Hysterical tetanus in the Victorian South Pacific
Daniel Simpson

breakdown with imperial efforts to ‘civilise’ the South Pacific. Sympathetic to missionary proselytisation in the region, and desirous to bolster the standing of the Medical Department of the Navy, Messer suggested that tetanus was most likely to occur in victims possessing a ‘superstitious dread’ of poisonous arrows. The social, physical, and mental health of the inhabitants of the Santa Cruz group, and of those who visited, were therefore said to be contingent upon the spread of Christian belief and modern medical understanding. Only one year

in Progress and pathology
So what went wrong?
Odette Best

Report of the Committee on the Training of Nurses for the Colonies (the 113 Odette Best Rushcliffe Report). The report identified that training of nurses in the United Kingdom and the Dominions for services in colonial territories was comprehensive. It gave a thorough overview of training needs and requirements of nurses, midwives and mental health nurses. While it recommended training of Indigenous nurses, it paid little attention to local complexities that might influence the likelihood of training, noting: At first the only trained nurses were those who were

in Colonial caring
The Third Way and the case of the Private Finance Initiative
Eric Shaw

to make savings by off-loading responsibilities to other agencies. The effect has been to displace costs on to the local health economy, reducing the amount left to finance other aspects of healthcare such as mental health, community services and primary care – despite the fact that current Government policy is to encourage the integration of all aspects of health. 41 As Boyle and

in The Third Way and beyond
Open Access (free)
Literary satire and Oskar Panizza’s Psichopatia criminalis (1898)
Birgit Lang

drowned by Ludwig II.10 In a bitter twist of fate, just a few years after the publication of Psichopatia criminalis, Gudden’s son was responsible for judging the state of Panizza’s deteriorating mental health. From the opening of Psichopatia criminalis, Panizza creates the ­dialectic in his framing narrative by representing the voice of the first-­ person narrator as that of the chief psychiatrist for the German nation. This practitioner holds the view that German revolutionaries should be incarcerated and undergo psychiatric treatment as a new way to prevent civil

in A history of the case study
Ian Kennedy, oversight and accountability in the 1980s
Duncan Wilson

the Mental Health Act.44 In his 1977 documentary The Check-Out, Kennedy asserted that euthanasia was ‘a matter on which not just doctors or lawyers, but all of us, must have our say and our way’. The only way to ensure this, he concluded, was to give ‘all interested parties’ a role in the development of regulatory codes.45 Although the subject matter of Kennedy’s documentaries varied, his underlying message remained the same. A British Medical Journal review of the 1978 programme The Defect, which debated screening for spina bifida during pregnancy, noted that

in The making of British bioethics
Martin D. Moore

Although the creation of the NHS had strengthened the role of hospitals in diabetes management, a minority of innovative practitioners began to experiment with more community-oriented care schemes in the 1950s. Clinics and local government health departments co-operated to extend the surveillance and educative reach of clinicians, with nursing and health visiting staff forming part of expanded care teams. With their growing mix of skills, the new teams sought to confront the myriad social and medical problems facing patients with a common

in Managing diabetes, managing medicine
Open Access (free)
Health as moral economy in the long nineteenth century
Christopher Hamlin

deliverable, entitlements (or, more directly, ‘rights’), must be well defined. The ‘state of complete physical, mental and social well-being and not merely the absence of disease or infirmity’, which the World Health Organization (WHO) obliges states to guarantee their citizens is indefinite. 6 The mandate offers no way to move from an expressed deficit of well-being to mediatory medicalisation, nor of prioritising harms to health. Nor does it acknowledge trade-offs in which delivering the right to some might require taking

in Progress and pathology
Open Access (free)
Managing diabetes, managing medicine
Martin D. Moore

In April 1990, the Conservative government issued a new contract to general practitioners (GPs) working within the British National Health Service (NHS). The negotiations around the contract had been troubling for GPs. Whilst not the sole point of dispute, many practitioners found novel performance-related pay provisions to be particularly unwelcome departures from previous arrangements. Despite gaining concessions, GPs rejected multiple offers until a frustrated administration decided to simply impose the contract. 1 So far as remuneration

in Managing diabetes, managing medicine
The Fowlers and modern brain disorder
Kristine Swenson

this heterodox medical practice. Phrenology had enjoyed widespread, if controversial, application within Western medicine in the century's first decades, but by the 1840s, it had been marginalised and largely branded as quackery, as laboratory-based biomedicine increasingly monopolised the medical marketplace. Phrenology began in the late eighteenth century under the Viennese physician Franz Joseph Gall, who argued that the brain is an aggregate of mental ‘organs’, each with localised and specific functions such as fidelity, ambition, or poetic

in Progress and pathology
Missions, the colonial state and constructing a health system in colonial Tanganyika
Michael Jennings

,309 (out of a total budget of £185,735) to medical missions: £1,644 for the maintenance of leprosy camps; £1,356 for Lutindi Mental Hospital, run by the UMCA; £971 for mission maternal and child health services; £319 for drugs (including drugs for leprosy treatment); and £19 to cover mission assistance in ‘epidemic outbreaks’. 40 Fearing that ‘the grant of assistance

in Beyond the state