Contributors. Robert Coles, Brock Eide, Carl Elliott, John D. Lantos, Ross McElwee, Richard Martinez, Martha Montello, David Schiedermayer, Jay Tolson, Bertram Wyatt-Brown, Laurie Zoloth-Dorfman

 Mark Twain has always been America’s spokesman, and his comments on a wide range of topics continue to be accurate, valid, and frequently amusing. His opinions on the medical field are no exception. While Twain’s works, including his popular novels about Tom Sawyer and Huckleberry Finn, are rich in medical imagery and medical themes derived from his personal experiences, his interactions with the medical profession and his comments about health, illness, and physicians have largely been overlooked.

In Mark Twain and Medicine, K. Patrick Ober remedies this omission. The nineteenth century was a critical time in the development of American medicine, with much competition among the different systems of health care, both traditional and alternative. Not surprisingly, Mark Twain was right in the middle of it all. He experimented with many of the alternative care systems that were available in his day—in part because of his frustration with traditional medicine and in part because he hoped to find the “perfect” system that would bring health to his family.

Twain’s commentary provides a unique perspective on American medicine and the revolution in medical systems that he experienced firsthand. Ober explores Twain’s personal perspective in this area, as he expressed it in fiction, speeches, and letters. As a medical educator, Ober explains in sufficient detail and with clarity all medical and scientific terms, making this volume accessible to the general reader.

Ober demonstrates that many of Twain’s observations are still relevant to today’s health care issues, including the use of alternative or complementary medicine in dealing with illness, the utility of placebo therapies, and the role of hope in the healing process.

Twain’s evaluation of the medical practices of his era provides a fresh, humanistic, and personalized view of the dramatic changes that occurred in medicine through the nineteenth century and into the first decade of the twentieth. Twain scholars, general readers, and medical professionals will all find this unique look at his work appealing.

For six years of his brief like, Keats studied medicine, first as an apprentice in Edmonton and then as a medical student at Guy’s Hospital in London. His biographers have generally glossed over this period of his life, and critics have ignored it and denied the influence of medical training on his poetry and thought.

In this challenging reappraisal, Goellnicht argues that Keats’ writings reveal a distinct influence of science and medicine. Goellnicht researches Keats’ course work and texts to reconstruct the milieu of the early nineteenth-century medical student. He then explores the scientific resonances in Keats’’ individual works, and convincingly shows the influence of his early medical training.

In Reading for Health: Medical Narratives and the Nineteenth-Century Novel, Erika Wright argues that the emphasis in Victorian Studies on disease as the primary source of narrative conflict that must be resolved has obscured the complex reading practices that emerge around the concept of health. By shifting attention to the ways that prevention of illness and the preservation of well-being operate in fiction, both thematically and structurally, Wright offers a new approach to reading character and voice, order and temporality, setting and metaphor. As Wright reveals, while canonical works by Austen, Brontë, Dickens, Martineau, and Gaskell register the pervasiveness of a conventional “therapeutic” form of action and mode of reading, they demonstrate as well an equally powerful investment in the achievement and maintenance of “health”—what Wright refers to as a “hygienic” narrative—both in personal and domestic conduct and in social interaction of the individual within the community.