Medical HistoryPub Date : 2026-10-16DOI: 10.1017/mdh.2026.10094
Yun Xia, Qin Cai
{"title":"Improvised care: Jewish refugee medicine and public health in wartime Shanghai, 1938-1945.","authors":"Yun Xia, Qin Cai","doi":"10.1017/mdh.2026.10094","DOIUrl":"https://doi.org/10.1017/mdh.2026.10094","url":null,"abstract":"<p><p>Between 1938 and 1941, nearly 20,000 Jewish refugees fleeing Nazi persecution arrived in wartime Shanghai, a city already destabilized by the Sino-Japanese War (1937-1945), mass displacement, and fragmented governance. Their arrival exposed the limits of Shanghai's overstretched public health system while also generating new forms of medical organisation, refugee self-governance, and intercultural collaboration. Drawing on archival records, refugee memoirs, wartime newspapers, and medical journals, this article reconstructs the development of an improvised yet integrated refugee healthcare infrastructure between 1939 and 1945. The article argues that refugee medicine in Shanghai evolved beyond emergency relief into a broader regime of care comprising hospitals, nutrition programmes, sanitation campaigns, disease surveillance, and work-relief initiatives. Far from being passive recipients of humanitarian aid, refugee physicians became central actors in constructing and administering this system. In conditions of institutional fragmentation and material scarcity, they adapted European medical knowledge to unfamiliar climatic and epidemiological environments, collaborated with Chinese practitioners and local institutions, and contributed to new forms of medical knowledge production. The Shanghai case complicates conventional narratives of humanitarian governance and colonial medicine. Rather than operating under a centralised state or colonial authority, refugee healthcare emerged through negotiations among municipal authorities, international aid organisations, occupying military force, and Jewish communities. Wartime Shanghai thus became not merely a 'port of last resort,' but a significant site of transnational medical production in which displacement reshaped both medical practice and the meaning of care.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-21"},"PeriodicalIF":1.1,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-10-16DOI: 10.1017/mdh.2026.10090
John Goulder
{"title":"Beyond reasonable doubt: antidepressants and the limits of scientific critique.","authors":"John Goulder","doi":"10.1017/mdh.2026.10090","DOIUrl":"https://doi.org/10.1017/mdh.2026.10090","url":null,"abstract":"<p><p>Public doubt about the usefulness of antidepressants appears to have grown, even as scientific agreement about their efficacy has become more settled. This paper examines the role that figures associated with critical psychiatry have had in promoting this doubt. It traces the long entanglement of antidepressants and their critics over the last eighty years, culminating in a 2022 review of the serotonin hypothesis, which, though it made no claims about efficacy, was widely interpreted as showing that antidepressants do not work. Drawing on Oreskes and Conway's concept of 'manufactured doubt', the paper explores how certain philosophical commitments have shaped these actors' views, at times impeding their engagement with new evidence. In doing so, it marks a distinction between productive and unproductive doubt. Whilst external scrutiny has played a significant role in shaping psychiatry, some positions are held so rigidly that the resulting critiques obscure the scientific consensus and risk undermining psychiatric care.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-21"},"PeriodicalIF":1.1,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-10-16DOI: 10.1017/mdh.2026.10089
Jakub Střelec
{"title":"'Bringing natural behaviour into the laboratory': international networks, aggression research, and Czechoslovak psychopharmacology in the 1970s.","authors":"Jakub Střelec","doi":"10.1017/mdh.2026.10089","DOIUrl":"https://doi.org/10.1017/mdh.2026.10089","url":null,"abstract":"<p><p>This article explores the development of ethological research on aggression in late socialist Czechoslovakia, focusing on the work of pharmacologist Miloslav Kršiak (1939-2016) at the Czechoslovak Academy of Sciences. Drawing on archival records, personal correspondence, and institutional sources, it examines Kršiak's international networks and shows how he sustained collaborations with colleagues abroad, as well as the strategies he adopted to navigate the political setting of the Normalization period. The study also demonstrates how ethological approaches were adapted to meet state socialist research priorities, particularly in the study of addiction to over-the-counter analgesics. It suggests that, although pharmacological research on aggression drew on a shared transnational repertoire of methods, its development and uses were shaped by the political structures, institutional routines, and public health priorities of late state socialism. By tracing both transnational exchange and local adaptation, the article contributes to a more differentiated history of Cold War science and to a broader understanding of how biological approaches to aggressive behaviour took shape in different post-war settings.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-10-16DOI: 10.1017/mdh.2026.10078
