The evolution of the medical professions in eighteenth-century Ireland: An institutional perspective

Ireland, in the eighteenth century, followed the classic tripartite division of regular medical practitioners into physicians, surgeons and apothecaries. At the beginning of the century surgeons and apothecaries were regarded as mere tradesmen, but by the end of the century both were regarded as professionals and had the right to regulate their respective professions. Practitioners in different regions of Europe developed in a different manner, and eighteenth-century practitioners in Ireland developed independently from their English counterparts. In common with Britain and Europe in the eighteenth century, the total number of practitioners increased in Ireland, and by the end of the century, apothecaries were the largest group in Dublin, closely followed by the surgeons. Surgeons and apothecaries at the start of the eighteenth century belonged to the same guild. However in mid-century, St Luke's guild of apothecaries was established and this provided the apothecaries with a new identity that allowed them to pursue auto regulation, rather than hitherto, when they had been regulated by the physicians. This was vital to the apothecaries as they were in direct commercial competition with both the physicians and the surgeons and faced increasing pressure from both druggists and the disparate group of practitioners known as the irregulars. The 1765 County Infirmaries Act established a hospital in virtually every county in Ireland, and cast the surgeon as the primary medical officer in the countrywide network of hospitals. This legislation, which was unique in Europe, had the unintended consequence of elevating the status of the surgeons, as prior to this physicians were always in the ascendancy in the voluntary hospitals in Ireland and Britain, in contrast to France. The status of the surgeons was further enhanced by the establishment of the College of Surgeons in Ireland in 1784, which provided them with a new corporate identity, the authority to regulate the profession countrywide, and, also, the ability to educate surgeons in Ireland. The establishment of the College of Surgeons placed further pressure on the apothecaries to demonstrate that they also had a recognisable identity, and the authority to regulate their own profession. This was achieved with the 1791 Apothecaries Act which established the Apothecaries Hall and give the apothecaries the right to regulate themselves. This innovative legislation deemed the apothecaries a profession, and was enacted twenty-four years prior to similar legislation in Britain. Commercial pressure from druggists and, probably, irregulars expedited the requirement of the apothecaries to establish a new corporate identity, in order to distance themselves from these groups. The changing status of both apothecaries and surgeons had little effect on the physicians as a group, and, despite being the beneficiaries of a generous bequest from Sir Patrick Dun in 1711 to provide medical chairs in Dublin, the physicians displayed an inertia during the eighteenth century that was not in keeping with the developments that occurred in the contemporary Dublin medical world. The fact that it took ninety-five years, and that five acts of parliament, two House of Commons enquiries and a House of Lords enquiry were required to ensure that Dun's wishes were brought to fruition demonstrates that the physicians did not develop at the same pace as the other medical groups in the city. Had Dun’s bequest been implemented as he desired, Dublin, with a number of voluntary hospitals, would have been well placed to provide comprehensive tuition for medical students in the eighteenth century. It was not until the nineteenth century that the city, and the populace, benefited from this legacy. This thesis will trace these developments in the context of changes that occurred in contemporary medical education and diagnosis in Ireland, Britain and France. It will demonstrate that Irish practitioners developed independently, influenced mainly by local issues, but also by those who had travelled abroad and returned to Ireland with new concepts and ideas, ensuring that Irish medical practitioners had the institutional structure that could encompass the diagnostic and regulatory changes that would become accepted in the nineteenth century.

The east of Suez decision

A witness seminar on Britain's decision to withdraw from East of Suez was held by the Institute of Contemporary British History at King's College London on 16 November 1990. It was introduced by a short paper by David Greenwood of the Centre for the Study of Defence Economics, University of Aberdeen. Those participating were Professor Lawrence Freedman (Chairman), David Greenwood, Sir Frank Cooper, C.W. Wright, Sir Patrick Nairne, Richard Hastie‐Smith, J.K. Wright, Sir Ewen Broadbent, Peter Hudson, Sir Robert Andrew, Sir George Leitch, Sir Arthur Drew, Lord Thomson of Monifieth, Lord Zuckerman, Lord Mayhew and Field Marshal Lord Carver. The Institute of Contemporary British History would like to record its thanks to BP for its sponsorship of this event.

