Skip to main content
Log in

Selecting a Somatic Type: The Role of Anorexia in the Rest Cure

  • Published:
Journal of Medical Humanities Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Illustration 1

Similar content being viewed by others

Notes

  1. 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.

    Google Scholar 

  • Ballantyne, J.W. 1910. “Opening Paper Discussion of the Social Aspects of the Falling Birth-Rate.” British Medical Journal 2 (no. 2590): 449–451.

    Google Scholar 

  • Borson, Soo and Wayne Katon. 1981. “Chronic Anorexia Nervosa: Medical Mimic.” Western Journalof Medicine 135 (no.4): 257–265.

    Google Scholar 

  • Bruch, Hilde. 1978. The Golden Cage: The Enigma of Anorexia Nervosa. Cambridge: Harvard University Press.

    Google Scholar 

  • Butler, Judith. 1993. Bodies That Matter. New York: Routledge.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • 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.

    Google Scholar 

  • Fremantle, F.E. 1910. “The Falling Birth-Rate.” British Medical Journal 2 (no. 2590):451–452.

    Google Scholar 

  • Gilman, Sander L.(ed.). 1976. The Face of Madness Huge W. Diamond and the Origin of Psychiatric Photography. New York: Brunner/Mazel.

    Google Scholar 

  • ——— 1982. Seeing the Insane. New York: John Wiley & Sons.

    Google Scholar 

  • Gull, William. 1868. “The Address in Medicine at the Annual Meeting of the British Medical Association at Oxford.” Lancet 92 (no.2345): 171–176.

    Article  Google Scholar 

  • ——— 1888. “Anorexia Nervosa.” Lancet 131 (no. 3368): 516–517.

    Article  Google Scholar 

  • Hovell, D. De Berdt. 1873. “Hysteria Simplified and Explained.” Lancet 102 (no. 2625): 872–874.

    Article  Google Scholar 

  • ——— 1888. “Anorexia Nervosa.” Lancet 131 (no. 3376): 949.

    Article  Google Scholar 

  • Loudon, I.S.L. 1980. “Chlorosis, Anaemia, and Anorexia Nervosa.” British Medical Journal 281 (no. 6256): 1669–1675.

    Article  Google Scholar 

  • Lutz, Tom. 1991. American Nervousness 1903: An Anecdotal History. New York: Cornell University Press.

    Google Scholar 

  • Micale, Mark S. 1985. Approaching Hysteria Disease Princeton: Princeton University Press.

    Google Scholar 

  • ——— 1877. “Original Clinical Lectures.” The Medical News and Library 35 (no. 420): 177–184.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Myrtle, A. S. 1888. “Letter.” Lancet 131 (no. 3375): 898–899.

    Article  Google Scholar 

  • ——— 1882. “Remarks on the Systematic Treatment of Aggravated Hysteria and Certain Allied Forms of Neurasthenic Disease.” British Medical Journal 2 (no. 1129): 309–312.

    Article  Google Scholar 

  • ——— 1886. “Some Observations Concerning What is Called Neurasthenia.” British Medical Journal 2 (no. 1349): 853–855.

    Article  Google Scholar 

  • ——— 1888. “Note on the So-Called Anorexia Nervosa.” Lancet 131 (no. 3374): 817–818.

    Article  Google Scholar 

  • ——— 1888. “On the Limitations of the So-Called ‘Weir Mitchell Treatment’.”Lancet 131 (no. 3358): 8–9.

    Article  Google Scholar 

  • Playfair, William H. 1892. “Correspondence, Sex in Education.” British Medical Journal 1 (no. 1638): 1110–1111.

    Article  Google Scholar 

  • ——— 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.

    Article  Google Scholar 

  • Poirier, Suzanne. 1983. “The Weir Mitchell Rest Cure: Doctor and Patients.” Women’s Studies 10 : 15–40.

    Article  Google Scholar 

  • Shorter, Edward. 1992. From Paralysis to Fatigue. New York: The Free Press.

    Google Scholar 

  • Showalter, Elaine. 1985. The Female Malady Women, Madness, and English Culture, 1830–1980. New York: Viking/Penguin Books.

    Google Scholar 

  • Sicherman, Barbara. 1977. “The Uses of Diagnosis: Doctors, Patients, and Neurasthenia.” Journal of the History of Medicine and Allied Sciences 31: 33–54.

    Article  Google Scholar 

  • Smith-Rosenberg, Carol. 1985. Disorderly Conduct Visions of Gender in Victorian America. New York: Oxford University Press.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Vrettos, Athena. 1995. Somatic Fictions: Imagining Illness in Victorian Culture. Stanford: Stanford University Press.

    Google Scholar 

  • Will, Barbara. 1998. “The Nervous Origins of the American Western.” American Literature 70 (no. 2): 293–316.

    Article  Google Scholar 

  • 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).

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lori Duin Kelly.

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10912-011-9164-2

Keywords

Navigation