Corinne Doria
{"title":"The end of cataract couching: controversies around the decline, resurgence, and demise of a surgical practice in early modern and modern France.","authors":"Corinne Doria","doi":"10.1017/mdh.2026.10078","DOIUrl":"https://doi.org/10.1017/mdh.2026.10078","url":null,"abstract":"<p><p>This article examines the controversies around the surgical treatment of cataract in France during the eighteenth and nineteenth centuries. By analysing the various phases that led to the abandonment of the traditional technique of couching the crystalline lens and to the adoption of crystalline extraction, this paper argues that the shift away from the traditional method was driven not mainly by the superiority of the new technique, but rather by its association with the emancipation of surgery from medicine in the eighteenth century, and the recognition of ophthalmology as a medical specialty in the following century.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-16"},"PeriodicalIF":1.1,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149194884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-10-13DOI: 10.1017/mdh.2026.10092
Alistair Ritch
{"title":"'A Voice from the Workhouse': contesting medical care in Victorian New Poor Law workhouses.","authors":"Alistair Ritch","doi":"10.1017/mdh.2026.10092","DOIUrl":"https://doi.org/10.1017/mdh.2026.10092","url":null,"abstract":"<p><p>Recent years have seen a renewed emphasis on the everyday experiences of paupers, expressed through their letters of application for relief and complaints with regard to their indoor treatment. This article uses a variety of poor law sources to analyse the agency of sick workhouse inmates in Birmingham Parish and Wolverhampton Union after the new poor law. It analyses their complaints about their medical care from correspondence to newspapers, the central authority and boards of guardians, and their moves to seek medical care in workhouses of their choosing. Despite the disadvantages they faced within the medical consultation, they were prepared to make serious allegations over the medical care they received and to pursue these in the presence of medical and nursing staff. Their complaints were not infrequently upheld by guardians and could at times result in the medical officer's dismissal or forced resignation.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-17"},"PeriodicalIF":1.1,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149169578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-10-12DOI: 10.1017/mdh.2026.10086
Johannes Mattes, Cécile Philippe, Maria Rentetzi
{"title":"'Building the atomic clinic': nuclear research in medicine after the Second World War - an introduction.","authors":"Johannes Mattes, Cécile Philippe, Maria Rentetzi","doi":"10.1017/mdh.2026.10086","DOIUrl":"https://doi.org/10.1017/mdh.2026.10086","url":null,"abstract":"<p><p>This introduction to the special issue re-examines the emergence of nuclear medicine within a global and transdisciplinary framework. Moving beyond canonical narratives centred on technical breakthroughs and early U.S. developments, it highlights the field's development through three analytical lenses: science diplomacy, transdisciplinarity, and socio-political impact. We argue that nuclear medicine took shape not only through innovations in physics and clinical practice, but also through international cooperation, geopolitical agendas, and the negotiation of public expectations. By tracing the circulation of knowledge, radioisotopes, and infrastructure across diverse regional contexts - from Sweden and Taiwan to India and Belgium - it sets the stage for a rethinking of nuclear medicine as a product of intersecting scientific, political, and societal forces during the Cold War and beyond.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-9"},"PeriodicalIF":1.1,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149165683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-10-08DOI: 10.1017/mdh.2026.10096
Matthew Daniel Eddy
{"title":"The medical topography of empire: climate, health and J. A. B. Horton's counter data strategies in British West Africa.","authors":"Matthew Daniel Eddy","doi":"10.1017/mdh.2026.10096","DOIUrl":"https://doi.org/10.1017/mdh.2026.10096","url":null,"abstract":"<p><p>During the nineteenth century, a notable number of African physicians studied in British medical schools and then served as military surgeons across British West Africa. Despite their importance, the views of this distinguished group about the relationship between data and public health have remained largely unexamined. Focusing on the early career of Dr James Africanus Beale Horton (1835-83), this article explores how his standpoint as a black doctor led him to problematise the way in which large gaps in West African climatological and mortality statistics implicitly contributed to erroneous assumptions about the impact of tropical illness upon African people. It accordingly treats the new evidence he gathered as a form of 'counter data' designed to highlight the plight of the black civilian population living in the colony's diverse topographical regions. Through treating Horton as a counter-data activist, the article offers insight into the larger historical relationship between colonial health and imperial information-gathering strategies, and it establishes Horton as a noteworthy West African public health statistician.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-25"},"PeriodicalIF":1.1,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-09-24DOI: 10.1017/mdh.2026.10080
