Ethics, moral practices and age-related social issues in late 18th-century medical discourse

A lexicological and textual approach

Authors

  • Elisabetta Lonati University of Eastern Piedmont

DOI:

https://doi.org/10.1558/jld.21285

Keywords:

medical ethics, moral practices, medical discourse, 18th-century medical writing, Scottish Enlightenment

Abstract

The second half of the eighteenth-century is particularly interesting for the study of medicine, and medical practice. The professional role of physicians, their social function, and their moral duties necessarily became a key issue for the period under scrutiny, and for decades to come. Medical ethics and moral practices, as well as philanthropic attitudes, constituted a relevant topic in medical writing: John Gregory (1724–73; Edinburgh University) and Thomas Percival (1740–1804; Manchester Infirmary) were the pioneers of medical ethics ‘in the making’.

The aim of this study is to investigate the lexis of medical ethics and moral practices and its impact at textual and discourse levels. In other words, how the lexicalisation of values and principles shapes and frames the discourse on medical ethics, and on the social identity of target people-patients of all ages (old, young, middle-aged), as well as potentially age-related discriminatory practices between the 1770s and 1800s.

Author Biography

  • Elisabetta Lonati, University of Eastern Piedmont

    Elisabetta Lonati (MA, PhD) is Associate Professor of English Language and Linguistics at the University of Eastern Piedmont (Vercelli, Italy) where she teaches English Linguistics for the BA (Foreign Languages) and the MA (Languages, Cultures, and Tourism). Her research interests are focused on Early and Late Modern English lexicology and lexicography, and include the origin, elaboration and classification of English technical and scientific vocabulary in 18th-century encyclopaedic works (universal dictionaries of arts and sciences, medical dictionaries); the language of identity and ideology (dictionaries of trade and commerce); the language of law, crime and punishment (focus on ethics, pain, penalty). Her present studies are devoted to the investigation of medical writing, and to the elaboration of British medical discourse in a variety of texts. Further studies include: 18th-century medical paratext (prefaces, introductory sections, tables of contents, and indices, appendices, glossaries); the language of medical ethics; Late Modern English translation and dissemination of British medical works into Italian (DTS and cultural translation; second hand translation). She has recently published a book titled Communicating Medicine. British Medical Discourse in 18th-century Reference Works (Di/Segni, Ledizioni, Milano 2017).

References

Primary sources

Medical Ethics

Gregory, J. (1770) Observations on the Duties and Offices of a Physician; and on the Method of Prosecuting Enquiries in Philosophy. London: Printed for W. Strahan; and T. Cadell (successor to Mr. Millar), in the Strand. https://archive.org/details/b30547520_0001/page/n5

Gregory, J. (1772) Lectures on the Duties and Qualifications of a Physician. A New Edition Corrected and Enlarged. London: Printed for W. Strahan; and T. Cadell, in the Strand. https://archive.org/details/2555043R.nlm.nih.gov/page/n5

Percival, T. (1794) Medical Jurisprudence; or a Code of Ethics and Institutes, adapted to the Professions of Physic and Surgery. [Publisher not identified].

Percival, T. (1803) Medical Ethics; or, a Code of Institutes and Precepts, adapted to the Professional Conduct of Physicians and Surgeons […] to which is added an Appendix; Containing a Discourse on Hospital Duties […]. Manchester: Printed by S. Russell for J. Johnson, St. Paul’s Church Yard, and R. Bickerstaff, Strand, London.

Universal dictionaries of arts and sciences

AAVV (1768–71) Encyclopaedia Britannica; or, A Dictionary of Arts and Sciences, compiled upon a New Plan. In which the different Sciences and Arts are digested into Distinct Treatises or Systems; and the Various Technical Terms, &c. are explained as they occur in the Order of the Alphabet [...]. Edinburgh.

Chambers, E. (1741–3) Cyclopaedia: or, An Universal Dictionary of Arts and Sciences; containing the Definitions of the Terms, and an Account of the Things signified thereby, in the Several Arts, both Liberal and Mechanical, and the Several Sciences, Human and Divine [...] (5th ed.). London.

Rees, A. (1778–88) Cyclopaedia: or, An Universal Dictionary of Arts and Sciences. [...] By E. Chambers, F.R.S. with the Supplement, and Modern Improvements, incorporated in one Alphabet. In four volumes. London.

Reference corpus

Duncan, A. (1792) Heads of Lectures on Medical Jurisprudence, or the Institutiones Medicinae Legalis. Delivered at the University of Edinburgh by Andrew Duncan, M.D. & P. Edinburgh.

Hume, D. (1742) Essays, Moral and Political (2 vols) (2nd ed.). Edinburgh.

Hume, D. (1748) Philosophical Essays concerning Human Understanding by the Author of the Essays Moral and Political. London.

