Medical researchers writing medical history

Last week (or the week before?), one of the contributors at C18-L drew my attention to a new piece of medical history research in which I have a certain personal interest: Did all those famous people really have epilepsy?

I’m an epileptic. I haven’t had a fit for a very long time, but I continue to take the medication to make sure that state of affairs continues. I was apparently relatively unusual in that it began well after childhood, and I only ever had a handful of fits, in the space of a few months, before we got the medication right (thankfully). I can’t help suspecting that, unless future historians have my medical records, they might well find it quite hard to determine whether I ‘really’ had epilepsy either. (But it certainly caused more than enough disruption to my life at the time.)

Diagnosing illnesses of people long dead is frequently difficult and controversial (George III: was it really porphyria? The Black Death: was it really bubonic plague? Nearly forgot: What killed Napoleon?). The external symptoms of epilepsy are pretty varied and often capable of confusion with other conditions; it’s hard to diagnose for certain without scanning technology (as the article points out). Quite rightly, overly confident diagnoses of historical afflictions founded on inadequate evidence can be criticised. And I still don’t think that it’s an acceptable methodology to use references to syphilis in a certain well-known writer’s work to suggest that he suffered from that disease, either.

But it works the other way round too: surely, what this researcher should be saying – particularly of the pre-modern personalities he studied, and more especially since this study seems to have been based purely on secondary sources – is that he doesn’t have the evidence to prove that those people were epileptics, and that we should be cautious in making that diagnosis, rather than that they were all, definitively, not-epileptics. Clearly, researchers with medical expertise have valuable knowledge to bring to the history of medicine. But I do often find myself wishing that they’d take a few lessons on the basics of historical research from us historians.

Huh?

A quick Google for ‘Lady Skimmington’ produces this odd little titbit.

In Peter Ackroyd’s Albion, we read:

“In Wiltshire bands of peasants protested against the enclosure of common land by dressing as women and calling themselves ‘Lady Skimmington’; it was a way of breaking class barriers as well as sexual boundaries and testifies, perhaps inadvertently, to the English love of mixing or mingling different forms. Two male weavers in female disguise, calling themselves ‘General Ludd’s Wives’, led a crowd in destruction of looms and factories in Stockport; the riots against turnpike tolls and other taxes were led by men in drag and became known as the ‘Rebecca riots.'”

He goes on to point out that this kind of thing would not have happened in mainland Europe, the penalty for transvestism in France being public burning. [my emphasis]

I could hardly believe at first that that was an accurate version of what Ackroyd had said, but it’s repeated here, too. (I missed out on reading Albion: the origins of the English imagination, I must confess. I did mean to, but I was probably caught up in thesis writing at the time and then… forgot.)

Because you don’t need to read much early modern French history to know that exactly these forms of ritual transvestism were widely employed there, and indeed throughout Europe. (I think there’s a considerable gulf between the transvestism that might have got someone executed and the temporary cross-dressing of many festivals and rituals, somehow.) In fact, here’s an opportunity to turn to Natalie Zemon Davis for a few examples. Men dressed as women, sometimes going by titles such as ‘Mere Folle’, to head up the ‘Abbeys of Misrule’ that organised community shaming rituals (against adulterers, husband- and wife-beaters, unsuitable marriages, etc); the English ‘skimmington’ was simply one of many such forms across Europe: “charivaris, scampanete, katzenmusik, cencerrada, rough music” (other British variants included ‘riding the stang’ and the Welsh ceffyl pren).

And just as in England and Wales these forms could be adapted to use in political and other protests, so in France: in Dijon in 1630, “Mere Folle and her Infanterie were part of an uprising in masquerade against royal tax officers” and “in the Beaujolais in the 1770’s, male peasants blackened their faces and dressed as women and then attacked surveyors measuring their lands for a new landlord”. And Davis gives further examples for England, Wales, Scotland, Ireland.*

Some of the Amazon reviews notice that Ackroyd’s book was indeed weak on any European comparison or context. However, a lot of the ‘serious’ reviewers (say, these) simply gush about Ackroyd’s scholarship for his arguments about all the eccentric peculiarities of the English (a sceptical view) without noticing this apparent lack. But how can you argue that anything about a culture is unusual or specific if you don’t compare it, accurately, to others?

