Post mortem: Essays, historical and medical — Inside the Classic

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MacLaurin, C. (Charles), 1872-1925 Project Gutenberg 2022 Not confirmed
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A surgeon examines historical figures through a medical lens, analyzing how health conditions influenced actions of Anne Boleyn, Jeanne d'Arc, Charles V, and others, with a notable chapter on Cervantes and Don Quixote.
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by marrying Catherine. A horrible story went around that he had been familiar with her mother first, and that Anne was his own daughter, and moreover that he knew it. I think we can definitely and at once put this aside as an ecclesiastical lie; there is absolutely no evidence for it and it is impossible to conceive two persons more unlike than the little lively brunette and the great fresh-faced “bluff King Hal.” Moreover, Henry denied the story absolutely, and whatever else he was, he was a man who was never afraid to tell the truth. Most of the difficulties in understanding this complex period of our history disappear if we believe Henry’s own simple statements; but these suffer from the incredulity which Bismarck found three hundred years later when he told his rivals the plain unvarnished truth.

Let us anticipate events a little and narrate the death of Catherine, which took place in 1536, nearly three years after the birth of Elizabeth. The very brief and sketchy accounts which have survived give me the impression that she died of uræmia, but no definite opinion can be given. Henry, of course, lay under the immediate charge of having poisoned her, but I do not know that anybody believed it very seriously. So died this unhappy and well-beloved lady, to whom life meant little but a series of bitter misfortunes.

After Elizabeth was born the tragedy began to move with terrible impetus towards its climax. Henry developed an intractable ulcer on his thigh, which persisted till his death, and frequently caused him severe agony whenever the sinus closed. He became corpulent, the result of over-eating and over-drinking. He had been immensely worried for years over the affair of Catherine; as a result his blood-pressure seems to have risen, so that he was affected by frightful headaches, which often incapacitated him from work for days together. He gave up the athleticism which had distinguished his resplendent youth, aged rapidly, and became a harassed, violent, ill-tempered middle-aged man--not at all the sort of man to turn into a cuckold.

Yet this is precisely what Anne did. Less than a month after Elizabeth was born--while she was still in the puerperal state--she solicited Sir Henry Norreys, the most intimate friend of the King, to be her lover. A week later, on October 17th, 1533, he yielded. During the next couple of years Anne seems to have gone absolutely out of her senses, if the contemporary stories are true. She seems to have solicited several prominent men of the Court, and even to have stooped to one of the musicians; worst of all, it was said that she had committed incest with her brother, Lord Rocheford. Nor did she behave with the ordinary consideration for the feelings of others that might have brought her hosts of friends--remember, she was a queen!--should the time ever come when she should need them. It does not require any great amount of civility on the part of a queen to win friends. Arrogant and overbearing, she estranged everybody at Court; she acted like a beggar on horseback, and was left without a friend in the place. And she, who owed her husband such a world, behaved towards him with the same arrogance as she showed to others, and in addition jealousy both concerning other women whom she feared and concerning the King’s beloved daughter, Mary. She spoke to the Duke of Norfolk--her uncle on the mother’s side, and one of the greatest peers of the realm--“like a dog”; as he turned away he muttered that she was “une grande putaine.” The most polite interpretation of the French word is “strumpet.” When the Duke used such a word to his own niece, what sort of reputation must have been gathering about her?

She had two more miscarriages. After the second the King’s fury flamed out, and he told her plainly that he deeply regretted having married her. He must have indeed been sorry; he had abandoned a good woman for a bad; for her he had quarrelled with the Pope and with many of his subjects; whatever conscience he had must have been tormenting him: all these things for the sake of an heir, which seemed as hopelessly unprocurable as ever. Both the women seemed affected by some fate which condemned them to perpetual miscarriages; this fate, of course, was Henry’s own syphilis, even supposing that neither wife had contracted it independently. (It is much to Anne Boleyn’s credit or discredit, that to a syphilitic husband she bore a daughter so vigorous as Elizabeth, though Professor Chamberlin does not appear to think very highly of her health.)

