Tf [(Oxford)] TJ ET BT 34.016 306.707 Td /F3 12.0 Tf [(Reviewer:)] TJ ET BT 34.016 292.451 Td /F1 12.0 Tf [(Elizabeth Lane Furdell)] 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 7459 >> 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 [(Fellows themselves never ?claimed success in tracking down all irregulars within seven miles of the )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(capital?.\(p. 97\) Despite concerns for its own legitimacy as an enforcement agency and for the professional )] TJ ET BT 34.016 767.957 Td /F1 12.0 Tf [(status of its members, the College was overwhelmed by the circumstances ?which made London a magnet )] TJ ET BT 34.016 753.701 Td /F1 12.0 Tf [(for those providing and seeking medical care?.\(p. 99\) Pelling concludes that the College clearly failed to )] TJ ET BT 34.016 739.445 Td /F1 12.0 Tf [(establish recognized hegemony over health-related issues among Londoners. Nonetheless, the College )] TJ ET BT 34.016 725.189 Td /F1 12.0 Tf [(persisted in seeking out those who seemed to threaten its interests, particularly in those parishes where )] TJ ET BT 34.016 710.933 Td /F1 12.0 Tf [(irregulars concentrated. Pelling points out, however, that a significant number of those pursued by the )] TJ ET BT 34.016 696.677 Td /F1 12.0 Tf [(Fellows eventually gained entry to the College, ?poachers-turned-gamekeepers?. \(p. 140\))] TJ ET BT 34.016 670.421 Td /F1 12.0 Tf [(The College?s criteria for admission and licensing remained problematic and protectionist, ?lagging behind a )] TJ ET BT 34.016 656.165 Td /F1 12.0 Tf [(renewed tendency to study abroad? \(p. 142\), and flexible only when powerful individuals intervened on a )] TJ ET BT 34.016 641.909 Td /F1 12.0 Tf [(practitioner?s behalf. When the very English universities the Fellows considered essential for membership in )] TJ ET BT 34.016 627.653 Td /F1 12.0 Tf [(the College incorporated holders with foreign degrees, trouble ensued, although Pelling insists that there is )] TJ ET BT 34.016 613.397 Td /F1 12.0 Tf [(?little evidence of laxity on the part of the universities?.\(p. 143n\) Indeed, Pelling describes a Fellowship )] TJ ET BT 34.016 599.141 Td /F1 12.0 Tf [(nearly identical to highly qualified irregulars and not discernibly superior to those with other kinds of )] TJ ET BT 34.016 584.885 Td /F1 12.0 Tf [(occupational education. Barber-surgeons and apothecaries constitute the largest group, nearly 30 per cent, of )] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(those charged with the unlicensed practice of medicine, but ?doctor? appears as a significant category in the )] TJ ET BT 34.016 556.373 Td /F2 12.0 Tf [(Annals)] TJ ET BT 67.352 556.373 Td /F1 12.0 Tf [(.)] TJ ET BT 34.016 530.117 Td /F1 12.0 Tf [(Women and strangers were also among those accused of violating the law. Though women were )] TJ ET BT 34.016 515.861 Td /F1 12.0 Tf [(underrepresented in the )] TJ ET BT 149.648 515.861 Td /F2 12.0 Tf [(Annals)] TJ ET BT 182.984 515.861 Td /F1 12.0 Tf [( and have been used by ?College apologists? as examples of ridiculous )] TJ ET BT 34.016 501.605 Td /F1 12.0 Tf [(empirics \(p. 189\), Pelling goes to great lengths to examine female contributions to medicine in the capital, )] TJ ET BT 34.016 487.349 Td /F1 12.0 Tf [(particularly during plague periods when distaff healers intruded onto the ?homosocial? Fellows? turf.