{"title":"Anesthesia in Victorian Canada: surgical accidents, risk, and safety.","authors":"J T H Connor","doi":"10.1093/jhmas/jrag002","DOIUrl":"https://doi.org/10.1093/jhmas/jrag002","url":null,"abstract":"<p><p>The process of inhalation anesthesia was one of several Victorian innovations that transformed surgery. Its uptake in Canada from the 1840s to the early 1900s affords insights into situating attitudes towards surgical accidents, risk, and safety, along with the concomitant issues of blame and medical progress. Based on contemporary English-language Canadian medical journals, including their publication of clinical case reports, detailed newspaper accounts of legal proceedings, and editorial commentaries, this article reveals a spectrum of responses by Canadians to the opportunity of being spared pain during surgical operations and childbirth. These published sources show that the uptake of inhalation anesthesia was not a straightforward or inevitable success story, although it became commonplace and standard practice. Rather, as I demonstrate, enthusiasm over its adoption in Canada was tempered by social and scientific questions, making the process complex, nuanced, and subject to challenge and debate.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A forgotten episode in the history of tobacco control: how Australia achieved a ban on television advertising of cigarettes.","authors":"Carolyn Holbrook, Ann Westmore, Thomas J Kehoe","doi":"10.1093/jhmas/jraf026","DOIUrl":"https://doi.org/10.1093/jhmas/jraf026","url":null,"abstract":"<p><p>While Australia is now renowned for world-leading anti-tobacco measures, including being the first jurisdiction to introduce plain packaging of cigarettes in 2012, it was not always at the forefront of tobacco control. This article traces the history of the process by which cigarette advertising on radio and television was banned in Australia in the mid-1970s, several years after similar legislative measures were introduced in comparable countries, including Denmark, the United Kingdom, and the United States. Using the archive of Cancer Council Victoria and other anti-cancer advocacy organisations, along with official government records, this case study shows how an important milestone in cancer control was achieved over a process of several years using a combination of innovative strategies. Cancer control advocates simultaneously persuaded politicians with scientific evidence about the harms of tobacco, activated public opinion with a humorous television advertising campaign in order to exert pressure on the political class, and devised policies that would ameliorate some of the concerns of local tobacco growers and media companies. This persistent, multi-pronged and innovative campaign can be seen as an important staging ground for the victories that Australian cancer control advocates would achieve in the following decades against Big Tobacco.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146151178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"To Discipline or to Cure? Medical Authority and the Ethics of Care in the German Democratic Republic, 1960s-1980s.","authors":"Oxana Kosenko, Florian Steger","doi":"10.1093/jhmas/jraf032","DOIUrl":"https://doi.org/10.1093/jhmas/jraf032","url":null,"abstract":"<p><p>The remand prison of the East German Ministry of State Security in Berlin-Hohenschönhausen was the central prison of the East German secret service. It was mainly used for the investigation of political offences. In 1960, a hospital was established in the remand prison, whose doctors, according to former inmates, abused their medical authority in the interests of the secret service. While the broader history of the prison and its investigative practices have been well researched, the medical care of prisoners remains largely unexplored. Based on a systematic analysis of prisoners' personal files and other archival sources, this paper examines the role and function of the prison hospital between 1960 and 1989. We argue that the hospital functioned primarily as a disciplinary institution, serving the interests of the secret service rather than the welfare of sick prisoners. The article also considers the role of prison doctors, caught between medical ethics and political loyalty, and examines the mechanisms of prisoner discipline. The findings suggest that the hospital in Berlin-Hohenschönhausen was part of the apparatus of political persecution.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"These \"Children Won't Become Women\": Depo-Provera, Intellectual Disability, and the Indian Health Service1.","authors":"Emma Wathen","doi":"10.1093/jhmas/jraf027","DOIUrl":"https://doi.org/10.1093/jhmas/jraf027","url":null,"abstract":"<p><p>Although Depo-Provera is best known as an injectable hormonal contraceptive, the drug also served as a method of menstrual suppression for institutionalized women with intellectual disabilities in the late twentieth-century United States, even after the Food and Drug Administration refused to license it for this purpose. To understand how institutionalized women came to be injected with Depo-Provera in the 1980s, this article investigates the controversy at A School for Me, a Navajo-run institution that came under fire during a 1987 congressional hearing for administering Depo-Provera to its residents. Beyond its utility as a contraceptive, many physicians and institutional administrators saw Depo-Provera as a treatment for menstrual anxiety, a reprieve for care workers, a non-surgical substitute for sterilization, and a delayer of puberty for women with intellectual disabilities. These perceived benefits explain why some physicians and administrators championed routine injections of Depo-Provera in institutional settings, despite public backlash and concerns about the drug's potential to cause cancer. Framing Depo-Provera as a form of care enabled it to be deployed as a form of control over these women's menstruation and their bodyminds.