And a couple more complaints, while I think of it. It’s a bit curious to find the Rebecca Riots (south-west Wales) being used to illustrate a thesis on the ‘English’ imagination. But of course, the way he writes it, you can’t tell that they are a very localised Welsh phenomenon. (I wonder why, when he takes the trouble to locate the other two examples?) And you’d never know from reading that passage, either, that these episodes span over 200 years of history.

Is the whole book this sloppy? Why didn’t he stick to what he’s good at and write a novel about the theme? At least then it wouldn’t have the spurious authority of “twenty-one pages of endnotes”.

Nice to have got that rant out of my system.

………….

* Natalie Zemon Davis, ‘Women on top’, in her Society and culture in early modern France (1965).

Show me your workings

PZ Myers has some wise words on the problems of teaching science. (Update: this is well worth reading too.)

The real problem isn’t math, it’s epistemology. What we want from our students is that they understand how they know what they know. In the sciences, that often distills down into some properly applied mathematics and that common injunction on exams to “show your work.” It’s what we do in those peer-reviewed papers, which are all step-by-step explanations of how we got a particular answer. I suspect that one common thread among academics in all disciplines is that what we really like in a good paper is the logic and the story and the clever details that lead up to the conclusion, that what counts is the process.

The real problem is that so many people want the shortcut to the “right” answer… It’s Bronowski’s conflict between knowledge and certainty: most people prefer certainty, especially when knowledge might give them an answer they don’t like. And they especially favor certainty when it requires nothing more than learning a single datum, rather than the work it takes to do a calculation or derivation or document a chain of evidence. …

Our students aren’t buying a finished product, they’re getting a toolbox (with math at the heart of it) and instructions in how to use it. When they don’t realize that central fact, that’s when mutual disappointment occurs.

I think the parallels with teaching history (or other humanities disciplines) are clear. Yes, perhaps there are more ‘right’ and ‘wrong’ answers in (some branches of) science than in humanities disciplines, with significant implications for how practitioners view their craft, how confident they tend to be about their conclusions. (But how many people in the world have the comparative knowledge to judge that?) Science students are (perhaps) that much more likely to come to a question knowing that a correct answer to it does exist, that a score of 100% is possible. But it isn’t just about putting down that correct answer, even then. The process is vitally important too: show us your workings, how you got to the answer, show that you understood why and how. PZ himself points out parallels with history teaching: “historians have students who want history to be just the memorization of events that actually happened, rather than a difficult exercise in thinking and learning and evaluating.”

There’s one other difference, to my mind. The toolbox metaphor is fantastic – but I’m not sure that a historian’s toolbox would ever have a single core (ie, maths). Maybe the key skills of source criticism do represent that core, but I can’t help thinking that the historian’s toolbox is going to be a lot more ramshackle and thrown-together and idiosyncratic than that of a scientist. Thoughts, anyone?

PS: a question for linguists. Why do Americans do ‘math’ and the British do ‘maths’?

Echoes of history

A number of bloggers have been drawing attention to the grotesque piece of proposed legislation in Virginia, which would have required all ‘fetal deaths’ to be reported to authorities within three days (the medical certificate had to be completed within 24 hours; in the case of a death without medical attendance the woman would have to report to law enforcement agencies within twelve hours), with a penalty of a fine of up to $2500 or up to a year in prison.

These bloggers and their commenters have discussed various implications of this proposal. I just want to explain why, as an early modernist who studies crime, and women’s history, it sent a particularly nasty shiver down my spine.

PZ Myers called it ‘medieval’, which is wrong. (A comment I haven’t got round to sending to Pharyngula yet: “Dear PZ, much as I enjoy this blog, I wish you and your readers would stop using ‘medieval’ as a blanket term to signify oppression-barbarism-irrationality-blind superstition-etc. It annoys me, and I’m not even a medievalist”.) Nope, if we’re going to apply any historical period to describe this one, it would in fact need to be: early modern.