Meanwhile all sorts of scandalous rumours were flying about; and finally a maid of honour, whose chastity had been impugned, told a Privy Councillor that no doubt she herself was no better than she should be, but that at any rate her Majesty Queen Anne was far worse. The Privy Councillor related this to Thomas Cromwell; he, the rumours being thus focussed, dared to tell the King. Henry changed colour, and ordered a secret inquiry to be held. At this inquiry the ladies of the bedchamber were strictly cross-examined, but nothing was allowed to happen for a few days, when a secret commission was appointed, consisting of the Chancellor, the judges, Thomas Cromwell, and other members of the Council. Sir William Brereton was first sent to the Tower, then the musician Smeaton. Next day there was a tournament at Greenwich, in the midst of which Henry suddenly rose and left the scene, taking Norreys with him. Anne was brought before the Commission next day, and committed to the Tower, where she found that Sir Francis Weston had preceded her. Lord Rocheford, her brother, joined her almost immediately on the charge of incest.

The Grand Juries of Kent and Middlesex returned true bills on the cases, and the Commission drew up an indictment, giving names, places, and dates for every alleged act. The four commoners were put on trial at Westminster Hall. Anne’s father, Lord Wiltshire, though he volunteered to sit, was excused attendance, since a verdict of guilty against the men would necessarily involve his daughter. One may read this either way, against or in favour of Anne. Either Wiltshire was enraged at her folly, and merely wished to end her disgrace; or it may be that he thought he would be able to sway the Court in her favour. Possibly he was afraid of the King and wished to show that he at least was on his royal side, however badly Anne may have behaved. In dealing with a harsh and tyrannical man like Henry VIII it is difficult to assess human motives, and one prefers to think that Wiltshire was trying to do his best for his daughter. Smeaton the musician confessed under torture; the other three protested their innocence, but were found guilty and were sentenced to death. Thomas Cromwell, in a letter, said that the evidence was so abominable that it could not be published. Evidently the Court of England had suddenly become squeamish.

Anne was next brought to trial before twenty-five peers of the realm, her uncle the Duke of Norfolk being in the chair. Probably, if the story just related were true, the Duke’s influence would not be exerted very strongly in her favour, and she was convicted and sentenced to be hanged or burnt at the King’s pleasure; her brother was tried separately and also convicted. It is said that her father and uncle concurred in the verdict; they may have been afraid of their own heads. On the other hand, it is possible that Anne was really guilty; unfortunately the evidence has perished. The five men were executed on Tower Hill in the presence of the woman, whose death was postponed from day to day. In the meantime Henry procured his divorce from her, while Anne, in a state of violent hysteria, continuously protested her innocence. On the night before her execution she said that the people would call her “Queen Anne sans tête,” laughing wildly as she spoke; if one pronounces these words in the French manner, without verbal accent, they form a sort of jingle, as who should say “ta-ta-ta-ta”; and this foolish jingle seems to have run in her head, as she kept repeating it all the evening; and she placed her fingers around her slender neck--almost her only beauty--saying that the executioner would have little trouble, as though it were a great joke. These things were put to the account of her light and frivolous nature, and have probably weighed heavily with posterity in attempting to judge her case; but it is clear that they were merely manifestations of hysteria. Joan of Arc, whose character was probably the direct antithesis of Anne Boleyn’s, laughed when she heard the news of her reprieve. Some people think she laughed ironically, as though a very simple peasant-girl could be ironical if she tried. Irony is a quality of the higher intelligence. But cannot a girl be allowed to laugh hysterically for joy? Or cannot Anne Boleyn be allowed to laugh hysterically for grief and terror without being called light and frivolous? So little did her contemporaries understand the human heart. A few years later came one Shakespeare, who could have told King Henry differently; and the extraordinary burgeoning forth of the English intellect in William Shakespeare is one of the most wonderful things in our history. Before the century had terminated in which Anne Boleyn had been considered light and frivolous because she had laughed in the shadow of the block, Shakespeare had plumbed the depths of human nature.

