Reading for Health

Reading for Health
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In Reading for Health: Medical Narratives and the Nineteenth-Century Novel, Erika Wright argues that the emphasis in Victorian Studies on disease as the primary source of narrative conflict that must be resolved has obscured the complex reading practices that emerge around the concept of health. By shifting attention to the ways that prevention of illness and the preservation of well-being operate in fiction, both thematically and structurally, Wright offers a new approach to reading character and voice, order and temporality, setting and metaphor. As Wright reveals, while canonical works by Austen, Brontë, Dickens, Martineau, and Gaskell register the pervasiveness of a conventional “therapeutic” form of action and mode of reading, they demonstrate as well an equally powerful investment in the achievement and maintenance of “health”—what Wright refers to as a “hygienic” narrative—both in personal and domestic conduct and in social interaction of the individual within the community.

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Erika Wright. Reading for Health

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READING FOR HEALTH

Joseph McLaughlin, series editor

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Reading for health involves, as medical advisers routinely assert, knowing what health is. Just as in the therapeutic model, wherein one must be sick to get cured, so too in the hygienic model one must recognize good health to maintain it. But as the novelists discussed in the following chapters demonstrate, and as the organization of this book suggests, defining health and maintaining it are interdependent narrative acts. One’s ability to know what health is does not always precede one’s attempts to maintain it. In fact, it is through the maintenance of health, particularly through acts of prevention, that we can know health, that it becomes a legible text that we become proficient in reading. We define our health, in other words, by the ways we interpret and modify our body’s responses to, for example, the environment in which we live, the food we eat, the physical activity we exert, and the mental and physical hardships we endure.41

While the following chapters reflect an evolution of fictional form and medical practice during the nineteenth century, they do not aim to tell a linear or progressive history of either field. In fact, reading linearly and chronologically is, in part, what this book proposes to resist. I have organized the chapters into three parts to highlight the recursivity of health’s narrative. Our attempts to manage health shape our definition of it, and the terms we use to define it govern how we manage it. Part 1 examines domestic health and personal conduct, whereas part 2 focuses on texts and characters that represent an unconventional view of health. Both parts alternate between chapters on prevention and chapters that seek to define health through maintenance. Part 3 departs from this model by turning to the realm of the professional (the physician and the physician’s stand-in), who must become adept at reading for health. Such narrative competence is an essential instrument of medical practice and medical education.

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