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146087989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"These \"Children Won't Become Women\": Depo-Provera, Intellectual Disability, and the Indian Health Service.","authors":"Emma Wathen","doi":"10.1093/jhmas/jraf027","DOIUrl":"https://doi.org/10.1093/jhmas/jraf027","url":null,"abstract":"<p><p>Although Depo-Provera is best known as an injectable hormonal contraceptive, the drug also served as a method of menstrual suppression for institutionalized women with intellectual disabilities in the late twentieth-century United States, even after the Food and Drug Administration refused to license it for this purpose. To understand how institutionalized women came to be injected with Depo-Provera in the 1980s, this article investigates the controversy at A School for Me, a Navajo-run institution that came under fire during a 1987 congressional hearing for administering Depo-Provera to its residents. Beyond its utility as a contraceptive, many physicians and institutional administrators saw Depo-Provera as a treatment for menstrual anxiety, a reprieve for care workers, a non-surgical substitute for sterilization, and a delayer of puberty for women with intellectual disabilities. These perceived benefits explain why some physicians and administrators championed routine injections of Depo-Provera in institutional settings, despite public backlash and concerns about the drug's potential to cause cancer. Framing Depo-Provera as a form of care enabled it to be deployed as a form of control over these women's menstruation and their bodyminds. Editor's Note: This article received the American Association for the History of Medicine 2025 Shryock Medal, an award for an outstanding, unpublished essay by a single author graduate student on any topic in the history of medicine.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Confronting Medical Diploma Mills: State Licensing Boards, Legislatures, and the Limits of Medical Authority in the 1920s.","authors":"Toby A Appel","doi":"10.1093/jhmas/jrae012","DOIUrl":"10.1093/jhmas/jrae012","url":null,"abstract":"<p><p>In the standard story of the rise of professional authority in medicine in the 1920s, state medical licensing boards were partners in a coalition, led by the American Medical Association, to radically improve medical education. Boards obtained state laws that limited admission to licensing examinations to graduates of schools approved by the AMA, thus bringing about the rapid demise of low-quality schools by about 1925. The reality at the state level was quite different, however. Medical examining boards containing homeopaths, eclectics, and sometimes osteopaths could be far from reliable partners. Passing laws to benefit the medical profession was exceedingly difficult and dependent on local medical politics. Through the lens of a major medical diploma mill scandal revealed by a journalist in 1923, this paper examines reform efforts in three states greatly affected by the scandal: Missouri, where the scandal originated, Connecticut, and Massachusetts. In each of these states, graduates of low-quality schools as well as fake doctors from diploma mills were able to take a state examination and practice. This paper argues that the AMA, far from being the major player in the elimination of inadequate schools, could set standards but had to stay on the sidelines.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":"18-46"},"PeriodicalIF":0.4,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From Photography to Radiology: How Physicians Leveraged Early Hospital X-ray Machines to Supplant Photographers.","authors":"Joseph Bishop","doi":"10.1093/jhmas/jrae015","DOIUrl":"10.1093/jhmas/jrae015","url":null,"abstract":"<p><p>At the end of the nineteenth century, the advent of x-ray machines fueled American medicine's reliance on technology, transforming hospitals and the medical profession. X-ray manufacturers pursued the nascent hospital market as competition and patent feuds accelerated x-ray machine modifications. Hospitals incorporated clunky new machines and employed x-ray photographers, but as the unruly apparatus stabilized, physicians joining the new specialty of radiology discounted the toils of machine troubleshooting and promoted their medically qualified x-ray interpretations. This article frames early medical radiography in terms of boundary work, highlighting how discourse among physicians, x-ray photographers, and hospital administrators vied to establish a privileged demarcation between radiological science and photographic craft. Ultimately, radiologists supplanted x-ray photographers by leveraging the automation of x-ray machines and capitalizing on the epistemic shift from photographic objectivity to qualified interpretations. By focusing on this overlooked aspect of x-ray incorporation into hospitals, this work provides a unique perspective on how harnessing mechanization and authoritative medical interpretations can shift professional boundaries.