A 'prodigious latitude' of words: vocabularies of illness in 18th-century medical treatises and women's writing.

In its examination of a selection of 18th-century medical treatises and women's writing, this essay considers a range of context-specific and historically specific medical vocabularies and tries to illuminate the various linguistic registers of physicians' and women's understandings and experiences of physio-emotional illness. In a preprofessionalised world in which medical and literary cultures overlapped significantly and medical knowledge was not yet restricted to a group of formally trained male elites, vocabularies of illness abounded, oftentimes moving freely between the permeable disciplinary boundaries of the age. Physician writers, in their efforts to define and label the cluster of related conditions commonly known as spleen, vapours, melancholy, or hypochondriacal and hysterical affliction, often operated on a principle of humility, embracing uncertainty, admitting fault and assuming a willingness to question their own assumptions. They recognised that elusive processes were at the heart of these conditions, which came with a vast amalgam of physical and psychological symptoms, as well as a long list of possible designations. For their part, Anne Finch, Lady Mary Wortley Montagu, Hester Lynch Piozzi, Elizabeth Carter, Mary Leapor, Elizabeth Tollet, Anna Seward and Susanna Blamire interpreted with a keen eye the medical information available to them, deployed the plethora of words at their disposal and created their own vocabularies of illness. As they formulated a productively unstable, fluctuating lexicon to conceptualise and define spleen and its analogous conditions, these women writers came up with new words and inventive metonyms, and drew at once on the language of medicine, social and domestic inequality, and the natural world to capture experiences of suffering.

Frances Burney's Mastectomy Narrative and Discourses of Breast Cancer in the Long Eighteenth Century.

This paper examines Frances Burney's 1812 mastectomy letter alongside contemporaneous medical treatises on the subject of breast cancer. Burney's letter offers a critique of a medical community that misconstrues her experience and can be viewed as pathography, or disability memoir. Examining the letter and the treatises in this way illuminates the brutality of some medical practices and the frequent incongruity between the patients' and the physicians' understandings of pain. However, the letter and the treatises also share much in common; both at times emphasize the patient's words and experiences, and both reveal the impressive and contradictory range of ideas surrounding breast cancer in the long eighteenth century. The paper ends by suggesting that the complex rapport between the letter and the treatises holds particular interest for the field of disability studies in its confrontations with socio-medical tendencies to normalize the body and downplay the harsh realities of breast cancer.

Medical men, women of letters, and treatments for eighteenth-century hysteria.

This paper explores evolving treatments for hysteria in the eighteenth century by examining a selection of works by both physician-writers and educated literary women. The treatments I identify--which range from aggressive bloodlettings, diets, and beatings, to exercise, fresh air, and writing cures--reveal a unique culture of therapy in which female sufferers and doctors exert an influence on one another's notions of what constitutes appropriate management of women's mental illness. A scrutiny of this exchange of ideas suggests that female patients were not simply oppressed and silenced by male practitioners; rather, their collective voice, intellect, and expertise helped to form progressive treatments for eighteenth-century hysteria.