Patronage and health care in eighteenth-century Irish county infirmaries

2017 ◽  
Vol 41 (159) ◽  
pp. 1-21 ◽  
Author(s):  
Pierce Grace

AbstractThe creation of a network of county infirmaries was a remarkable achievement in late eighteenth-century Ireland. Supported by grants from parliament and the county grand juries, each hospital was managed by governors whose subscriptions entitled them to appoint the medical staff and decide on the patient population. While the laudable aim of the legislators was that the infirmaries would be ‘a means of restoring the health and preserving the lives of many’, the reality was quite different. In 1788 the prison reformer, John Howard, and the inspector general of prisons, Sir Jeremiah Fitzpatrick, delivered a damning report to parliament on the state of the county infirmaries. They described good care and governance in a minority of institutions, but most were in a very bad state; they noted decayed and broken buildings, dirty or no bedding, poor food, lack of regulation, financial malfeasance, few patients and absent staff. Based on their report, this paper argues that the county infirmaries benefited the governors and the staff considerably, and had little impact on the health of the nation. However, providing a hospital and trained medical professionals in every county was a significant step in the formation of the Irish institutional healthcare system.

Author(s):  
Mary Hatfield

This chapter considers the medicalization of childhood from the late eighteenth century into the 1840s. What we might now term a ‘biological’ definition of childhood is seen first in late eighteenth-century medical intervention into the care of infants. These texts are part of a wider ‘rationalization’ of childhood which emerged in scientific and child-rearing genres. The influence in Ireland of John Locke, William Buchan, and the Edgeworths’ contributed to a reformulation of childhood as a period of enormous intellectual and physical malleability. As the matter of children’s health shifted from the female domain to the business of men, medical professionals defined the child body in opposition to the adult male body. Elite women were criticized for coddling their children excessively, while the lower classes were characterized as neglectful and uncaring. By the mid-nineteenth century, objective standards of growth were deployed as mechanisms for governing parental as much as childhood behaviour.


Author(s):  
Will Smiley

This chapter explores captives’ fates after their capture, all along the Ottoman land and maritime frontiers, arguing that this was largely determined by individuals’ value for ransom or sale. First this was a matter of localized customary law; then it became a matter of inter-imperial rules, the “Law of Ransom.” The chapter discusses the nature of slavery in the Ottoman Empire, emphasizing the role of elite households, and the varying prices for captives based on their individual characteristics. It shows that the Ottoman state participated in ransoming, buying, exploiting, and sometimes selling both female and male captives. The state particularly needed young men to row on its galleys, but this changed in the late eighteenth century as the fleet moved from oars to sails. The chapter then turns to ransom, showing that a captive’s ability to be ransomed, and value, depended on a variety of individualized factors.


Author(s):  
Ina Ferris

This chapter looks at historical romance. Late eighteenth-century historiography began to expand its purview to unofficial spheres of social, cultural, and private life typically cultivated by informal genres such as memoirs, biographies, and novels. The ‘matter’ of history was being increasingly redefined, and this had two key effects that bear on the question of historical romance. First, the ‘reframing’ of the historical field generated a marked reciprocity among the different historical genres in the literary field, as they borrowed material and tactics from one another; second, it led to a splintering albeit not displacement of ‘general’ history, as new branches of history writing took shape, notably that of literary history as a distinct form of history. Hence romance now denoted not only the realm of ‘fancy’ but a superseded literary form of renewed interest in the rethinking of the national past.


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