1
Space and the Hospital - 13th International Network for the History of
Hospitals Conference
Abstracts Book
Editorial Organization
INHH-International Network for the History of Hospitals
Edite Martins Alberto
CHAM – Centro de Humanidades
Câmara Municipal de Lisboa
Joana Balsa de Pinho
Instituto Europeu de Ciências da Cultura Padre Manuel Antunes
ARTIS–InstitutodeHistóriadaArte
Authors
Various
Editor
CHAM–CentrodeHumanidadesFaculdadedeCiênciasSociaiseHumanas
da Universidade NOVA de Lisboa | Universidade dos Açores
Av.ª de Berna, 26-C | 1069-061 Lisboa | Portugal
cham@fcsh.unl.pt | www.cham.fcsh.unl.pt
ISBN (eletrónico)
978-989-8492-79-1
Place and date of publication
Lisbon, May 2021
© CHAM and Authors.
Copyright
This is an open access work distributed under the terms of the Creative Commons Attribution 4.0 International Licence (CC BY 4.0).
Thiseventandpublicationhadthesupportof CHAM(NOVAFCSH/UAc),throughthe
strategicprojectsponsoredbyFCT(UIDB/04666/2020),and«Hospitalis–HospitalarchitectureinPortugalatthedawnof Modernity:identification,characterizationand
contextualization»(PTDC/ART-HIS/30808/2017),fundedbyFCT.
Contents
Introduction
4
Organization
5
Programme
6
Abstracts and curricula
Session1|HospitalsasGenderedSpace
14
Session2|TheoryandMemoryinAsylums
18
Session3|DeathcareandReligioninHospitals
22
Session4|HospitalsinCities:
RevitalisingandShapingUrbanEnvironments
27
Session5|TransformingSpacesthroughMedicalTheory 32
Session6|HospitalsintheColdWar
36
Session7|ColonialandIndigenousModels
41
Session8|HospitalsasSocialSpaces
44
Session9|SpacesofKnowledgeandHealing
48
Session10|TheMedicalandCulturalHeritageof Hospitals 52
Session11|ReadbetweentheLines:HospitalsinText
56
Session12|ThePoliticsof Modernisation
60
Session13|Maternity
63
Posters
67
Welcome to Lisbon
81
INTRODUCTION
The International Network for the History of Hospitals (INHH) is supported by the
European Association for the History of Health and theWellcomeTrust.The INHH
exists to promote studies related to the historical evolution of hospitals, from their
beginnings to the present day, by providing an international network to foster collaborationanddiscussionwithinthefield.Weareespeciallycommittedtosupporting
postgraduate, early career and independent researchers.
The 13th INHH Conference explores the relationship between space and hospital.
Space,inbothitsphysicalandconceptualmanifestations,hasbeenapartof howhospitals were designed, built, used, and understood within the wider community. By focusing on space, this conference aims to explore this subject through the lens of its
architectural, socio-cultural, medical, economic, charitable, ideological, and public
conceptualisations.
Thisonlinesymposiumwillbringtogetheracademicsfromarangeofdisciplinesto
present case studies from across the globe to explore the relationship between space
andhospitalsthroughouthistorybyexaminingitthroughthelensof fivethemes:
Ritual,Space,andArchitecture
Hospitalsas‘Model’Spaces
TheImpactof MedicalTheoryandPracticeonSpace
HospitalityasSocialSpace
Sponsorship
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Scientific and Organising Committee
AnnaM.Peterson(UniversidaddeCantabria/UniversidadMigueldeCervantes)
BarryDoyle(Universityof Huddersfield)
CaroleRawcliffe(UniversityofEastAnglia)
EditeAlberto(UniversidadeNOVAdeLisboa)
ElmaBrenner(WellcomeLibrary)
FritzDross(Friedrich-Alexander-UniversitätErlangen-Nürnberg)
JaneStevens-Crawshaw(OxfordBrookesUniversity)
JoanaBalsadePinho(UniversidadedeLisboa)
JohnHenderson(Birckbeck,Universityof London)
KathleenVongsathorn(SouthernIllinoisUniversityEdwardsville)
SarahLennard-Brown(Birckbeck,Universityof London)
Graphic Design
CarolinaGrilo
Webmaster and Digital Image
HenriqueDuarte(CHAM,NOVAFCSH/UAc)
OPENING SESSION VIDEO
Bernardes Franco
This virtual conference is sponsored by
INHH - International Network for the History of Hospitals
CHAM,CentrefortheHumatinies,NOVAFCSH/UAc
ARTIS,InstitutodeHistóriadaArte,FLUL
IECCPMA, Instituto Europeu de Ciências da Cultura Padre Manuel Antunes
CML, Câmara Municipal de Lisboa.
In partnership with research projects:
Hospitalis:HospitalArchitectureinPortugalattheDawnof Modernity
(FCT,PTDC/ART-HIS/30808/2017)
andAllSaintsRoyalHospital:cityandpublichealth(CML;CHAM,NOVAFCSH/UAc).
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ProgramME
26 May
Opening Session | 8:30-9:00
Session 1 | 9:00-11:00
Hospitals as Gendered Space
Chair:JaneStevens-Crawshaw|Oxford Brookes University
Francesca Ferrando | Università degli studi di Verona
“Protection or segregation? Gender and spaces in the Genoese
hospitals of Early Modern Age”
RadhikaHegde|St John’s Medical College
“A ‘veiled’ life: The Gosha Hospital in Bangalore”
DivyaRamaGopalakrishnan|University of Melbourne
“Spaces of Confinement and Refuge: Lock Hospitals and Female Resistance
in Madras India in the Late Nineteenth Century”
AshokKumarMocherla|Indian Institute of Technology Indore
“Hospital and Hospitality as Contested Social Spaces: A Social History
of the American Evangelical Lutheran Mission Hospital for Women and Children
in Guntur, India (1880-1930)”
Debate
Break | 11:00-11:15
Session 2 | 11:15-13:15
Theory and Memory in Asylums
Chair:ElisabettaGirotto| Universidade NOVA de Lisboa
Adelino Cardoso | Universidade NOVA de Lisboa
“Gardens as a therapeutic means in the treatment of mental illness”
Monika Ankele | Medizinische Universität Wien
“Becoming a ‘good’ hospital?
Spatial configurations in mental asylums in Germany around 1900”
6
YasminShafei|American University of Beirut
“Out of Sight, Out of Mind: Space and Constructions of Madness
in Turn-of-the-Century Egypt”
Paula Femenias | Chalmers University of Technology, ElisabethPunzi | University of Gothenburg
(Presenter)andNikaSöderlund|University of Gothenburg
“Psychiatric Hospitals in Transition: The Remembered and the Forgotten”
Debate
Break|13:15-13:30
Poster Session | 13:30-14:30*
Lunch|14:30-15:30
Session 3 | 15:30-17:30
Deathcare and Religion in Hospitals
Chair: Elma Brenner | Wellcome Library
Marta Ataíde | Independent Researcher
“Poverty, pilgrimage and healing – Our Lady of Light Hospital
at the beginning of the 17th century”
André Bargão | Universidade NOVA de Lisboa,
SílviaCasimiro|Universidade NOVA de Lisboa,RodrigoBanhadaSilva|Universidade NOVA de Lisboa
andSaradaCruzFerreira|Universidade NOVA de Lisboa
“To Mould, To Walk, To Grief:
An Archaeological approach to the Royal Hospital of All-Saints, Lisbon”
SusanaHenriquee|EON-Indústrias Criativas, Liliana Matias de Carvalho | Universidade de Coimbra,
Carlos Alves | EON-Indústrias CriativasandSofiaN.Wasterlain|Universidade de Coimbra
“The times they are a-changin’: two centuries of spatial management in The Military Hospital of the Castle of São Jorge (16th-18th centuries Lisbon)”
RobertPiggott|University of Huddersfield
“Religion and State Medicine in Twentieth Century England:
The Place and Space of the Hospital Chapel”
Debate
Break|17:30-17:45
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Session 4 | 17:45-19:45
Hospitals in Cities: Revitalising and Shaping Urban Environments
Chair:SarahLennard-BrownBirkbeckCollegeUniversityofLondon
AnaCláudiaSilveira|Universidade NOVA de Lisboa
“The Hospitality Network in Setúbal during the Late Middle Ages:
shaping an urban landscape in a Portuguese town”
AlfredStefanWeiss|University of Salzburg
and Elisabeth Lobenwein | Alpen-Adria University of Klagenfurt
“Early Modern Times Hospitals as Sensory Places?
The Example of Austria and Southern Germany”
Joseph Curran | Maynooth University
“A Permanent Monument to the Catholics of Dublin’:
The Mater Misericordiæ Hospital and the creation of confidence in a post-Famine city”
MagnusAltschäfl|Ludwig-Maximilians-Universität
“The San Francisco General Hospital – A Symbol for a Modern City”
Debate
27 May
Session 5 | 8:30-10:30
Transforming Spaces through Medical Theory
Chair: Elena Paulino Montero | Universidad Nacional de Educación a Distancia
SomreetaMajumdar|Visva-Bharati University
“Buddhist Monastery, Medicine and the Body Politic: A Historical Study of
the Healing Service of the Buddhist Monasteries of Eastern India with Special
Reference to the Nandadirghi Vihara of Jagjivanpur”
Adélia M. Caldas Carreira | Universidade NOVA de Lisboa
“The Royal Hospital of Saint Joseph in Lisbon”
Li Yanchang | Peking University
“Nationalization of Modern Medical Space and the Founding of the Peking Central Hospital”
JohannaRustler|University of Aberdeen
“Treatment on Rails: Britain’s Hospital Trains in the First World War”
Debate
Break|10:30-10:45
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Session 6 | 10:45-12:45
Hospitals in the Cold War
Chair:PauloDrumondBraga|Universidade de Lisboa
AndreasJüttemann|Charité Universitätsmedizin Berlin
“The West Berlin University Hospital Steglitz as a political issue – The realisation of
a (supposed) US hospital culture in the context of the student movement (1957-1974)”
EdDeVane|University of Warwick
“How I Learned to Stop Worrying and Love the NHS: Operational Research, Think Tanks, and
Changing Models of British Hospital Care in the Cold War, 1964-72”
DavidFreis|Universität Münster
“The Rise and Fall of the Medical Megastructure:
Hospitals of the Future in Cold-War Western Germany”
Eleni Axioti | University of the Arts London
“Corpus: The architecture of British hospitals in the 1960s
and the politics of observability”
Debate
Break|12:45-13:00
Poster Session | 13:00-14:00*
Lunch|14:00-15:00
Session 7 | 15:00-16:30
Colonial and Indigenous Models
Chair:RaúlVillagrasaElías|Consejo Superior de Investigaciones Científica
Michaela Clark | University of Manchester
“Designing the Clinic: Racialised Architecture and the Old Groote Schuur Hospital”
AntonioCoelloRodriguez|Universidad Privada del Norte
“Lima hospitals uses, functions and changes during the viceroyalty”/
“Hospitales limeños usos, funciones y cambios durante el virreinato”
Ling-yiTsai|National Yang-Ming University
“Taiwanese Hospitals: Plague Quarantine Hospitals Using Han medicine in Early Colonial Taiwan”
Debate
Break|16:30-16:45
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Session 8 | 16:45-18:45
Hospitals as Social Spaces
Chair:FritzDross|Friedrich-Alexander-Universität Erlangen-Nürnberg
Elena Paulino Montero | Universidad Nacional de Educación a Distancia, Marta Vísreda Bravo | Universidad
Nacional Autónoma de MéxicoandRaúlVillagrasaElíasConsejo Superior de Investigaciones Científicas
“Spatial Dimensions of the Holy Cross Hospital in Medina de Pomar:
A Unique Case in Late Medieval and Early Modern Iberia”
ZehraTonbul|Istanbul Sehir University
“Hospitals as Socio-Political Spaces: Mapping Hospitals in Late Ottoman Empire”
NarcissM.Sohrabi|Université Paris Ouest
“Reflection of Socio-Cultural Challenges on the Hospitals and Medical Spaces in Iran”
RonjaTripp-Bodola|Louisiana State University, Health Sciences Center New Orleans
“In Charity Hospital’s Shadow: Catholicism, Race and New Orleans Public Health”
Debate
May 28
Session 9 | 9:00-10:30
Spaces of Knowledge and Healing
Chair: Anna M. Peterson | Universidad de Cantabria/Universidad Europea Miguel de Cervantes
MatsDijkdrent|University of Cambridge
“Healing through Space: Plague and Mental Health Institutions
in the Sixteenth-Century Low Countries”
Christine Beese | Freie Universität Berlin
“Knowledge-making between Arts and Science. The Integration of Anatomical
Theaters into Hospital Architecture in Modena, Frankfurt and Paris in the 18th Century”
ManuelAntónioPereiraCouto|Universidade de Porto
“The origin of Vila Real hospital: hygienist’s guidelines and architecture
for a modern assistance practice (1796-1844)”
Debate
Break|10:30-10:45
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Session 10 | 10:45-12:45
The Medical and Cultural Heritage of Hospitals
Chair: John Henderson | Birkbeck, University of London
ValeriaRubbi|Università di Bologna
“Hospital Spaces and Architectures in Bologna in the Modern Age”
Elena Corradini | Università degli Studi di Modena e Reggio Emilia
“The Great 18th century Hospital in the complex of Sant”Agostino in Modena.
For a compatible and sustainable reuse project”
YeidyLuzRosaOrtiz|Durham University
“Use of Space and Non-Combative Populations of the Antiguo Hospital Nuestra Señora
de la Concepción, El Grande, San Juan, Puerto Rico, 1774-1886”
JoséCarlosD.R.AvelãsNunes|Universidade de Lisboa
“The architecture of the New Lisbon Lazaretto (1860-1910).
Modelling controversial confinement in space and time”
Debate
Break:12:45-13:00
Session 11 | 13:00-14:30
Read between the Lines: Hospitals in Text
Chair:AndréSilva|Universidade do Porto
EliseBrault-Dreux|University of Valenciennes
“Poeticizing the experience of the space in hospital”
Marie Allitt | University of Oxford
“Scaling the Hospital: Imagining and Mapping Clinical Space”
Jessica Campbell | University of Edinburgh
“Open Doors and Flattened Hierarchies: Exploring the Boundaries of Space
and Identity in Dingleton Hospital’s Therapeutic Community from c. 1963”
Debate
Lunch|14:30-15:30
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Session 12 | 15:30-17:00
The Politics of Modernisation
Chair: Joana Balsa de Pinho | Universidade de Lisboa
BarryDoyle|University of Huddersfield
“The Shape of Things to Come? The politics of planning new hospitals in inter war Europe”
CansuDegirmencioglu|Technical University of Munich
“The Foundation and Development of Heybeliada Sanatorium
and the Modernization of Turkey (1924-1955)”
HongdengGao|Columbia University
“Medical Governance Contest over Gouverneur Hospital:
Health Activism in New York City’s Lower East Side, 1956-1972”
Debate
Break|17:00-17:15
Session 13 | 17:15-18:45
Maternity
Chair:KathleenVongsathorn|Southern Illinois University Edwardsville
FitzDross|Friedrich-Alexander-Universität Erlangen-Nürnberg
“Gendered Medicalised Spaces – Inside and Outside Hospitals in early 20th century Germany”
KathleenPierce|Smith College
“New Spaces for a New Midwifery at the Lying-In Hospital of the City of New York”
ElzbietaKassner|Leibniz Universität Hannover
“Between home and hospital: Maternity wards in post-war Poland 1945-1970”
Debate
Closing Remarks | 18:45-19:00
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*Posters
Anna Maria Ester Condins | Universitat de Barcelona
“Santa Creu Hospital of Vic (Catalonia): a medieval hospital in a modern city”
Mariangela Carlessi | Politecnico di MilanoandAlessandraKluzer|Politecnico di Milano
“The Ospedale Maggiore of Milan as a ‘working machine’.
Functions, spaces and architecture through the centuries”
CarminaMontezumaandJoãoCastelaOliveira|Museu São João de Deus Psiquiatria e História
“The Order of St. John of God and hospital care in Lisbon”
RuteRamos|Universidade de Évora
“Power, prestige and royal intervention at All Saints Hospital”
Chiara Mascardi | THESA – Theater Science Anatomy and Chiara Ianeselli | IMT School for Advanced Studies in Lucca
“Anatomical theatres inside/outside the cities:
bodies between the universities and the hospitals in Italy”
Mayumi Iltsuka | architectural firm IMMUNORIUM
“How were health and social activities balanced in a hospital’s built environment? - in the case
of four centuries’ transformation of the former Saint-Vincent-de-Paul Hospital in Paris”
Isadora Monteiro | Universidade de Lisboa
“Os novos hospitaes de Lisboa’ Presenting in Portuguese”
VivianeTrindadeBorges|Universidade do Estado de Santa Catarina
“Miguel Bombarda Hospital: notes on an unfinished debate”
DonatellaLippi|Università degli Studi di Firenze andManilaSoffici|Università degli Studi di Firenze
“Space and law in the Hospital of S. Maria Nuova (Florence, 1288)”
AliciaCamposGajardo|Universidad de Chile
“Old San José Hospital, Santiago, Chile”
JosepBarceló-PratsandJosepM.Comelles|Universitat Rovira i Virgili
“The introduction of the architectural project of the moral asylum in Spain,
The case of the ‘Manicomio del Hospital de la Santa Cruz’ (Barcelona, 1835-1860)”
RenatodaGama-RosaCosta|Universidade Federal do Rio de Janeiro and Inês El-Jaick Andrade | Universidade de São Paulo
“A new Project to Santa Casa de Misericórdia in Rio de Janeiro (1840-1865): Hygiene and rationality”
OlgaSusanaCostaCoitoeAraujoInstitution| Universidade Estadual de Campinas
andPatriciaSammarcoRosa| Instituto Lauro de Souza Lima
“Cultural heritage of ILSL - Lauro de Souza Lima Institute:
a case study of a former leper colony of compulsory isolation, today Research Institute”
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ABSTRACTS AND CURRICULA
SESSION 1
Hospitals as Gendered Space
Francesca Ferrando | Università degli studi di Verona
Protection or segregation? Gender and spaces in the Genoese hospitals of Early Modern Age
This paper aims to analyze how gender influenced the organization of the space in
twoGenoesehospitals:thePammatonehospitalandtheAlbergodeipoveri.PammatoneHospitalwasbuiltin1469totreatacutediseasesandtoassistabandonedchildren
whiletheAlbergodeipoveriwasaconfinementstructureerectedin1656forbeggars.
Their plans followed the classical model of Renaissance Hospitals which included
acleardivisionbetweenfemalespacesandmaleones.Thisseparationwastoavoid
promiscuity and to preserve women from violence and abuses, even though there was
arelativefreedomofmovementforpatientsof bothsexes.AfterCounter-Reformation this division became more marked according to a new concept of women’s virginity,whichassociatedthehonorofthefamilytothepurityof itsfemalemembers.This
change of mentality had the main consequence of a more tightening control on female
habits and costumes which turned into a closure of the women’s quarters of the hospital.Themajorityof Italianhospitalsadoptednewruleswhichpreventedwomenfrom
leaving the hospital without permission and they forbade any man to enter in female
dormitories.Stereotypesof genderinfluencedallaspectsof dailylives,includingeducationof childrenandstaff recruitments,soHospitalsplannedparallelpathsformen
andwomenwiththefinancialhelpof benefactresses.
ByanalyzingunpublisheddocumentsproducedbyPammatoneHospitalandAlbergodeipoveri(rules,notarydeedsandpublicrecords)we’llbeabletoseewhatfemale
spacesandtheirruleswere.Gendershapedthephysicalspace,creatingatthesame
time new social spaces characterized by their own organization and their own networks in the world outside the hospital.
BRIEF CURRICULUM
Francesca Ferrando is a teaching assistant of Early Modern History at University of
Verona and sheworkswith Professor Marina Garbellotti. On 30 June 2020 she receivedherPhDinHistorical,Geographical,AnthropologicalStudiesattheUniversity
of Paduawithacomparativethesisontheconfinementstructuresof Genoa,Venice
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andBolognabetween17thand18thcenturies.She’sinterestedinthehistoryof welfare
inItaliancitiesof EarlyModernAgeandingenderhistoryandshewrotefivearticles
onthesesubjectspublishedonItalianscientificjournals.
RadhikaHegde|StJohn’sMedicalCollege
A ‘veiled’ life: The Gosha Hospital in Bangalore
OnOctober31,1895theGoshaHospitalmanagedbytheChurchofEnglandZenana
MissionarySocietywasopenedinBangalore.Thehospitalwasstarted,withtheaim
of providing medical care to the ‘backward’ Muslim women. It was constructed on
thelandgiftedbythePrincelyrulerof Mysoreandasubstantialamountof fundwas
raisedthroughlocalphilanthropy.Thishelpedinraisingamuchbiggerbuildingthan
initiallyplanned.Duringtheoutbreakof theBangaloreplaguein1898,thehospital
staff playedanimportantroleinprovidingaidtopeoplethuscontributingtoitspopularity.Thehospitalconsistedofcastewardstoencourageuppercastewomentoavail
its services.
Thewomenmissionarydoctorsplayedanimportantroleinpopularisingtheideaof
hospitalisationduringchildbirth,whicheventuallyledtoestablishmentof otherzenana hospitals in Princely Mysore and encouraged more active participation of local
boardsandtheroyalty.Thehospitalwasalsoanimportantspacetothemissionaries
forpromotingevangelicalactivities.Prayermeetingswereoftenheldandthecentral
idea was to convert the ‘heathens’, and spaces like ‘Friendship’ ward was created for
this purpose. Most often in the photographs of CEZMS a lady missionary doctor is
oftenseenpreachingtothesareecladIndianWomen.
TheZenanamissionarywasthereforeimportantfortworeasons:Firstly,healthcare
of womenthatwasoftenignoredbytheBritishGovernmentwastakenupbythemissionariessupportedbythelocalelites.Secondly,thewomendoctorswerenegotiating
a space that became exclusively a speciality of women paving the way for medical doctorsnotjustinEnglandbutalsoinIndia.Thispaperwillfocusonthegrowthof Gosha
hospital in Bangalore and look into its various trajectories of growth and its survival
as a women’s hospital till to this day.