Anne was beheaded on May 19th, 1536, in the Tower, on a platform covered thickly with straw, in which lay hidden a broadsword. The headsman was a noted expert brought over specially from St. Omer, and he stood motionless among the gentlemen onlookers until the necessary preliminaries had been completed. Then, Anne kneeling in prayer and her back being turned towards him, he stole silently forward, seized the sword from its hiding-place, and severed her slender neck at a blow. As she had predicted, he had little trouble, and she never saw either her executioner or the sword that slew her.[2] Her body and severed head were bundled into a cask, and were buried within the precincts of the Tower; and Henry threw his cap into the air for joy. On the same day he obtained a special dispensation to marry Jane Seymour. He married her next day.

The chief authority for the reign of Henry VIII is contained in the _Letters and Papers of the Reign of Henry VIII_, edited by Brewer and Gairdner. This gigantic work, containing more than 20,000 closely printed pages, is probably the greatest monument of English scholarship; the prefaces to the different volumes are remarkable for their learning and delightful literary style. Froude’s history is charming and brilliant as are all his writings, but is now rather out of date, and is marred by his hero-worship of Henry and his strong Protestant bias. He sums up absolutely against Anne, and, after reading the letters which he publishes, I do not see how he could have done anything else. He believes her innocent of incest, however, and doubtless he is right. Let us acquit her of this crime, at any rate. A. F. Pollard’s _Life of Henry VIII_ is meticulously accurate, and is charmingly written; he thinks it impossible that the juries could have found against her and the court have convicted without the strongest evidence, which has not survived. P. C. Yorke sums up rather against her in the _Encyclopædia Britannica_; but S. R. Gardiner thinks the charges too horrible to be believed and that probably her own only offence was that she could not bear a son. Professor Gardiner had evidently seen little of psychological medicine, or he would have known that no charge is too horrible to believe. The “Unknown Spaniard” of the _Chronicle of Henry VIII_ is an illiterate fellow enough, but no doubt of Anne’s guilt appears to enter his artless mind; he probably represents the popular contemporary view. He says that he took his stand in the ring of gentlemen who witnessed the execution. He gives an account of the arrest of Sir Thomas Wyatt the poet--the first English sonneteer--and the _ipsissima verba_ of a letter which Wyatt wrote to Henry, narrating how Anne had solicited him even before her marriage in circumstances that rendered her solicitation peculiarly brazen and shameless. That Henry should have pardoned him seems to show that the real crime of Anne was that she had contaminated the blood royal; a capital offence in a queen in almost all ages and almost every country. Before she became a queen Henry was probably complaisant enough to Anne’s peccadilloes; but afterwards--that was altogether different. “There’s a divinity doth hedge” a queen!

Lord Herbert of Cherbury, writing seventy years later, narrates the ghastly story with very little feeling one way or the other. Apparently the legend of Anne’s innocence and Henry’s blood-lust had not yet arisen. The verdict of any given historian appears to depend upon whether he favours the Protestants or the Catholics. Speaking as a doctor with very little religious preference one way or the other, the following considerations appeal strongly to myself. If Henry wished to get rid of a barren wife--barren through his own syphilis!--as he undoubtedly did, then Mark Smeaton’s evidence alone was enough to hang any queen in history from Helen downward, especially if taken in conjunction with the infamous stories related by the “Unknown Spaniard.” Credible or not, these stories show the reputation that attached to the plain little Protestant girl who could not provide an heir to the throne--the sort of reputation which mankind usually attaches to a woman who, by unworthy means, has attained to a high position. Why should the King and Cromwell, both exceedingly able men, gratuitously raise the questions of incest and promiscuity and send four innocent men to their deaths absolutely without reason? Why should they raise all the tremendous family ill-will and public reprobation which such an act of bloodthirsty tyranny would have caused? Stern as they were they never showed any sign of mere blood-lust at any other time; and the facts that Anne’s father and uncle both appear to have concurred in the verdict, and that, except for her own denial, there is not a word said in her favour, seems to require a great deal of explanation.