\(p. 191\) )] TJ ET BT 34.016 473.093 Td /F1 12.0 Tf [(In Chapter 6, devoted entirely to women practitioners, she discusses the small number of cases involving )] TJ ET BT 34.016 458.837 Td /F1 12.0 Tf [(females in the College sample, but concludes that women were more likely to be the ?general practitioners )] TJ ET BT 34.016 444.581 Td /F1 12.0 Tf [(of [their] day? \(p. 206\) than their male counterparts. They were resourceful, too. While women often )] TJ ET BT 34.016 430.325 Td /F1 12.0 Tf [(informed on one another to the College, she finds that they more easily deflected the Fellows? summons. )] TJ ET BT 34.016 416.069 Td /F1 12.0 Tf [(Additionally, Pelling assertively corrects the impression, ?dating back to the pioneering work of Alice )] TJ ET BT 34.016 401.813 Td /F1 12.0 Tf [(Clark? \(p. 203\), that women who were paid to provide care outside the home lacked respectability. However, )] TJ ET BT 34.016 387.557 Td /F1 12.0 Tf [(contemporary stereotypes about gender filled the College record and perpetuated erroneous negative )] TJ ET BT 34.016 373.301 Td /F1 12.0 Tf [(attitudes about distaff healers.)] TJ ET BT 34.016 347.045 Td /F1 12.0 Tf [(Pelling lambasts the Fellows for pursuing strangers ?disproportionately to their presence in the population, )] TJ ET BT 34.016 332.789 Td /F1 12.0 Tf [([yet] another way in which the College showed itself detached from London?s citizens?. \(p. 336\) The arrival )] TJ ET BT 34.016 318.533 Td /F1 12.0 Tf [(of a Scottish contingent with James I necessitated some reconsideration of the College?s requirement that its )] TJ ET BT 34.016 304.277 Td /F1 12.0 Tf [(Fellows be English, but despite the 1606 substitution of Britishness as essential to membership, Scots )] TJ ET BT 34.016 290.021 Td /F1 12.0 Tf [(continued to be thought of as aliens by the Fellows. Although she briefly acknowledges that attitudes toward )] TJ ET BT 34.016 275.765 Td /F1 12.0 Tf [(foreigners ?fluctuated according to general economic as well as political conditions? \(p. 165\), the word )] TJ ET BT 34.016 261.509 Td /F1 12.0 Tf [(xenophobia does not appear in Pelling?s index.)] TJ ET BT 34.016 235.253 Td /F1 12.0 Tf [(Chapter 7 investigates the contractual nature of early modern medicine and, in spite of the )] TJ ET BT 469.268 235.253 Td /F2 12.0 Tf [(Annals)] TJ ET BT 502.604 235.253 Td /F1 12.0 Tf [(? general )] TJ ET BT 34.016 220.997 Td /F1 12.0 Tf [(depiction of submissive sufferers, Pelling finds active patients more characteristic of the patient-practitioner )] TJ ET BT 34.016 206.741 Td /F1 12.0 Tf [(relationship outside of the College. Even within the )] TJ ET BT 284.336 206.741 Td /F2 12.0 Tf [(Annals)] TJ ET BT 317.672 206.741 Td /F1 12.0 Tf [( she uncovered named patients who initiated )] TJ ET BT 34.016 192.485 Td /F1 12.0 Tf [(complaints against their doctors, confirmation that the role of contractual medicine appears ?central rather )] TJ ET BT 34.016 178.229 Td /F1 12.0 Tf [(than peripheral?.\(p. 247\) As a quasi-court, the College dealt not only with cases against unlicensed medicos )] TJ ET BT 34.016 163.973 Td /F1 12.0 Tf [(but also with conflicts brought to it by hostile patients and practitioners. Pelling includes a chart illustrating )] TJ ET BT 34.016 149.717 Td /F1 12.0 Tf [(the cost of medical contracts for most of her period, but argues that nothing in the College?s records )] TJ ET BT 34.016 135.461 Td /F1 12.0 Tf [(precluded poorer patients and practitioners from making health contracts. Despite the apparent ubiquity of )] TJ ET BT 34.016 121.205 Td /F1 12.0 Tf [(contractual medicine, English physicians ?participated [in it] ? [but] ultimately came to oppose it?.