In 1624, the English Parliament passed an ‘Act to prevent the destroying and murthering of bastard children’, which remained in force until the early 19th century (its replacement was not, however, greatly different). It wasn’t just English law: there were similar laws passed in other European countries around this time. This particular statute expressed concern that ‘lewd women’ who bore bastards, ‘to avoid their shame, and to excape punishment’, secretly buried or hid their children’s deaths, afterwards claiming, if the body were found, that the child had been still-born.

There was indeed a problem for law-enforcers in such cases, of proving that the death of a new-born infant was the result of violence rather than natural causes. It was just as much of a problem, though, with babies born to married women as unmarried ones (and frequently almost as difficult with older infants too, in a period of high levels of infant mortality, when natural death could come suddenly from many only half-understood sources). It was the ‘lewd women’ concealing their ‘shame’, not anxieties about cruelty and violence towards babies and small children, that was the primary issue with the law-makers.

So, the statute enacted that any woman who secretly gave birth to a illegitimate child and killed it, or procured its death, or attempted to conceal its death, ‘whether it were born alive or not’ (my emphasis), should ‘suffer death as in case of murther’. That is: the Act did not, quite, presume murder in such cases; it simply made the concealment of a death in itself a capital crime.

In practice, as it turns out, right from the start (but increasingly so in the 18th century) courts and juries interpreted the evidence in cases brought before them with considerably leniency; sometimes they subverted the intent of the law altogether.* Most defendants were acquitted; many of those convicted were pardoned; they were rarely (though I wouldn’t go so far as to say never) executed unless there was clear evidence of severe violence committed on the body of a child – in other words, where they’d probably have been convicted of common law homicide in any case.

But even if acquitted they still had to go through the trial; and given the hostile reactions of neighbours expressed in pre-trial depositions (it was those neighbours, mostly married women, whose efforts brought cases to trial in the first place), it might be wondered what happened to them after they were freed. Even if they escaped the worst penalties of the law, they had been publicly exposed and humiliated. Some historians have seen the trials as intended to warn all other unmarried women of the perils of unchastity as much as to punish those on trial. If so, it mattered little if there were few hangings and the law was in essence operating as its creators intended: to help control and discipline the sexual behaviour of unmarried women. (Whether the ‘warnings’ in fact deterred any women from extra-marital sexual activity is, of course, another matter.)**

I’m not suggesting that the 1624 infanticide statute directly resembles the recent Virginia proposal. But I can’t get away from the echoes. This was the rationale given by the politician in charge of the proposal, when explaining that they hadn’t really intended it to cover what it seemed to cover:

This bill was requested by the Chesapeake Police Department in its legislative package due to instances of full term babies who were abandoned shortly after birth. These poor children died horrible deaths. If a coroner could not determine if the child was born alive, the person responsible for abandoning the child could only be charged with is the improper disposal of a human body.

Back in the early seventeenth century, by the way, there was considerable suspicion (not to say panic) that there were many ‘lewd’ women getting away with their promiscuity, by means of murder, and that the known instances were probably just the tip of an iceberg. Hence the need for drastic action. We’ll never know if they were right about the numbers (my gut feeling is that they were wrong. It’s not that easy to hide a pregnancy). But they were certainly wrong about what kinds of women were likely to be desperate to conceal their ‘shame’: not disreputable ‘lewd’ ones – why would they care? – but women who had a reputation to lose, and whose livelihood depended on maintaining that reputation (a high proportion of women accused under the 1624 statute were servants).

Why do women perceive this new proposal as primarily an attempt to control them, their bodies and their sexual activity? Because the criminal law is not the way to solve a problem like this, any more than it was in the 17th century: if you’re really concerned to prevent the abandonment and death of newborn babies, what’s needed are not punishments but places where women can leave them safely and without stigma: the principle of Thomas Coram’s Foundling Hospital in the 18th century. A law that penalises concealment achieves little except to make women in those circumstances even more isolated and put them and their babies alike at even greater risk: if a woman is already desperate enough to hide her pregnancy, give birth alone and abandon (or kill) her child afterwards, a law like the one that was proposed in Virginia is irrelevant and is only going to make her even more desperate to cover up what’s happened to her. Ask more historians like me:*** this is old, old territory. We shouldn’t need to be going over it again in the 21st century.