We can thoroughly explain her conduct by supposing that she was afflicted by hysteria and nymphomania. There are plenty of accounts of unhappy women whose cases are parallel to Anne’s in the works of Havelock-Ellis and Kisch. There is plenty of indubitable evidence that she was hysterical and unbalanced, and that she passionately longed for a son; and it is simpler to believe her the victim of a well-known and common disease than that we should suppose the leading statesmen of England and nearly the whole of its peerage suddenly to be affected with blood-lust. It has been suggested that Anne, passionately longing for a son and terrified of her husband’s tyrannical wrath, acted like one of Thomas Hardy’s heroines centuries later and tried another lover in the hope that she would gratify her own and Henry’s wishes. This course of procedure is probably not so uncommon as some husbands imagine and would satisfy the questions of our problem but for Anne’s promiscuity and vehemence in solicitation. If her sole object in soliciting Norreys was to provide a son, why should she have gone from man to man till the whole Court seems to have been ringing with her ill fame?

Her spasms of violent temper after her marriage, her fits of jealousy, her foolish arrogance and insolence to her friends, are all mental signs which go with nymphomania, and the fact that her post-nuptial incontinence seems to have begun while she was still in the puerperal state after the birth of her only living child seems highly significant. It is not uncommon for sexual desire to become intolerable in nervous and puerperal women. The proper place for Anne Boleyn was a mental hospital.

Henry VIII’s case, along with those of his children, deserve a paper to themselves. Henry himself died of neglected arterio-sclerosis just in the nick of time to save the lives of better men from the executioner; Catherine Parr, who married him probably in order to nurse him--it is possible that she was really fond of him and that there was even then something attractive about him--succeeded in outliving him by a remarkable effort of diplomatic skill and courage, though had Henry awakened from his uræmic stupor probably her head would have been added to his collection. On the whole, one cannot avoid the conclusion that his conduct to his wives was not all his fault. They seem to have done no credit to his power of selection. The first and the last appear to have been the best, considered as women.

Inexorable Nemesis had avenged Catherine. The worry of the divorce left her husband with an arterial tension which, added to the royal temper, caused great misery to England and ultimately death to himself; and her mean little rival lay huddled in the most frightful dishonour that ever befell a woman. Decidedly there is something Greek in the complete horror of the tragedy.

The Problem of Jeanne d’Arc

In 1410-12 France was in the most dreadful condition that has ever affected any nation. For nearly eighty years England had been at her throat in a quarrel which to our minds simply exemplifies the difference between law and justice; for it seems that the King of England had mediæval law on his side, though to our minds no justice; the Black Death had returned more than once to harass those whom war had spared; no man reaped where he had sown, for his crops fell into the hands of freebooters. Misery, destitution, and superstition were man’s bedfellows; and the French mind seemed open to receive any marvel that promised relief from its intolerable agony. Into this land of terror was born a little maid whose mission it was to right the wrongs of France; a maiden who has remained, through all the vicissitudes of history, extraordinarily fascinating, yet an almost insoluble problem. It is undeniable that she has exercised a vast influence upon mankind, less by her actual deeds than by the ideal which she set up; an ideal of courage, simple faith, and unquenchable loyalty which has inspired both her own nation and the nation which burnt her. When the English girls cut their hair short in the worst time of the war;[3] when the French soldiers retook Fort Douaumont when all seemed lost: these things were done in the name of Joan of Arc.

Charles MacLaurin, a surgeon and lecturer in clinical surgery at the University of Sydney, applies his medical training to historical biography in Post mortem: Essays, historical and medical. The preface frames the work as an attempt to 'throw such light upon them as is possible as regards their physical condition' and to consider how health influenced actions. MacLaurin acknowledges the limitations of his Australian location—'we have no access to the original sources of European history'—and relies on standard monographs. The essays cover figures such as Anne Boleyn, Jeanne d'Arc, the Empress Theodora, Emperor Charles V, and Don John of Austria, with a substantial section on Cervantes and Don Quixote.