Sanaullah Khan
{"title":"Potions, principles, and the power within: healing between science and spirit in nineteenth-century America.","authors":"Sanaullah Khan","doi":"10.1017/mdh.2026.10080","DOIUrl":"https://doi.org/10.1017/mdh.2026.10080","url":null,"abstract":"<p><p>US-based homeopathic practitioners in the latter half of the nineteenth century made a case for the efficacy of homeopathic remedies by invoking the scientific nature of their therapeutic approach, while also employing notions of spiritual efficacy. This simultaneous use of religion and science helped highlight the body's proclivity to heal in slow and sustainable ways that could be activated with the help of homeopathic remedies. By making a claim to adherence to natural laws and the body's innate ability to heal, homeopaths demonstrated the structured and rational ways in which the body healed. However, over time, by engaging with the medical orthodoxy in strictly scientific terms, it gradually lost its emphasis on psychology and belief in the healing experience, which explains why it would be relegated to a subordinate position, as a fringe or a pseudoscience, by the twentieth century.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-18"},"PeriodicalIF":1.1,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-09-14DOI: 10.1017/mdh.2026.10077
Claire Hilton
{"title":"The Mental Treatment Act 1930: the first five years and the London County Council mental hospitals.","authors":"Claire Hilton","doi":"10.1017/mdh.2026.10077","DOIUrl":"https://doi.org/10.1017/mdh.2026.10077","url":null,"abstract":"<p><p>The Mental Treatment Act 1930 amended the Lunacy Act 1890 for England and Wales. It sought to make access to treatment for mentally unwell people more accessible and less stigmatising. The 1930 Act introduced 'voluntary' patient status, permitting any adult to seek early treatment for their mental symptoms, rather than waiting until they were legally 'certifiable' as insane. The Act also created a new category of 'temporary' treatment without certification, which was conceptually challenging to understand and awkward to put into practice.This paper explores the implementation of the 1930 Act over its first five years. It draws on national and London County Council archival sources to gain insights at all levels of implementation.Implementation was a vast undertaking. Considerable cultural adaptation was necessary among those providing services in the community and in institutions. Culture shift was slow, as is common when new interventions are perceived to be more liberal and potentially riskier than tried and tested methods.In the context of the Great Depression, the Act faced competition with other societal and healthcare needs. These matters appeared as influential as whether the Act's directives were mandatory or optional. Lessons from this episode may help inform processes for implementing new mental healthcare legislation in the twenty-first century.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-20"},"PeriodicalIF":1.1,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148963595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical HistoryPub Date : 2026-09-01DOI: 10.1017/mdh.2026.10076
Kapil Patil
{"title":"'A heart within, a God overhead': the making of nuclear medicine in postcolonial India, 1947-1985.","authors":"Kapil Patil","doi":"10.1017/mdh.2026.10076","DOIUrl":"https://doi.org/10.1017/mdh.2026.10076","url":null,"abstract":"<p><p>The onset of the atomic age in India embodied a unique postcolonial ambition to harness atomic energy for peaceful purposes. Within this vision, nuclear medicine became a key instrument to modernise the country's colonial healthcare infrastructure. For India's nascent community of radiologists, radioisotopes offered a promising frontier in clinical research and therapeutic applications. Yet the development of nuclear medicine was far from a straightforward extension of atomic research into clinical practice. Instead, it took shape within a centralised framework that concentrated technological resources and expertise in a small number of metropolitan centres. The centralisation of nuclear medicine practice was not merely a response to the resource constraints of a postcolonial economy. It also reflected a technopolitical project that linked the modernisation of public healthcare to expanding atomic energy infrastructure. Situating the emergence of nuclear medicine within the intertwined histories of radiology, cancer care, and atomic energy research, the paper examines the postcolonial aspiration to harness advanced medical specialities through the atomic enterprise. In doing so, it unpacks the technopolitics of nuclear medicine, highlighting the politico-epistemic negotiations that shaped its institutionalisation in India.</p>","PeriodicalId":18275,"journal":{"name":"Medical History","volume":" ","pages":"1-15"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148865633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}