El estudio del castellano en Norteamérica.

Con motivo del aumento del estudio de la lengua española en Norteamérica, se celebraron en la Universidad de Salamanca unas conferencias para tratar sobre este tema y fue el Director del Instituto Británico de Madrid, el profesor Walter Starkie, el que apuntó la importancia que estaba teniendo el aprendizaje y uso de la lengua castellana en tierras norteamericanas, tanto, que parecía 'una moda'. En cuanto a Inglaterra, subrayó, que igualmente ocupaba un lugar muy significativo, pues se situaba al mismo nivel que el inglés, como lenguas universales. Sir Patrick Hannon, Presidente de la Cámara de Comercio Britanicolatinoamericana, señaló que en las escuelas secundarias también existía una tendencia a estudiar el español y también el portugués. El agregado cultural de los Estados Unidos en Madrid, John Van Horne, observó el gusto de los estudiantes extranjeros por la narrativa y el teatro español, otro signo más de la importancia de la lengua española en el lejano oeste.

Du non-lieu au lieu : pratique spatiale et construction identitaire dans Texaco, de Patrick Chamoiseau

Le présent ouvrage propose une lecture spatiale du roman Texaco, de l’auteur martiniquais Patrick Chamoiseau. Texaco retrace l’histoire de la Martinique, principalement celle de sa population noire créolophone, depuis le XIXe siècle – époque de la traite et de l’esclavage – jusqu’à la fin du XXe siècle. Considérant que l’identité d’un individu (ou d’une communauté) est étroitement corrélée au rapport qu’entretient celui-ci avec son espace de vie, notre travail vise à mettre au jour les particularités identitaires des personnages du roman au travers d’une analyse des espaces qu’ils occupent et façonnent dans le récit. En nous appuyant sur des concepts spatiaux empruntés à Henri Lefebvre (l’espace tripartite), à Michel de Certeau (le lieu, l’espace et la pratique spatiale) et à Marc Augé (le lieu et le non-lieu), nous souhaitons montrer de quelle manière et dans quelle mesure ces différentes entités spatiales expriment, consolident ou oblitèrent l’identité singulière des personnages chamoisiens, c’est-à-dire leur « créolité ».

Dans le tremblement de la frontière. Césaire : Cahier d’un retour au pays natal

Curieusement, dans le Cahier d’un retour au pays natal, le narrateur ne revient pas vers les siens mais demeure longtemps à la frontière, qu’il ne parvient pas à traverser. Dans ce lieu marginal, à l’écart des siens, dans une sorte d’initiation sauvage, il renégocie les frontières issues du «triangle atlantique colonial».]

Life of General Sir William Napier /

Mode of access: Internet.

An account of Sir Isaac Newton's philosophical discoveries in four books /

"An account of the life and writings of the author" p. i-xx

Letters, hitherto unpublished, written by members of Sir Walter Scott's family to their old governess.

"Of the forty-seven letters [to Miss Millar] twenty-eight were written by Charlotte Sophia Scott ... twelve by Anne Scott."

An account of Sir Isaac Newton's philosophical discoveries, in four books.

"An account of the life and writings of the author": p. [i]-xxvi.

The life of Jonathan Swift, dean of St. Patrick's, Dublin,

Photocopy.

The remains of St. Patrick, apostle of Ireland, the Confessio and Epistle to Coroticus /

"With a dissertation on the Patrician documents contained in the 'Trias Thaumaturga' and 'Book of Armagh,' etc."

Life of Sir Walter Raleigh : founded on authentic and original documents, some of them never before published: including a view of the most important transactions in the reigns of Elizabeth and James I... /

Added t.-p., engraved, with vignette (Raleigh's seal of office).

Memoirs of Jonathan Swift, D. D., Dean of St. Patrick's, Dublin /

Includes bibliographical references.