Hume, D. (1751) An Enquiry concerning the Principles of Morals. London.

Hume, D. (1760) Essays and Treatises on Several Subjects […] in Four Volumes. London.

Smith, A. (1762–3, 1766) Lectures on Jurisprudence. In R. L. Meek, D.D. Raphael and P.G. Stein (eds) (1982) Vol.V Glasgow Edition of the Works and Correspondence of Adam Smith. Indianapolis: Liberty Fund.

Smith, A. (1767) The Theory of Moral Sentiments. To which is added a Dissertation on the Origin of Languages (3rd ed.). London.

Smith, A. (1776) An Inquiry into the Nature and Causes of the Wealth of Nations. […] In two Volumes. London.

Smith, A. (1778) Additions and Corrections to the First and Second Editions of Dr. Adam Smith’s Inquiry into the Nature and Causes of the Wealth of Nations.

Secondary sources

Anthony, L. (2019) AntConc (Version 3.5.8 – Windows) [Computer Software]. Waseda University, Tokyo. Available from http://www.antlab.sci.waseda.ac.jp/Medical ethics

Baker, R. (1993a) The eighteenth-century philosophical background. In R. Baker, D. Porter and R. Porter (eds) The Codification of Medical Morality Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries. Volume One: Medical Ethics and Etiquette in the Eighteenth Century. PHME Volume 45: 93–8. Dordrecht: Springer.

Baker, R. (1993b) The formalization of medical ethics. In R. Baker, D. Porter and R. Porter (eds) The Codification of Medical Morality Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries. Volume One: Medical Ethics and Etiquette in the Eighteenth Century. PHME, Volume 45: 141–4. Dordrecht: Springer.

Baker, R. (1993c) Deciphering Percival’s code. In R. Baker, D. Porter and R. Porter (eds) The Codification of Medical Morality Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries. Volume One: Medical Ethics and Etiquette in the Eighteenth Century. PHME Volume 45: 179–211. Dordrecht: Springer.

Baker, R., Porter, D., and Porter, R. (1993) Introduction. In R. Baker, D. Porter and R. Porter (eds) The Codification of Medical Morality Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries. Volume One: Medical Ethics and Etiquette in the Eighteenth Century. PHME Volume 45: 1–14. Dordrecht: Springer.

Baker, R., Porter, D., and Porter, R. (eds) (1993) The Codification of Medical Morality Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries. Volume One: Medical Ethics and Etiquette in the Eighteenth Century. PHME Volume 45. Dordrecht: Springer.

Boyd, K.M. (2005) Medical ethics: Principles, persons, and perspectives. From controversy to conversation. Journal of Medical Ethics 31: 481–86.

Brinton, L. (ed.) (2017) English Historical Linguistics. Approaches and Perspectives. Cambridge: Cambridge University Press.

Brinton, L. (2017a) Historical pragmatic approaches. In L. Brinton (ed.) (2017) English Historical Linguistics. Approaches and Perspectives 245–75. Cambridge: Cambridge University Press.

Claridge, C. (2017) Discourse-based approaches. In L. Brinton (ed.) (2017) English Historical Linguistics. Approaches and Perspectives 185–217. Cambridge: Cambridge University Press.

Fissel, M.E. (1993) Innocent and honorable bribes: Medical manners in eighteenth-century Britain. In R. Baker, D. Porter, and R. Porter (eds) (1993) The Codification of Medical Morality Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries. Volume One: Medical Ethics and Etiquette in the Eighteenth Century. PHME Volume 45: 19–45 (Ch. 1). Dordrecht: Springer.

Frewer, A. (2002) Medical ethics in the Enlightenment. New perspectives on Gregory, Percival and Rush. Medicine, Health Care and Philosophy 5: 211–12.

Grund, P. J. (2017) Sociohistorical approaches. In L. Brinton (ed.) (2017) English Historical Linguistics. Approaches and Perspectives 218–44. Cambridge: Cambridge University Press.

Haakonssen, L. (1997) Medicine and Morals in the Enlightenment: John Gregory, Thomas Percival and Benjamin Rush. Amsterdam, Atlanta: Rodopi.

Maio, G. (1999) Is etiquette relevant to medical ethics? Ethics and aesthetics in the works of John Gregory (1724–73). Medicine, Health Care, and Philosophy 2(2): 181–7. https://link-springer-com.pros.lib.unimi.it:2050/article/10.1023/A%3A1009901419932

McCullough, L. B. (1993) John Gregory’s Medical ethics and human sympathy. In R. Baker, D. Porter, and R. Porter (eds) (1993) The Codification of Medical Morality Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries. Volume One: Medical Ethics and Etiquette in the Eighteenth Century. PHME Volume 45: 145–60. Dordrecht: Springer.