Update: However, see this critical report on ‘safe havens’, which have been adopted recently in a number of US states. I think its writers would agree that punitive measures are not the way to deal with unsafe abandonments of newborn children, but they argue strongly that anonymous legal abandonment is not the solution either.

……………………..

* By the 18th century, for example, women on trial often presented linen and other items as evidence that they had prepared for a live birth – therefore, they had not intended to kill their babies – and this was routinely accepted to produce acquittals. But strictly speaking it was entirely irrelevent to the wording of the statute.

** Despite the images of lewdness and promiscuity, it seems that many early modern single women who engaged in sexual intercourse did so in the context of established relationships, often only after promises of marriage; there is a good deal of statistical evidence that, while rates of illegitimacy were quite low during the period, rates of pre-marital pregnancy were much higher. But not all men kept their promises.

*** This is not, these days, a neglected historical subject: a couple of bibliographies. There is also a good deal of modern criminological research on the subjects of neonaticide and infanticide.

Blogiversary PS

I came across this comment at Historiological Notes, made by a certain Sharon on 16 June.

I’m contemplating starting a blog to go with my Early Modern Resources site (www.earlymodernweb.org.uk) – perhaps mainly for adding new links so that they don’t simply get lost in my bookmarks files before they can be put on the website proper, perhaps something more than that. I don’t know if I have time to become a serious blogger! I like varied blogs, by the way. And ones that generate interesting discussions without taking themselves too seriously all the time…

There should be a warning on Blogger (just after the bit where it says: set up a blog in 5 minutes, it’s really easy!): BLOGGING IS ADDICTIVE. IT WILL SUCK YOU IN. YOU WILL NEVER ESCAPE.

Scrolled down a bit further. Sharon added on 26 June:

Update: I went ahead and made the blog: http://www.earlymodernweb.blogspot.com/

And it’s cool, really cool. (Except that I now have to learn to ration the time I give it so that I GET SOME WORK DONE.) I can do all sorts of news-type stuff for early modernists that I couldn’t put on my web site because I didn’t have time to update it every week; I can have a good rant (or a laff); I can try out bits of writing… though I don’t know yet how much of it will be serious or historiographical. That takes some brain work, after all. :~) But I would like it to be a good history-focused blog rather than personal ramblings. (Don’t get me wrong, there are many ‘personal’ blogs that I like a lot, and all good blogs should be personalised. That’s part of the appeal.) Without getting too pompous, I want to lead by example here. (Yeah, that was still a bit pompous, wasn’t it?)

I’m just amazed at all the possibilities that keep opening up. … But it probably will take time to get the word out more widely. I previously saw blogs as really just personal/political diaries, not ‘real’ academic tools – and I’ve been championing the internet for historians for over 4 years!

The post and the subsequent discussion is worth re-reading, by the way. Interesting (well, to me) how my blogging ‘philosophy’ was substantially in place within 10 days of opening for business. And, in a way, my personal answer to the discussions of academic women blogging: don’t just talk about it, do it. Show that it can be done, for anyone (female or male) worrying over whether to try, and how. Make it as good as you can. Express opinions (and be prepared to defend them). Have fun in the process.

It never occurred to me to blog pseudonymously or about my personal life. In any case, I still wouldn’t know what to say, except sometimes about cooking, if that counts as personal (I’m deeply jealous of the personal bloggers who have interesting lives to write about!), whereas I think that doing history is fascinating enough to write about whether anybody reads it or not. This blog was always going to be an extension to my existing online presence, which was ‘professional’ (as an academic resource site) and named from the beginning. So, anyway, it just never occurred to me, either, that there might be anything to worry about in doing it that way, as a woman, or as a starting-out academic, or any other of the many social categories to which I might belong.

Recently, profgrrl asked her readers a set of questions about why and how they blog (or don’t, even). A lot of people responded (though I forgot, I think…). We’re a garrulous lot by definition really: it isn’t hard to get us to open up and talk about why we do this, so I wish more people would actually do stuff like that before they start proposing grand unified theories of gender and blogging. So that’s my recommended post for weekend reading. And feel welcome to add your thoughts here.