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":"1-17"},"PeriodicalIF":0.4,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Disputed Hegemony: Negotiating Neurosurgical Patient Care in the Netherlands, 1930-1952.","authors":"Bart Lutters","doi":"10.1093/jhmas/jrae014","DOIUrl":"10.1093/jhmas/jrae014","url":null,"abstract":"<p><p>The emergence of the neurosurgical patient as a novel clinical entity in the Netherlands was marked by a lingering conflict between neurologists and neurosurgeons, in which both types of specialists sought to assume the clinical and institutional leadership of neurosurgical patient care. In the 1920s and 1930s, neurologists had facilitated the establishment of the first generation of neurosurgeons in the country, and in the process, had managed to clinically and institutionally subordinate neurosurgery to neurology. As the demand for neurosurgical patient care grew, the neurosurgeons began to challenge this hegemonic relationship. The neurologists, however, were unwilling to give up their control, fearing that they would be bypassed in the diagnosis of patients eligible to neurosurgery. These conflicting aims and interests resulted in an intricate demarcation battle, in which the boundary work between neurologists and neurosurgeons was directly played out at the local workplace and at the meetings of the Study Club for Neuro-Surgery, and indirectly at various other sites of contestation, such as medical journals and academic lecture halls, as both parties sought to rally external stakeholders to their cause. During these negotiations, local, national, and international forces increasingly intertwined to shape the particular organization of Dutch neurosurgery in the middle of the twentieth century. By analyzing this multilayered demarcation process, this article draws attention to the complexity of medical boundary work, and to the way in which, despite pervasive international influences, specialist practice was ultimately negotiated at the local and national levels.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":"47-68"},"PeriodicalIF":0.4,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12728980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Justin Barr, Deborah Doroshow, Todd Olszewski, Kristen Ann Ehrenberger
{"title":"Who Wins? Professional Identity and the American Association for the History of Medicine's Early Career Scholar Awards.","authors":"Justin Barr, Deborah Doroshow, Todd Olszewski, Kristen Ann Ehrenberger","doi":"10.1093/jhmas/jraf018","DOIUrl":"10.1093/jhmas/jraf018","url":null,"abstract":"<p><p>The American Association for the History of Medicine endeavors to represent the entire field and all those interested in the subject. Over time, its core membership has shifted from mostly amateur clinician historians to professionals with a PhD, resulting in a corresponding change in content and culture. In an effort to foster interest among both younger clinicians and historians, the organization sponsors multiple essay contests. Tracking the number of winners who ultimately publish their essays, where such publications reside, from which institutions they herald, and how long they remain members reveals that medical students are by far the least likely to publish and almost never retain their membership. Graduate students in history and early career scholars are far more likely to publish their work and remain a part of the organization. This paper proposes several strategies to try to recruit and retain more amateur clinician-historians.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":"111-120"},"PeriodicalIF":0.4,"publicationDate":"2025-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145543419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Defining Success in American Fitness: Physical Culture in Early Twentieth-Century America.","authors":"Conor Heffernan","doi":"10.1093/jhmas/jraf028","DOIUrl":"https://doi.org/10.1093/jhmas/jraf028","url":null,"abstract":"<p><p>This article examines how American physical culture entrepreneurs between 1880 and 1918 transformed ideas of health and success by merging commercial ambition with claims to scientific authority. Figures such as Eugen Sandow, Bernarr Macfadden, and Alan Calvert redefined bodily achievement through measurement, photography, and visible transformation, translating market-based ideals of progress and self-mastery into corporeal form. These frameworks privileged the disciplined White male body as both moral exemplar and racial ideal. Drawing on magazines including Physical Culture and Strength, as well as reader testimonials and transformation photographs, the article traces how entrepreneurs constructed what I term a \"physical culture treadmill,\" a cycle of perpetual self-improvement that demanded ongoing investment in new products, routines, and expert advice. By promising quantifiable results rather than medical treatment, physical culturists positioned themselves within the contested medical marketplace, asserting a commercial-scientific authority that rivalled professional medicine. In doing so, they embedded capitalist logic into everyday health practices and reimagined success as a visible, measurable state of being. The article contributes to histories of medicine and fitness by showing how these early entrepreneurs established enduring templates for today's fitness culture, where transformation, quantification, and personal responsibility remain the dominant markers of bodily success.</p>","PeriodicalId":49998,"journal":{"name":"Journal of the History of Medicine and Allied Sciences","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145821816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}