Framing Disease : Studies in Cultural History

"In some ways disease does not exist until we have agreed that it does, by perceiving, naming, and responding to it, " writes Charles E. Rosenberg in his introduction to this stimulating set of essays. Disease is both a biological event and a social phenomenon. Patient, doctor, family, and social institutions—including employers, government, and insurance companies—all find ways to frame the biological event in terms that make sense to them and serve their own ends.

Many diseases discussed here—endstage renal disease, rheumatic fever, parasitic infectious diseases, coronary thrombosis—came to be defined, redefined, and renamed over the course of several centuries. As these essays show, the concept of disease has also been used to frame culturally resonant behaviors: suicide, homosexuality, anorexia nervosa, chronic fatigue syndrome. Disease is also framed by public policy, as the cases of industrial disability and of forensic psychiatry demonstrate. Medical institutions, as managers of people with disease, come to have vested interests in diagnoses, as the histories of facilities to treat tuberculosis or epilepsy reveal. Ultimately, the existence and conquest of disease serves to frame a society's sense of its own "healthiness" and to give direction to social reforms.   

The contributors include Steven J. Peitzman, Peter C. English, John Farley, Christopher Lawrence, Michael MacDonald, Bert Hansen, Joan Jacobs Brumberg, Robert A. Aronowitz, Gerald Markowitz, David Rosner, Janet A. Tighe, Barbara Bates, Ellen Dwyer, John M. Eyler, and Elizabeth Fee. For any student of disease and society, this book is essential, compelling reading.

CHARLES E. ROSENBERG is Janice and Julian Bers Professor of the History of Science at the University of Pennsylvania and the author of The Care of Strangers. 

JANET GOLDEN is an assistant professor of history at Rutgers University, Camden. She is the author of A Social History of Wet Nursing: From Breast to Bottle.