Schama’s favourite history… before he had a TV series to plug

I came across this list of Simon Schama’s Top 10 popular history books. It’s a few years old (shortly after Rembrandt’s Eyes (?1999), no mention of History of Britain), and in the light of his more recent pronouncements, interesting both for what it includes and what it doesn’t. Gibbon is there, ‘for the jokes and the fantastic footnotes’ (yep, footnotes) and so is Carlyle, though only at no. 8 – but where’s Macaulay? And the historian at the top spot, Richard Cobb, didn’t get much of a look in when Schama was telling us who we should emulate in our history writing, did he? Also here is Braudel’s The Mediterranean and the Mediterranean World and one of my all-time favourites, Carlo Ginzberg’s Cheese and the Worms (that book turned me on to early modern history as a first-year undergrad).

This list, in fact, sums up my puzzlement at Schama’s statements earlier this year, which seemed to me to contradict his own history as a wide-ranging historian ready to experiment with subject and form: he appeared to want us to narrow our options (in both respects). It didn’t make too much sense, unless you saw it as an exercise in plugging his new TV series (which I didn’t find very interesting, despite the talents of the actors recruited to read the extracts; I wonder if it would have worked better on the radio), or a kind of defensive reaction to the criticisms of the History of Britain series for being old-fashioned. (It often was, but I rather enjoyed it anyway.)

This older list tells a rather different story, one in which diversity, the old and the new, different kinds of history (including the highly scholarly, if not the quantitative brands) and story telling, are celebrated. Perhaps Schama ought to go back and read it himself.

(Originally posted 24 June 2004.)

Dieters read this…

Let them eat cake (Via Arts & Letters Daily).

Despite a diet stuffed with cream, butter, cheese and meat, just 10 per cent of French adults are obese, compared with our 22 per cent, and America’s colossal 33 per cent. The French live longer too, and have lower death rates from coronary heart disease – in spite of those artery-clogging feasts of cholesterol and saturated fat. This curious observation, dubbed ‘the French paradox’, has baffled scientists for more than a decade. And it leaves us diet-obsessed Brits smarting.

And so I realise that my eating habits are really ‘French’ rather than ‘British’ or ‘American’ (lazy national stereotypes or useful generalisations? Well, just look at all the figures…). OK, I do eat in front of the TV (and sometimes standing up or on the go), but I don’t eat ready meals or much in the way of commercially processed foods; I hardly snack between meals at all (my vice is crisps; they are strictly rationed); I prefer quality over quantity; I don’t ever, ever go on diets (and I’m really bad about organised exercise); and I love rich foods (you may have noticed my love affair with cheese and butter). And no, I’m not overweight.
(Personally, I think there’s nothing wrong with being, say, 25lb over some ‘ideal’ weight prescribed out there by some food-faschist, and it’s better than being the same degree underweight, but that’s easy for me to say, isn’t it?)

True, the French women I know tend not to get too hung up on ‘dieting’; I have never witnessed a Parisienne performing the calorie or carbo calculus that bedevils so many British meals. But they do enjoy a sensible, sensuous way of eating… They savour their food. They are passionate about food. They have a national heritage devoted to and founded upon food… For them, it seems, eating is life-enriching exploit, not a chore, and certainly not a guilt-trip.

Ticked those boxes. But in Britain caring about good food is ridiculously expensive; in France it’s the affordable norm.

Almost every village in the country boasts a bustling market featuring local sausages, patties of farm-made chevre, figs and fennel in the appropriate season or truffles dug from a wood down the lane. It’s not just a choice available to the moneyed middle classes, but somewhere for everyone, every day.

(Mouth watering now…) And something else:

When they get those enviable produits du terroirs home, French people, it seems, naturally exercise strict portion control. In their study of why the French remain so much slimmer than Americans, the researchers from the University of Pennsylvania came to the remarkable conclusion that it was because the French ate less.

Not that any of this means that the ‘British’/’American’-type eaters could suddenly adopt ‘French’ eating as a miracle solution to their weight problems. A French woman living in Britain who was interviewed by the writer of the article put it quite clearly: “French women never eat while they’re walking or standing, like you do here. We have no culture of snacking, and especially not on fast food. This habit is ingrained in us from a young age.” (And while I eat a much wider range of food than I did as a child, in most ways my eating habits have not changed: I still eat the way I was brought up to eat. Thank you, mum.)

