This book looks at medical professionalisation from a new perspective, one of failure rather than success. It questions the existing picture of broad and rising medical prosperity across the nineteenth century to consider the men who did not keep up with professionalising trends. It unpicks the life stories of men who could not make ends meet or who could not sustain a professional persona of disinterested expertise, either because they could not overcome public accusations of misconduct or because they struggled privately with stress. In doing so it uncovers the trials of the medical marketplace and the pressures of medical masculinity. All professionalising groups risked falling short of rising expectations, but for doctors these expectations were inflected in some occupationally specific ways.

This book looks at medical professionalisation from a new perspective, one of failure rather than success. It questions the existing picture of broad and rising medical prosperity across the nineteenth century to consider the men who did not keep up with professionalising trends. It unpicks the life stories of men who could not make ends meet or who could not sustain a professional persona of disinterested expertise, either because they could not overcome public accusations of misconduct or because they struggled privately with stress. In doing so it uncovers the trials of the medical marketplace and the pressures of medical masculinity. All professionalising groups risked falling short of rising expectations, but for doctors these expectations were inflected in some occupationally specific ways.

“A tour de force of storytelling.” —Louise Penny, #1 New York Times bestselling author of the Chief Inspector Gamache series “Jobb’s excellent storytelling makes the book a pleasure to read.” —The New York Times Book Review ”When a doctor does go wrong he is the first of criminals,” Sherlock Holmes observed during one of his most baffling investigations. “He has nerve and he has knowledge.” In the span of fifteen years, Dr. Thomas Neill Cream murdered as many as ten people in the United States, Britain, and Canada, a death toll with almost no precedent. Poison was his weapon of choice. Largely forgotten today, this villain was as brazen as the notorious Jack the Ripper. Structured around the doctor’s London murder trial in 1892, when he was finally brought to justice, The Case of the Murderous Dr. Cream exposes the blind trust given to medical practitioners, as well as the flawed detection methods, bungled investigations, corrupt officials, and stifling morality of Victorian society that allowed Dr. Cream to prey on vulnerable and desperate women, many of whom had turned to him for medical help. Dean Jobb transports readers to the late nineteenth century as Scotland Yard traces Dr. Cream’s life through Canada and Chicago and finally to London, where new investigative tools called forensics were just coming into use, even as most police departments still scoffed at using science to solve crimes. But then, most investigators could hardly imagine that serial killers existed—the term was unknown. As the Chicago Tribune wrote, Dr. Cream’s crimes marked the emergence of a new breed of killer: one who operated without motive or remorse, who “murdered simply for the sake of murder.” For fans of Erik Larson’s The Devil in the White City, all things Sherlock Holmes, or the podcast My Favorite Murder, The Case of the Murderous Dr. Cream is an unforgettable true crime story from a master of the genre.

This book examines how the medical profession engaged with print and literary culture to shape its identities between the 1830s and 1910s in Britain and its empire. Moving away from a focus on medical education and professional appointments, the book reorients attention to how medical self-fashioning interacted with other axes of identity, including age, gender, race, and the spaces of practice. Drawing on medical journals and fiction, as well as professional advice guides and popular periodicals, this volume considers how images of medical practice and professionalism were formed in the cultural and medical imagination. Alison Moulds uncovers how medical professionals were involved in textual production and consumption as editors, contributors, correspondents, readers, authors, and reviewers. Ultimately, this book opens up new perspectives on the relationship between literature and medicine, revealing how the profession engaged with a range of textual practices to build communities, air grievances, and augment its cultural authority and status in public life.

Out of His Mind interrogates how Victorians made sense of the madman as both a social reality and a cultural representation. Even at the height of enthusiasm for the curative powers of nineteenth-century psychiatry, to be certified as a lunatic meant a loss of one’s freedom and in many ways one’s identify. Because men had the most power and authority in Victorian Britain, this also meant they had the most to lose. The madman was often a marginal figure, confined in private homes, hospitals, and asylums. Yet as a cultural phenomenon he loomed large, tapping into broader social anxieties about respectability, masculine self-control, and fears of degeneration. Using a wealth of case notes, press accounts, literature, medical and government reports, this text provides a rich window into public understandings and personal experiences of men’s insanity.

This book explores the ways that families were formed and re-formed, and held together and fractured, in Britain from the sixteenth to twentieth century. The chapters build upon the argument, developed in the 1990s and 2000s, that the nuclear family form, the bedrock of understandings of the structure and function of family and kinship units, provides a wholly inadequate lens through which to view the British family. Instead the volume's contributors point to families and households with porous boundaries, an endless capacity to reconstitute themselves, and an essential fluidity to both the form of families, and the family and kinship relationships that stood in the background. This book offers a re-reading, and reconsideration of the existing pillars of family history in Britain. It examines areas such as: Scottish kinship patterns, work patterns of kin in Post Office families, stepfamily relations, the role of family in managing lunatic patients, and the fluidity associated with a range of professional families in the nineteenth century. Chapter 8 of this book is available open access under a CC BY 4.0 license at link.springer.com

This electronic version has been made available under a Creative Commons (BY-NC-ND) open access license. Many health, environmental, and social challenges across the globe – from diabetes to climate change – are regularly discussed in terms of imbalances in biological, ecological, and social systems. Yet, as contributions to this collection demonstrate, while the pressures of modernity have long been held to be pathogenic, strategies for addressing modern excesses and deficiencies of bodies and minds have frequently focused on the agency of the individual, self-knowledge, and individual choices. This volume explores how concepts of ‘balance’ have been central to modern politics, medicine, and society, analysing the diverse ways in which balanced and unbalanced selfhoods have been subject to construction, intervention, and challenge across the long twentieth century. Through original chapters on subjects as varied as obesity control, fatigue and the regulation of work, and the physiology of exploration in extreme conditions, Balancing the self explores how the mechanisms and meanings of balance have been framed historically. Together, contributions examine the positive narratives that have been attached to the ideals and practices of ‘self-help’, the diverse agencies historically involved in cultivating new ‘balanced’ selves, and the extent to which rhetorics of empowerment and responsibility have been used for a variety of purposes, from disciplining bodies to cutting social security. With contributions from leading and emerging scholars such as Dorothy Porter, Alex Mold, Vanessa Heggie, Chris Millard, and Natasha Feiner, Balancing the self generates new insights into emerging fields of health governance, subjectivity, and balance.