BRIEF CURRICULUM
RadhikaHegde isalecturerof HistoryofMedicineinStJohn’sMedicalCollegeBangalore.SheteachesCitizen-Doctormoduletomedicalstudentsandtakeslectureson
History of Medicine.The Maj Gen SL Bhatia History of Medicine Museum that is a
partof theHealthandHumanitiesDivisionismanagedbyher.Sheisnowinvolved
in curating the archives of Health professionals and is building the digital archives to
encouragemorepublicparticipationintheSocialHistoryofMedicine.
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DivyaRamaGopalakrishnan|Universityof Melbourne
Spaces of Confinement and Refuge: Lock Hospitals and Female Resistance in Madras
India in the Late Nineteenth Century
This paper examines how Lock Hospitals in the nineteenth century colonial South
Indiawere both a space of confinement, forwomen suspected of practising prostitution and spreading venereal diseases, and place of refuge, for ‘destitute’ women. It
will emphasise the control and surveillance employed by the colonial government and
anxieties about clandestine prostitution and venereal diseases. It will also highlight
how these anxieties led to the use of various methods and discourses by the colonial
governmenttoconfinewomentothelockhospitalsandsubjectthemtoill-treatment
atthehandsof bothEuropeanmedicalsurgeonsandIndianstaff.Nonetheless,these
women were able to subvert the lock hospital space and rules to suit their immediate
needs.Thelockhospital,aspaceofconfinement,wasusedasaplaceofrefugeduring
thefamineof thelate1870sinMadraspresidencybythesewomentoavoidstarvation.
By highlighting the changing shape and use of lock hospital space, this paper will describe various strategies of resistance employed by women to subvert the lock hospital
spaceandagainsttheContagiousDiseasesActof1864and1869intheMadraspresidency. By doing so, it illustrates the malleable nature of colonial hospital space, which
was constantly changed not just by the imposing colonial rulers but by the subversion
and survival of the ruled Indians as well.
BRIEF CURRICULUM
DivyaRamaGopalakrishnanisaPhDcandidateattheUniversityof Melbourne.Her
thesisexaminescontrolof venerealdiseaseandsexualsurveillanceincolonialSouth
India.ShedidherBachelorof ArtsandMaster’sinHistoryfromUniversityof Delhi,
specialisinginModernIndianHistory.HerM.Phildissertation(Universityof Delhi)
was on “Lock Hospitals, Cantonment andVenereal Diseases in Nineteenth Century
MadrasPresidency.”Morespecificallyherworkexaminesthefracturednatureof the
colonial hegemony, highlighting the vital role of Indian agency in policy implementationregardingvenerealdiseases.SheisinterestedinresearchareassuchSocialHistoryof HealthandMedicine,SexualityandScience,Archivalsilence,GenderandState,
Public Health and Micro History.
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AshokKumarMocherla|IndianInstituteof TechnologyIndore
Hospital and Hospitality as Contested Social Spaces: A Social History of the American
Evangelical Lutheran Mission Hospital for Women and Children in Guntur, India
(1880-1930)
The American Evangelical Lutheran Mission hospital established in Guntur of the
erstwhile Madras Presidency, through modern medicine and medical practices, left
permanentimprintsonsocialimaginationsof thenativeTeluguspeakingcommunity.
Havingsaidthat,thecentralfocusofthisessayistoexamineandcriticallyanalyze
thethreefoldinfluenceofmissionarymedicineandmedicalpractices,carriedoutin
andoutsidethemissionhospital,onlargersocial(re)constructionsof health,gender,
and religion in this region over time from the standpoint of hospital and hospitality as
contested social spaces. Firstly, it examines how the mission hospital facilitated largerchangesinthefieldof genderandmedicine,bywayof contestingthetraditional
perceptions and stereotypes, which were complex and interwoven with superstitions
of caste,religion,andculture.Secondly,toexaminethepatternsandmeansthrough
which the mission hospital and hospitality transformed socio-religious perceptions of
whatis,broadlyconstruedas,anillness,health,disease,andcure.Somediseasessuch
assmallpoxandchickenpoxweretraditionallyviewedassymbols/resultsofthewrath
of village goddesses or deities. Hence, the propitiation of village goddesses or deities,
through religious rituals,was a frequent occurrence in Colonial Madras.Thirdly, to
analyzehowthemissionhospitalmadesteadyprogressinimprovingtheconditions
of womenandchildren,whowereotherwiseleftatthemercyoftraditionalmidwifery, and in turn, became historically anchoring points for the modern medicine to establish itself in this region.
BRIEF CURRICULUM
AshokKumarMocherlaisassistantprofessorof sociologyattheschoolof humanities
andsocialsciences,IndianInstituteof Technology(IIT)Indore.Hisacademicinterests
include,notconfinedto,sociologyof religion(Christianity),casteandreligiousminorities, political sociology, sociology of faith healing and missionary medicine. His
latest book is Dalit Christians in South India: Caste, Ideology and Lived Religion(Routledge
2020).HereceivedhisPh.D.fromtheIndianInstituteofTechnology(IIT)Bombayand
hasheldvisitingpositionsattheUniversityof Bielefeld,Germany(2010);DrexelUniversity College of Medicine, Philadelphia (2013). He is currentlyworking on a book
manuscript that examines questions of Christian modernity and missionary medicine
in Colonial Andhra.
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SESSION 2
Theory and Memory in Asylums
Adelino Cardoso | Universidade NOVA de Lisboa*
Gardens as a therapeutic means in the treatment of mental illness
Gardens are a cultural form whose concept and function have varied significantly
throughout history. A main feature of gardens consists of creating a peculiar atmosphere and establishing a close bond between man and nature.
In its turn, the psychiatric hospital is a recent institution that goes back to the eighteen
century, and generally includes gardens in its organisation of space. Indeed, gardens
impact on the human mental state, raise pleasure, inspire peacefulness, open the mind
totheexternalworldandstimulatetheimagination.Withinsuchframework,onewill
beconcernedwiththerelevancyof gardensinCondeFerreiraHospital(Oporto),inauguratedin1883,andJúliodeMatosHospital(Lisbon),inauguratedin1942.
ThegardensofCondeFerreiraHospitalareaspecialcasefortheirdimensionandvariety, displaying different environments promoting meditation or communication
withothers.ThegardensofJúliodeMatosHospitalarealsoanintrinsicpartof the
psychiatric treatment.
BRIEF CURRICULUM
Adelino Cardoso obtained a doctorate in Modern Philosophy at the University of Lisbon
(2003)andiscurrentlyIntegratedResearcheratCHAM–CentrefortheHumanities
(NOVAFCSH/UAc),whereheleadstheresearchteam“ScienceandCulture”.Hisresearch
interests cover Modern philosophy, Portuguese thought, history and philosophy of scienceandespeciallyof medicine.PrincipalResearcherofseveralprojects,namely“Philosophy,medicineandsociety”(2007-2011),“Theconceptof natureinthemedico-philosophicalthoughtatthetransitionfromthe17thtothe18thcentury”(2012-2015),“Medical
artandscientificintelligibilityintheArchipathologia (1614)byFilipeMontalto”(2013-2015),“ThelucidesleepasanaccesstothehumanpsycheintheworkbytheAbbot
Faria”(2019-2021).HewrotevariouspapersinspecialisedJournalsandseveralbooks
such as: Fulgurações do eu (Colibri,2002),Vida e percepção de si (Colibri,2008),Labirinto do
eu (KotterEditorial,2019).HeisMemberoftheEthicsCommitteeof thePortuguese
Institute of Oncology, and of the Ethics Council of the Champalimaud Foundation.
*CHAM,FaculdadedeCiênciasSociaiseHumanas,FCSH,UniversidadeNOVAdeLisboa,1069-061Lisboa.
18
MonikaAnkele|MedizinischeUniversitätWien
Becoming a “good” hospital? Spatial configurations in mental asylums in Germany
around 1900
In the psychiatric institutions of the late 19th century, one method of treatment became increasingly important: the so-called bed treatment. It was based on the principle of bed rest and required that the patients were placed in a common room. As
corresponding files from mental asylums in German-speaking countries show, the
introductionof thismethodentailedseriousspatialconfigurations:isolationcells,in
whichpatientsintheacutestageof illnesshadpreviouslybeenconfined,weredissolved and the individual cells were connected to larger wards. These wards were
equippedwithrowsof bedssothatupto15patientscouldbeplacedinoneroom.This
spatial arrangement should make it easier for the individual patient to submit to the
doctor’sinstructionandtofitintothetherapeuticregimeoftheinstitution.Furthermore–andthisisthepointIwanttoaddressinmypresentation–thespatialmodifications of the mental asylums were accompanied by a central argument: By establishing common wards, it should be possible to adapt psychiatries – those places in which
patientswere,asitwassaid,“buriedalive”–tothegeneralhospitals.Thesewerethe
modelinstitutionstowhichpsychiatriestriedtoadaptinordertofindacceptanceboth
internally and externally as a place where patients received medical treatment and
care.InmycontributionIalsowanttoshedlightonfurtheradaptationsinthefieldof
spatial-material culture that were aimed at making psychiatries “good hospitals”: be it
the bars on the windows that were removed, or the change from brick walls to natural
boundaries, and much more.
BRIEF CURRICULUM
Monika Ankele isahistorian.SheisascientificresearcherattheInstituteforHistory and Ethics of Medicine at the University Medical Center Hamburg-Eppendorf and
curator at the Medical History Museum Hamburg. Her research focuses on the history
of psychiatry and its institutional culture in the 19th and 20th century, following a
patient-orientedapproach.Hercurrentresearchproject,fundedbytheGermanResearch Foundation, addresses objects and spaces of psychiatry, putting a special emphasis on the hospital bed and the bathtub, both as objects and spaces. In her work she
is seeking a better understanding for the entanglement of material culture, spaces,
practices(of knowledge),andthesenses.Sheiscurrentlyworkingonamonograph
on the sickbed and co-editing with Benoît Majerus a book entitled Material Cultures of
Psychiatry whichwill be published in October 2020, including her essay “The Fabric
of Seclusion:Textiles as Media for (Spatial) Interaction in Isolation Cells of Mental
Hospitals.”Herlatestpaper“MaterialConfigurationsof NursinganditsEthicalImplications.TheProlongedBathTreatmentinPsychiatry”waspublishedintheEuropean
Journal for Nursing and Ethics 1/2020.200
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YasminShafei|AmericanUniversityof Beirut
Out of Sight, Out of Mind: Space and Constructions of Madness in Turn-of-the-Century Egypt
ThehistoryofmentalhealthintheMiddleEastreflectsthemultiplewaysinwhich
colonialgovernmentsandmodernnation-statesdefinedboththeirnationalprojects
andrelationshipswiththeirsubjects.Thisstudyexaminesthestate’sappropriationof
mental healthcare and its asylums through the lens of the state’s control of the physical nature and location of asylums and their administrative systems and processes.
ThestudydemonstrateshowtheBritishadministration’seffortstopolicemadnessfocused on asylum reforms which ultimately changed the nature of mental health care
in Egypt.
WiththeBritishoccupationofEgyptin1882,thecolonialadministrationplacedasylumsatthecenteroftheir‘civilizingmission’inEgypt,investingheavilyinexpanding
and modernizing the physical infrastructure of the asylum, creatingvast buildings
andgroundsandincreasingthenumberof beds.Themostlastingimpactof British
influence,however,wasinthemannerinwhichasylumsweredesignedtoisolate‘undesirable’ elements from society outside the bounds of the city.The physical isolationof theinsanereflectedBritishmentalhealthnormswhichsoughttoisolatethem
bothlegallyandideologicallyfromthecommunitiesinwhichtheylived.Theasylum
wasthereforeestablishedatasitedistantfromthecapital,locatedintheReydaniyya
desertwhichlaterbecamethedistrictof‘Abbasiyah.Wallswerealsoerectedaround
boththe‘AbbasiyahandKhankahasylums,furtherisolatingpatientsoutof sightfrom
theircommunities.Theisolationandconfinementof theinsanealsoresultedinthe
stigmatizationof mentalillnessinturn-of-the-centuryEgypt.Thiswasadeparture
from traditional perceptions of the insane which sought to integrate them in society
priortothetwentiethcentury.Theasylumhadlongbeenaccessibletopatients’families in the heart of the capital before British intervention in mental health care.
BRIEF CURRICULUM
Yasmin Shafei is a PhD candidate in modern Middle Eastern History at the AmericanUniversityofBeirut.AfterreceivingherBA(1996)andMA(2001)inInternationalRelationsfromtheAmericanUniversityinCairo,shespent15yearsmanagingUN
projectsonrefugees,health,andwomen.Shereturnedtoacademiain2015andiscurrentlyinthefinalyearofherPhD.Herdissertationfocusesonthehistoryof mental
illness and psychiatry in Egypt, with a particular of emphasis on the impact of British
colonial rule on mental health treatment and diagnosis in Egypt. Her research interests include the history of medicine, women and gender studies.
20
PaulaFemenias|ChalmersUniversityof Technology,ElisabethPunzi|Universityof
GothenburgandNikaSöderlund|UniversityofGothenburg
Psychiatric Hospitals in Transition: The Remembered and the Forgotten
Urbanareasareexpandingandcitiesaretransformed(Högström2018).Inthisprocess,formerpsychiatrichospitalsoftenbecomebusinessparks,hotels,orresidential
areas(Baur2018;Rodéhn2017).Thebeautyof thearchitecturalfeaturesandtheparks
areoftenemphasized,whileformerresidentsseldomareremembered;aprocessthat
has been called strategic forgetting (Coleborn 2003; Moon, Kearns & Joseph 2015).
InGöteborg,thesecondlargesttowninSweden,twoasylumswereplacedabouttwo
kilometersfromeachother;StJörgen(1872-1991)andLillhagen(1932-2013).Theyears
whentheyco-existed,theirpatientscamefromdifferentareas.Lillhagenwasusedfor
localpatientsandStJörgenforregionalpatients.Todaythesitesoftheasylumsare
residential areas and have been subject to strategic forgetting.
Weinvestigatethetransitionprocessesforthesetwohospitals.Distinctperiodswhich
are manifested in architecture and social areas are examined. Only Lillhagen seems to
berememberedbycontemporaryinhabitantsof Göteborgandthereisbuddinginterest in remembering Lillhagen. A street in the new residential area will for example be
namedaftertheartworkpatientsmadeinthehospitalbasement.StJörgenhowever
tends to be forgotten, except for a small burial ground in the new residential area.
Thesesiteshostedinstitutionswithacomplexhistorywhichincludessegregation,oppression andviolation of human rights.Through connecting historic sites like this,
with contemporary social issues in the present, these sites could be remembered in
waysthatcontributetosocialjusticeinthepresentandthefuture(Sevcenko2010).
Moreover,conscientiousremembrancemightaddvaluesforthenewresidents/residentialareasintheformof historicalperspectives,identity,andmeaning.Thismight
be appreciated and important, not least given the current acknowledgement of mental
health issues and how mental distress might be counteracted and treated.
BRIEF CURRICULA
PaulaFemenias(ChalmersUniversityof Technology)isanarchitectandAssociate
ProfessorinSustainableTransformationof theBuiltEnvironment,attheDivision
of Building design. Femenias has been engaged in teaching and research with a focus on sustainable buildings since the mid 1990s and the leader of several research
projects with inter- and transdisciplinary collaborations. Her research focuses on
clients and users, and holistic perspectives to sustainability in relation to housing,
homes, management and renewal, innovation, and living. Femenias has a large and
broad network of national and international researchers, and stakeholders in the
local building sector.
21
ElisabethPunziisalicensedpsychologist,PhDandassociateprofessorattheDepartment of SocialWork, Gothenburg University. Her research concerns mental health
care and the prerequisites for providing person-centered care. She is interested in
the connection between heritage, places, creative expressions and mental health,
andwritesaboutthehistoryof psychiatryandpsychoanalysis.Sheteachescoursesin
mental health and qualitative research methods.
SESSION 3
Deathcare and Religion in Hospitals
MartaAtaíde|IndependentResearcher
Poverty, pilgrimage and healing – Our Lady of Light Hospital at the beginning of the
17th century
Theconstructionof OurLadyof LightHospitalbeganin1601,havingbeeninauguratedin1618.LocatedinCarnide,inthetownof Lisbon,itispartof anarchitecturaland
urbancomplexcomposedof hospital,conventandpilgrimyard.Thepilgrimsarrived
atthisplaceallyearroundfromalloverthecountryandoverseas,specificallyonSeptember8,dayof OurLadyof Light.BuiltbytheprincessD.Maria(1521-1577)withthe
aimof recoveringpoorpatientsandpilgrims,thehospitalconstructionreflectsher
Christian,humanist,andculturalactions,eternizedbyhermausoleumintheconvent
church.Theprincessleftwritteninherwilltowhomthehospitalwasintended,the
financialmeansnecessaryforitsconstructionandoperation,aswellastheprovisions
to its spiritual and temporal organization and management, made by the Order of
Christ.
In a period of innovation in hospital buildings in Europe, the Our Lady of Light Hospital materializes and merges international artistic inflows with national hospital
characteristics, emerging a building of great formal and functional clarity, designed
by relevant national architects. It is a hospital model that develops a strong system of
circulation and communication between its interior and exterior spaces in an articulated process of healing the body and soul, having been considered, in its time, one of
the most equipped and modern hospitals in the country.
BRIEF CURRICULUM
MartaAtaídereceivesisfirstdegreeinInteriorArchitectureandBuildingRehabilitation from Architecture College of Lisbon University and is second degree in ArchitecturefromLisbonLusíadaUniversity.Shereceivedamaster’sdegreeinArchitectural
and Landscape Heritage Rehabilitation from Évora University. Independentworker
22
inarchitecture;collaboratingarchitectinvariousarchitecturalateliers;collaborating
architectintheOfficeofHistoricalandCulturalHeritageof CascaisMunicipalTown
Hall; collaborating architect in the Plan for Safeguarding and Rehabilitation of the
Historical Center of Belver.
Independent researcher focused on studies of religious architectural heritage with
participation in national congresses and seminars.
AndréBargão|UniversidadeNOVAdeLisboa,SílviaCasimiro|UniversidadeNOVA
deLisboa,RodrigoBanhadaSilva|UniversidadeNOVAdeLisboa,andSaradaCruz
Ferreira | Universidade NOVA de Lisboa*
To Mould, To Walk, To Grief: An Archaeological approach to the Royal Hospital of
All-Saints, Lisbon
Foundedin1492,theRoyalHospitalof AllSaintswasanarchetypeof thePortuguese
welfare social assistance. Paradigmatic in Portugal, but largely inspired in European
models, the architectonical design provided and introduced new routines in the hospital daily lives in all the kingdom.
Theprimitivecruciformdesign,integratingfouryards,delimitedintheinteriorbycorridors and an open area, maintained the physiognomy along the period of activity of the
building, even with transformations resulting from eventual necessities or even from
naturaldisastersepisodes.Thesearchitecturalmodellingepisodesremainedrecorded
in the remnants exhumed in Praça da Figueira in 1960’s, with more expression in the
archaeologicalinterventionof1999-2001.Recentstudies,intheframeworkoftheRoyal
Hospital Archaeology have been providing new readings of the building evolution, subjectoftenabsentindocumentalsources,suchasthebackareaofthehospitalcomplex.
In this area the archaeological study revealed a significant set of transformations
causedbynewfunctionalities.Oneof thosemomentsoccurredinthefirsthalf ofthe
18thcentury,whenacorridorwasturnedintoaburialground,inwhichseveralsimple
and multiple burials, were carried out.
The archaeological data revealed that this transformation occurred between the reformofthebackareaofthecomplexandtheconstruction/reformof thepassageto
SãoCamilodeLélisroomsandinfirmary.Theinstallationof SãoCamilodeLélisOrder
impliedtheobliterationof previouscontextsassignedtothe16thand17thcenturies.
Thisreadingwasonlypossiblewiththeintensivestudyof thematerialcultureandthe
architectural remnants.
In the present work, new hypotheses are raised concerning the constructive physiognomy evolution of the back area of the hospital complex. Also, there are new interpretative proposals of the use and the daily lives of the hospital.
*CHAM,FaculdadedeCiênciasSociaiseHumanas,FCSH,UniversidadeNOVAdeLisboa,1069-061Lisboa.
23
BRIEF CURRICULA
AndréBargão(FCTPhDStudentatCHAM,NOVAFCSH/UAc),Graduation(2013)and
MasterinArchaeology(2015),byFaculdadedeCiênciasSociaiseHumanas,UniversidadeNOVAdeLisboa(NOVAFCSH),andPhDstudentinHistory–Archaeologyin
the same institution, funded by Fundação para a Ciência e Tecnologia (FCT SFRH/
BD/133757/2017),with the project thesis “Hospital Real deTodos-os-Santos, Lisboa:
ArqueologiaeArquitecturadeumespaçoassistêncialdeépocamoderna(séculosXV-XVIII)”.ResearchAssistantatCHAM–CentrefortheHumanities(NOVAFCSH/UAc)
since 2015.
SílviaCasimiro(PhDStudentatIEMandLABOH-CRIA,NOVAFCSH),archaeologist
developing investigation in Archaeology and Bioanthropology interface, and Archaeothanatology.PhDStudentinHistory–ArchaeologyatFaculdadedeCiênciasSociais
e Humanas– Universidade NOVA de Lisboa. Researcher at the Instituto de Estudos
Medievais(IEM,NOVAFCSH)andintheLaboratoryof AntropologiaBiologicalAnthropologyandHumanOsteology–CentroemRededeInvestigaçãoemAntropologia
(LABOH-CRIA,NOVAFCSH).
RodrigoBanhadaSilva(CAL/CML/DMC/DPC;CHAM,NOVAFCSH/UAc),archaeologistatCentrodeArqueologiadeLisboa–CulturalHeritageDepartment,since1990.