A Doctor's Approach to Biography

MacLaurin's preface establishes a clear methodology: he aims to study historical leaders 'from the point of view of a doctor,' a perspective he claims has been 'strangely neglected by historians.' He explicitly omits figures like Mahomet and St. Paul, about whom too little is known to dogmatize, focusing instead on those whose actions were 'clearly the result of their state of health.' The author acknowledges that this approach may appear 'unsentimental and harsh' but defends it as 'probably true.' He also apologizes for treating Don Quixote as a real person, arguing that the character was 'quite as much a living individual as anyone in history.' This blend of medical analysis and literary criticism is a distinctive feature of the collection.

Cervantes, Don John, and the Seeds of Don Quixote

In the chapter on Don John of Austria, MacLaurin speculates on the origins of Cervantes' Don Quixote. He suggests that Cervantes, 'biting bitter and sore against a world which had imprisoned him,' likely had in mind the story of Don John, the 'young bastard of Imperial Majesty' who rose to glory at Lepanto. MacLaurin finds it 'hard to believe that Cervantes had not heard of the foolish loyalty of Quixada' or of Don John's romantic dreams. He argues that these incidents contain 'the true seeds of Don Quixote.' The essay also discusses the death of Don Quixote, which MacLaurin calls 'the most generally famous in literature,' and offers a medical interpretation: he guesses that the 'brain fever' mentioned in the novel was actually typhoid, and that Cervantes was describing an old man suffering from shock.

The Pathos of the Idealist Out of His Time

MacLaurin's analysis of Don Quixote's death emphasizes the pathos of 'the idealist who is born out of his time.' He notes that Cervantes began by jeering at the old Don but later 'fell in love with the brave old lunatic,' ultimately portraying him as 'a really noble and beautiful character.' The death scene, MacLaurin argues, is secured by 'means similarly restrained' to another famous death in literature. He describes the duel with the Knight of the White Moon, where Don Quixote is overthrown and forced to vow to cease knight-errantry for a year. The old man is found 'pale and sweating'—a detail MacLaurin believes Cervantes observed from life. Don Quixote dies of syncope, 'a sad and disappointed man, certain of one thing only—that he was out of touch with the majority of mankind.'

MacLaurin's essays offer a distinctive blend of medical reasoning and historical speculation. Readers should note that the author explicitly relies on secondary sources and acknowledges the limitations of his access to original documents. The work is best approached as a series of informed conjectures rather than definitive diagnoses. The chapter on Cervantes and Don Quixote is particularly notable for its literary sensitivity, treating a fictional character as a case study in idealism and physical decline.

That rainy afternoon, I kept returning to the surgeon’s quiet wonder at how Cervantes wrote Don Quixote despite his crippled hand—how a wound becomes a doorway. Later, reaching for something lighter, I stumbled upon A Letter to a Hindu — Edition Insights, and found the same idea: healing isn’t simple, but it is constant.

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David Brown
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    Frederick Crane - 1 month ago
    The premise is promising, but the execution falls flat. The essays are overly academic and often drift into dense medical jargon that alienates the general reader. A more reader-friendly approach and clearer organization could have made this collection far more effective.

  • ...
    Michelle Brennan - 1 month ago
    An engaging collection that offers a unique perspective on historical events through a medical lens. The essays are well-written, but some might find the focus on morbidity a bit heavy. Still, it's an informative and intriguing read for those curious about the intersection of health and history.

  • ...
    Adrienne Mitchell - 2 weeks ago
    Post Mortem Essays Historical and Medical is a brilliantly curated collection that bridges the gap between history and medicine. The essays are meticulously researched, shedding light on how death and disease have shaped human events. The narratives are both educational and compelling, making complex topics accessible. A fascinating read for history buffs and medical professionals alike.


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