\(p. 268\) )] TJ ET BT 34.016 106.949 Td /F1 12.0 Tf [(The College?s Fellows in particular found contractual medicine suggestive of the sort of commerce engaged )] TJ ET BT 34.016 92.693 Td /F1 12.0 Tf [(in by tradesmen and therefore, according to Pelling, incompatible with what was expected of the )] TJ ET BT 34.016 78.437 Td /F1 12.0 Tf [(professional elite.)] TJ ET BT 34.016 52.181 Td /F1 12.0 Tf [(Pelling also devotes considerable space to the influence of patronage on iatric matters. Chapter 8 recreates )] TJ ET endstream endobj 16 0 obj << /Type /Page /Parent 3 0 R /Contents 17 0 R >> endobj 17 0 obj << /Length 7770 >> 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 [(many of the confrontational scenes when the College attempted to emphasize its authority over irregulars, )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(judging both their character and iatric conduct worthy of formal condemnation. However, although the )] TJ ET BT 34.016 767.957 Td /F1 12.0 Tf [(Fellows imitated ?the modes of authority closest to the crown? \(p. 276\), nearly half of the actions they took )] TJ ET BT 34.016 753.701 Td /F1 12.0 Tf [(were ?inconclusive?.\(p. 299\) How did the irregulars fight back when they were charged? Sometimes they )] TJ ET BT 34.016 739.445 Td /F1 12.0 Tf [(denied practising medicine and sometimes they brought in important patrons to intervene with the Fellows )] TJ ET BT 34.016 725.189 Td /F1 12.0 Tf [(on their behest. Paradoxically, the College?s authority depended upon those titans ?most likely, in practice to )] TJ ET BT 34.016 710.933 Td /F1 12.0 Tf [(undermine it? \(p. 315\), so the Fellows were careful to compliment the men of high rank who interceded for )] TJ ET BT 34.016 696.677 Td /F1 12.0 Tf [(an irregular, all the while reiterating the requirements of the law they were charged with enforcing.)] TJ ET BT 34.016 670.421 Td /F1 12.0 Tf [(Though she primarily concentrates on those practitioners outside of the establishment, Pelling disparages the )] TJ ET BT 34.016 656.165 Td /F1 12.0 Tf [(College or CPL \(not ?Royal? for her period, she insists\), and condemns its ?self-conscious humanist )] TJ ET BT 34.016 641.909 Td /F1 12.0 Tf [(intellectual? Fellows. \(p. 11\) Chapters 1 and 2 are exclusively devoted to the anxious institution and its )] TJ ET BT 34.016 627.653 Td /F1 12.0 Tf [(repressive activity under 53 different Censors. Pelling labels the Fellows inept in their ?perversely? )] TJ ET BT 34.016 613.397 Td /F1 12.0 Tf [(intermittent exercise of authority \(p. 42\), parochial in outlook, and morally bankrupt for refusing to deal with )] TJ ET BT 34.016 599.141 Td /F1 12.0 Tf [(plague and sexually transmitted diseases. She also finds them ?parasitic? \(p. 55\), routinely eschewing public )] TJ ET BT 34.016 584.885 Td /F1 12.0 Tf [(offices, avoiding any meaningful philanthropy, and, despite their own ?middling? status, assiduous in their )] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(?disparagement of the lower middling sort and its institutions?.