MDinUrbanArchaeology,byUniversidadedoMinho,andPhDinHistory–Archaeology,byFaculdadedeCiênciasSociaiseHumanas–UniversidadeNOVAdeLisboa.InvitedProfessorof theHistoryDepartmentof NOVAFCSHsince2004,teachingUrban
Archaeology,RomanArchaeology,ModernArchaeologyandCeramology.Researcher
atCHAM–CentrefortheHumanities(NOVAFCSH/UAc)andmemberof thePermanentScientificCommittee.
SaradaCruzFerreira(FCTPhDStudentatCHAM,NOVAFCSH/UAc):Graduate(2012)
andMasterinArchaeology(2015),byFaculdadedeCiênciasSociaiseHumanas,UniversidadeNOVAdeLisboa(NOVAFCSH),andPhDstudentinHistory–Archaeology
inthesameinstitution,fundedbyFundaçãoparaaCiênciaeTecnologia(FCTSFRH/
BD/137142/2018),withtheprojectthesis“NegóciodaChina:ComércioeConsumode
porcelana oriental em Lisboa (séculos XVI-XVIII))”. Research Assistant at CHAM –
CentrefortheHumanities(NOVAFCSH/UAc)since2015.
24
Susana Henrique | EON-Indústrias Criativas, Liliana Matias de Carvalho | UniversidadedeCoimbra,CarlosAlves|EON-IndústriasCriativas,SofiaN.Wasterlain|Universidade de Coimbra
The times they are a-changin’: two centuries of spatial management in The Military
Hospital of the Castle of São Jorge (16th-18th centuries Lisbon)
BornfromtheRenaissance,the16thcenturybroughtnewformsof healthtreatment
that not only led to a new look at the human body but also to the creation of new needs
inhospitalbuildings.ThatwasreflectedinanewmilitaryhospitalbuiltintheCastleneighborhood,Hospitalof S.FilipeandS.Tiago,ruledunderthepurviewof the
Knights Hospitaller of São João de Deus. Archaeological digging put into evidence
aplannedstructuredthatevolvedfortwocenturies.Thedatauncoveredalliedwith
historical records leads to the discovery of an institution that molded the area, being
presentonbothsidesof thestreet,andhavingthreeinfirmaries,achapel,anapothecary,agarden,andacemeterywithanoratory.Thesechangesprobablyresultfromthe
needs not only of an evolving city but also of a greater extension of hospital services
to the community.
Onereflectionofthesechangeswasthenecropolisanditsseveralphases,wheremore
than1000individualskeletonswererecovered.Thedifferentneedsrequiredbythe
space management of the necropolis create a dialogue with the hospital structures
andwith the bibliographic records (among other records of deaths and discharges,
hospitalaccounts).
Theserecordsshowusthatsomepeopletreatedatthehospitalwereprisonerswho
died and were subsequently buried at the hospital cemetery which was rearranged to
accommodate these individuals.
Thearchaeological,anthropologicalandhistoricinvestigationbroughttolightareligiousandmilitarycommunity.Thespacemanagementchangedaccordingtothedynamics and functions of this institution.
BRIEF CURRICULA
SusanaHenriquesholdsadegreeinArcheologyandHistoryandamaster’sdegreein
Pre-HistoryandArchaeology.ShehasbeenworkinginArchaeologyfor20yearswith
avastexperienceinurbanarchaeology.Forthepast4yearsshehasbeenworkingat
thecompanyEON,IndústriasCriativasinprojectsinvolvingpostmedievalrealities
aroundtheCastleof SãoJorge.
Liliana Matias de Carvalho holds a degree in Archaeology and History, is currently a
25
PhDstudentinBiologicalAnthropologyaResearcherattheResearchCentreforAnthropologyandHealth.Shehasaparticularinterestinthestudyof paleopathology,
and history of medicine.
CarlosAlvesholdsaPhDinarthistoryfromtheUniversitatÀutonomadeBarcelona where he developed his studies on the Cathedral of Viseu. He is currently an art
historianatthecompanyEON,IndústriasCriativasandamemberof theInstituteof
MedievalStudiesattheNewUniversityof Lisbon.HisresearchfocusesonPortuguese
religious architecture from medieval and modern periods with special emphasis on
the relationship between architecture and liturgy.
SofiaN.WasterlainholdsaPhDinAnthropology,aMastersinHumanEvolutionand
adegreeinAnthropology.SheisaProfessorattheUniversityof Coimbrasince1997
andaResearcherattheResearchCentreforAnthropologyandHealth.Hermainareas
of interest are the study of past populations, paleopathology and dental anthropology.
RobertPiggott|Universityof Huddersfield
Religion and State Medicine in Twentieth Century England: The Place and Space of the
Hospital Chapel
InMay1948,twomonthsbeforethenewNationalHealthService(NHS)cameintobeing, Nye Bevan, Minister of Health, made a pledge to the Church of England’s Church
Assembly. Under the new service, it was reported, ‘chaplains, and where necessary,
chapels [would] be provided in all institutions under the control of the Ministry of
Health’.TheNHSnationalisedthehospitalsandreplacedvoluntaryandlocalauthority
control with a centrally funded health service. Many clergy equated the implied loss of
voluntarism with a loss of a spiritual side of medical care they connected with Christianity.Thechapel,aritualspacewithinthehospital,hadmaintainedthisconnection,
providing a site for worship while linking the hospital to wider networks. However,
WorldWarIIhadnegativelyaffectedthesespaces,eitherthroughbombdamageorthe
needforextraspaceformedicalcare.Bevan’spledgereaffirmedtheplaceofthechapel
inthehospitalinthenewNHS.Despitethis,byerasingtheneedforfundraisingfor
medicalcare,theNHSdisruptedthetraditionalconnectionof localfaithcommunities
tothehospital.Asaresponse,fundraisingeffortsweredirectedtosupportworship
spaceinthehospitaleitherbyprovidingnewfurnishingsandfittings,orbybuilding
anentirelynewchapel.Despitetheseefforts,inthelatertwentiethcenturythedecline
of Christian worship, coupled with increased religious diversity, further complicated
thehospitalchapel’straditionalrole.Thispaperexaminestheritualsof thehospital
chapelinEnglandandtheeffectofsocialchangeonthechapelspaceinthepost-war
period.Itwillconcentrateontheeffortsof thosewhosoughttomaintainthelinkbetween Christianity and medical care in the NHS and argue that the hospital chapel
26
became a locus of special attention in their endeavours to do so.
BRIEF CURRICULUM
RobertPiggottcompletedhisPhDattheUniversityof Huddersfieldin2019.Hisresearch has looked at the effect of the decline in public worship in England on the
Church of England’s historic buildings, and the role of volunteers in church building
conservation.Hiscurrentresearchinterestscentreontheeffectof theestablishment
of theNationalHealthServiceonvoluntaryactioninthepost-warperiod.
SESSION 4
Hospitals in Cities: Revitalising and Shaping Urban Environments
AnaCláudiaSilveira|UniversidadeNOVAdeLisboa
The Hospitality Network in Setúbal during the Late Middle Ages: shaping an urban
landscape in a Portuguese town
ThisstudyfocusesontheportcityofSetúbal,inPortugal,integratedinthedomainsof
theMilitaryOrderofSantiago,institutionthatholdboththesecularandtheecclesiastical jurisdiction over the city and the surrounding territory.
Itaimstoreflectontheimpactofthedeploymentof anetworkof institutionsforthe
careandcureof thesickinmedievalSetúbal,analyzingtheimpactof suchinstitutions in urban topography and in the evolution of urban planning, as well as the strategies used by these institutions to accumulate and to control valuable urban property.
Therelativesuccess(orfailure)ofsuchmanagementreflectseithertheinstitutional
relationships established by the hospital and welfare institutions themselves with the
urbanpowers(includingtheMilitaryOrderof Santiagoandthemunicipalauthorities),aswellastheirabilitytoreinforcesocialrelationsbetweendifferentsectorsof
the urban community, attending to the role of these institutions regarding the receptionof outsiders,pilgrims,marginalizedgroupsorweakenedindividuals.
Atthesametime,itseekstoanalyzetheimportanceof thearchitecturalandartistic
investments made by these health care institutions as a form of expressing their importance in the urban daily life and also as a form of social and political ceremonial,
performing the power and the prestige of the represented institutions and of the city
itself. Building and managing such a powerful institution was a way of proclaiming
the qualities of those men, families and groups that were involved in their administration and therefore to contribute to their social and political ambitions.
27
BRIEF CURRICULUM
AnaCláudiaSilveiraiscurrentlypreparingaPhDthesisatUniversidadeNOVA de Lisboaontheurbansettlementof SetúbalandtherelationshipestablishedwiththeOrder
of Santiago.SheisaresearchmemberofInstitutodeEstudosMedievais(IEM/NOVA
FCSH)andherresearchinterestsaretheadministrationof theOrderofSantiago,the
relationship established with local institutions and issues related with management
and control of natural resources, territorial organisation, urban planning and the
crossrelationestablishedbetweenspacecontrolandpoliticalpower.Shehasparticipated in the projects “Les mots de l’impôt dans l’Occident méditerrannéen: glossaire
defiscalitémédiévale”,coord.DenisMenjot(U.Lyon2Lumière)andManuelSánchez
Martínez(FundaciónMiláyFontanals(CSIC–Barcelona);“PetitesvillesauxXIII-XV
siècles.RoyaumesdePortugaletdeFranceetterresd’Empirefrancophones”,coord.
Jean-Luc Fray (Université Clermont Auvergne) and Adelaide Milán da Costa (Universidade Aberta, Portugal) – Programa Pessoa: FCT/CAMPUSFRANCE. Currently
sheisaresearcherof theUNESCOChair“TheOcean’sCulturalHeritage”,coord.João
PauloCosta(CHAM,NOVAFCSH/UAc);andMedCrafts-RegulamentaçãodosmesteresemPortugalnosfinaisdaIdadeMédia:séculosXIVeXV(FCT-PTDC/HAR-HIS/
031427/2017),coord.ArnaldoMelo(Lab2PT–UniversidadedoMinho).
AlfredStefanWeiss|Universityof SalzburgandElisabethLobenwein|Alpen-Adria
Universityof Klagenfurt
Early Modern Times Hospitals as Sensory Places? The Example of Austria and
Southern Germany
Intheregionof AustriaandSouthernGermany,thecreationof hospitalsstartedinthe
latemedievalperiodandincreasedintheearlymodernperiod.Thelateststudiesshow
thattheirplacementintheperipheryandthenincreasinglyintheurbancenter(the
onlyexceptionswereleprosyandplaguehospitals)wastheresultof awell-thoughtoutorderandlogiconthepartof theoperators(town,territorialsovereign,church,
feudal lord). City inhabitants andvisitors to larger marketswerewell aware of the
markings of these facilities by means of symbols and colors and of those of their residentswhowereoccasionallyallowedtoleavethecharitableplace,recognizedbytheir
clothing and the tin or leather tags they were obliged to wear, usually against their will.
The(township’s)publichospitalwasconsideredtobethemostprestigiousfacility,anditcouldwellresembleanobletownhousecomplexorevenapalace,often
admired by travelers and traders. These places of lived devoutness – at least in
theory– signaled their location to the outside (arrangement of living, economic
andchapelorchurchareas,crossesandoffertoryboxesneartheentrance,painted
housewallswithChristiansymbols,etc.)aswellastotheirinside(“area-specific
behavioral norms”, doors understood as symbolic codes for drawing boundaries,
28
the connection of sick rooms with church areas, the spacing of inmates and social
goods,etc.).
In addition to the visual perception of the hospitals and their rooms, the sensory impressions of smell, taste, touch and acoustics were an essential part of the experience
of the charitable urban space, because even professionally experienced hospital masters shied away from the smells therein, where people often ingested substandard
food, had to share the hospital room with its racket and noise with small livestock or
dogsorcatsorcouldliveas“richbeneficiarie”(so-callednoblebeneficiaries)inseparaterooms,thesanitaryfacilitiesweremostlyfouled,thecommodesoverflowedand
the terminally ill had to be cared for.
Thehospitalwasof coursenotuncoupledfromotherurbanareas,but–comparable to early hospitals – was built and located according to “centered sensory perceptions” intended to show a pretension of order, cleanliness and Christian virtues to
the outside world.
BRIEF CURRICULA
AlfredStefanWeiß,worksattheUniversityof Salzburg,HistoryDepartment.Hehas
numerous essays and books on the history of hospitals, poverty, sexuality, medicine,
criminality and the Austrian regions.
ElisabethLobenwein,worksattheAlpen-AdriaUniversityof Klagenfurt,Institutefor
History. His research focuses on social history of medicine, personal testimonials and
history of the mentality of the early modern period, enlightenment and reform absolutism, cultural history of politics.
Joseph Curran | Maynooth University
A Permanent Monument to the Catholics of Dublin’: The Mater Misericordiæ Hospital and the creation of confidence in a post-Famine city
DublinCorporation,Dublin’smunicipaladministration,begantoreportonthemanagementof severalof thecity’smedicalhospitalsfromthe1870sonwards.ThesereportsreferredtotheMaterMisericordiæHospitalas‘TheQueenof Dublin’sHospitals’,
anddescribedhowthisinstitutionwasagreatassettothecity.TheMater’sfounders
hadalsobelievedtheHospitalwouldaugmentthecity.Theyemphasisedthatpatients
of all religions would be received but they also claimed this Hospital, managed by the
SistersofMercy,wouldbe‘apermanentmonumenttotheCatholicsofDublin’.This
paper will explore how the Mater’s architecture and the way this was presented in
print,playedasignificantroleinwhathistorianMaryE.Dalycalled‘themakingof
CatholicDublin’inthelaternineteenthcentury.Dublinhadlongbeenacityofhospitals,manyofthesewerearchitecturallysignificantbutthemostsplendiddatedfrom
29
theeighteenthcenturyandwereassociatedwithDublin’sProtestantelite.Intheyears
aftertheBritish-IrishActofUnionof 1801,Dublinappearedtobeacityindeclineand
itsimageof decaywascompoundedbytheFamineyears(1845-1850).Althoughnew
hospitalswerefoundedinthecity,mostweremodestinappearance.Thefirsthospital
managedbyaCatholicreligiousorder,StVincent’s,openedinDublininthe1830sin
a renovated townhouse, but it was much less spectacular than the purpose-built Mater. By examining the presentation of the Mater Hospital in late nineteenth-century
mediaandcomparingitwithphysicaldescriptionsof medicalphilanthropyinDublin
earlier in the century, and in other cities, this paper will demonstrate how hospital
spaceplayedasignificantroleinbuildingtheconfidenceof apreviouslymarginalised
religious group and in bolstering the reputation of a maligned city.
BRIEF CURRICULUM
Joseph Curran iscurrentlyaPostdoctoralResearcherattheCentreforTeachingand
Learning, Maynooth University and have a broad interest in teaching practice, widening participation, and communicating about academic research with the world beyond the University. He is a comparative historian of the nineteenth century and since
hispostgraduatestudies(PhDEconomicandSocialHistory,Universityof Edinburgh,
MASocialandCulturalHistoryofMedicine,UniversityCollegeDublin),hehasgiven
attention to the interaction of urban space and medical history. He is particularly interestedinthehowthearchitectureofcharitiesinnineteenth-centuryDublinandEdinburghreflectedandreinforcedtheirimageascapitalcitiesandhaveaforthcoming
book chapter on this topic focusing on the early nineteenth century.
MagnusAltschäfl|Ludwig-Maximilians-Universität
The San Francisco General Hospital – A Symbol for a Modern City
Intheearly20thcenturySanFranciscowasknownasacityof plagueswithtuberculosisever-presentandplagueoutbreaksaslateas1908.The1872CityandCountyHospital,whichwasoncecelebratedforits“loftyceilings”and“wellventilated”roomshad
longbecomeaproblemandwasdescribedin1908as“anold,dilapidated,mostunsanitarywoodenstructure”.Thus,anewhospitalseemednecessary,butnotjustany:“the
finestofitskind”,oneworthyofacitythatbrandeditself the“NewRome”.
TheSanFranciscoGeneralHospital(SFGH)wasopenedin1915duringthelastdaysof
the“Panama-PacificInternationalExhibition”,thathadfurthertroubledtherelationship between the city and its working poor whose quarters were destroyed on a large
scale to make room for the world exhibition.
30
Thenewhospital,Iargue,thusofferedachanceforcityofficialstorepresentthecity
as both a place of modern science to the rest of the country and one caring about and
forthehealthofitspoorestcitizens.Toachievethat,thehospital’sdesignwascrucial.
ByanalyzingtheSFGH’sdesignandarchitectureIwillshowhowthecityusedthis
building – its exterior as much as its interior – to both present itself to medical professionals and to strengthen the city’s imagined community. However, the architecture
wasnotonlyinfluencedbyaestheticconsiderationsbutalsomedicalones.Whichis
whythenewSFGHhadalargestate-of-the-art“TubercularWard”,tofightSanFrancisco’s most prominent disease.
In my talk I will focus on some parts of the ensemble, like the driveway and the
wards. By contrasting it with the old hospital I will highlight the spatial and architectural manifestations of changes in both medical practice and the socio-political
role of hospitals.
BRIEF CURRICULUM
MagnusAltschäflisaPhDcandidateatLudwig-Maximilians-Universität(LMU)Munich’sHistoryDepartment,whereheworksattheChairforModernandContemporaryHistory(Prof.MargitSzöllösi-Janze).Hehasstudiedhistoryandpoliticalsciences
atLMUMunichandUCBerkeleyandwasrecentlyavisitingresearcheratStanford
University.AfterhavingfinishedhisprojectonmedicineandscienceintheSanFrancisco Bay Area, he is currently working on his dissertation on the emergence of the biomedicalandbiochemicalresearchsiteMunich-Martinsriedasamemberof theDFG
researchgroup“CooperationandCompetitionintheSciences”.However,heisright
nowworkingonapaperabouttheSanFranciscoGeneralHospitaltopublishsomethingabouthis“old”(butstillrunning)project.Thispaperispartof thispaperheis
working on at the moment.
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SESSION 5
Transforming Spaces through Medical Theory
SomreetaMajumdar|Visva-BharatiUniversity
Buddhist Monastery, Medicine and the Body Politic: A Historical Study of the
Healing Service of the Buddhist Monasteries of Eastern India with Special Reference
to the Nandadirghi Vihara of Jagjivanpur
A vast body of knowledge of medical practices and healing services of the Buddhist
MonasteriesisproducedinPali,Sanskrit,Tibetan,Chinesescripturesof Buddhism.
Thewrittensourcesprovidewell-documentedaccountof traditionalBuddhistremediesforthephysicalandspiritualmaladies.HealingServicesof theBuddhistmonasteries to cure physical and spiritual illness have been regarded as a path to salvation
bycompassionateacts.Thescripturesofferaninsighttotheroleof meditation,herbs,
food to cure the physical and spiritual diseases. Apart from herbs and food, meditation is believed to be the means of cleansing mind and body. Both empirico- rational
andmagico-religiouswaysof treatmentarediscussedforhealingservices.Thecultof
Bhaisajyaguru or the “Master of Healing” is developed in the pantheon of Mahayana
BuddhisminrelationwiththeBuddhistmonastictraditionof healing.Thepurpose
of this study is to inquire the monastic activities of healing services to the monks and
laities and hence its role in the political dynamics of the governance in the region of
EasternIndiafromthe8thto12thcenturyCE.TheNandadirghiViharaof WestBengal
is taken as a case study to understand the nature of relationship between the Buddhist
monastery and its surrounding landscape to procure the resources and delivering the
knowledge of healing as act of compassion to the sentient living beings of the landscape which oscillates between permanence and impermanence because of the detrimentaleffectof theseasonalflood.Thehealingserviceof theBuddhistmonastery
is central to this study to understand the relationship between the temporal power of
the Pala dynasty and the spiritual authority of the Nandadirghi Vihara which stands
negotiatingwiththefloodpronelandscape.
BRIEF CURRICULUM
Somreeta Majumdar, the author of the paper titled “Buddhist Monastery, Medicine
andtheBodyPolitic:AHistoricalStudyof theHealingServiceof theBuddhistMonasteries of Eastern India with Special Reference to the Nandadirghi Vihara of Jagjivanpur”istheDoctoralcandidateof Visva-Bharati,Santiniketan,India.Herareaof
study concerns the landscape and the cultural milieu of the Buddhist establishments
of western Bengal.
32
Adélia M. Caldas Carreira | Universidade NOVA de Lisboa
The Royal Hospital of Saint Joseph in Lisbon
OnSeptember3,4and5of1775,thesickthatwereformerlylodgedattheRoyalHospitalofAllSaints,weretransferredtothenewlyopenedRoyalHospitalof SaintJoseph.
For its location in a high and airy area, the new hospital in the Portuguese capital, designedbythemilitaryengineerJoséMonteirodeCarvalho(amainactorinthecapital’sreconstructionprogram),mettherequirementsof hygienist doctors.
Thehygienist speech, based on the optimism of the Enlightenment, was widely disseminated in Europe during the seventeenth century, through the publication of successive medical treaties, among which the Treaty on the Conservation of the Health of the
Peoples, by Dr. Ribeiro Sanches, published in Paris in 1756. Based on the realities he
knew, the renowned Portuguese physician presented a pessimistic “diagnosis” of the
existing problems, associated with the growing number of the poor and sick and with
the terrible sanitation conditions of the few existing hospitals
Like most hygienist doctors,RibeiroSanchesproposed“therapeuticmeasures”tosolve
thediagnosed“ills”,consideringthatthelocation(inhighandairyplaces)andthelayoutofthehospitals(withlargeandwell-ventilatedwards)wereapriority,becausethe
circulation of “clean air”, essential to heal the sick, depended on them.
TheproposalsbyRibeiroSanchesand,generally,byallhygienists,regardingtheconstruction and renovation of existing hospitals, sensitized the European intellectual
elite, which included doctors, military engineers, lawyers and the enlightened aristocrats, whose pressure on the authorities was decisive for the creation of new health
policies and renovation of hospitals.