McCullough, L. B. (1998) John Gregory and the Invention of Professional Medical Ethics and the Profession of Medicine. Dordrecht, Boston, London: Kluwer Academic Publishers.

McCullough, L. B. (1999) Hume’s influence on John Gregory and the history of medical ethics. The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine 24(4): 376–95. https://doi.org/10.1076/jmep.24.4.376.5979

McCullough, L. B. (2006) John Gregory’s medical ethics and the reform of medical practice in eighteenth-century Edinburgh. Journal of the Royal College of Physicians Edinburgh 36(1): 86–92. https://www.ncbi.nlm.nih.gov/pubmed/17146956

Patuzzo, S., Goracci, G. and Ciliberti, R. (2018) Thomas Percival. Discussing the foundation of Medical Ethics. Acta Biomedica 89(3): 343–48.

Pickstone, J. V. (1993) Thomas Percival and the production of Medical Ethics. In R. Baker, D. Porter, and R. Porter (eds) (1993) The Codification of Medical Morality Historical and Philosophical Studies of the Formalization of Western Medical Morality in the Eighteenth and Nineteenth Centuries. Volume One: Medical Ethics and Etiquette in the Eighteenth Century. PHME Volume 45: 161–78. Dordrecht: Springer.

Risse, G.B. (1986) Hospital Life in Enlightenment Scotland. Cambridge: Cambridge University Press.

Waddington, I. (1975) The Development of medical ethics: A sociological analysis. Medical History 19: 36–51.

English historical linguistics, medical writing, and sociolinguistic issues

Biber, D. and Reppen, R. (eds) (2015) The Cambridge Handbook of English Corpus Linguistics. Cambridge: Cambridge University Press.

Hiltunen, T. (2021) Intensification in eighteenth century medical writing. Journal of English Linguistics 49(1): 90–113.

Kytö, M. and Smitterberg, E. (2015) Diachronic registers. In D. Biber and R. Reppen (eds) The Cambridge Handbook of English Corpus Linguistics 330–45. Cambridge: Cambridge University Press.

Kytö, M. and Pahta, P. (eds) (2016) The Cambridge Handbook of English Historical Linguistics. Cambridge: Cambridge University Press.

Lane, J. (2001) A Social History of Medicine. Health, Healing and Disease in England, 1750–1950. London and New York: Routledge.

Lehto, A. (2019a) Changing portrayals of medicine and patients in eighteenth-century medical writing: lexical bundles in public health, methods, and case studies. In I. Taavitsainen and T. Hiltunen (eds) (2019) Late Modern English Medical Texts. Writing Medicine in the Eighteenth-Century 145–72. Amsterdam and Philadelphia: John Benjamins Publishing Company.

Lehto, A. (2019b) Public health (LMEMT Category Description). In I. Taavitsainen and T. Hiltunen (eds) (2019) Late Modern English Medical Texts. Writing Medicine in the Eighteenth-Century 307–16. Amsterdam and Philadelphia: John Benjamins Publishing Company.

Lonati, E. (2017) Communicating Medicine. British Medical Discourse in Eighteenth-Century Reference Works. Milano: di/segni Ledizioni.

Smitterberg, E. (2016) Extracting data from historical material. In M. Kytö and P. Pahta (eds) The Cambridge Handbook of English Historical Linguistics 181–99. Cambridge: Cambridge University Press.

Taavitsainen, I. (2015) Historical pragmatics. In D. Biber and R. Reppen (eds) The Cambridge Handbook of English Corpus Linguistics 252–67. Cambridge: Cambridge University Press.

Taavitsainen, I. and Hiltunen, T. (eds) (2019) Late Modern English Medical Texts. Writing Medicine in the Eighteenth-Century. Amsterdam and Philadelphia: John Benjamins Publishing Company.

Taavitsainen, I., Jones, P. M., and Hiltunen, T. (2019a) Sociohistorical and cultural context of Late Modern English Medical Texts. In I. Taavitsainen and T. Hiltunen (eds) Late Modern English Medical Texts. Writing Medicine in the Eighteenth-Century 17–30. Amsterdam and Philadelphia: John Benjamins Publishing Company.

Taavitsainen, I., Schneider, G. and Jones, P. M. (2019b) Topics of eighteenth-century medical writing with triangulation of methods: LMEMT and the underlying reality. In I. Taavitsainen and T. Hiltunen (eds) Late Modern English Medical Texts. Writing Medicine in the Eighteenth-Century 31–74. Amsterdam and Philadelphia: John Benjamins Publishing Company

Published

2022-04-27

How to Cite

Lonati, E. (2022). Ethics, moral practices and age-related social issues in late 18th-century medical discourse: A lexicological and textual approach. Journal of Language and Discrimination, 6(1), 5–36. https://doi.org/10.1558/jld.21285