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Vital Signs:
Medical Realism in Nineteenth-Century Fiction
Lawrence Rothfield

Paperback | 1995 | $57.50 | £48.95 | ISBN: 9780691029542
252 pp. | 7 3/4 x 10
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eBook | ISBN: 9781400820689 |
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Reviews | Table of Contents

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Vital Signs offers both a compelling reinterpretation of the nineteenth-century novel and a methodological challenge to literary historians. Rejecting theories that equate realism with representation, Lawrence Rothfield argues that literary history forms a subset of the history of discourses and their attendant practices. He shows how clinical medicine provided Balzac, Flaubert, Eliot, and others with narrative strategies, epistemological assumptions, and models of professional authority. He also traces the linkages between medicine's eventual decline in scientific and social status and realism's displacement by naturalism, detective fiction, and modernism.


"Vital Signs fulfills some of the urgent needs of literature and medicine as a discipline through its rigorous historical and intellectual scholarship, its perceptive close readings of several texts in the canon of literature and medicine, and its challenging assertions of the intimacy between clinical medicine and realism."--Rita Charon, Literature and Medicine

"A unique historicist literary analysis of medical realism in fiction."--Marsha Terry Winter, Nineteenth-Century French Studies

"Vital Signs is a careful investigation of medical modes of thinking in the nineteenth century and their relationship to the Victorian realist novel. . . . of vital interest to anyone concerned with realism as a literary form. . . . an impressive work of cultural history. . . . Vital Signs has opened up a significant new approach to the issue of realism, and one that is argued persuasively in an unusually thorough and well-designed study."--P. Melville Logan, Victorian Studies


"An important reinterpretation of nineteenth-century realism. Its description of the novel's interrelationship with the discourse of clinical medicine clearly surpasses that of any other study in its precision, detail, and complexity."--Catherine Gallagher, University of California, Berkeley

Table of Contents:

1 Medicine and Mimesis: The Contours of a Configuration 3
2 Disarticulating Madame Bovary: Flaubert and the Medicalization of the Real 15
3 Paradigms and Professionalism: Balzacian Realism in Discursive Context 46
4 "A New Organ of Knowledge": Medical Organicism and the Limits of Realism in Middlemarch 84
5 On the Realism/Naturalism Distinction: Some Archaeological Considerations 120
6 From Diagnosis to Deduction: Sherlock Holmes and the Perversion of Realism 130
7 The Pathological Perspective: Clinical Realism's Decline and the Emergence of Modernist Counter-Discourse 148
Epilogue: Toward a New Historicist Methodology 175
Notes 193
Index 227


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