Inaparadigmaticway,theRoyalHospitalof SaintJosephreflectedinitslocationand
outline not only the proposals of the hygienist doctors, but also the technical-scientific knowledge inherent to the military engineers of the time.
BRIEF CURRICULUM
AdeliaCaldasholdsaPhDinArtHistorybytheFaculdadedeCiênciasSociaiseHumanasof theUniversidadeNOVAdeLisboa.AssociatedResearcherattheArtHistory Institute of Universidade NOVA de Lisboa. Communications at various Congresses
and Colloquia, from 1991 to 2016; collaborator in the project “Conventos de Lisboa”,
organizedbyIHA.of theUniversidadeNOVA de Lisboa and the Lisbon City Council
(2013-2015).Authorof articlespublishedinCadernosdoArquivoMunicipal;reviewer
of articles of the Cadernos do Arquivo Municipal de Lisboa.
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Li Yanchang | Peking University
Nationalization of Modern Medical Space and the Founding of the Peking
Central Hospital
Beijing Central Hospital was set up under the background that the western hospitals
were transforming from traditional to modern and the debates between Chinese and
westernmedicinewasincreasinglyfierce.DuringthelateQingdynastyandtheearly
Republicof China,itwasproposedtwice.Undertheeffortsof Wulien-teh,ShiZhaozengandothers,itisthefirst“themostscientificandgreathospitalcreatedandrunby
Chinesepeople”inthewayof socialcharity.Itreflectednotonlythedissatisfactionof
the domestic western medical circles and social intellectuals with traditional medicine
and hospitals, but also the desire for modern medicine and medical space owned by
Chinese.Inthesenseof“modernhospital”,itwashonouredas“thefirsthospitalin
capital founded by Chinese”. From the synchronic and diachronic perspectives, it is
nothardtofindthattheestablishmentprocessof theCentralHospitalreflectsdual
missionsof “nationalization”and“modernization”undertakenbythedomesticwestern medicine circle.
BRIEF CURRICULUM
YanchangLi,lecturerattheSchoolof HealthHumanitiesinPekingUniversity,China.
My research focuses on the history of medicine in modern China, history of Western-style hospitals in China, health politics. At present, I’m undertaking a project of
“SocialHistoryofAntibioticsinChina(1941-1978)”sponsoredbytheMinistryof Education of China.
JohannaRustler|Universityof Aberdeen
Treatment on Rails: Britain’s Hospital Trains in the First World War
Thecircumstancesof theFirstWorldWarcreatednovelphysicalandmentalinjuries
and diseases, which meant that medical treatment facilities and transportation of patientshadtobeinnovated.Specialvehicleswerecreatedinordertotreatcasualtiesfast
andeffectivelywhileremovingthemfromwar-tornterritoryasquicklyaspossible.
Highcasualtynumbersinfluencednewideasof adesperatelyneededspacetoaccommodatevastnumbersofmen,whiletreating,caringforandtransportingthem.This
meant that hospitals were made mobile by moving them onto rails, which ensured that
casualties got closer to home, get treated by specialists as soon as possible and relief
base hospitals at the front.
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Thehospitaltrainwasoneof themostvitalfirstaidvehiclesintheWar.Bycomprising
a hospital unit into a moving vehicle, a major task was given to railway companies. It
was an architectural experiment built by British railway engineers who repurposed
passenger wagons into medical treatment areas. While rudimentary in design, the
hospital on wheels was usually equipped for more than 500 patients, including separate cars for pharmacies, treatment, including separate cars for infectious cases, segregatedwardcarsforofficersandhigher-rankingsoldiers,staff carsfordoctorsand
nurses,personnelcarsforrailwaystaff,kitchenandpantrycars.Forpropagandapurposes, the train was painted in railway company colours in order to be distinguished
from others and received great pride and admiration, especially when it was put on
showbeforeitwasbroughtintoservice.Withthehospitaltrain,thetreatmentfacility
was able to get to the casualties, rather than the other way round.
BRIEF CURRICULUM
JohannaRustleriscurrentlyaPhDstudentattheUniversityof AberdeenandtheNationalRailwayMuseum,YorkwithProfessorAnthonyHeywood,DrBenMarsdenand
DrOliBetts.Herdoctoralresearchfocusesonthesocialandculturalhistoryof British
railwayworkersonthehomefrontduringtheFirstWorldWar.SheobtainedherMSc
inEconomicandSocialHistoryattheUniversityofOxfordwithDrRoderickBaileyfocusingonthehistoryofmilitarymedicineandmyBA(Hons)atQueenMary,Universityof LondonandKing’sCollegeLondonwithProfessorDavidEdgerton.Sheisinterestedinthestudyofmodernwarandconflict,thehistoryofmedicine,andthespaces
in which those overlap, as well as history from below. In trying to unravel the enigma
of thetotaleffectof theFirstWorldWar,shehaswrittenontheimpactofnewindustrialised methods of warfare upon an unsuspecting and unprepared population, both
combatant and civilian, particularly regarding new forms of warfare and the medical
consequencesthisplaceduponallthoseaffected.
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SESSION 6
Hospitals in the Cold War
AndreasJüttemann|CharitéUniversitätsmedizinBerlin
The West Berlin University Hospital Steglitz as a political issue – The realisation
of a (supposed) US hospital culture in the context of the student movement
(1957-1974)
Theworld-famous Charité hospitalwas the only university hospital in Berlin until
1945.Afterthewar,thecitywasdividedintoEastandWest.Asecondgeneraluniversity
wasfoundedinthewesternpartof thecityin1948:theFreieUniversitätBerlinwithan
affiliatedmedicalfaculty.ThisgaverisetoaneedforalargeteachinghospitalinWest
BerlinandgavebirthtotheUniversityHospital’Steglitz’,builtwithUS-Americansupport(foundationstoneinlaidin1959andopenedinthewintersemester1968/1969).
In 2003 it was integrated (as the Campus Benjamin Franklin) into the clinic group
Charité–UniversitätsmedizinBerlin.
ThebuildingofthenewWestBerlinUniversityHospitalprovedtobeapoliticalissue
fromtheoutset.Firstly,becausetheprojecthadpropagandaissues–theUSStateDepartmentwantedtobuildthelargehospital,notonly(co-)financing,butalsodemonstrating the economic and architectural superiority of the USA over the Soviet Union.ButtheUSStateDepartment’splanendedupbeingcharacterisedbyanumber
of politicalparadoxes:ThefirstwasthattheAmericanarchitectchosenbytheState
Department,ArthurDavis,wasaGropiusstudent,andcannotactuallybesaidtobe
the founder of an original American style – the departmental system he designed for
Steglitz,whichwasassumedtobeAmerican,isactuallyrootedintheGermanBauhaus tradition. A second became apparent in the context of the student movement.
TheWestBerlinmedicalstudentsdemandedthedissolutionof thehierarchiesinthe
personnel structure of the new clinic and protested. On the one hand, they were protestingagainstAmerica’smuchcriticisedroleintheVietnamWarand,ontheother
hand, they were demanding a more consistent implementation of a concept which the
students considered to be American. However, the restructuring of the hospital systemdemandedbythestudentsin1968/1969nevermaterialised.Therewasatest,in
Steglitz,of thenewmodelundertheMedicalDirectorFrankMatakas,whohadbeen
elected to this position as an assistant doctor, but it was never adopted. All that said,
regardlessof whetherSteglitzcanbeidentifiedasaBauhausprojectorasanAmericancreation,andregardlessofthefactthatflattenedhierarchiesarerareinGerman
36
hospitalstoday,theSteglitzHospitalcanneverthelessbesaidtobeaprototypeforthe
modernEuropeanhospitalsystem(“allunderoneroof”).
BRIEF CURRICULUM
AndreasJüttemannstudiedpsychologyattheFreeUniversityof BerlinandtheUniversityof BremenaswellasurbanismattheBauhausUniversityWeimar.From2013
to2015,JüttemannworkedasaresearchassistantattheInstituteforHistoryandEthics of Medicine at the University of Halle-Wittenberg and received his doctorate in
2015 at the Institute for the History of Medicine at the Charité Berlin on lung sanatoria
inPrussia(1863-1934).Since2016hehasheldthispositionattheCharitéInstitutefor
History of Medicine. In addition, he was employed as a research assistant at the InstituteforWorkingTheoryof VocationalTrainingattheTUBerlinfrom2015to2020.
In2018,Jüttemannwasapostdoctoralfellowof theCharité’scommissionforyoung
researchers,amongotherthingstoprovidescientificsupportforthe50thanniversary
of theCharitéHospitalBenjaminFranklin.Forthishereceived2018thesponsorship
award of the German Society for Hospital History. As a post-doctoral fellow of the
FritzThyssen Foundation, hewas avisiting scholar at the historical seminar of the
InstituteforAdvancedStudyinPrinceton,NewJersey,inspring2019.
EdDeVane|UniversityofWarwick
How I Learned to Stop Worrying and Love the NHS: Operational Research, Think
Tanks, and Changing Models of British Hospital Care in the Cold War, 1964-72
Thispaperwillconcentrateonhospitalsas‘model’spaces,focusingonBritishattempts
toapplyOperationalResearchtomake‘baddesigns’function‘better’.Internationally,
the 1960s saw a rapid change in architectural and planning thought towards healthcarefacilities.AstheColdWarpromptedmorescepticalattitudestowardsscienceand
technology, physical modernity alone seemed less capable of addressing the concerns
of differentpublics.Manytower-on-podiumbuildingdesignswerealreadyregarded
as obsolete and inhumane by the time of their completion. In Britain, the Ministry of
Health responded by investing in a research and development programme to make
these spaces appear more functional and cohesive.
Throughacasestudyof oneof thebeneficiariesofthisfunding,theInstituteforOperationalResearch,Iarguethatmodelsof theplannedhospitaldidnotsimplyfailbut
were dynamic and evolving. New knowledge from psychology and the basic sciences was applied to problems of commissioning, appointments, waiting lists, and ward
management.The Institutes’ aimwas to prove how human understanding could be
aided, rather than aggravated, by the advance of technology with more synthetic bodiesof researchandtheutilizationofdigitalcomputers.Anxietyintheprofessional
37
self-imageofOperationalResearchersactedasamotivatingforce.Bydisseminating
mathematical techniques and theories from the military-industrial complex to health
services,theyhopedtoprovethepeacetimeviabilityof theirdiscipline.Throughmore
complex planning, the Institute enacted cultural debates about how hospital-community relations could be reconciled in a mood of global social crisis.
BRIEF CURRICULUM
EdDeVaneisathird-yearPhDstudentintheCentrefortheHistoryof Medicineatthe
Universityof Warwick.Hisproject,BuildingtheNHS:planning,publicsandBritain’s
newstatehealthcarefacilities,1945-1974issupervisedbyProfessorMathewThomson
andProfessorRobertaBivinsandissupportedbytheWellcomeTrust.Hestudiesthe
planning, design, construction, and commissioning of primary and secondary healthcareinstitutionsinpost-warBritain.Whetherduetowartimebombdamageordecades of under-investment, the poor condition of inherited buildings was one of the
earliestcrisestheBritishNationalHealthService(NHS)hadtocontendwith.Yetfor
almost fourteen years, no central government policy came close to providing adequate
support for the development of new facilities. His project argues that in spite of this,
the planning and design of hospitals and health centres continued as a dynamic, locallyrooted,andoftencontentiousprocess,whichisaltogethersymbolicof howthe
wider health service really developed and acquired meaning.
DavidFreis|UniversitätMünster
The Rise and Fall of the Medical Megastructure: Hospitals of the Future in ColdWar Western Germany
In the second half of the twentieth century, large high-tech hospitals emerged as symbolicspacesof thefutureof medicineinatechnologicalage.InWesternGermany,severalnewmedicalcentreswerebuiltintheperiodthelate1950sandthemid-1980s.Despitelocaldifferences,theirarchitecturereliedonthegreatestpossibleconcentration
of the hospital’s functions into an integrated material infrastructure under a common
roof,thespatialstructureof thehospitalrepresentingrationalisedefficiencyandclose
cooperation between medical specialities.
Tohospitalplanners,membersofthemedicalcommunity,andthepublic,thesebuildings became entangled with expectations of the medicine of coming decades. However, these material and spatial anticipations of the future had to be used and inhabited
bydoctors,staff,andpatientsinthepresent.Whileinitiallygreetedasharbingersof
the high-tech biomedicine of the future, they increasingly became embroiled in controversies about politics, architecture, medicalisation, and the looming dehumanisation of modern medicine. Even before the construction of some of these hospitals was
38
completed, they were already widely considered as anachronistic hulks and relics of
yesterday’s future.
This paperwill use several built examples – the university hospitals of Berlin, Cologne,Münster,Aachen–aswellasarchitecturalandmedicaldebatesandaudio-visual
sourcestotracethehistoryof theriseandfallof themedicalstructureinWesternGermany.Iwillshowhowtheconflictsaroundthenewhospitalswerethemselvesframed
intemporaltermsandreflectedconflictingvisionsof thefuture.
BRIEF CURRICULUM
DavidFreisisamedicalhistorianattheInstitutefortheEthics,History,andPhilosophyof MedicineoftheUniversityofMünster.Hehasstudiedhistory,politicalsciences, and gender studies at the University of Bochum and received a Ph.D. in History
andCivilizationfromtheEuropeanUniversityInstituteinFlorencein2015.Heisthe
author of articles and book chapters about the history of psychiatry and psychotherapy, and his monograph Psycho-Politics between the World Wars was published by Palgrave
Macmillan in 2019. He currently researches the history of the medicine of the future
incold-warGermany.
Eleni Axioti | University of the Arts London
Corpus: The architecture of British hospitals in the 1960s and the politics of
observability
Thepapertakesasitspointof departuretheHospitalPlanof1962andthelaunchof
the extensive ten-year building program by the British welfare state, which came with
explicitinstructionsregardingthedesignofhospitals.Theuseof spaceinthewards
based on the pattern of movements, the arrangement of rooms and facilities, planning
considerations based on population statistics, but even the examination of the lighting,soundcontrol,andtheeffectof colorswereincludedinaccompanyingreports.
Thisextremerationalizationandscientificationof thedesignofhospitalsinthe1960s
aredirectlyrelatedtoanexplicitattemptformodernization.Withinthiscontext,two
typologies of hospitals emerge, the tower block hospital, and a flexible form of the
hospitalthatischaracterizedbyadaptability.Thepaperwillfocusontheimpossibility of both these architectural systems to function without the application of the new
technologiesof communicationandobservation.Themodernhospitalbecomesindispensably linked to the development of these technologies, marking a transformation
of peoplefrombodiestomonitoredobjectsanddata.Toexploretheseaspectsof the
hospital space, the paper investigates the operation of observability within the architecturalspaceof thetwospecifichospitals(theGuy’sHospitalandtheNorthwickPark
Hospital).Ittakesintoaccountthephysicalarrangementandmaterialcharacteristics
39
of architecture that allow for this operation to take place as well as the implementation of the technologies that extend it. Hence, the paper endeavors to explore how
the concept of the individual as an object of medical care within the hospital spaces
expandedandtransformedfromanexaminedbodyintoasetof scientificdataandthe
implicationsthatthishadinitsdesubjectification.MichelFoucault’sideaof the‘medicalgaze’describesexactlythebreakbetweenthepatientasapersonandhisbodyas
theobjectofmedicalinquiryandscientificknowledge.Throughthisseparation,the
humanbodybecomesanobjectof administrationandentersthefieldof powerrelations, while the clinic becomes a space of conduct, where the transformation of the
observed human body to translatable data takes place.
BRIEF CURRICULUM
Eleni Axioti is a researcher and an educator. She is lecturer in contextual studies
at University of the Arts London and course leader of the second-year history and
theorystudiesattheArchitecturalAssociationSchoolof Architecture.Elenialsosupervisesdissertationsatthethirdyearof theBArchatCentralSt.MartinsSchool
of Architecture.SheconcludedherPh.D.thesisattheArchitecturalAssociationon
theinstitutionalarchitectureof theBritishwelfarestate.SheholdsanM.A.inHistory andTheoryof ArchitecturefromtheAA and a Diploma (MEng.)with honors
fromtheAristotleUniversityof Thessaloniki.Herresearchfocusesontherelation
betweeninstitutionalarchitecture,thewelfarestateandissuesof socialpolicy.She
haspracticedinLondonsince2008andhasparticipatedinnumerousinternational
conferences and publications.
40
SESSION 7
Colonial and Indigenous Models
Michaela Clark | University of Manchester
Designing the Clinic: Racialised Architecture and the Old Groote Schuur Hospital
LocatedinCapeTown,SouthAfrica,theOldGrooteSchuurHospitalwasthelargest
teachingfacilityharnessedbythecity’smedicalschoolfrom1938until1987.Butthe
design of this structure was notably informed by more than clinical needs. Conceived
of andconstructedinthedecadesleadinguptotheofficialimplementationof apartheid(asystemof governancebasedonracialsegregation),thelayoutof thisbuilding
embodies the racialised discourses of the country in a city whose demographic makeup troubled national norms.
Thispaperattemptstoarticulatethespatialentrenchingof race-basedpowerrelations
inthearchitecturalmakeupof theOldGrooteSchuurHospital.Drawingonthehistoryof hospitaldesignbothinternationallyandwithinSouthAfrica,itsuggeststhat
the physical layout of this built environment not only mirrored but reinforced the socio-politicalmacrocosmthatlayoutsideitswalls.Today,this‘old’buildingliesonthe
outskirtsofthe‘new’teachingfacility(constructedinthe1980s),whereitcontinues
to be harnessed for medical administration and lectures. Ultimately, it is by thinking
throughthephysicalstructureof the1930shospitalthroughtheintersectinglensesof
new materialism, socio-spatial theory, and semiotics that this paper seeks to unpack
thearchitecturalaswellasaffectiveafterlifeof structuralandsymbolicprejudicein
post-apartheidSouthAfrica.
BRIEF CURRICULUM
Michaela Clark is a2nd-yearPhDcandidateattheCentrefortheHistoryofScience,
Technology,andMedicine(CHSTM)attheUniversityof ManchesterandherprioracademictrainingliesinVisualCultureStudies(conductedthroughStellenboschUniversityinSouthAfrica).Whilehermainresearchfocusliesinthehistoryof clinical
photography,herengagementwithmedicalinstitutionsof thepast(particularlythose
operatingduringSouthAfrica’sapartheid-era)hasgreatlydrawnmyinterestinterms
of epistemic violence and contemporary redress.
41
AntonioCoelloRodriguez|UniversidadPrivadadelNorte
Lima hospitals uses, functions and changes during the viceroyalty
Hospitales limeños usos, funciones y cambios durante el virreinato Lima fue fundada en
1535,juntoconelsoldadoespañolllegosureligión,idiomaycultura,justamenteunade
esasfueladeconstruirhospitales,losmismoquemásquecumplirunafuncióncurativa,eranunalberguetemporaldondepodíadormiryalimentarseelindigenteyalavez
pasarsusúltimosdíasparaluegopodermorirenpaz,rodeadodeamorycaridad.Estos
hospitaleserancentrosreligiososdondelacienciaestabasubordinadaalareligión,en
ellalostratamientoseranmuypobresysenotabaunaconstanteinfluenciadeoraciones
yacumulacióndesacramentos.Otracaracterísticadeestoshospitaleseralaseparación
depersonas,deacuerdoaltipoderaza,esasíqueparalosblancosseteníaelHospitalde
SanAndrés,paralosindiosSantaAna,yparalapoblaciónesclavaSanBartolomé.
Encuantoalaarquitectura,estasecaracterizabaporpresentarungranclaustrocentral,conunacapillaaunodesusladosydiversasoficinasenlosotroslados.Asimismo,
presentaba un cementerio. Mientras que las salas de enfermos denominadas “crujías”
eransalasrectangularesdondesedepositabanalospacientesenfilasfrenteafrente,
mientras que en la parte delantera de cada sala se levantaba un pequeño altar con una
imagendeunsanto;todaslassalasmirabanfrenteaestealtar.Almomentodeingresar un paciente y conforme se ponía peor su salud el enfermo iba ascendiendo de la
partealejadaalamáscercanaalaltar,endondemoríajuntoaDios.
AlllegarlasReformasBorbónicas,enlasegundamitaddelXVIII,loshospitalesempezaránasufrircambiosaniveldesuarquitectura(cambiodeconceptodehospital
claustroporhospitalpabellón,asimismoapareceránideasdesalubridad,todolocual
modificaráelconceptodehospital.
BRIEF CURRICULUM
AntonioCoellostudiedarcheologyattheUniversidadNacionalMayordeSanMarcos,
obtaining a Bachelor’s degree, later he studied history there, being only a graduate,
yearslaterhestudiedaMaster’sDegreeinHistoryatthesameUniversityHisresearch
topics are, in history, health, hygiene and hospitals, while in archeology, he investigates the Inka and historical archeology. He has published various health issues in nationalandspecializedmagazines,aswellasinforeignmagazines.Whileinthearea
of historical archeology he has developed excavations in hospitals and settlements in
general of the viceroyalty period. International speaker at various congresses, such
as the International Congress of Americanists, as well as at the Ibero-American UrbanHistorySeminar.Amonghiscontributionstothehistoryof healthandhospitals,
wecanmentiontheonepublishedin2018bytheNationalAutonomousUniversityof
Mexico, and in the Journal of the University of Chile, Faculty of Architecture. He also
works as a professor at Universidad Privada del Norte, and researcher; at the same
timedirectsaneditorialgroup,SequilaoEditores.