So, while I cheer all this and indulge in my favourite activity of saying yah-boo-sucks to the ‘experts’ who lecture us about fat and carbs and calories and exercise, it’s a reminder that lectures about fat and carbs and calories and exercise don’t work unless we start to get to grips with the deeper cultural, psychological and economic reasons why so many people in certain rich nations are consuming so much unhealthy food, even when they hate themselves for it, even when their health suffers and even when the big message is Thin is Beautiful and Fat is Barely Human.

David Starkey up to his usual tricks

Perhaps it’s mandatory these days for historians to talk rubbish when they have a new TV series to promote. But then, Starkey is not alone in saying this kind of thing (and this is, after all, in the Telegraph)…

England is the country that ‘dare not speak its name’ (registration required)

Dr David Starkey, the historian and broadcaster, is calling for a revival of English patriotism that recognises the country’s unique role in shaping the modern world.

Dr Starkey, 59, believes that the reluctance of the English to champion their own homeland means that England “is now the country that dare not speak its name”.

He also claims that English national identity is in danger of “going down the pan” because of a post-war obsession with the idea of being “British”.

Dr Starkey’s patriotic rallying cry coincides with his new 24-part television series on the nation’s kings and queens, which begins on Channel 4 tomorrow night and will continue over four years. Monarchy will profile every English monarch from the year 400 to today at the rate of six a year.

The series is as much a defence of the English and Anglo-Saxon culture as a series of personality portraits. “This series is about the history of England,” said Dr Starkey. “Yes, England – the country that dare not speak its name. In England we have this dreadful inhibition about talking about ourselves. England is a historic country which has shaped the world we are in. It is arguably the very origins of modernity. That is something we should celebrate, not be ashamed of.”

Dr Starkey believes that the English need to celebrate their national identity in the same way that the Scots celebrate theirs. England, he argues, is much more important than Scotland, which is a “tiny” country that “does not much matter”.

You can imagine what the Scots think of that last bit. (Has Starkey never heard of the Scottish Enlightenment?) Scotland is a tiny country whose impact on the wider world, both as a nation in itself and as part of a wider Britain, has been out of all proportion to its numbers or wealth. And it ought to be quite possible to champion England without stooping to insults against its neighbours.

Moreover, whatever Starkey thinks, it is Britain as a whole that has mattered in modern world history. England on its own was, frankly, a deeply insignificant political entity – and that’s regardless of whether we consider the early middle ages before the Norman Conquest (after which for some centuries it was simply a minor element in a much larger European empire, don’t forget) or the later middle ages before the process of conquests and unions within the Isles that created the modern British state. And so as those other parts of the British Isles have broken away and re-asserted their own identities and varying degrees of political independence, it’s hardly surprising that ‘England’ and English identity is left staring at a vacuum.

It is not a modern ‘obsession’ with being British that’s causing the problem with Englishness (although you could argue that it’s a telling symptom of the problem with Englishness) – it’s the English habit (for several centuries, and not dead yet) of conflating ‘England’ and ‘Britain’, while we have failed for generations to create of and for ourselves anything that was new or dynamic or stimulating. Now the (old) non-English Britons are taking back their own, refusing to accept English appropriation and condescension (and boy, how that upsets the English in itself). And we have large numbers of ‘new’ Britons whose origins lay far beyond these islands: do you hear anyone calling themselves ‘Black English’? Alternatively, as indeed they have always done, English people turn to the regional identities that mean more, more intimately, to them. Londoners, Scousers, Geordies, Brummies, Cornish, Suffolkers (that’s me, by the way)… there is a world of thriving English regional and local identities out there, far more variegated than the stereotypes of English national identity (white cliffs of Dover, anyone? What the hell is that supposed to mean to me?).

The trouble is not that England dare not speak its name. The problem is that we, the English, have no idea what to call ourselves that does not sound parochial, insular, conservative (not to say reactionary), dated and deadly dull.