Abstract
A collection of before and after photographs of female patients treated using Weir Mitchell’s Rest Cure for neurasthenia shows how important the anorectic body was to the promotion of this specific method of treatment. The photographs document the inevitable weight gain that resulted from the Rest Cure’s prescription of absolute bed rest and the consumption of a high caloric diet requiring the ingestion of several quarts of milk daily. In doing this, the photos served a powerful semiotic function, since the plump individual at the end of the treatment presented a dramatic contrast to the emaciated long-term invalid who had begun it. The after treatment photographs also implied that these women were now capable of discharging their roles as wives and mothers, since an additional benefit of the Rest Cure was that severely underweight patients resumed normal menstrual cycles. However, although the Rest Cure undeniably alleviated some physical symptoms, it did not address underlying issues of what had caused so many of these patients to take to their beds in the first place, often for years at a time.
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Notes
The photographs are in a folder identified as “Portraits of Cases of Rest Treatment,” MSS2/0001-01, housed at the College of Physicians of Philadelphia. They are used with permission.
References
Balch, Phyllis. 2006. Prescription for Nutritional Healing. 4th ed. New York: Putnam Publishing Group.
Ballantyne, J.W. 1910. “Opening Paper Discussion of the Social Aspects of the Falling Birth-Rate.” British Medical Journal 2 (no. 2590): 449–451.
Borson, Soo and Wayne Katon. 1981. “Chronic Anorexia Nervosa: Medical Mimic.” Western Journalof Medicine 135 (no.4): 257–265.
Bruch, Hilde. 1978. The Golden Cage: The Enigma of Anorexia Nervosa. Cambridge: Harvard University Press.
Butler, Judith. 1993. Bodies That Matter. New York: Routledge.
Clarke, Edward H. 1875. Sex in Education, or A Fair Chance for Girls. Boston: James R. Osgood and Company. http://www.gutenberg.org/catalog/world/readfile?fk_files=1512649&pageno=3 (accessed January 22, 2011).
Collins, W.J. 1894. “Anorexia Nervosa.” Lancet 143 (no.3674): 202–203.
Diamond, Hugh D. 1976. “On the Application of Photography to the Physiognomic and Mental Phenomena of Insanity.” In The Face of Madness Hugh W. Diamond and the Origin of Psychiatric Photography, edited by Sander L. Gilman, 17–24. New York: Brunner/Mazel.
Fremantle, F.E. 1910. “The Falling Birth-Rate.” British Medical Journal 2 (no. 2590):451–452.
Gilman, Sander L.(ed.). 1976. The Face of Madness Huge W. Diamond and the Origin of Psychiatric Photography. New York: Brunner/Mazel.
——— 1982. Seeing the Insane. New York: John Wiley & Sons.
Gull, William. 1868. “The Address in Medicine at the Annual Meeting of the British Medical Association at Oxford.” Lancet 92 (no.2345): 171–176.
——— 1888. “Anorexia Nervosa.” Lancet 131 (no. 3368): 516–517.
Hovell, D. De Berdt. 1873. “Hysteria Simplified and Explained.” Lancet 102 (no. 2625): 872–874.
——— 1888. “Anorexia Nervosa.” Lancet 131 (no. 3376): 949.
Loudon, I.S.L. 1980. “Chlorosis, Anaemia, and Anorexia Nervosa.” British Medical Journal 281 (no. 6256): 1669–1675.
Lutz, Tom. 1991. American Nervousness 1903: An Anecdotal History. New York: Cornell University Press.
Micale, Mark S. 1985. Approaching Hysteria Disease Princeton: Princeton University Press.
——— 1877. “Original Clinical Lectures.” The Medical News and Library 35 (no. 420): 177–184.
Mitchell, S. Weir. 1878. Fat and Blood and How to Make Them. In Classics in Gender Studies Series, edited by Michael Kimmel, reprint 2004. Walnut Creek, CA.:AltaMira Press.
——— 1885. Lectures on Diseases of the Nervous System Especially in Women. 2nd ed., London: J and A Churchill. http://www.archive.org/stream/lecturesondiseas00mitc#page/n19/mode/2up (accessed January 22, 2011).
——— 1887. Wear and Tear, or Hints for the Overworked. In Classics in Gender Studies Series, edited by Michael Kimmel, 2004 reprint. Walnut Creek, CA.: AltaMira Press.
——— 1908. “The Treatment by Rest, Seclusion, et., in Relation to Psychotherapy.” The Journal of the American Medical Association 50: 2033–2037.
Myrtle, A. S. 1888. “Letter.” Lancet 131 (no. 3375): 898–899.
——— 1882. “Remarks on the Systematic Treatment of Aggravated Hysteria and Certain Allied Forms of Neurasthenic Disease.” British Medical Journal 2 (no. 1129): 309–312.
——— 1886. “Some Observations Concerning What is Called Neurasthenia.” British Medical Journal 2 (no. 1349): 853–855.
——— 1888. “Note on the So-Called Anorexia Nervosa.” Lancet 131 (no. 3374): 817–818.
——— 1888. “On the Limitations of the So-Called ‘Weir Mitchell Treatment’.”Lancet 131 (no. 3358): 8–9.
Playfair, William H. 1892. “Correspondence, Sex in Education.” British Medical Journal 1 (no. 1638): 1110–1111.
——— 1895. “Remarks on the Education and Training of Girls of the Easy Classes at and about the Period of Puberty.” British Medical Journal 2 (no. 1823): 1408–1410.
Poirier, Suzanne. 1983. “The Weir Mitchell Rest Cure: Doctor and Patients.” Women’s Studies 10 : 15–40.
Shorter, Edward. 1992. From Paralysis to Fatigue. New York: The Free Press.
Showalter, Elaine. 1985. The Female Malady Women, Madness, and English Culture, 1830–1980. New York: Viking/Penguin Books.
Sicherman, Barbara. 1977. “The Uses of Diagnosis: Doctors, Patients, and Neurasthenia.” Journal of the History of Medicine and Allied Sciences 31: 33–54.
Smith-Rosenberg, Carol. 1985. Disorderly Conduct Visions of Gender in Victorian America. New York: Oxford University Press.
Van Deth, Ron, and Walter Vandereycken. 2000. “Food Refusal and Insanity: Sitophobia and Anorexia Nervosa in Victorian Asylums.” International Journal of Eating Disorders 27 (no. 4): 390–404.
Vrettos, Athena. 1995. Somatic Fictions: Imagining Illness in Victorian Culture. Stanford: Stanford University Press.
Will, Barbara. 1998. “The Nervous Origins of the American Western.” American Literature 70 (no. 2): 293–316.
Young, Simon N. 2007. “How to Increase Serotonin in the Human Brain without Drugs.” Journal of Psychiatry and Neuroscience 32 (no. 6): 394–399. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2077351/?tool=pmcentrez. (accessed January 22, 2011).
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Kelly, L.D. Selecting a Somatic Type: The Role of Anorexia in the Rest Cure. J Med Humanit 33, 15–26 (2012). https://doi.org/10.1007/s10912-011-9164-2
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DOI: https://doi.org/10.1007/s10912-011-9164-2