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Ling-YiTsai|NationalYang-MingUniversity
Taiwanese Hospitals: Plague Quarantine Hospitals Using Han medicine in Early
Colonial Taiwan
In1896,thebubonicplagueoutbrokeinTaiwan.Theplaguepolicyof quarantine,separation,disinfection,andlockdowndisturbedTaiwanesepeople.Inthebeginning,ill
patients,JapaneseorTaiwanese,werebothremovedtothequarantinehospitals.However,theTaiwanesestronglyopposedtowesternmedicalcare.TaiwanlocalelitespetitionforatraditionalmedicalhospitalsolelyforTaiwanese,settingapartfromwestern
hospitals for Japanese. Appealing to possible hidden plague patients and appeasing
Taiwanesepeople,thefirstofficialTaiwanesePlagueClinicestablishedinMonga,Taipei,directedbyaJapanesedoctorbutusingHanmedicine.Sincetheclinicwassuccessful,moreTaiwanesehospitalswerebuiltsubsequently.
FromtheTaiwanesePlagueClinictoTaiwanesehospitals,thehospitalscreateaunique
space that allows traditional Han medicine to evolve. By using Han medicine,Taiwanesehospitalsencouragedmorepatientstoshowupandreceivemedicaltreatment.Due
toconsiderableclinicalexperience,Taiwantraditionaldoctorswereabletobringforth
new medical knowledge, including medical texts and articles. For example, Huang YuJie,oneoftheemployeddoctorsinTaiwanesePlagueClinic,publishedGedawen Zhifa
Xinbian (疙瘩瘟治法新編),wrotehisexpert
opinionsontheplague.OtherTaiwanesedoctorspublisharticlesabouttheepidemic
causedbyfoul-qi,possiblyinfluencebymiasmatheoryinthenewspaper.Taiwanese
medical doctors also formed study groups to learn the latest knowledge from Japanese
doctors.Thenewspaceof Taiwanesehospitalsmakestraditionalmedicinejoininthe
colonial government’s medical network.
AswehavebeenthroughaCOVID-19pandemic,thehistoryof plaguehospitalsmay
shedlightonthecurrentfrustrationoverthelackof treatmentandvaccines.Weoverlook the value of quarantine and separation that was a primary method to halt the
spread of contagious diseases in the past. And the use of traditional medicine is another possible aid for disease control.
BRIEF CURRICULUM
Ling-YiTsaiisaphysicianofTraditionalChineseMedicinegraduatedfromtheInstituteof Science,Technology,andSociety(STS),NationalYang-MingUniversity,Taiwan.
Hermaster’sdissertationexplorestheplaguecontrolpolicyinEarlyColonialTaiwan.
Inthisstudy,shefoundTaiwaneseplaguehospitals,usingtraditionalmedicine,were
majorhealthcareinstitutionsforTaiwaneseplaguepatients.Tsaiisinterestedinthe
historyoftraditionalmedicine,hospitals,andpandemic/epidemicinEastAsia.
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SESSION 8
Hospitals as Social Spaces
ElenaPaulinoMontero|UniversidadNacionaldeEducaciónaDistancia,MartaVísredaBravo|UniversidadNacionalAutónomadeMéxico,andRaúlVillagrasaElías|ConsejoSuperiordeInvestigacionesCientíficas
Spatial Dimensions of the Holy Cross Hospital in Medina de Pomar: A Unique Case
in Late Medieval and Early Modern Iberia
TheVeraCruzHospitalwasfoundedin1438byPedroFernándezdeVelasco,Countof
Haro,intheCastiliantownof MedinadePomar,nearBurgos.Thehospitalwasadjacent to the Poor Clare’s monastery, place of the funerary vault of the lineage.
ThiswasauniquecaseintheIberiancontextatthetime.Itwasahybridfoundation,
conceived to host a group of temporary residents, sick and poor, plus a group of permanentresidents,composedbyimpoverishedknightsfromdifferentvillagesandcitiesoftheCount’slordship.TheCounthadaprivateapartmentatthecomplex,where
he retired during the last ten years of his life, and he donated his rich library to the
hospitalfortheuseof thecommunity.Healsofoundedthefirstchivalricorderever
created by a member of the nobility and made the hospital the spiritual centre of it.
Thearchitecturalstructuredsufferedgreatlyduringthenexttwocenturies.Inthispaperwefirstaimtoreconstructthespacedofthehospital,basedonthediscoveryof
newwrittensources,aswellasphotographsandfieldresearch.Wewillconsiderthe
relationship between architectural structures and function and the problematic interactionsbetweengenderedspacesofthemonasteryandthehospital.Secondly,wewill
analysethedifferentspatialdimensionsof suchstructure.Consideringthespaceas
somethingsociallyconstructed,andareflectionof thementalityandideologyof the
one who orders it, we will delve into the ritual dimension, centred in the participation
of the hospital residents in both, daily preachers at the church of the monastery and
themainfuneraryceremoniesof themembersofthelineage;theterritorialdimension,andtheroleof thehospitalintheorganizationofthelordship;andtheideological dimension, as part of the genealogical project of the Count of Haro that evolved
during the next generations.
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BRIEF CURRICULA
Elena Paulino Montero is Associate Professor at UniversidadNacionaldeEducación
a Distancia. Prior to that, she has been postdoctoral fellow at the UNED in Madrid
(2018-2019),andattheKunsthistorischesIntitutinFlorence(2015-2017).Herresearch
is devoted to patronage, gender studies and transcultural artistic exchanges during the
LateMiddleAgesintheIberianPeninsula.Sheispartof theCost-Action18129Islamic
Legacy. Narratives East, West, South North of the Mediterranean (1350-1750).
MartaVírsedaBravoispostdoctoralfellowattheInstituteofHistoricalResearch(IHR)
of theNationalAutonomousUniversityof Mexico(UNAM).Shehadrecentlydefended
her doctoral thesis about the library of the Velasco family in the hospital of the Holy
Cross. She is currently the secretary of the Red del Libro Medieval Hispánico, group of
interdisciplinary researchers interested in the history of the handwritten and printed
book:(http://www.libromedievalhispanico.net/).
RaúlVillagrasa-ElíasisapredoctoralfellowattheInstituteof HistoryoftheSpanish
NationalResearchCouncil(IH-CSIC)inMadridandaPhDcandidateintheUniversity
of Saragossa(UZ).HeisdevelopingadoctoralthesistitledPower, Memory and Charity:
the Hospital Renaissance in the Iberian Peninsula (15th-16th centuries). He is also improving
the web page about hospital networks called Retia Hospitalium (Rethos) (http://rethos.
scriptamanent.info/).
ZehraTonbul|IstanbulSehirUniversity
Hospitals as Socio-Political Spaces: Mapping Hospitals in Late Ottoman Empire
Thepaperaimstotracethesocio-politicsof firstcivilhospitalbuildingsof theOttomanEmpire.TheestablishmentofmodernhospitalbuildingsintheOttomanEmpire
dates to the second half of the twentieth century and their architecture marks a transformationfrommedievalcomplexes.Theyarereflectiveofthemodernizationprocess
of theEmpirewiththeirsimilarWesternspatialtypologies,andtheyarealsoindicatorsof transformingsocietyof theEmpire.Thereasonsof theirestablishment--as
imperial projects, as minority hospitals and as French, American and British missionaryprojects--areindicativeof thedifferentpoliticalapproachestothenewsociety.
Thepaperaimstomapthesehospitalsgeographicallyandarchitecturallytodevelop
an alternative reading of the social geography of the late Ottoman Empire.
BRIEF CURRICULUM
ZehraTonbuliscurrentlyAssistantProfessorof HistoryandTheoryofArchitectureat
IstanbulSehirUniversity.Herresearchfocusesonturnof thecenturyintellectualhistoryfromthepointof viewof artandarchitecture;itcoverstopicsof historiography,
45
West-East perspectives, the relation between natural sciences and humanities. She
hascompletedherdoctoralthesisin2018atBogaziciUniversityof Istanbulandwith
co-advisorshipof theDepartmentof ArtHistoryattheUniversityof Vienna,witha
thesis titled “The Art Historiographical Odyssey of Ernst Diez (1878-1961).” She has
anundergraduatedegreeinArchitecturefromIstanbulTechnicalUniversityandan
MPhil in History and Philosophy of Architecture from the University of Cambridge.
Sheisoneoftheauthorsof aTurkishlanguagebookonfirstcivilhospitalbuildings
of Turkey,“TarihiHastaneler:GurebaHastaneleri’ndenMemleketHasteneleri’neİlk
SivilHastaneler”datingto2009.
NarcissM.Sohrabi|UniversitéParisOuest
Reflection of Socio-Cultural Challenges on the Hospitals and Medical Spaces in Iran
In Iran, the hospital is of particular importance as a place where the process of care
and treatment of the patient is performed. In its architecture, the centrality of man
and meeting his needs is a priority. Healing is a multidimensional process that includes
various factors, including psychological and physical factors. Psychological factors are
related to spiritual, mental, emotional, and social requirements. Medical spaces in
Iranindicatethefundamentaldifferenceinpeople’sattitudesandpublicculturetowardsthehospitalspace.Thearchitectureanddesignof themedicalspace,concepts
such as the relationship between the patient’s companions and visitors following Iranianculture,differentiatethehospitalspaceinIranfromothercountries.Fromthe
pre-modern period, the establishment of health institutions has always been one of
the branches of cultural-civilizational changes. In this era, alongwith military and
government hospitals, hospitals were created by Europeans, Americans, and missionariesforcivilians.Thesehealthinstitutions,alongwithconsideringthecharacteristicsof Iranianculture,aresignificanttreatmentspacesthatmanyofthemhavebeen
nationallyregisteredduetotheiroutstandingarchitecture.Thisresearchdealswith
investigated the relationship between hospitals with cultural and indigenous characteristics and public spaces through a library study on hospitals’ history in Iran, hospital space and their architecture and it seeks to investigate the relationships between
hospitals’localperceptions,interviews,andquestionnaires.Thefollowingquestions
have been answered in this research: What were the effects of the performance of
pre-modern hospital on the social and medical structure now? How did religion and
socio-culturalbeliefsaffecttheformandarchitectureof historicalhospital?Andwhat
meanings are associated with the presence of social activists in the hospitals?
BRIEF CURRICULUM
NarcissM.SohrabireceivedaPh.D.degreeinthemanagementofspaceandsociety
fromParisNanterreUniversity.Currently,heisavisitingresearchfellowinLADYSS,
Nanterre.HisPh.D.dissertationwasstructuredaroundpublicspacetheoryfocusing
46
ondocumentinghowgeopoliticsaffectsrevolutionchangingandTehran’surbanization processes in the 20th century and Middle East countries. After completing the
Ph.D.inFrance,hisresearchinterestswereontheabstractionofpublicspaceandurbanhistorieschallengesintheMiddleEastcounties.Then,heworkedonsocio-historicalmovementsreviewof incomparisonprojectsstudyingtheeffectsof memorials,
creativity, and public attraction using quantification and qualification methods. He
has published manuscripts in peer-reviewed journals and publications, such as Hermitagepublishinghouse,ARTisON,UrbanCreativityJournal,Instituteof MiddleEast
Studies-Canada,ArtsandSocialSciencesJournal,BloomsburyPublishing,L’Harmattan,andtheMultidisciplinaryJournalofWorldAffairs.Besides,forreachingabroaderaudience,hehaspublishedmanuscriptsforonlineoutlets,suchasLoSquaderno,
Iwan(France-Persian),andTandisJournal(Persian).hepublishedhisfirstbooktitled:
“LarévolutioniranienneetlesespacespublicsàTéhéran”in2016,anddevelopedseveral research projects on public religious, services building with emphasis on public
space.IhavereceivedAwards,GrantsandFellowships.
RonjaTripp-Bodola|LouisianaStateUniversityHealthSciencesCenterNewOrleans
In Charity Hospital’s Shadow: Catholicism, Race and New Orleans Public Health
Charity Hospital New Orleans is one of the oldest hospitals in the United States. It
shaped more than the local cultural imaginary, collective memory or New Orleans
publichealth.Thispaperarguesthatitshistoryisahistoryof spatialconceptsthat
have been feeding into the architectural designs of its various incarnations. At the
sametime,itsdifferentlocationsthroughoutthecityreadasasocio-culturalhistory of New Orleans. A closer look at the concepts and architectural spaces of ‘Charity
Hospital’,fromisfoundingdaysinthelate18th century to today’s University Medical
Center New Orleans, will reveal how deeply ingrained this hospital is in the city space,
initsracerelationsandsocialpoliticsaswellasinregionalhistory.Thetalkwillillustrate how the history of Charity Hospital traverses all the aspects mentioned in the
call,however,itwillfocusmainlyonpointsfour(socialspace)andfive(sponsorship).
Thetalkwilltracethesignificantshiftsandchangesfromthebeginningsasa“hospital
forthepoor”tothesignificantnamechangeafterHurricaneKatrinathatdistanced
itself from the original Christian principles, from segregated wards to wards divided
bythepatients’homeaddresses;finally,itlooksatitsdifferentlocationsinthecityand
how it relates to eminent domain, redlining and monumental racism.
BRIEF CURRICULUM
RonjaTripp-Bodola, PhD, is a medical humanities scholarwhoworks at the Departmentof Psychiatry,LSUHealthSciencesCenterNewOrleans.Herresearchinterests include biopolitics, intersectionality the history of Louisiana mental health
and its institutions.
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SESSION 9
Spaces of Knowledge and Healing
MatsDijkdrent|Universityof Cambridge
Healing through Space: Plague and Mental Health Institutions in the Sixteenth-Century Low Countries
Howhasmedicalknowledgebeenusedtoshapehospitalspace?Thispaperaimsto
answerthisquestionbyexaminingthecaseofthesixteenth-centurySt.Caeciliahospital,aplaguehospitalandmadhouse(dolhuis)inLeidenintheLowCountries.There
are of course some examples in Italy of medical knowledge that is integrated in the
hospital design. Existing historiography overwhelmingly dates, however, the medicalisationofhospitalarchitecturetotheeighteenthcentury.Thispaperdemonstrates
that both traditional expectations about the arrangement of hospital space and medicaltheoriesabouttheimpactof space,lightandflowof airwerealreadyintegrated
intoDutchsixteenth-centuryhospitaldesigns.
IntheLowCountries,plagueandmentalhealthinstitutionsoftenwerecombinedin
onebuilding.Thispracticeoriginatedfromtheconfraternityof Cellitesthatcared
forbothgroupsintheperiodbeforethereformation.Afterthereformation,thecity
of Leidenlackedsuchaninstitutionandtherefore,in1598,themastersof theLeiden’s main hospital wrote an architectural plan for a new plague hospital and madhouse.Theysoughtadvicefromthreedifferentmedicalinstitutionsandbasedtheir
designuponmedicalinsightsonhowtocreateahealthy,therapeuticspace.Thelocation of the plague hospital within the city, the position of the windows and the
orientationof thebedswereforexampleallbasedonmedicalknowledge.Thedesign
for the madhouse states that secluding the mentally ill in dark cells was based on
medicaladviceandtheconfinementwasmeanttocuretheinmates.Theintegration
of knowledge in the design created a space with its own discourse which legitimised
theauthorityandactionsof themedicalstaff.Theplaguehospitalandmadhouseare
furthermore social spaces that marked the social otherness of the groups housed in
theSt.Caeciliahospital.
BRIEF CURRICULUM
MatsDijkdrenthascompletedtwoBAdegrees–inHistoryandinArtHistory–atLeidenUniversity(TheNetherlands)andrecentlyobtainedhisResearchMAdegreeinMedieval and Early Modern History from the same university. Mats is currently enrolled
48
in the MPhil History of Art and Architecture programme at Cambridge University. He
isespeciallyinterestedintheinterrelationbetweenpre-modernartandtheoretical/
scientificknowledge.
ChristineBeese|FreieUniversitätBerlin
Knowledge-making between Arts and Science. The Integration of Anatomical Theaters into Hospital Architecture in Modena, Frankfurt and Paris in the 18th Century
Havingemergedprimarilywithinuniversitycomplexes(includingthePalazzodelBo
inPadovaandtheformerBeguine-ChurchinLeiden,1596),thebuildingtypeof the
AnatomicalTheaterrealizedinspacetheshiftinknowledgethatNewPhilosophyhad
brought to universities in early modern period. As a place for exercising, presenting
anddisseminatingmedicalknowledge,theAnatomicalTheaterhadbecomeasymbol
butalsoanaidtotheintegrationof surgicalartsintomedicalerudition.Duringthe
17thcentury,theAnatomicalTheatersbecameanintegralpartofthenewlyerected
headquartersof SurgeonGuildsinLondon(RoyalCollegeofPhysicians,Hooke1675)
andParis(LeConfrériedeSaint-Côme,Joubert1691)notleastbecauseoftheGuilds’
aspiration to the status of academical Institution. As they were also built in academies
of sciences,inroyalcourtsandhospitals,AnatomicalTheatersbecameincreasingly
widespreadinthe18thcentury.
By analysing and confronting the historical background as well as the spatial organisationof medicalinstitutionsinModena(OspedaleSant’Agostino,Toschi1775),Frankfurt (Senckenbergische Stiftung 1768) and Paris (É cole de Medicine, Gondoin 1775),
this paper will investigate the reasons for and consequences of the implementation
of AnatomicalTheatersintohospitalarchitecture.Hencethispaperwillshedalight
on the conception of medical learning but also on the intellectual and social status of
healthcareduringthe18thcentury.
BRIEF CURRICULUM
ChristineBeese,bornin1981,isaresearchassociateandlecturerattheArtHistory
Departmentof theFreieUniversitätBerlin.ShereceiveddegreesinArtHistory,Modern History and Museology from the University of Münster (2004), Heidelberg and
ÉcoleduLouvreParis(2008).Asaresearchassociate,sheworkedattheDepartmentof
ArchitectureattheTechnicalUniversityof Dortmund,whereshealsocompletedher
PhDthesisonthetopicof MarcelloPiacentini’surbanisticprojects(2014).Herthesis
wasawardedtheHans-JanssenPreisoftheGöttingenAcademyof SciencesandHumanitiesin2014.AttheBibliothecaHertziana,Max-Planck-InstituteforArtHistory
inRomesheheldascholarshipandorganizedtheconferenceL’UrbanisticaaRoma
duranteilVentennioFascista(2013).Sheiscurrentlyworkingonthearchitectureof
49
anatomical theaters in early modern times with a special interest in the relationship
between space and knowledge-making. Her main publications are: Beese, C (2016).
MarcelloPiacentini.ModernerStädtebauinItalien.Berlin:ReimerVerlag;Beese,C.,
2016;Beese,CandDobler,Reds.(2019).UrbanisticaaRomaduranteilVentennioFasccista(QuadernidellaBibliothecaHertziana1).Rome:CampisanoEditore.
ManuelAntónioPereiraCouto|UniversidadedoPorto
The origin of Vila Real hospital: hygienist’s guidelines and architecture for a
modern assistance practice (1796-1844)
Inamainvillageinthenorthof Portugalattheendof the18thcentury,thelocalbrotherhoodofOurLadyof Mercy(Santa Casa da Misericórdia),tookthestepstofoundanew
hospital to replace the only and very old medieval hostel. However, this hospital was
nothing more than a rented house where more needy people could be accommodated,
andsoitremainedforabout27years,untilthemid-1810s.
Atthistime,thevillagewitnessedchanges.Somehalf-ruinedstructuresweredemolished and a neoclassical style palace was born thanks to the 1st Count of Amarante, a
military hero of the peninsular wars.
TheCountwasthebrotherhood’sProvedor (sameasheadof theadministration)andhe
encouraged the construction of a new building designed to be a hospital.
The sources reveal that physicians were consulted on the selection process for the
building’s location and effortswere made to complywith the hygienist’s guidelines
concerning hospital’s architecture.
As the Count’s Palace, the building follow the neoclassical taste, a style conceptually
associatedwithscientificrationalism.Andthedevelopmentof thepersonnellinked
totheassistancepractice(increasingcomplexityand“laicization”)isanothersignthat
suggest a transition trend between a strictly charitable vision and a most modern and
comprehensive assistance practice.
Inshort,fulfilingreaterfullnessthefourteenworksof Mercy(takecareofSoulandBody).
If this infrastructure, which still exists today but applied to another functionality, remainsstrikingintheurbansettingofVilaReal,itwasevenmoresoatitsearlytimes,
becauseitredefinedanentireurbanspace.Evenmore,itpromotedtheappearanceof
newcomplementaryequipment,destinedtofulfilthelastof theworksof Mercy:to
bury the dead.
50
BRIEF CURRICULUM
ManuelAntónioPereiraCoutobornonDecember5,1972.MasterDegreeinHistory
by the University of Porto since 2009 with the dissertation entitled “Diseases and
Patients at the Divina Providência’s Hospital at Vila Real de Trás-os-Montes (17961836)”.ResearchassociatedatCITCEM – Transdisciplinary Research Centre «Culture, Space
and Memory» and CEPESE – Research Centre for the study of Population, Economy and Society. Booth research centers from University of Porto. History researcher and producer
of scientific and cultural contents for academic institutions, museums and cultural
enterprises,suchasGlorybox-GestãoIntegradadoPatrimónioCultural,Lda.Examplesof studiesandconferencesaboutMercybrotherhoodsandhospitals:“Thehealth
of thebody–SantoAntónioHospital(1820-1910)”,(co-author),chapterincludedon
“ContributosparaahistóriadaSantaCasadaMisericórdiadoPorto”(“Underthecloak
of Mercy–Contributionstothehistoryof theOporto’sMercyBrotherhood”),Vol.III,
publishedbyCEHR–Centreof ReligiousHistoryStudies(2018);“Dangeroustravellers
whocould«notbeseen,feltortouched»–conceptsandthefightagainstthepathogens
at the end of the eighteen century”, paper presented on the IV International Meeting of
YoungResearchersinEarlyModernHistory(EJIHM).June6,2015.
