Thursday, April 4, 2013

On the Trail of the Machine: William Smellie’s “Celebrated Apparatus"

Welcome back to the Dittrick Museum blog!


Last week, Dr. Edmonson (curator of the Dittrick Museum), provided a kind introduction to my work. Today, I am happy to continue the tale with part one of a two-part series.
       This journey took place over the course of three years, on two continents--and through the wonderful collections of several museums, beginning with our own Dittrick. I give you the tale--of a trail.

--Brandy Schillace, PhD
_________________________________________ 
On the Trail of the Machine: William Smellie's "Celebrated Apparatus"
 What is the lifespan of a medical device? Most generally, the utility of any instrument determines its tenure in medical practice—and subsequent models evolve to replace their predecessors. Amanda Carson Banks tracks just such an evolution in her work on birthing chairs (1999); studying this material helps us to understand why both the definitions and the practices of birth underwent radical change over time.[i] Her work points to a powerful connection between social history and its artifacts—something also provided by scholars such as Brigitte Jordan (Birth in Four Cultures) and numerous anthropological accounts from more specific contexts. But what occurs when we begin not with the artifact itself, but its disappearance?
            The question above occurred to me for the first time five years ago, while I was working on my dissertation. While researching a chapter on Augustan women’s education and mechanical habits (now an article with Feminist Formations 25.1 as  “’Reproducing’ Custom”), I came across the most unusual constellation of references. Described, variously, as “this most curious machine,” “this mock woman,” and the “celebrated Apparatus,”[ii] Dr. William Smellie’s mechanized obstetrical manikin seemed to be both science and spectacle, a mechanical woman that “gave birth” to leather dolls before eager students of man-midwifery.  Such an image teased my imagination, so naturally, with the dissertation complete, I went looking for more information about its history and whereabouts. Strangely, however, though crucial to the training of at least 900 man-midwives in ten years, the machine simply vanishes from the records! There are a number of well-preserved and well-documented versions of Madame de Coudray's birthing machines; I’ve seen the primary one at the Musée Flaubert et d'histoire de la Médecine in Rouen, France, and the Dittrick museum has a simplified model from the same period. Remarkably, however, I could find no images, no models, no sketches and no copies of Smellie’s device. Surely, I thought, it must be somewhere… and so the search began.
            I was already familiar with the extensive collection of birth-related material at the Dittrick Medical History Museum, and so naturally began by contacting Dr. Edmonson. This connection, my curiosity, and what has been at times described as bull-dog-like tenacity, inaugurated a two-year exploration not of the lifespan of the artifact, but its afterlife, a task as fraught with difficulty as any exhumation. In a strange counter to material culture analysis, I had to define what was not by rendering as plain as possible what was—the history surrounding the device itself. What I have pieced together from student notes, detractors and sale catalogs presents a most unusual and often-contradictory picture.
          The device emerged during the passionately debated shift from female to male midwifery practice. In a relatively short space of time, man-midwifery developed from the rare intervention of surgeons to a robust practice, wherein the female midwife (if not castigated as a rustic or vilified as a witch) served at the pleasure of the surgeon. This “unexplained revolution”[iii] has captured the attention and imagination of many—from medical historians like Adrian Wilson and Lisa Foreman Cody to literary critics like Bonnie Blackwell and Meghan Burke. A confluence of events led to this shift, including changes in the “bodily and social event” of childbirth with the advent of lying-in hospitals, as well as changes in fashion, politics, and social structure (in the Foucaultian sense).[iv]  It is also true that cases like the Rabbit Breeder of Godalming brought midwifery to embarrassing public notice; in 1727 Mary Toft mimicked birth pangs and contractions and fooled a number of midwives and surgeons into believing she had given birth to a brood of (dead of “still born” rabbits). The case was finally overturned by surgeon Sir Richard Manningham’s threat of live vivisection upon Toft, who confessed to the hoax. In this new model, the mystery of female anatomy would be rendered plain not only through better anatomies, but in part through surgeon’s instruments—and this emphasis gave “birth” to remarkable inventions.
       Mechanical automations of various sorts gained popularity in the eighteenth century. There were also a number of obstetrical manikins in use during the period, but Smellie’s mechanized obstetrical phantoms deserve to be treated in a class by themselves. Described as a mechanical genius, Smellie—and his devices—earned the awe of students and even detractors. One of his pupils writes:


[Dr. Smellie was] An uncommon Genius in all sorts of mechanicks, which after having shewed itself in many other Improvements he manifested in the machines which he has contrived for teaching the Art of Midwifery. Machines which Dr. Desaguliers, who frequently visited him, allowed to be infinitely preferable to all that he had ever seen of the same kind, and which I (from having seen those that are used at Paris) will aver to be by far the best that were ever invented.[v]

The apparatus” allowed Smellie to “perform and demonstrate all the different kinds of Delivery with more Deliberation, Perspicuity and Fulness than can be expected on real Subjects.”[i] Even the leather delivery dolls were considered more “life-like” than the child-cadavers used by M. Grégoire’s training school in Paris, for “the Coldness of the Child, the Flabbiness of the Parts, and the skin’s coming off at the least Touch, makes the Delivery seem much less natural than that of the Leather Children.”[ii] The machine itself was “composed of real Bones, mounted and covered with artificial Ligaments, Muscles and Cuticle […] and the Contents of the Abdomen are imitated with great Exactness.[iii] Similar descriptions are to be found among advertisements, tucked into arguments of detractors, and in contemporary pamphlets. Perhaps more mysterious yet is the extended description provided by Dr. Peter Camper.

Tune in next week for Part II, where I explore some of the stranger aspects of Camper's descriptions and discuss the machine's even more mysterious disappearance! 
About Brandy Schillace
A medical humanist, literary scholar and writer of Gothic fiction, Dr. Brandy Schillace spends her time in the mist-shrouded alleyways between medical history and literature. She is the Managing Editor, Culture, Medicine, and Psychiatry and has worked as an assistant professor of literature. She also leads interdisciplinary conferences abroad for IDnet and spends a lot of her time in museums and medical libraries.



[i] Banks, Amanda Carson. Birth Chairs, Midwives, and medicine. (Jackson: University of Mississippi, 1999): (xix).
[ii] Qtd. from Bonnie Blackwell, "Tristram Shandy and the Theatre of the Mechanical Mother," ELH 68, no. 1 (2001): 81-133, 91.
[iii] Ibid.
[iv] Wilson, Making, 6.
[v] Johnstone, R.W. William Smellie, The Master of British Midwifery. Edinburgh: E. & S. (Livingstone LTD., 1952), 25.
[vi] Ibid.
[vii] Blackwell. Tristram, 94. The quote was recorded in Glaister and is from 1750.
[viii] Qtd. In Johnstone, William, 25.

Friday, March 29, 2013

Sometimes Cleveland beckons one home: [re]introducing Brandy Schillace


Bucking a long-term trend, some very talented and creative people are returning to Cleveland to ply their métier. In my own family, our daughter Patty found her way back into a rewarding museum career path after being away for five years.  I was pretty much resigned to her long-term absence from the Cleveland scene, when much to my pleasure, she secured a position in the education department of the Cleveland Museum of Art.  Since November 2010, she has been a part of the team fashioning Gallery One, a truly path-breaking endeavor to help visitors “learn how works of art are made, where they come from, and why they are produced.”   To do this, Gallery One makes innovative use of technology, so that art museums across America now want to learn more and perhaps emulate what’s happening here.  Don’t need better testimony than a piece in the New York Times last week, and some videos on the Fast Company website, and of course on the CMA’s own site.  Not all, but many, roads now lead to Cleveland.

A broadly similar development marks the return of Brandy Schillace to Cleveland, and I’ve welcomed her to share in this blog. I first met Brandy in December 2007 when she was a grad student at CWRU and assisting Woody Gaines (Anthropology) in editing Culture, Medicine and Psychiatry.  Brandy came to the Dittrick in search of scientific and medical imagery to fashion arresting covers for the journal, and I can recall being impressed by her energy, enthusiasm, and determination.  Those same assets saw her successfully through the M.A. and Ph.D. in the English department here.  From that point of departure, Brandy has developed into an interdisciplinary medical-humanist scholar, who investigates the social and cultural impacts of medical science on literature (and through literature, on readers).  Thus, she finds herself at the intersection of medicine, art, science and culture that we inhabit here at the Dittrick.  We reconnected in the last couple of years through her search for the original 18th century “machine” (midwifery manikin) of William Smellie.  Alas, the trail went cold, but the search made for some fascinating perambulations…

Brandy maintains her own blog, and explains to readers that  “her blog features two subsidiaries: The Fiction Reboot and Literary Medicine’s Daily Dose. The Reboot provides useful tips and information for writers, weekly fiction features and interviews with authors of fiction and poetry. Meanwhile, The Dose honors, supports, and shares perspectives about medicine and humanities across cultures and disciplines. She summarizes her perspective aptly, describing herself as a “rogue scholar,” who looks forward to “branching out beyond the discipline specific and into the wide and welcoming plains of inter-disciplinarity. Fiction and literature, science and history, anthropology and religion: Life is more interesting at the intersection.” Brandy also clearly felt that, for her, Cleveland was the right place to make these connections. For more on her work, check out her personal site.