\(pp.148, 336\) In Chapter 8 she compares the )] TJ ET BT 34.016 556.373 Td /F1 12.0 Tf [(College to Star Chamber, quite an incendiary indictment, given how publicly reviled that court became in its )] TJ ET BT 34.016 542.117 Td /F1 12.0 Tf [(later years, a popular byword for unfair judicial proceedings. By frightening opponents into submission, then )] TJ ET BT 34.016 527.861 Td /F1 12.0 Tf [(gaining ?credit for clemency once submission was obtained, the College, as with Star Chamber? exaggerated )] TJ ET BT 34.016 513.605 Td /F1 12.0 Tf [(the pattern of authoritarian behaviour.\(pp. 306, 311\) Although she tempers her denunciation somewhat by )] TJ ET BT 34.016 499.349 Td /F1 12.0 Tf [(claiming that this comparison also has to do with the failures that these courts shared \(p. 299n\), the )] TJ ET BT 34.016 485.093 Td /F1 12.0 Tf [(implications of her judgment linger. The College must have been a fearsome institution indeed to warrant )] TJ ET BT 34.016 470.837 Td /F1 12.0 Tf [(coupling to the dreaded Star Chamber, abolished for its excesses in 1641, unlike the College, which bumbled )] TJ ET BT 34.016 456.581 Td /F1 12.0 Tf [(on through the centuries.)] TJ ET BT 34.016 430.325 Td /F1 12.0 Tf [(I wanted to enjoy this book, I really did. I wanted to revel in it, in part because Margaret Pelling is the )] TJ ET BT 34.016 416.069 Td /F1 12.0 Tf [(doyenne of the social history of English medicine and in part because the completed tome was so long in )] TJ ET BT 34.016 401.813 Td /F1 12.0 Tf [(coming, anticipated eagerly by specialists in the field. Pelling has devoted the better part of twenty years )] TJ ET BT 34.016 387.557 Td /F1 12.0 Tf [(sifting through primary and secondary sources germane to various aspects of early modern medicine, )] TJ ET BT 34.016 373.301 Td /F1 12.0 Tf [(struggling with the vicissitudes of diminishing funding and accelerating technologies, both of which )] TJ ET BT 34.016 359.045 Td /F1 12.0 Tf [(threatened to derail her project. Attempting to fill the void in the evolution of medicine in the capital before )] TJ ET BT 34.016 344.789 Td /F1 12.0 Tf [(1640, Pelling has combed the College )] TJ ET BT 219.008 344.789 Td /F2 12.0 Tf [(Annals)] TJ ET BT 252.344 344.789 Td /F1 12.0 Tf [( so thoroughly that one cannot imagine there being any specific )] TJ ET BT 34.016 330.533 Td /F1 12.0 Tf [(details left to consider. If the reporting of primary research can be said to be painstakingly meticulous, this is )] TJ ET BT 34.016 316.277 Td /F1 12.0 Tf [(it. Furthermore, she has compiled a biographical index of medical practitioners in London and East Anglia )] TJ ET BT 34.016 302.021 Td /F1 12.0 Tf [(for the period 1500-1640, not yet computerized, and a database of seventeen tables, attributed to Frances )] TJ ET BT 34.016 287.765 Td /F1 12.0 Tf [(White, to be made available on the Internet. These contributions alone merit praise and thanks from future )] TJ ET BT 34.016 273.509 Td /F1 12.0 Tf [(researchers.)] TJ ET BT 34.016 247.253 Td /F1 12.0 Tf [(And yet, reading )] TJ ET BT 117.332 247.253 Td /F2 12.0 Tf [(Medical Conflicts in Early Modern London)] TJ ET BT 325.664 247.253 Td /F1 12.0 Tf [( gave me little joy, certainly not in the way that )] TJ ET BT 34.016 232.997 Td /F1 12.0 Tf [(one might expect to be thrilled by a most comprehensive examination in one?s own area of interest. It is not )] TJ ET BT 34.016 218.741 Td /F1 12.0 Tf [(a book one could assign to a class because it lacks prudent balance and narrative style. In attempting to )] TJ ET BT 34.016 204.485 Td /F1 12.0 Tf [(redress what she regards as the worshipful attitude of earlier authors writing about the College, Pelling goes )] TJ ET BT 34.016 190.229 Td /F1 12.0 Tf [(too far in the other direction and produces a Manichean polemic that represents as good only those who )] TJ ET BT 34.016 175.973 Td /F1 12.0 Tf [(practised medicine outside of that counterfeit institution. She upbraids Harold Cook for titling his 1986 work )] TJ ET BT 34.016 161.717 Td /F1 12.0 Tf [(on the College )] TJ ET BT 107.012 161.717 Td /F2 12.0 Tf [(The Decline of the Old Medical Regime in Stuart London)] TJ ET BT 381.992 161.717 Td /F1 12.0 Tf [( \(Ithaca: Cornell University Press\), )] TJ ET BT 34.016 147.461 Td /F1 12.0 Tf [(since that implies the institution and its Fellows had reached respected heights before 1630 from which to )] TJ ET BT 34.016 133.205 Td /F1 12.0 Tf [(fall. Moreover, except for a pithy and focused concluding chapter, Pelling?s writing is dry, long-winded, and )] TJ ET BT 34.016 118.949 Td /F1 12.0 Tf [(unengaging when it should be lively and magnetic, particularly since she has such an axe to grind with )] TJ ET BT 34.016 104.693 Td /F1 12.0 Tf [(collegiate physicians. The tone is grimly sour, not just when barbs are directed at the College, but throughout )] TJ ET BT 34.016 90.437 Td /F1 12.0 Tf [(the text and in its bibliographic asides. She also cavils at Cook for coining the term medical marketplace, a )] TJ ET BT 34.016 76.181 Td /F1 12.0 Tf [(concept that has galvanized much historical research into English medicine but is too capitalistic and ?now )] TJ ET BT 34.016 61.925 Td /F1 12.0 Tf [(overdue for revision?.\(p. 343\) She disparages Andrew Wear for ?leaving the core of socio-economic )] TJ ET endstream endobj 18 0 obj << /Type /Page /Parent 3 0 R /Annots [ 21 0 R 23 0 R 25 0 R ] /Contents 19 0 R >> endobj 19 0 obj << /Length 7248 >> 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 [(assumptions intact? despite his demonstrating the importance of religious influences on early modern )] TJ ET BT 34.016 782.213 Td /F1 12.0 Tf [(medicine. \(p. 343\) Even the late, exuberant Roy Porter comes in for criticism because she avers that he )] TJ ET BT 34.016 767.957 Td /F1 12.0 Tf [(?maintained this tendency [to] see pre-modern physicians and quacks as one and the same? \(p. 13n\), while )] TJ ET BT 34.016 753.701 Td /F1 12.0 Tf [(for Pelling the quacks ? antecedents of today?s general practitioners ? clearly had it all over the collegiate )] TJ ET BT 34.016 739.445 Td /F1 12.0 Tf [(physicians. The great irony of Pelling?s research is not lost on her ? that she derives most of her exhaustive )] TJ ET BT 34.016 725.189 Td /F1 12.0 Tf [(mountain of information on unlicensed practitioners from the records of their principal antagonist ? but the )] TJ ET BT 34.016 710.933 Td /F1 12.0 Tf [(conclusions of her research design perhaps prove inevitable. By drawing on the archive of an institution )] TJ ET BT 34.016 696.677 Td /F1 12.0 Tf [(charged with prosecuting the very irregulars Pelling esteems, she discerns only adversarial repression and )] TJ ET BT 34.016 682.421 Td /F1 12.0 Tf [(professional frailty on the part of the College.)] TJ ET BT 34.016 656.165 Td /F1 12.0 Tf [(Too many self-referential citations put me off as well. Apart from the )] TJ ET BT 370.280 656.165 Td /F2 12.0 Tf [(Annals)] TJ ET BT 403.616 656.165 Td /F1 12.0 Tf [(, Pelling is