51
SESSION 10
The Medical and Cultural Heritage of Hospitals
ValeriaRubbi|UniversitàdiBologna
Hospital Spaces and Architectures in Bologna in the Modern Age
Thehospitalsof SantaMariadellaVitaandSantaMariadellaMorte,onceplacedone
infrontof theother,wereborninmedievaltimes(about1275)thankstotheconfraternitiesof theBattuti,intheheartofthecityof Bologna.Thefirstonewasdedicatedto
thereceptionandcareof thesickandpilgrims;whiletheother,asthenamesays,had
to take care of the very sick and had the purpose of assisting prisoners and those sentenced to death, also providing for their burial. In the sixteenth century, the Pope’s ambassador,PierDonatoCesistartedagreatpropagandaoperationwiththerenewalof
PiazzaMaggioreandthesurroundingareas,includingthetwohospitals:hedesigned
morewelcomingspacesandmore“decorosi”environments,reorganizingtheurban
layoutofaportionof thehistoriccenter.Throughnewdocumentsitisnowpossibleto
reconstruct those hospital environments, which perpetuated the care and devotional
function for the next two centuries.
BRIEF CURRICULUM
ValeriaRubbiisaRTDaresearcheratBolognaUniversityfrom2013to2016,withextensionuntil2018,shecarriesoutherresearchactivitymainlyinthefieldofmodern
art history. Her interests are principally oriented to the study of architectural contexts,
aswellasiconography,between15thand18thcenturies.Inparticular,shehasbeen
engagedinBolognesearchitecture.SheholdslessonsinDAMS,Master’sDegree,in
DidacticsofVisualArtsandIconographyandIconologyattheDepartmentofPrimary
TeacherEducation.From2000to2014shehasheldcoursesofHistoryofArchitecture
andHistoryof ArtatEconomics,RiminiCampus(Universityof Bologna)andlaterat
Departmentof Philology,LiteratureandClassicalTraditionof Bologna.
52
ElenaCorradini|UniversitàdegliStudidiModenaeReggioEmilia
The Great 18th century Hospital in the complex of Sant’Agostino in Modena. For a
compatible and sustainable reuse project
It is intended to present the work in progress linked to a restoration project for culturalpurposesof abuildingcomplexcalledSant’Agostino,fromthesquareof thesame
name,locatedonthewesternedgeof thehistoriccenterofModena(https://www.agomodena.it/).Thevastcomplex,whichwillbereusedforculturalservices,stillinthe
processof beingdefinedwithintheAGOModenaculturalbuildings(https://www.agomodena.it/it/),consistsof adjacentbuildingsinterspersedwithtwocourtyards.The
oldestbuilding,thelargeeighteenth-centuryhospitalwantedbyDukeFrancescoIII
d’Estewithaplantwithaveryoriginaldistributive-spatialconcept,differentfromthe
commonsinglelaneorcruiseplants.Theplantwithanoriginal“pincerstructure”is
infactcharacterizedbyasymmetricaldivisionofspaceforwomen’shospitalization
(threelanestothewest)andmen(threelanestotheeast),fromtheneedforasingle
atrium access to the male and female departments and especially the importance of
religion: the three lanes reserved for women are arranged radially with an optical cone
aroundthealtardedicatedtoSt.Jobandthoseof themen’swardaroundthealtardedicatedtoS.Nicolò.Thebuildingwasexpandedespeciallyduringthenineteenthcenturyandremainedinuseuntil2004whenanewhospitalinBaggiovara,ontheoutskirts
of thecity,cameintooperation.Therestorationproject,stillunderdiscussion,of this
large building will have to take into account a compatible and sustainable reuse for
culturalservices.IntheSant’AgostinocomplexthereisalsoanAnatomicalTheatre,
the only space in the area recently restored and enhanced with a series of events and
exhibitionsof contemporaryart:theTheatrewasbuiltbetween1773and1775byAntonioScarpa,professorof AnatomyandSurgeryattheUniversityof Modena.Moreover,
therearethreenineteenth-centurybuildingsinthesamecomplex.Theywerebuiltbetween1840and1863fortheMedicalClinicsof thesameUniversityandwillbereused
to house the collections of the University Museums currently not on display.
BRIEF CURRICULUM
Elena Corradini is a researcher of Museology and Restoration at the University of
ModenaandReggioEmilia,nowteachesMonumentalBuildingsRestorationHistory.
SheisCoordinatorof theItalianUniversityMuseumsNetwork(www.retemuseiuniversitari.unimore.it)andwasboardmemberanddeputy-presidentofICOM-UMAC
andfrom1980to2006sheworkedfortheMinistryof CulturalHeritageasdirector
archaeologistinModena,BolognaandasmanagerinRome.Sheisfreelancejournalist,authorof morethan170publicationsaboutmuseology,historyofcollecting,conservationandvalorizationofculturalheritage,recentlyabouttheUniversityheritage,
she directed restoration works and has been curator of a lot of exhibitions.
53
YeidyLuzRosaOrtiz|DurhamUniversity
Use of Space and Non-Combative Populations of the Antiguo Hospital Nuestra Señora de la Concepción, El Grande, San Juan, Puerto Rico, 1774-1886
TheneoclassicalstructurethattodayhousestheLeagueof ArtandtheSchoolof Plastic
ArtsandDesignof PuertoRicowasoriginallybuiltin1774asthefirsthospitalonthe
CaribbeanislandunderSpanishcolonialrule.Initiallydestinedtoserve500poor,
women sex workers, and formerly enslaved residents from the same urban neighborhood that was displaced in order for its building— each group segregated into
separatespaceswithinthehospital—,italsoservedasthefirstmedicalschooland
onlypharmacyontheisland.Today,the500artstudentsthatexpresstheircreativity
within this space also express curiosity as to what their studios and gallery spaces
were originally used for, and as to the people that worked, lived, and died in what
arenowtheirclassroomsandworkshops.Througharchivalmaterialandtheoriginal building plans, we set out as a community to answer some of these questions,
and what was uncovered was the history of a hospital at the center of a century-long
disputeoverownershipbetweenthechurch,themilitary,andthemunicipality.The
grand vision of an archbishop that was never to be, the archival materials depict intendedfaçadesthatwereinterruptedbythewarwithEnglandin1797;bedsforthe
poorreducedfrom500to30,andeventhosewereinconstantdangerof beingtaken
by the military for the use of soldiers or by the municipality for the use of the city’s
prisonand/orpayingcustomers,andthefinalrestingplaceforagroupof imprisoned Chinese laborers accused of a crime in Cuba they passionately argued they did
notcommit.Thisarchivalsearchalsocreatedacommunityspaceof dialogwithin
the building’s current inhabitants in which local histories were recovered, embodied, and performed through artistic practice.
BRIEF CURRICULUM
YeidyRosacompletedaBAinHistoryof ArtatTheOhioStateUniversity(2001),an
MAinHumanitiesandSocialThoughtatNewYorkUniversity(2005),anMAinSocialHistoryof ArtatUniversityof Leeds(2020)andiscurrentlyaPhDresearcherin
HistoryofArt,SpanishStudiesandEarlyModernLatinAmericanVisualCultureat
DurhamUniversityintheUK.ShehascompletedprogramsinHistoryof Art,Archaeology,VisualAnthropology,EthnographicFilm,Palaeography,andRareBooksatKoç
University(Turkey,2000-2001),OhioUniversity(UnitedStates,conductedinChina,
2001),ColumbiaUniversity(UnitedStates,conductedinBrazil,2003),Schoolof AdvancedStudyatUniversityof London(UnitedKingdom,2015)andCasaÁrabeinCórS
doba,Spain(2016).ShehastaughtHistoryof ArtattheUniversityof PuertoRicoat
RíoPiedras(2015-2019),theSchoolofPlasticArtsandDesignof PuertoRico(20132019),andthePontificalCatholicUniversityof EcuadorinQuito(2008-2010).
54
JoséCarlosD.R.AvelãsNunes|UniversidadedeLisboa
The architecture of the New Lisbon Lazaretto (1860-1910). Modelling controversial
confinement in space and time
From the 1870s onwards, the city of Lisbon was subject to urban requalification to
build a defence system against contagious diseases that, at the time, were spreading
around theworld.The capital’s strategic positionworked as a gate to the European
continent,especiallyinwhatisconcernedwithinternationaltrading.Thecirculation
of both people and goods worked as a vector to disease’s spreading, especially of cholera, yellow fever and tuberculosis. Upon the international discussion about the most
efficientmethodsof quarantinesystems,Lisbonerectedaparticularbuildingonthe
othersideoftheTagusRiver,from1861and1869.Facingthecity,butnottouchingit,
theNewLisbonLazarettowasamodeltodisaggregatethenotcontrolledentrancesin
thetown,toprotectitscitizensandtomakesurethatallthenewregulatedsanitary
measures were put in practice.
Thisstar-likebuildingwassubjecttoseveraldiscussions,fromtheprojectandconstruction,untilitsgeneraluse.ArchitecturalmodelssuchastheFrenchMazasPrison the Bentham’s panopticon or the pavilion system influenced the design of the
Lazaretto.Still,anentirelynewconceptwasdesigned,totheextentthatthereisno
comparablelazarettoinEurope,inwhatrelatesbothtoitsarchitecturalshapeand
spaceconfiguration.
In this communication, three central axes are going to be intersected in the Lisbon Lazaretto.Firstly,theinternationalmodelsandthecirculationofarchitecturalandmedicalknowledge,withtheidentificationof actorsandnetworks.Secondly,howmedical
and architectural disciplines are interconnected. Finally, there will be analysed the
roleof containmentregulation,politicalagentsandscientificexpertsinshapingits
internalandexternalspaceuniqueconfiguration.
BRIEF CURRICULUM
JoséCarlosAvelãsNunesisanarchitect,Ph.D.inarchitectureandresearcherintheareasofthehistoryof architectureandinthehistoryofmedicine.Wasawardedwithan
individualdoctoralfellow,throughapubliccompetitionbytheFoundationforScience
andTechnology,whichresultedinthedoctoralthesis“Thearchitectureof sanatoria
inPortugal:1850-1970”.Withthisthesis,hewasawarded,ex-aequo,withtheVictorde
SáPrizeforContemporaryHistoryin2018.JoséAvelãsNunesintegratesseveralR&D
networks and participates in several research projects. He is the author of national
andinternationalarticles,bookchaptersandmagazineediting,andalsoalecturerat
international and national conferences, as well as guidance and jury of master’s and
PhD’s dissertations. Currently, he develops academic and research activities at the
55
Facultyof SciencesoftheUniversityof Lisbon,particularlywithapostdoctoralresearchindividualproject,intheCIUHCT-CentroInteruniversitáriodeHistóriadas
CiênciasedaTecnologia.
SESSION 11
Read between the Lines: Hospitals in Text
EliseBrault-Dreux|Universityof Valenciennes
Poeticizing the experience of the space in hospital
My purpose is to analyse how some 20th and 21st-century English poets have repeatedlyintroducedthehospitalintotheirpoeticspace.RelyingonFoucault’s“Incorporationdel’hôpitaldanslatechnologiemoderne»andBachelard’sPoétique de l’espace, I
willshowhowthebuildingisoftenintroduced,bysomepoets(e.g.PhilipLarkin,Roy
Fisher,PeterReading),asamassive,eventhreatening,austerearchitecture.Butmore
powerfularetheevocations,bythepatient(thepoetsortheirpersona)of theirsubjectiveexperienceoftheinside(orthebowels)of thehospital:thewaiting-room,thecorridors,the“zones”and,mostfrequently,thebedroom–i.e.themainstageof countless
poems.Mundanelyfurnished,withthehospitalbed(aquasi-extensionof thepatient’s
body)atthecentre,thebedroomisexperiencedasaplaceof bothsafety and brutal
limitation.The poeticvoices repeatedly evoke its constraining barewalls, its closed
door(orreverselyitstoooftenopeneddoor),itslockedwindows,aswellasthehorizonharshlylimitedbyitswan(andoftenimperfect,spotted)stared-atceiling.Tension
thus arises between the extreme intensity of the physical and ontological experience
of the bedridden patient and thelatter’sexperience(againphysical)of thelimitation
of space,theawarenessof whichismagnifiedbywhathecticlifeisperceivedbeyond
thewallsandcurtains.Thenoisesandsmellsof thecirculationofair,of staff (voices
andsteps),of visitors,ofmaterials(thetrolleys),of bedsonwheelsregularlyreachthe
senses of the vulnerable patient. All too aware of the “normal” life outside the building, the patient feels an intermediary movement in the liminal spaces just outside
theirbedroom,whiletheirownexperienceof thismassiveinstitutionis(asisoften
suggestedinthepoems)limitedtotheimmediatesurroundingsof theirbed.
Corpus:poemsbySarahBroom,JuliaDarling,HelenDunmore,RoyFisher,PhilipLarkin,PeterReading,JoShapcott,HannahSullivan,andHugoWilliams.
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BRIEF CURRICULUM
EliseBrault-DreuxisaseniorlecturerattheUniversityof Valenciennes(France).She
has been working on English poetry for years and has published a book on the poetry
of D.H.Lawrence(Le ‘Je’ et ses masques dans la poésie de D.H. Lawrence,2014).Sheisthe
co-editor of No Dialect Please, You’re a poet (Routledge,2019).Sheistheauthorof many
book chapters and articles on modernist poetry. For a couple of years, she has worked
onthepoeticrepresentationof theexperienceof hospitalisation.Shehaspublished
articlesonthatthemeaboutPhilipLarkin’spoems(“ExposingBareLives–PhilipLarkin’s Hospital Poems”) and about the “hospital smells” (a book chapterwill be publishedbytheendofthe2020).
Marie Allitt | University of Oxford
Scaling the Hospital: Imagining and Mapping Clinical Space
Thispaperexploreswaysof conceptualisingandviewinghospitalspaces,askingwhat
alternative physical and disciplinary viewpoints can bring to our understanding of
spaceandhospitaldesign.Thesealternativeviewpointsprimarilystemfromaliterary
and critical medical humanities perspective.
Bytakingtheideaof‘modelhospitals’quiteliterally,IfocusontheKing’sFundMiniatureHospital,createdandputondisplayinLondonin1933,asashowcaseforwhatthe
charitableFundweredoingforhealthcare,andattractfurtherdonations.Theobject
itselfissignificant,butsotooareattitudestotheobject.Ibeginwithanalmostabsurdist, parodic Country Life articlefrom1933,wheretheKing’sFundHospitalisimagined
as the ‘Lilliput Hospital’ and a tour is described by an imagined descendent of Lemuel
Gulliver(of JonathanSwift’sGulliver’s Travels (1726)).Thisspecificpieceof writingis
curious about the model of the hospital, with its innovations and modern design are
wondrous,butthereisalsoanauraofexoticismandOthering.Thisperspectiveraises
numerous questions about how we see, understand, and move through the hospital.
Doesaliteralchangeinviewpoint–abird’seyeviewontheminiature–impacttheunderstandingof thatspace?Doesthisunusual,literary,andfantasticalnarrationalter
how the hospital is viewed? How might we extend this, to think of contemporary modernhospitals,withtheiruseof wayfindingandmapstovisualisethehospitalspace?
Whatisemphasised,andwhatisomitted?Howdoesthehospitalvisitornavigatethe
psychological and physical hospital space?
IusethisGullivertextasalaunchpointfromwhichtoexploreimaginativewaysof
conceptualising and conceiving of medical spaces: to think, for example, about what
metaphors are invoked about the hospital space, and what work such images might
be doing.
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BRIEF CURRICULUM
Marie Allitt is a Humanities and Healthcare Fellow at the University of Oxford, on the
project‘AdvancingMedicalProfessionalism:IntegratingHumanitiesTeachinginthe
Universityof Oxford’sMedicalSchool’.SheisalsothePostdoctoralResearchAssistantfortheNorthernNetworkforMedicalHumanitiesResearch,attheUniversity
of Leeds. Marie is a collaborator on theWellcome small grant project ‘Senses and
Modern Health/care Environments: Exploring interdisciplinary and international
opportunities’,ledbyDrVictoriaBates.Sheisalsoaco-investigatoronaWellcome
DiscretionaryAward,‘ThinkingThroughThings’,whichaimstodevelopacross-disciplinaryECRresearchnetworkthatengageswiththeWellcomeCollection,inconnectionwiththeNorthernNetworkforMedicalHumanitiesResearchandDurham’s
InstituteforMedicalHumanities.MariecompletedherPhDinEnglishLiteratureat
theUniversityof Yorkin2018,focusingonexperiencesandrepresentationsof spacesandsensesinFirstWorldWarmedicalcaregivingnarratives.Marie’sresearchfocuses on medical lifewriting; practitioner health; medical spaces and senses; and
early 20th century surgery.
Jessica Campbell | University of Edinburgh
Open Doors and Flattened Hierarchies: Exploring the Boundaries of Space and Identity in Dingleton Hospital’s Therapeutic Community from c. 1963
Thispaperexaminesthedynamicsofanimportantyetoverlookedinstitutionwithin
Scotland’shistoryof psychiatry:DingletonHospital’stherapeuticcommunity.Shaped
bythecounter-culturalinfluencesofthe1960sandanincreasedinterestintheapproaches of social psychiatry, this small, unassuming asylum- turned-hospital in the
Scottish Borders pioneered the development of an innovative approach to mental
healthcare in which the principles of democracy, openness and permissiveness were
applied within an institutional setting, disrupting the long-established boundaries,
physical and symbolic, of its former nineteenth- century asylum structure. Focusing
on the theme of boundaries, it seeks to draw attention to the ways in which notions of
self and other were replicated in the hospital’s social and spatial structures through
acloseanalysisof Dingleton’sin-housemagazineOutlook and explores the following
keyquestions:WeretheboundariesofidentityandspacetrulytestedatDingleton?Did
thepioneeringandliberalrhetoricofDingleton’sadvocatesmatchtheexpressionsof
lived experience within the therapeutic community? Or was it merely another form of
control,‘asimplereconfigurationofpowerrelationshipswithoutanyindepthchange’
(Fussinger,2001)?Byaddressingthesequestions,thispaperultimatelyassessesthe
extent of change in a period heralded as a turning point in the history of psychiatry:
the demise of the asylum. In doing so, it seeks to demonstrate that just as the popular
image of the Victorian asylum as an isolated entity surrounded by impenetrable walls
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is questionable, so too is the conception of the therapeutic community as a model without boundariesfor,inthetwentiethcentury,wefind‘onceagain,thattheboundaries
betweenasylumandcommunityarevagueanduncertain’(BartlettandWright,1999).
BRIEF CURRICULUM
JessicaCampbellisanESRCfundedPhDstudentwithintheSchoolofHistory,Classics
and Archaeology at the University of Edinburgh. Her current research focuses on the
relationship between madness, creativity and experience. Her MScR thesis entitled
‘TheBoundariesof Madness’(2018)exploresthenotionof spaceandidentitythrough
an examination of the patient-produced writings of nineteenth and twentieth-centuryScottishasylummagazines.Herdoctoralproject‘FromMoralTreatmenttoMad
Culture’ seeks to extend upon these interconnected themes of creativity and patient
expression through a historical enquiry into the nature of alternative psychiatric therapiesinBritainsince1840.
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SESSION 12
The Politics of Modernisation
BarryDoyle|UniversityofHuddersfield
The Shape of Things to Come? The politics of planning new hospitals in inter
war Europe
TheFirstWorldWargaveaboosttothepopularityandprofileof Europe’shospitals
as populations ‘acquired the hospital habit’. As a result, demand for hospital beds increasedsubstantiallycreatinganaccommodationcrisisacrossthecontinent.Thiscrisiswasexacerbatedbythefactthatmuchoftheexistinginfrastructurewasoldand/or
not designed for modern medical practices. Across much of Europe, especially away
from the big cities, hospitals remained basic, focused on care, with limited specialisationandslowpatientturnover.Thefurthereastonetravelled,themoresimplistic
the institutions proved to be. But over the following twenty years the continent experienced a medical building boom as all sorts of providers working alone, or in partnership, looked to shape new, exciting accommodation that showcased political and
national ambitions.
Thispaperwillexploresomeofthewayspoliticsandnationunderpinnedthismodernisationof Europe’smedicalinfrastructure.DrawingoncasestudiesfromEngland,
France,CzechoslovakiaandHungaryitwillexaminearangeof newbuildandrenovation projects that sought to increase provision and make political capital. It will
considerissuessuchascost,architecturaldesign,localityandeventhesignificanceof
institutional names in the politics of planning and building hospitals. In the process
it will show that medical buildings and medical spaces were highly contested as the
voluntary sector, municipal authorities, national government, religious bodies and
the labour movement came together and clashed over who should pay for, who should
have access to, who should manage and what should be the role of, healthcare provision in the post war world.
BRIEF CURRICULUM
BarryDoyleisProfessorof HealthHistoryandDirectorof theCentreforHealthHistoriesattheUniversityof Huddersfield.Hespecialisesinthehistoryof hospitalsin
themodernperiodofferingcomparativeanalysesof provisioninanumberofcountries including England, France, Poland, Hungary and Czechoslovakia. His research
hasbeenfundedbyWellcomeandtheAHRCandhispublicationsincludea2014mon60
ograph, The Politics of Hospital Provision in Early Twentieth Century Britain, and numerous
articles and book chapters in English and French. He is currently editing a special issue
of European Review of History with Hannah Louise Clark on Imperial and Post Imperial
HealthcarebeforeWelfareStates.Hehasbeenamemberof theBoardof theInternationalNetworkfortheHistoryofHospitalssince2013.
CansuDegirmencioglu|TechnicalUniversityofMunich
The Foundation and Development of Heybeliada Sanatorium and the Modernization of Turkey (1924-1955)
In2020,theTurkishThoracicSocietystartedapetitiondemandingtherenovationand
re-use of the nonoperating sanatorium in Heybeliada Istanbul, as a pandemic hospital including a medical history museum. Along with its potential role in the struggle
against the Corona pandemic, the complex is a cultural heritage as well, testifying for
thecollaborativemodernizationofarchitectureandmedicine.Thesetwofieldsconcurrentlyemergedasmoderndisciplinesinthenation-buildingyearsoftheTurkish
republic,aperiodmarkedwiththeregime’seffortstodisintegratetheimageof “the
sickmanof Europe”.Therulingofficials,amajorityofwhichweremedicalgraduates
influencedbySocialDarwinism,identifiedphysicalweaknessandsicknesswithmoral corruption and treason, which led to a strong emphasis on the struggle against medicaldiseases,Tuberculosis(TB)inparticular.Whilethearchitectsandphysiciansborrowed techniques and terminology from each other, the traditional spatial elements
such as caged windows and the extensive use of decorative textiles in interiors were
condemnedaspotentialcausesofTB.Alongwithpublichygienepropaganda,sanatoriaanddispensaryconstructionhadbeenhigh-priorityprojects.ThispaperexaminesthefoundationanddevelopmentperiodofthefirstpandemichospitalinTurkey:
the Heybeliada Sanatorium, regarding its modernist architectural aspects.Through
periodicals and official publications, this paper further focuses on representations
of sanatoria and the position of medical institutions as mediums of state-initiated
modernization.Moreover,itdiscusseshowthisparticularfacilityresonatedwiththe
biopolitical discourse of the regime and set a precedent for the subsequent medical
institutions.Finally,thishistoricalandarchitecturalanalysisof theHeybeliadaSanatorium intends to contribute to the current discussions about its re-use.
