A Male Hysteria
Diabetes and the Victorian Mind

Edward Beasley (Author)

9781606189016

Paperback / softback, published 30 July 2024

456 pages, 4 images, B&W
22.9 x 15.2 x 2.4 cm, 0.642 kg

"Beasley … does an incredible job capturing the history of medical treatments (which were sometimes, but not always, based in science) as well as the evolving human story of what it has meant in different eras to live with [diabetes]. To derive this multifaceted understanding, he draws from diverse sources that include not only expert medical texts but also personal correspondence and other forms of writing that document the experiences of diabetic patients themselves. Beasley's prose and engaging storytelling make this book appropriate for a wide audience of readers, including historians of medicine but also physicians, other health care providers, scholars in adjacent disciplines, and diabetic patients themselves." - Amy Koerber (Journal of the History of the Behavioral Sciences)

A history of diabetes science and the experience of diabetics in the nineteenth-century England
A Male Hysteria examines both the science of diabetes in nineteenth-century England and the testimony of Victorian diabetics. What could be known about diabetes given the science of the day? And what did new models of diabetes mean for the treatment and self-image of diabetics?
Ideas about diabetes were revolutionized in 1849 by the great French physiologist Claude Bernard. After he made rabbits diabetic by pricking their brains, diabetes in England came to be thought of as neurological, even psychological in origin. British diabetics (often men) were prevented from working or becoming excited, treated in the same manner as women who were diagnosed with hysteria. Meanwhile, discoveries in thermodynamics were applied to diabetics and menstruating women. People were assumed to be closed systems, wasting energy that couldn't be replenished. Thus, diabetics had to stay still if they wanted to live and women had to stay away from education to have the energy to produce children.
Some people resisted these hysterical views. As no brain lesion was ever found in deceased diabetics, even after decades of searching, the animal model of the disease no longer seemed to apply to humans. Some diabetic patients also resisted the hysterical picture, including medical professionals—both men and women—who refused to slow down as the new treatment regimen was mandated. Likewise, physicians at spas noted that walking long distances seemed to help diabetics.
A Male Hysteria journeys through nineteenth-century diabetes science and the lives of diabetics. It examines how science can go wrong when models from one area of inquiry are too excitedly applied to another. It also demonstrates the persistence of the psychological stereotype of diabetics as nervous and overworked in the United Kingdom—long after medical attention turned to the pancreas and the role of insulin.

Contents
Abbreviations ix
Preface: Diabetes Then and Now by Andrew Scull xiii
Chapter 1. Introduction 1
Chapter 2. Diabetes Before Bernard 23
Chapter 3. Bernard's Revolution and the Diabetes of the Brain 49
Chapter 4. Diabetes and Medical Science= After Bernard 68
Chapter 5. Robert Saundby's Statistical and Clinical Response 95
Chapter 6. Hysteria and Henry Maudsley 112
Chapter 7. The Cultural Context 135
Chapter 8. The Lives Affected: Diabetes in the DNB 155
Chapter 9. Diabetes at the Spa 175
Chapter 10. From the Brain to the Pancreas 193
Chapter 11. Insulin and After 209
Chapter 12. Conclusions 235
Notes 247
Bibliography 357
Index 409
Acknowledgments