most likely to cite )] TJ ET BT 34.016 641.909 Td /F1 12.0 Tf [(herself, mentioning her published and unpublished pieces on nearly every page. Having built an impressive )] TJ ET BT 34.016 627.653 Td /F1 12.0 Tf [(oeuvre of articles written while compiling )] TJ ET BT 238.652 627.653 Td /F2 12.0 Tf [(Medical Conflicts)] TJ ET BT 324.320 627.653 Td /F1 12.0 Tf [(, Pelling feels the need to assure her readers that )] TJ ET BT 34.016 613.397 Td /F1 12.0 Tf [(the book?s chapters are fresh and not recycled bits from the past two decades. There were few omissions in )] TJ ET BT 34.016 599.141 Td /F1 12.0 Tf [(Pelling?s lengthy bibliography, which includes 22 of her own entries, but I found these noteworthy: Brian )] TJ ET BT 34.016 584.885 Td /F1 12.0 Tf [(Nance?s 2001 study of Mayerne?s casebooks, )] TJ ET BT 257.624 584.885 Td /F2 12.0 Tf [(Turquet de Mayerne as Baroque Physician)] TJ ET BT 463.928 584.885 Td /F1 12.0 Tf [( \(Amsterdam: )] TJ ET BT 34.016 570.629 Td /F1 12.0 Tf [(Rodopi\), published under the auspices of the Wellcome Library; and two early, influential articles in )] TJ ET BT 519.608 570.629 Td /F2 12.0 Tf [(Ambix)] TJ ET BT 550.268 570.629 Td /F1 12.0 Tf [(, )] TJ ET BT 34.016 556.373 Td /F1 12.0 Tf [(Allen Debus?s piece on the Paracelsian compromise in Elizabethan England and Pyrali Rattansi?s seminal )] TJ ET BT 34.016 542.117 Td /F1 12.0 Tf [(article on Paracelsus and the Puritan Revolution.)] TJ ET 0.000 0.000 0.800 rg BT 267.656 542.117 Td /F1 12.0 Tf [(\(1\))] TJ ET 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d 267.656 540.723 m 281.648 540.723 l S 0.000 0.000 0.000 rg BT 281.648 542.117 Td /F1 12.0 Tf [( Pelling bemoans the absence of a thorough examination )] TJ ET BT 34.016 527.861 Td /F1 12.0 Tf [(of Mayerne?s manuscripts and has so little to say, and that almost all in footnotes, about the theoretical split )] TJ ET BT 34.016 513.605 Td /F1 12.0 Tf [(among the College Fellows. The internal rift between traditional Oxbridge Galenists and the growing )] TJ ET BT 34.016 499.349 Td /F1 12.0 Tf [(number of Fellows continentally-trained in the curriculum of Paracelsus and van Helmont was surely as )] TJ ET BT 34.016 485.093 Td /F1 12.0 Tf [(debilitating to the institution as the jurisdictional challenge presented externally by surgeons, apothecaries, )] TJ ET BT 34.016 470.837 Td /F1 12.0 Tf [(and irregulars. And, happily, Kevin Siena?s forthcoming )] TJ ET BT 309.308 470.837 Td /F2 12.0 Tf [(Venereal Disease, Hospitals and the Urban Poor)] TJ ET BT 34.016 456.581 Td /F1 12.0 Tf [(\(Woodbridge: Boydell Press/Rochester University Press, 2004\) will fill the void in scholarship that Pelling )] TJ ET BT 34.016 442.325 Td /F1 12.0 Tf [(laments about venereal disease in early modern England.)] TJ ET BT 34.016 416.069 Td /F1 12.0 Tf [(Acting like a defence attorney for the irregulars, Pelling has set out to prove them innocent of any charges of )] TJ ET BT 34.016 401.813 Td /F1 12.0 Tf [(impropriety and has cast the College as the villainous, hypocritical prosecution, guilty itself of illegitimate )] TJ ET BT 34.016 387.557 Td /F1 12.0 Tf [(shenanigans and cruel injustices. Courtroom dramas, past and present, usually compel our attention, but even )] TJ ET BT 34.016 373.301 Td /F1 12.0 Tf [(though Pelling fashions an adversarial ambiance for her readers, the telling of her story remains one-sided, )] TJ ET BT 34.016 359.045 Td /F1 12.0 Tf [(tiresome, and uninviting. Perhaps, given persistent assumptions about past learned physicians that nurture )] TJ ET BT 34.016 344.789 Td /F1 12.0 Tf [(popular prejudices against research-oriented consultants today, or vice-versa, her challenge to the College?s )] TJ ET BT 34.016 330.533 Td /F1 12.0 Tf [(hegemony over medicine will find an appreciative audience. But Pelling?s bleak view of the College is just )] TJ ET BT 34.016 316.277 Td /F1 12.0 Tf [(one of many possible; we still await a complete and balanced institutional history. So, the challenge of )] TJ ET BT 34.016 302.021 Td /F1 12.0 Tf [(retrieving an accurate picture of medicine in the Tudor and Stuart centuries goes on, with a new generation )] TJ ET BT 34.016 287.765 Td /F1 12.0 Tf [(of historians eager to find fresh truths and test their own hypotheses.)] TJ ET BT 34.016 252.867 Td /F3 18.0 Tf [(Notes)] TJ ET BT 48.816 222.250 Td /F1 12.0 Tf [(1.)] TJ ET BT 64.016 222.245 Td /F1 12.0 Tf [(A. G. Debus, 'The Paracelsian compromise in Elizabethan England', )] TJ ET BT 393.944 222.245 Td /F2 12.0 Tf [(Ambix)] TJ ET BT 424.604 222.245 Td /F1 12.0 Tf [(, 8 \(1960\), 71-97; P. M. )] TJ ET BT 64.016 207.989 Td /F1 12.0 Tf [(Rattansi, 'Paracelsus and the Puritan Revolution', )] TJ ET BT 302.324 207.989 Td /F2 12.0 Tf [(Ambix)] TJ ET BT 332.984 207.989 Td /F1 12.0 Tf [(, 11 \(1963\), 24-32.)] TJ ET 0.000 0.000 0.800 rg BT 422.972 207.989 Td /F1 12.0 Tf [(Back to \(1\))] TJ ET 0.24 w 0 J [ ] 0 d 422.972 206.595 m 476.960 206.595 l S 0.000 0.000 0.000 rg BT 34.016 181.733 Td /F3 12.0 Tf [(Other reviews:)] TJ ET BT 34.016 167.477 Td /F1 12.0 Tf [([2])] TJ ET 0.502 0.502 0.502 RG 0.75 w 0 J [ ] 0 d 34.391 162.751 526.499 1.500 re S BT 34.016 144.971 Td /F3 12.0 Tf [(Source URL:)] TJ ET 0.000 0.000 0.800 rg BT 104.672 144.971 Td /F1 12.0 Tf [(http://www.history.ac.uk/reviews/review/386)] TJ ET 0.000 0.000 0.800 RG 0.24 w 0 J [ ] 0 d 104.672 143.577 m 322.316 143.577 l S 0.000 0.000 0.000 rg BT 34.016 118.600 Td /F3 12.0 Tf [(Links:)] TJ ET BT 34.016 104.200 Td /F1 12.0 Tf [([1] http://www.history.ac.uk/reviews/item/2153)] TJ ET BT 34.016 89.800 Td /F1 12.0 Tf [([2] http://www.history.ac.uk/reviews)] TJ ET endstream endobj 20 0 obj [18 0 R /Fit] endobj 21 0 obj << /Type /Annot /Subtype /Link /A 22 0 R /Border [0 0 0] /H /I /Rect [ 267.6557 541.0375 281.6477 552.9175 ] >> endobj 22 0 obj << /Type /Action >> endobj 23 0 obj << /Type /Annot /Subtype /Link /A 24 0 R /Border [0 0 0] /H /I /Rect [ 422.9717 206.9095 476.9597 218.7895 ] >> endobj 24 0 obj << /Type /Action /S /GoTo /D 20 0 R >> endobj 25 0 obj << /Type /Annot /Subtype /Link /A 26 0 R /Border [0 0 0] /H /I /Rect [ 104.6717 143.8915 322.3157 155.7715 ] >> endobj 26 0 obj << /Type /Action /S /URI /URI (http://www.history.ac.uk/reviews/review/386) >> endobj xref 0 27 0000000000 65535 f 0000000008 00000 n 0000000073 00000 n 0000000119 00000 n 0000000342 00000 n 0000000379 00000 n 0000000605 00000 n 0000000687 00000 n 0000005173 00000 n 0000005282 00000 n 0000005392 00000 n 0000005501 00000 n 0000009062 00000 n 0000009190 00000 n 0000009274 00000 n 0000009339 00000 n 0000016851 00000 n 0000016916 00000 n 0000024739 00000 n 0000024837 00000 n 0000032138 00000 n 0000032168 00000 n 0000032296 00000 n 0000032332 00000 n 0000032460 00000 n 0000032515 00000 n 0000032643 00000 n trailer << /Size 27 /Root 1 0 R /Info 5 0 R >> startxref 32738 %%EOF