BRIEF CURRICULUM
CansuDegirmenciogluisadoctoralcandidateattheTechnicalUniversityof Munich,
thechairof ArchitecturalHistoryandCuratorialPractice.Sheiscurrentlyresidingand
carryingherstudiesinBerlin,teachingonlineDesignHistorycoursesatafoundation
UniversityinTurkey,andworkingonherdissertationtitled“Prescribed Modernity: The
Impact of Health and Hygiene Concerns on Turkish Architecture During the Early Republican Era
(1923-1950)” ,fundedbytheDAADdoctoralscholarship.Herscholarlyresearchmain61
lyfocusesonthemodernizationofTurkey,andintertwinedhistoriesof medicineand
modern architecture. In addition to various conference and seminar presentations,
Degirmenciogluiscurrentlyintheprocessof publicationinapeer-reviewedjournal
and the revising process of a book chapter, which will be published in 2021.
HongdengGao|ColumbiaUniversity
Medical Governance Contest over Gouverneur Hospital: Health Activism in New
York City’s Lower East Side, 1956-1972
Historians have examined how a variety of forces—including the emergence of new
technologies, the rising power of physicians, and the expansion of American social
welfare provision—transformed American hospitals in the twentieth century. Most
have focused on how these forces changed individual hospitals. It remains largely unclear how hospitals were designed, built, and used in relation to one another. Analyzingthelittle-knownpost-WorldWarIIhistoryof apublichospital,Gouverneur,
inNewYorkCity’sLowerEastSide,thispapershowshowcompetingmedicaltheories,communityactivism,andlocalandfederalgovernmentfundinginfluencedthe
location,architecturaldesigns,andactivitiesof Gouverneurvis-a-visthoseof nearby
public and voluntary hospitals. By the late 1950s, New York City’s municipal hospital
systemhadacutepersonnelshortagesanddilapidatedbuildings.Drawingfromphysicians’papersanddocumentsfromgovernmentandcommunityagencies,thefirstpart
of this paper explores how physician administrators at the time sought to reform the
city’s public hospital system by closing municipal hospitals that had outdated physicalplantsandwerelocatedinworking-classimmigrantneighborhoods.Theyargued
that residents from these neighborhoods could travel thirty miles farther for better
care at private and public hospitals where the administrators had expanded facilities,
increasedbedcapacity,andformedmedicalschoolaffiliationsforstaffing.Thesecond
partof thispapershowshowLowerEastSideresidents,whobelievedthatthecommunity should have a say in the operation of public medical institutions, shaped the
physicaldesignsandusageof Gouverneur:turningthehospitalfirstintoanationally
known neighborhood health center with innovative social and health services departmentsandbilingualcommunityoutreachprograms;thenintoageneralcarehospital
that had expanded maternity wards and rehabilitation facilities, and only relied on
other hospitals in the region for back-up specialty services.
BRIEF CURRICULUM
HongdengGaoisaHistoryPh.D.candidateatColumbiaUniversity.Herdissertation
examines how Cold War geopolitics and grassroots activism in New York City improved access to health care for under-served Chinese New Yorkers in the late twentiethcentury.ADissertationFellowattheConsortiumforHistoryof Science,Technol62
ogy and Medicine, Hongdeng has worked as a research consultant for New York City’s
DepartmentofHealthandMentalHygieneandasaninternattheAmericanItalian
CancerFoundation.BeforepursuingaPhD,Hongdengco-foundedHealthBridges,a
grassroots initiative based in California that trains multilingual college students to
serveashealthadvocatesforpatientswithlimitedEnglishproficiency.
SESSION 13
Maternity
FitzDross|Friedrich-Alexander-UniversitätErlangen-Nürnberg
Gendered Medicalised Spaces – Inside and Outside Hospitals in early 20th century
Germany
Regarding obstetrics and gynaecology, the Foucauldian concept of the ‘clinic’ looks
evenmoreplausiblethanforanyothermedicalbranch:bydefiningbirth-givingasa
medical process the pregnant women were separated from both their social and everydays living environments to give birth within specially medicalised maternity clinics,
supervisedbymedicallytrainedmenusingspecialinstruments(forcipes)andthusallowingforthe‘MedicalGaze’atthefemalebody.Womenwereexposedtospecialrisks,
as the maternity clinics provided a medicalised research environment to understand
these,asthecaseof IgnazSemmelweisdemonstrates.Asmaternityclinics,contraryto
‘normal’hospitals,made‘healthy’women(givingbirth)availabletomedicalresearch,
they were of extraordinary value for bacteriological research.
In a reciprocal development, prominent (German) gynaecologists in the early 20th
century claimed Frauenkunde(women’sstudies)tobe“thescienceof womeninallareas
of their lives”,while gynaecology (Frauenheilkunde)would only be a “province in the
hugeempireofthescienceof women”(M.Hirsch:WasistFrauenkunde,1912).Beginningin1914,thejournalArchiv für Frauenkunde was initiated by mostly liberal gynaecologists. Usually, Frauenkunde is historically judged as the very beginning of social
gynaecology,butalreadythefirstvolumeof thejournalintegratedanarticleof WilhelmSchallmeyer,oneoftheleadingfiguresof earlyracialhygieneinGermany.The
proposed paper aims at focusing on Frauenkunde as an example for a typically clinical
gynaecological knowledge overcoming hospital borders and blurring ideological frontiersilluminatingthecrossroadsof (de-)hospitalisedandmedicalisedgenderedspaces in gynaecology, ideology, and women’s every-day living.
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BRIEF CURRICULUM
Fritz Dross is assistant professor for the history of medicine at Friedrich-Alexander-Universität Erlangen-Nürnberg. Beside his research on early modern hospitals,
epidemics and urban health services he is working on the history of gynaecology in
20th century, especially during national socialism.
KathleenPierce|SmithCollege
New Spaces for a New Midwifery at the Lying-In Hospital of the City of New York
In January, 1902, crews completed construction on the Lying-In Hospital of the City of
NewYork.Thebuildingprojectwasfundedbya$1,000,000donationfromJ.P.Morgan,whohand-pickeditsarchitect,RobertHendersonRobertson.Morgan’spatronage
arrived at a moment of transition simultaneously operating at several registers: new
theorizationsof vanguardhospitaldesignandconstruction,increasingspecialization
andprofessionalizationinmedicinebroadlyandinthefieldof obstetricsspecifically, and changing understandings of pregnancy, labor, childbirth, and post- natal care.
The1902hospitalsitsatthenexusof theseintersectingculturalthreads.
In this paper, I center the Lying-In Hospital of the City of New York as a case study, illuminating the productive and formative role the built environment played in shapingthisdiscourse.Thelying-inhospital,unlikemanyothermedicalfacilities,was
inherentlygendered:itspatientswerenecessarilywomen.Whilehistorianshaveexaminedthegeneralshiftof childbirthfromthehomosocialspaceof thehometothe
heterosocial,professionalized,andimpersonalspaceof thehospital,Icontendthat
the architectural structure of the maternity hospital itself— that is, the spaces chosentobeincludedorexcludedfromitsplan,thephysicalorganizationof itswards,
anditslocationwithinthecity—isequallyripeforanalysis.Throughclosestudyof
the planning, construction, and operation of the 1902 Lying-In Hospital, I demonstratethatthebuilding’splanmademanifestphysicians’effortstoprofessionalize
obstetrics,mechanizetheprocessof childbirth,andpreventmidwivesfrompracticing. These theoretical solutions for physicians, however, simultaneously transformed patients’ understandings of pregnancy and birthing through the experientialspaceof thereorganizedhospital.Unlikebirthinginthehome—whereinlabor,
delivery, and recovery all took place within a singular room—the hospital physically
and temporally segregated labor, delivery, and postnatal care, contributing to the
medicalizationof childbirth.
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BRIEF CURRICULUM
KathleenPierceiscurrentlyaVisitingAssistantProfessorintheDepartmentof Artat
SmithCollegeinNorthampton,MassachusettsintheUnitedStates.Shereceivedher
Ph.D.inArtHistoryfromRutgersUniversityinMay2019.Herresearchfocusesonthe
intersection of art and architectural history and medicine in the nineteenth- and early
twentieth-centuryFrenchempire.Sheisintheprocessofrevisingherdissertationfor
publication as a monograph. book, titled Ephemeral Surfaces: Skin, Disease, and Visuality in
the Fin-de-Siècle French Empire, examines a broad range of objects — from dermatological illustrations and wax-cast models, to public health posters and avant-garde painting — to understand relationships between the surface of the modern body and the
surface in modern art. Her research has most recently appeared in Medical History in
January2020inanarticletitled“PhotographasSkin,SkinasWax:Indexicalityand
theVisualisationof SyphilisinFin-de-SiècleFrance.”
ElżbietaKassner|LeibnizUniversitätHannover
Between home and hospital: Maternity wards in post-war Poland 1945-1970
Followingtheideasof socialisthealthcare,theMinistryofHealthinAfterWorldWar
II Poland did not foster birth as a private home event. Moreover, health politics aimed
toinstitutionalizeobstetriccareandplannedtolocateobstetricsexclusivelyinhospitals.However,duetofinancialreasonsandtheshortageof qualifiedpersonnel,the
state was not able to realise the hospitalisation of births immediately.
StartingnearWarsawin1945,anewtypeof institution:maternitywards-izby porodowe - were established in neighbourhoods all over the country, occupying the space
betweenhomeandhospitalandthusfillingthisgap.By1949,therewerealready85
maternity wards. In 1956, 16% births took place in a maternity ward. From 1959 onward,theimportanceof the800maternitywardscontinuouslydecreased,untildeliveryinaclinicbecamestandardpracticeinthe1970s.
On the basis of archival materials, regulations, handbooks, and periodicals for midwives and obstetricians, memories of women covered in sociological studies, as well
as a number of interviews with older midwives, the proposed conference contribution
seeks to reconstruct the manner of how the “new” institutions were run.
My research focuses on this unique form of obstetric care on local community level,organisedandmanagedbymidwivesboundby“InstructionontheOrganization
andOperationoftheMaternityWards”.Thematernitywardsconstitutedpartof the
healthcarecenterandhad,dependingonlocalrequirements,threetotenbeds.Regularly, the midwives lived in small houses which were likewise their working space,
65
where they monitored independently women during birth and childbed. Only in cases
of emergencyDoctorswerecalledin.
Theuniqueworkingandlivingarrangementofmidwivesincommunitiesallowsadeeperunderstandingof therelationshipbetweenmidwivesandlocalcitizensaswellas
the midwives role and function as mediator of knowledge between public-health-system and their clients in the immediate post-war realities.
BRIEF CURRICULUM
ElżbietaKassnerisaPhDstudentunderthesupervisionof Prof.Dr.BarbaraDuden,
Institute of Sociology, Leibniz University Hannover. Her research interests include
history of the Midwifery, medicine and social history of the 19th and 20th centuries,
motherhood, parenthood, reproductive health, biopolitics.
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Posters
Anna Maria Ester Condins | Universitat de Barcelona
Santa Creu Hospital of Vic (Catalonia): a medieval hospital in a modern city
TheSantaCreuhospitalof Vic(Osona,Catalonia)wasfoundedbyalegacyfromamerchant,RamonTerrades,whodiedinMajorcain1348.Accordingtohisspecificwishes,
the hospital was located outside the city walls, next to the main road to Barcelona.
It’s very remarkable that Terrades in his will specified not only the place where it
should be built but also the physical characteristics it must have. First, the hospital
had to consist of two houses, one for men and the other for women, each one with a capacityfortwelvebeds.Secondly,theceilinghadtobesupportedbythreestonearches.
Andfinally,hedefinedtheconstructionsize:awidthaccordingwoodenbeamsanda
length equal to similar buildings.
Hespecifiedclearlythatthehospitalneverhadtobecontrolledbyanyecclesiastical
organizationandthat’swhyhecommittedtheresponsibilitytotheCityCouncil.He
also stated that periodically the work and the positions of managing people should
be evaluated.
Subsequently,severalextensionsandmodificationshavechangedtheoriginalappearance of the building that is still in the same place and remains faithful to its original
sanitary purpose.The oldest rooms nowadays are offices and administration areas,
and the patient rooms were moved to more modern and better equipped buildings.
Theinterestinthisworkistheanalysisof thebuilding’sevolutionoverthetimeand
the conservation of previous elements as a memory of its history.
BRIEF CURRICULUM
Anna Maria Ester Condins, born in Barcelona (Spain), PhD in Medicine from the
Universityof Barcelona(UB),hasfocusedherworkinHematologyandHemotherapy.Also,shehasstudiedforadegreeinHistoryattheUniversityNationalof Distance Education (UNED) and a master’s degree in Medieval Culture at UB. She’s
interested in the study of hospitals, medicine and social life in the Middle Ages in
Catalonia.HerPhDinMedievalHistoryprojectfocusesonthehospitalof Vic(city
inCentralCatalonia).
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MariangelaCarlessi|PolitecnicodiMilanoandAlessandraKluzer|PolitecnicodiMilano
The Ospedale Maggiore of Milan as a “working machine”. Functions, spaces and architecture through the centuries
TheOspedaleMaggioreinMilaniswordlyknownforhavingbeenanabsolutetypological model, because of its rigorous plan. Most of all, it has always been, and still is,
a“workingmachine”,asAmbrogioAnnonicalledit.Throughthecenturies,itcould
patently adapt to the changing of requirements related to the clinical progress, to the
alwaysincreasingneedofspace,and,aftertherupturecausedbyWorldWarII,toa
new life.
Weproposeanunusualandnotstereotypicalreadingof suchanimportant“monument”, through the observation lens and the on-site experience of those who question
the buildings in order to take care of them, searching for data and clues in archive documents and in the countless traces sedimentated in the matter of the buildings themselves.Weexaminethecomplexityof theHospitalthroughitsdiachronicstructures
that witness the ageless issue of the relationship with pre-existing buildings.
WewouldstartfromthestudyofapartoftheHospitalthatstillastoundinglypreserves its old features and recalls to opposite aspects of the life inside the Hospital: the
mostrepresentativeplaces(theChapter Halls and the Annunciata Church)andthemost
hidden and humble ones, related to the everyday management of the many who could
notrecover(thesepulchreunderneaththechurch).Thecoexistenceofsuchdifferent
functions has led us to extend the analysis of the functional asset to the whole building
complex.Crossingthedatagivenbytheinventoriesandthehistoricfloorplans,itwas
possibletoreconstructthehospital’sdetailedlayout,identifying,forthefirsttime,the
useclassificationof eachsingleplaceindifferentages.Alayoutthatgetscomplicated
and quickly changes, until the brutal disbanding caused by war and the “puristic”, although extremely cultivated, post war interventions.
BRIEF CURRICULUM
Mariangela Carlessi and Alessandra Kluzer are Architects, Specialized in Building
Preservation, PhD, respectively in Building Conservation and History of Architecture,andtheyteachatthePolitecnicoofMilanasCotractProfessors.Theycombine
their professional and research activities, mainly focused on building conservation:
from preliminary studies, surveys, and diagnosis to the architectural and conservationproject.Theyareauthorsofpublicationsdealingwithhistoryof architectureand
thetheoryandpracticeof buildingconservation.Since2002theyhaveworkedforthe
Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico di Milano, mainly focusing on
the Chapter Halls, the Annunciata Church and the adjoining places, doing preliminary research and surveys, a feasibility study and designing the interventions for the
conservation and reuse of the Crypt underneath the Annunciata Church.
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Carmina Montezuma and João Castela Oliveira | Museu São João de Deus Psiquiatria
eHistória
The Order of St. John of God and hospital care in Lisbon
TheOrderof St.Johnof GodprovidedcharitableandhealthcareassistanceinLisbon,
sincetheIberianUnionin1580untiltheextinctionoftheReligiousOrdersin1834,
alwaysfulfillingauniversal,integralandethicalHospitalityasinspiredbytheFounder.Duringthisperiod,theOrderownedtheConventandHospitalofSt.JohnofGod
andwasresponsiblefortheadministrationoftheMilitaryHospital,atfirstinstalled
intheCastleofStGeorgeandlatertransferredtotheabove-mentionedConventand
Hospital,followingtheLisbonearthquakein1755.
Locatedinthecommunityareaof Santos,theConventandHospitalof St.Johnof God
hadaprivilegedlocationnexttotheTagusRiver.Thebuilding,withaU-shapedplant,
in addition to the convent spaces and the Church, had several nursing wards and a
pharmacy.TheMilitaryHospitalwaslocatedintheCastleof StGeorge,closetomilitarystructures,includingthejail;forthisreason,itprovidedhealthcaretoprisoners.
In these two hospitals, the assistance was exclusive to male patients. However, women
and children, from all social categories, were also provided with religious assistance
not only during liturgical celebrations and in the improvement of chapels, but also in
the permission of burials within the Church and in the convent space.
TheBrothersof St.JohnofGod,asdoctorsandnurses,alwaysintendedtodevelopa
socio-sanitary action among the population in general, mainly during the epidemics
that periodically plagued the capital.
Thepurposeof thisworkistoidentifythemaincontributionsoftheOrderof St.John
of GodandtheirexperienceinHospitality,overthecourseof 250years,whilecontextualizingthearchitecturalspacesusedandtheirinterrelationwiththepopulationof
the city of Lisbon.
BRIEF CURRICULA
Carmina Montezuma, PhD in Fine Arts, Faculty of Fine Arts, University of Lisbon
(2012),MasterinMuseologyandCulturalHeritage,NewUniversityof Lisbon(1996)
andHistorycourse,AutonomousUniversityof Lisbon(1992).ResponsibleoftheSaint
JohnofGodMuseum–PsychiatryandHistory,since2014.Curatorof thisMuseum
(2007-2011).Between1993-2006,workedinseveralinstitutionsandprojectsregarding cultural heritage and education. Participation in national and international conferences about the history of health, nursing and religious Orders in the past years.
Author of several books, including co-author of “Caridade e Assistência. Ordem HospitaleiradeS.JoãodeDeusemPortugal,desde1580”(2019).
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João Castela Oliveira, graduated in History with a Postgraduate degree in Medieval
History from the Faculdade de Ciências Sociais e Humanas da Universidade NOVA
deLisboaandaMasterdegreeinDocumentationandInformationSciencesfromthe
School of Arts and Humanities of the University of Lisbon. From 2012 to 2014was
fellowresearcherof theFCTProject“HebrewIlluminationinPortugalduringthe15th
Century”,inapartnershipbetweentheCenterofSephardicStudiesandtheARTIS-
Institute of Art History, of the University of Lisbon. Currently developing professionalactivityasalibrarian/archivistattheDocumentationCenterof theMuseumSão
JoãodeDeusinSintra.
RuteRamos|UniversidadedeÉvora
Power, prestige and royal intervention at All Saints Hospital
InauguratedbyD.ManuelIin1504andadministeredbyLisbonMisericórdia since the
mid16thcentury,AllSaintsHospitalrepresentedaparadigmshiftinhospitalcarein
Portugalinthemodernperiod.AllSaintsHospitalhasdevelopedanewdimensionof
public service, has adapted to the needs of a city in constant change and growth and
has become a place of medical education, medical care and healing where thousands
of individuals moved
aroundadministrators,servants,suppliers,beneficiariesof theirrentsand,obviously,
patients.Thispaperaims,inthefirstplace,togettoknowtheevolutionoftheadministrationmodelof theAllSaintsHospital,keepinginmindthattheinstitutionwasa
spaceof powerandprestigethatbenefitedfromthenotorietyofthosewhoservedit,
in particular, the administrators of the Lisbon Misericórdia, but also enhanced them.
Secondly,todeterminetheconditions,namelymaterials,thatallowedtheconstruction of the hospital knowing beforehand that it was granted with various privileges,
benefitsandexemptionsandthatitwastheCrownthat,foralongtime,providedthe
sustenanceof theinstitution.Andfinally,tounderstandhowAllSaintsHospitalsurvived and readjusted itself to the multiple political, social, economic changes that occurred during its more than three centuries of existence.
BRIEF CURRICULUM
RuteRamosisgraduatedinHistory,variantofArtHistorybytheUniversityofCoimbra(2000),master’sininformationandDocumentationSciencesbytheUniversidade
NOVA de Lisboa (2008) and a PhD in History– Change and Continuity in a Global
WorldbytheUniversityof ÉvorainassociationwiththeUniversityof Lisbon,UniversidadeCatólicaPortuguesaandISCTE-UniversityInstituteof Lisbon(2019).Her
maininterestsarecharityandhealthcareinearlymodernperiod.Sheisanintegrated
memberof UE-CIDEHUS(Universityof Évora–InterdisciplinaryCenterforHistory,
CulturesandSocieties).
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ChiaraMascardi|THESA–TheaterScienceAnatomyandChiaraIaneselli|IMTSchool
forAdvancedStudiesinLucca
Anatomical theatres inside/outside the cities: bodies between the universities and
the hospitals in Italy
Anatomical theatres can be considered a feature of the Italian history of medicine from
theMiddleAgesuntilthetwentiethcentury.Theirfunctionof teachingandresearchingonthehumanbodywasinfluencedbytherelationshipbetweentheuniversities
andthehospitals,andalsobetweenthesebuildingsandthecities.Thispanelaimsto
analyzesomeaspectsof thehistoricalevolutionthatcharacterizedthecorrelationof
theatres, universities, hospitals and cities.