So, we look forward to collaborating with Brandy, and having her help bring the Dittrick to kindred spirits, especially through this blog.

Jim Edmonson






Thursday, February 21, 2013

Trojan Condom video to mark National Condom Month


Last September, I traveled to NYC to be taped for a promotional video for National Condom Month, produced for Trojan® Brand Condoms.  They brought in other folk from the Kinsey Archives, the Museum of Sex, and the American Social Hygiene Association (soon to shed that euphemism and become the American Sexual Health Association, keeping their initials ASHA).  Producer Marisa Biaggi deftly stitched, cut, edited, and refashioned our rambling parole into a snappy, informative, and yet lighthearted history of the condom.  Check it out on Cosmo.  Never thought I'd land there, but then again, I never imagined a career in a medical museum either!  Enjoy viewing.

Exhibit update

Check out the new window treatment for our balcony display of diagnostic instruments, as seen on the Dittrick Facebook page  I got the idea for the screened images from visiting medical history museums in Berlin and Inglostadt
Photo: The balcony gallery is a work in progress, a new exhibit on diagnostics will be opening this fall. The new shades were delivered yesterday!

As this work on the diagnostic exhibit -- the most comprehensive of its kind in North America, thanks to the gift of the M. Donald Blaufox collection -- winds down, I will get back to the Dittrick blog.  Very long overdue, I know...  In my next post, I'll share some pics of the exhibits in the Berlin Museum of Medical History and the German Museum of Medical History in Ingolstadt.


Sunday, November 6, 2011

Berlin Medical Historical Museum



In September, I visited Berlin to attend the Council meeting of the European Association of Museums of the History of Medical Sciences at the Berlin Medical Historical Museum. It is a great institution, flourishing under the direction of Thomas Schnalke. We were there to join in a discussion of next year's EAMHMS Congress in Berlin with Thomas. I encourage one and all to attend the 2012 Congress, and in the meantime offer images taken during my visit to the BMHM. Go to Flickr and select my Berlin Medical Historical Museum set.

More pics soon of my visit to Copenhagen and the Medical Museion, after the Berlin trip.

Jim Edmonson

Thursday, September 15, 2011

Sensuous object workshop at the Medical Museion

Later this month I'll be heading to the Medical Museion in Copenhagen for the workshop, the Sensuous Object, in which I'll be examining early stethoscopes. As part of this, I am trying to figure out who first taught and established and codified the protocols of the physical exam. The irony is this: before 1800 doctors hardly touched their patients, instead relying upon the patient's "history" or story of their illness.

This portrait by Winthrop Chandler, of Dr. William Gleason of Connecticut, c.1780, captures the doctor's reticence of physically examining patients. (Image courtesy of the Ohio Historical Society)

Touching was left to surgeons, a more rough and ready lot.


By the end of the century this had all changed and the physical exam was a cornerstone of medical practice, as seen here in images of Sir William Osler examining, palpating, and auscultating a patient, and then contemplating what he had learned. (Images from the Osler Library at McGill University)





A great presentation on how to conduct the exam is given by John Hughes Bennett in Clinical Lecture on the Principles and Practice of Medicine (1844) and an abbreviated version of the same called An Introduction to Clinical Medicine. Bennett credits Leon Rostan, from whom he learned physical examination as a student in Paris, c.1837.

A little digging reveals that Rostan developed his course around 1818 at La Salpetriere and that it was later codified as Traite elementaire de diagnostique, de pronostic, d'indications therapeutiqes ou cours de medecine clinique (1826) and Cours de medecine clinique (1830). Rostan's description of how to conduct a physical exam makes for exceedingly interesting reading.

I'll report back on both what more I uncover, and what I will have learned from the workshop in Copenhagen.




Jim Edmonson