There are a few different directions I could go with my thesis at this point, and I think one of the best ways for me to work through them is to write them down and read them later. Here’s to hoping one of these sounds doable when I reread this in a couple of weeks.
I’m studying with some great professors here at OU, but most of them focus on the history of science, not medicine (and the two are very different fields — believe me). I was a little upset by this at first, but I think that ultimately I can use this as an advantage in writing this thesis and in my overall intellectual development as an historian.
I revisited some of the primary sources I’d been looking at, and this time I noticed how, especially as we reach the late 19th century, the arguments presented for why the waters healed were largely formulated with an appeal to science. Numbers — in the form of data like charts, percentages, and statistics of other kinds — began to appear, and the experts behind their development were emphasized (professors at universities in St. Louis, physicians who trained at prominent medical schools). Did the inclusion of more scientific arguments for the efficacy of the waters reflect a growing trust in medical science? If so, what engendered this trust? What role did scientific medicine play in the choices vernacular audiences made in regards to their health decisions, and was this in a state of accelerated change at the end of the 19th century?
I can also see some major boundary-work going on in my primary source base. It seems that what was considered “medicine” and what wasn’t was in a state of heightened ambivalence at the end of the 19th century and on into the 20th. The backlash initiated by the realization that age-old “heroic” therapeutics — based largely around violent purgatives and emetics — were not effective rendered medical authority questionable. Could the rise of hydrotherapy be indicative of the uncertainty that surrounded the therapeutics of the era? Is it evidence that…? Is it also a reaction against the lack of agency patients were beginning to see in the more cold, clinical doctor-patient relationship that was characteristic of the “new” medicine, based as it was on the numerical analysis of disease and cure?
I keep coming back to the role that statistics and numbers seem to have played in the changing location of trust in medicine. Without statistical evidence to the contrary, patients placed their full trust in their doctor and the immediate effects of his treatment. As statistical methods made their way into medicine, however, patients had to decide where to place their faith — with the family doctor, who often gave them more agency in their own medical decisions, or with a new and increasingly numerous class of physicians that, backed by the authority of science, advocated new methods, new characterizations of disease, and espoused new therapeutical strategies. Personal experience and agency vs. scientific expertise and delegation of medical responsibility.
I’m considering dropping the micro-historical approach and instead focusing on a few different spa towns. Is that a stupid idea for something as short as a masters thesis? Hm.
I tried to come up with a witty, history-sounding title for this post and failed, which is further evidence that I’m far, far too broad in my research interests here. Sigh.