In their first phase anatomical theatres were temporary constructions, only at the
end of the sixteenth century they became permanent buildings. They were placed
insidetheuniversities,oftenprofessorstookdirectlyunclaimedbodiesfromhospitals.Thispraxiscreatedmanyissuesforwhatconcernssocialandreligiousaspects.
Furthermore, there were practical issues to deal with, as for example the transport
of the bodies, ensuring respect to the dead and to the people of the neighbourhoods.
Cardinals and governments established rituals and rules for the passage of the bodies
from hospital to university. Here, during the carnival, the public anatomy took place.
IncitieslikeBolognaandPaduahospitalsanduniversities(whereanatomicaltheatres
werelocated)wereusuallyinthecentreofthecities,toemphasizetheirinvolvement
intheurbanstructure.Duringtheeighteenthcenturiesgreatchangesoccurred,that
transformed the relationship between medical spaces and cities. Anatomical theatres
entered a new phase: universities and hospitals were moved outskirt, ideally also removingthepainandthedeathfromthecitycentres.Moreandmoreoftenanatomical
theatres were built inside the hospitals, with a increasing loss of ritual and public aspectsof theanatomiclesson,andanincreasingattentiononthescientificanddidactic
aspects. Examples of this new period was the anatomical theatres in “Arcispedale di
SantaMariaNuova”(Florence)and“OspedaledelCeppo”(Pistoia).
BRIEF CURRICULA
ChiaraMascardi(1982,IT)hasaPh.D.inTheatricalstudiesattheBolognaUniversity.
In her doctoral thesis she studied the correlation between anatomical theatres and the
historyof theatres,frommedievalageuntiltheeighteenthcentury.In2013shefoundedtheculturalassociationDNB,aimedtopromoteinterdisciplinaryprojects.Sheis
currently managing the project In Studiis Artistarum, focused on the dialogue between
contemporaryartandscientificheritage.Initsframeworksheorganizedexhibitions
inanatomicaltheatres,museumsof anatomyandpalaeontology.Sheisalsoafoundingmemberof THESA(TheaterScienceAnatomy),fosteringtheresearchinthisfield.
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MayumiIltsuka|architecturalfirmIMMUNORIUM
How were health and social activities balanced in a hospital’s built environment?
– in the case of four centuries’ transformation of the former Saint-Vincent-de-Paul Hospital in Paris.
Inthisposter,wewillillustratehowthefutureSaint-Vincent-de-Pauleco-neighborhood in Paris, a former novitiate transformed into a children’s and maternity hospital,
willbetransformed.Thesitewasfoundedin1650andhasundergonevariousmajor
phases of successive assignments: religious, maternal, orphan, hospital and in the futuremixed-usebuildings.Thehospitalceasedoperationsin2012.
Thefirstconstructionsiteswillbegintowardstheendof2021andthecompletionof
theneighborhoodisscheduledfor2024.Nearlytwo-thirdsof thearchitecturalheritageonthe3.4Hasitehasbeenpreservedandthenewbuildingsshouldgivepriorityto
noble and bio-sourced materials.
Wewillpresentthestudiesof thearchitecturalprojectsinprogress,focusingonthe
oldestbuildingsonthesite,thehistoricRobinandOratorycomplexes,whichwillbe
conservedandconvertedintoacultural“TheThirdPlace”,implementingseveralsocial, solidarity and environmental programs.
Therehabilitationof theRobinandOratorybuildingshasbeendesignedtohighlight
theoriginalqualitiesof thebuildingsandvolumes.Thefutureplanninganddesign
will be inspired by four centuries of their hospitality history: the use of wellness materials, the intermediate space with depolluting plants, eco-design under the principle
of airquality,reused/upcycledfurnitureinlow-techcraftsmanship,thuscreatingan
atmosphere of welcoming, healthy and hospitality in order to encourage collaboration
between future residents.
BRIEF CURRICULUM
Mayumi Iitsuka is the founder of the architectural firm IMMUNORIUM based in
FranceandJapan.ShewaspreviouslytheMaîtreAssistantAssociéattheEcoleNationaleSupérieured’ArchitecturedeParis-LaVillette.Sheisinvolvedinarchitectural
projects with public and private contractors to provide them with innovative solutions
inthefieldofenvironmentandhealth.Todoso,sheusesherknowledgeof sustainable
development and Japanese wood architecture, for example. Her educations in HMONP
attheEcoleNationaleSupérieured’ArchitecturedeParis-MalaquaisinFranceandthe
bachelor’s degree in applied engineering in architecture at the University of Chiba in
Japan as well as her experience as a self-taught therapist with her family, a traditional
Japanese doctor, provide her with an expertise in the planning and design of space for
care and well-being. Herfinalthesishasreceivedseveralawards.
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Isadora Monteiro | Universidade de Lisboa
Os novos hospitaes de Lisboa
Os novos hospitaes de Lisboa is an article published on the newspaper Diário de Notícias on
February 12th, 1905. It describes a Lisbon with a growing population and lacking in
resources to respond to that growth, particularly in the case of an epidemic. Not only
does the city need bigger and better hospital facilities, but it also urgently needs a hospitaldedicatedtothetreatmentof infectiousdiseases.Thearticlethenpresentsthe
twohospitalsbeingdesignedwhenitwaswritten:the“HospitalparaTuberculosos”
(HospitalforTuberculosisPatients)andthenew“HospitaldeIsolamento”(Isolation
Hospital),bothtobebuiltintheareaoccupiedbytheoldConventodoRego.Asaresult
of the elimination of the religious orders in Portugal, the convent was now empty and
in the government’s possession.
TheEppendorfer Hospital in Hamburg was the model for the new hospitals. Like Lisbon,
Hamburg saw a growth in its population around 1879 andwith it grew the concern
withepidemics.SeeingasHamburgisaportcity,justlikeLisbon,itwassubjecttothe
easyentryofmanyillnesses.Thehospitalconsistedof severalpavilionsandwasthe
newmodernarchitectonicmodelfollowedbyvariouscountries.Thishospitalisnow
the University Medical Center Hamburg-Eppendorf and continues to be considered one of
the best hospital complexes in Europe.
It is interesting to look at this article under the light of the current pandemic. In 1900
the increase in hospital beds and the improvement of hygiene conditions were urgent,
so as to reduce the spread of contagious diseases. It seems like the situation has not
improvedasexpected.ShouldwenotbepayingmoreattentiontoHistory?
BRIEF CURRICULUM
Isadora Monteiro is a second-year student in the MA History and Philosophy of Sciences
of the Faculty of Sciences of the University of Lisbon. Isadora Monteiro is particularly interestedinHistoryof SciencesandisnowworkingonherMasterthesis,supervisedby
ProfessorRicardoLopesCoelho,vice-presidentof theDepartment of History and Philosophy of Sciences of the Faculty of Sciences of the University of Lisbon.Thepaperproposedhere
was written in 2020 for the course Science and City,lecturedbyProfessorAnaSimões,
founder and co-coordinator of the Interuniversity Center of History of Sciences and Technology (CIUHCT).
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VivianeTrindadeBorges|UniversidadedoEstadodeSantaCatarina
Miguel Bombarda Hospital: notes on an unfinished debate
“SavetheHospital!”Theredgraffitiontheentrancewallof HospitalMiguelBombardaisasymptomof alatentdiscussion.Abandoned,vacant,underutilized,thehospital continues to be ensnared by contradictions and disagreements about its heritage
meaningsanditsnewusesinthepresent.Createdin1848andclosedin2010,theoldestpsychiatrichospitalinPortugalandthefirsttobeclosed,itremainsinruinsthat
attest traces of an uncomfortable presence. Bombarda’s heritage is part of a broader
debate regarding the preservation of the built and documentary heritage of the ColinadeSantanahospitalcomplex.Theinventionofthesepatrimonieshithertosilenced
and separated from the public debate until their structures were threatened, is part of
apoliticalfieldmarkedbycontradictions,helpingtodenaturalizetheverynotionof
culturalheritage.Theunconditionalappreciationof heritageanditsinscriptionasa
relic are here questioned and devastated, a process that constitutes a social demand,
markedbylivingtestimoniesandconflictingopinionsthatattestthatthefieldof heritageisunstableanddifficult.Suchquestionswillbetriggeredbycrossingtwocategories:hospitalheritageanddifficultheritage.
BRIEF CURRICULUM
Viviane Trindade Borges is PhD in History at Pos-Graduation Program of History
at Universidade Federal do Rio Grande do Sul,withSplitPhDatÉcole des Hautes Études em
Sciences Sociales – EHESS, Paris. Associate Professor at Universidade do Estado de Santa
Catarina (UDESC) andmemberoftheCulturalPatrimonyLaboratory(LabPac/UDESC).
WorksinUndergraduationandPostgraduationCoursesof HistoryandProfessional
Master Course of History. Coordinator of Extension Program “Marginal Archives”.
Representative in Brazil of Ibero-American Network of Psychiatry’s History and of
The International Federation for Public History (IFPH). Performed post-doctoral in
SocialStudiesatUniversidade de Coimbra (2019).DevelopingresearchinHistoryof institutionalpracticesofconfinement,Biographies,PublicHistoryandCulturalPatrimonyPreservation,especiallyDifficultPatrimoniesandPrisonPatrimony.
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DonatellaLippi|UniversitàdegliStudidiFirenze,andManilaSoffici|Universitàdegli
StudidiFirenze
Space and law in the Hospital of S. Maria Nuova (Florence, 1288)
Thehospitalof SantaMariaNuova(SMN)wasfoundedinFlorencein1288anditis
still in work today, representing an extraordinary example of adaptability of a health
facility to the change in the historical-social situation.
ThecaseofSMNhasalwaysbeenamodelalsofromaregulatoryandstatutorypointof
view,actingasamodelforotherstructures’spaceandorganization.
Actually,atthebeginningof the16thcentury,SMNlegislationhadachievedaremarkablespecificityandcompleteness.
In1513,PopeLeoXMedicisenthispersonalphysiciantoFlorencetostudymanagementmethodsandmedicalpracticeappliedinSMN,asamodelforthenewhospitalof
SantoSpiritoinSassiainRome.
TheDukeof MilanFrancescoSforza,planninganewhospitalinMilan,in1456sent
hisarchitectFilaretetoFlorence,toexaminethestructureof thebuildingSMNandto
assessitsStatutesaswell.In1546,Ferdinandof AustriareceivedbyCosimoItheStatutes as a model for the hospitals of his kingdom.
Also,Leonorof PortugalmodelledtheStatuteof thehospitalof AllSaintsinLisbon
(1492)ontheordinanceof SMN:acopyof theFlorentineStatuteswasacquiredbycardinalJorgeCosta.HenryVII(1485-1509)andhissonHenryVIIIchoseSMNasamodel
fortheSavoyHospital,foundedinLondonatthebeginningof XVIcentury.Francesco
Portinari, patron of SMN and papal protonotary, personally carried the Statutes of
SMNfromFlorencetoLondon,asanexampleof Florentinegoodhealthmanagement.
ThesurvivingStatutesof theSavoyHospital,recentlyeditedbyus,constituteaninteresting term of comparison to evaluate the importance of the Florentine model on
influencingthedevelopmentof thespacesof care.
BRIEF CURRICULA
Donatella Lippi is Professor of History of Medicine at Università degli Studi di
Firenze,presidentof theScienzaeTecnicaFoundationandoftheInternationalLyceum Club in Florence.
ManilaSofficiholdaPhDinHistoryandTraditionofTextsinMiddleAgeandRenaissanceattheUniversitàdegliStudidiFirenze.ShelivesandworksinFlorence.
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AliciaCamposGajardo|UniversidaddeChile
Old San José Hospital, Santiago, Chile
TheOldSanJoséHospital,inSantiago,Chile,isthelastexampleof pavilionssanitary
architecture,builtduring19thcentury.LocatedadjacenttotheGeneralCemetery,it
wasbuiltasalazarettoreceivethoseinfectedwithsmallpox,choleraandlater,was
built as a hospital for the treatment of tuberculosis. It constitutes a unique case in
SouthAmerican,thathasadividingwallwiththeCemeteryandthreeportalswhich
werekeptinoperationbetween1895and1925approximately,toallowthetransportof
the deceased to the cemetery, preventing the spread of epidemics.
Themorphologyof thearchitecturalcomplex,presentanexteriorcentralroutethat
connects several perpendicular volumes, which in their time, were used as pavilions
for the patients, alternating with wooded courtyards. From the 1960s it assumed the
roleof generalhospitalatthenorthernofSantiagocityandattheendof20thcentury
it migrated his functions to new facilities that performed better sanitary tasks.
Part of its facilities were declared Historical Monument and until this year 2020 hosted
variousnon-profitinstitutionsforthedevelopmentandapplicationof complementarymedicines.Themanagementofthespacethatwasunderutilizedafterthemigration
of functions to the new hospital, is an example of heritage integration and openness
towardsthepossibilitiesof revitalizationof preventivemedicineinthecommunities.
BRIEF CURRICULUM
Alicia Campos Gajardo, architect graduated from the Faculty of Architecture and
Urbanismof theUniversityof Chile.PhDinArchitectureandHeritagefromETSA
Polytechnic University of Madrid. Academic and researcher of the Faculty of Architecture and Urbanism, University of Chile. Author of research and publications
about hospital architecture and modern architecture. Coordinator of the Diploma
enArquitecturaHospitalariainthesameInstitution.Editorof RevistadeArquitectura, Universidad de Chile.
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JosepBarceló-PratsandJosepM.Comelles|UniversitatRoviraiVirgili
The introduction of the architectural project of the moral asylum in Spain, The case
of the “Manicomio del Hospital de la Santa Cruz”’ (Barcelona, 1835-1860)
In1835,theBarcelonaCityCouncilbeganamidtermprojecttobuildamentalasylum
linkedtotheinternationalmovementof moralpsychiatry.Thefinalwrittenproject
wasdrawnupin1860bythealienistEmilioPiiMolistandthearchitectJosepOriol
i Bernadet.This project, entitled Proyecto medico razonado para la construcción del Manicomio de la Santa Cruz,wouldendupbecominginthefirstmoralasyluminSpain.Our
proposalaimstodescribetheinternationalinfluencesinitsconception.Forexample,
theroleof JeanÉ tienneDominiqueEsquirolorAlexandreBrierredeBoismontasthe
referencesofFrenchpsychiatry.Towritethefinalproject,PiiMolistdidnotstartfrom
scratch.ApreviousspecificprojectwaswrittenbyFelipMonlauin1846.Monlau’sproject served as a starting point by Pi i Molist, his student in 1847. Later, in 1854, Pi i
MolisttravelledbyWesternEuropetovisittwodozenof asylumsandanothertime
withthearchitectOrioliBernadetin1856.Thespatialdistributionof theinstitution
wasdiscussedasa«Spanishmodel»,alocaladaptationbasedonclimate,andsocial
andculturaldifferences.Thearchitectapplieditsexperiencebuildingfactoriestoorganise the space following strictly Pi i Molist requirements. Finally, the asylum was
builtasitwasprojectedbetween1885and1915.Itwaspartiallydemolishedin1970and
converted in a public equipment.
BRIEF CURRICULA
JosepBarceló-PratshasaM.Sc.PhD.inAnthropology(Universitat Rovira i Virgili,Tarragona)andisamedicalanthropologistandhistorianofmedicine.Heisaprofessorof
HistoryofMedicineattheUniversitatRoviraiVirgili(Tarragona,Spain)since2009.
Hisfieldsof specializationincludemedicalanthropology,publichealthpolicies,and
history of the health professions. One of his main lines of research focuses on the culturalanalysisof hospitalsindifferenthistoricalcontexts.His main books are: Poder
local, govern i assistència pública: l’Hospital de Sant Pau i Santa Tecla de Tarragona.Tarragona:
ArolaEditors(2017),andL’evolució del dispositiu hospitalari a Catalunya (1849-1980). Barcelona:PAHCS(2020).Mainpapersandbookchapters:“Laeconomíapolíticadelos
hospitaleslocalesenlaCataluñamoderna”.Asclepio.2016;68(1):127-142;“Lasbases
ideológicasdeldispositivohospitalarioenEspaña:cambiosyresistencias”.In:Vilar-Rodríguez,M.;Pons,J.Un siglo de hospitales entre lo público y lo privado (1886-1986). Madrid:MarcialPons;2018,pp.83-138;“Deladescoordinaciónaladescentralización.La
evolucióndeldispositivohospitalariocatalánduranteelfranquismoylaTransición
(1939-1980)”.In:González-Madrid,D.A.;Ortiz,M.(coords.)El Estado del Bienestar entre el
franquismo y la transición. Madrid:SílexEdiciones;2020,pp.231-258.
Josep M. Comelles has a M.Sc.Ph.D.inMedicine(Universitat de Barcelona),andaPh.D.
77
inAnthropology(Écoledeshautesétudesensciencessociales,Paris).Heisapsychiatrist, medical anthropologist and historian of science. He has been a professor of
SocialAnthropologyattheUniversitat Rovira i Virgili (Tarragona,Spain)formorethan
thirtyyears.Hehaspublishedaroundfifteenbooksandonehundredbookchapters
andarticlesinhisfieldsofspecializationincludinginmedicalanthropology,ethnography of professional practice in health, eating disorders and their cultural variables,
especiallythosederivedfromthedifferentphasesof themedicalizationprocess.His
main books: La razón y la sinrazón. Asistencia psiquiátrica y desarrollo del Estado en la España
Contemporánea.Barcelona:PPU(1988)andStultifera Navis. La Locura, el poder y la ciudad.
Lleida:Milenio(2009).Mainpapersandbookchapters:“Forgottenpaths:cultureand
ethnicityinCatalanmentalhealthpolicies(1900-39)”.History of Psychiatry.2013;21(4):
406-423;“Hospitals,PoliticalEconomyandCatalanCulturalIdentity”.In:Bonfield,C.;
Reinarz,J.;Huguet-TermesT.(eds.)Hospitals and Communities 1100-1960 Oxford: Peter
Lang;2013,pp.183-207;“Thedefenceof health:thedebatesonhealthreformin1970s
Spain”.Dynamis: Acta Hispanica ad Medicinae Scientiarumque Historiam Illustrandam.2019;
39(1):45-72.
RenatodaGama-RosaCosta|UniversidadeFederaldoRiodeJaneiro,andInêsEl-Jaick
Andrade|UniversidadedeSãoPaulo
A new Project to Santa Casa de Misericórdia in Rio de Janeiro (1840-1865): Hygiene
and rationality
AsaBrazilpoliticalandsocialpoleinthe19thcentury,RiodeJaneirofacedtheurban
growthanddensificationtypicalofpost-industrialrevolution.Atthesametimethat
profound social and structural changes were introduced in cities, it also brought diseasesandepidemics.Thepublichealthactionsundertakensoughttoreversethesituationof diseasesandunhealthyurbanenvironment,aggravatedbythespecificconditionsofthecityof Rio,duetoitshotandhumidclimate.Thus,manyhospitalswere
built to provide assistance and care for victims of epidemics and other diseases of the
period-yellowfever,cholera,smallpox.SantaCasawouldstandoutfromasignificant
set of hospitals built at the time to attend patients from any social group, slave or free,
age or color.
Dating from the middle of the 16th century, the General Hospital of Santa Casa de
Misericórdiawouldreceiveanewprojectin1840withinthescopeof thetransformations driven by the 19th century and, in this case in particular, by the arrival of the
Portuguese Court in the then Brazilian capital, which became the headquarters of
governmentPortugueseMonarchy.Theprojectofthenewheadquarters,designedby
JoséDomingosMonteiroandJoséMariaJacintoRebelo,shouldfollowthehygieneand
rationalityrecommendationsof the19thcentury:regulararchitecture;ventilatedin78
ternalroomsandinfirmaries;largewardstofacilitateaircirculation;internalpatios;
wards separated by sex and type of disease, especially those that required isolation, as
forthehectic,smallpoxandthealienatedsick.Thenewhospitalwouldbebuiltintwo
stages:between1840and1852,andwithfinalworksin1865.Evenexemplaryforthe
occasion, such a project would receive criticism because of its location - central region
of the city - always in constant urban transformation.
BRIEF CURRICULA
RenatodaGama-RosaCostaisanarchitectandurbanplannerwithdoctorateinUrbanismfromtheFederalUniversityof RiodeJaneiro,withaninternshipattheInstitut d’Urbanisme de Paris. Post-doctorate at the University of Coimbra Center for
Social Studies. Invited professor of Architecture for Health Course at the Pontifical
CatholicUniversity.ResearcherandCoordinatorof theProfessionalMaster’sDegree
inPreservationandManagementof theCulturalHeritageofSciencesandHealthat
CasadeOswaldoCruz/OswaldoCruzFoundation.DocomomoBrasilCoordinator.
Inês El-Jaick Andrade is an architect and urban planner, with a doctorate in ArchitectureandUrbanismfromtheUniversityof SãoPaulo(USP).ResearcheratCasade
OswaldoCruz/OswaldoCruzFoundation.LecturerontheProfessionalMaster’sDegreeinPreservationandManagementof theCulturalHeritageof SciencesandHealth,
FundaçãoOswaldoCruz/Fiocruz.DocomomoBrasilcoordinator.
Olga Susana Costa Coito e Araújo | Universidade Estadual de Campinas, and Patricia
SammarcoRosa|InstitutoLaurodeSouzaLima
Cultural heritage of ILSL - Lauro de Souza Lima Institute: a case study of a former
leper colony of compulsory isolation, today Research Institute
ThemuseumatLaurodeSouzaLimaInstitute(Bauru,SãoPaulo)isaprotectedheritagethatrepresentsthepublichealthstruggleofisolationtocontrolleprosy.Today
theinstitutionpromotesresearch,teachingandhealthassistanceserviceinBrazil,the
second country rankedwith higher number of leprosy patients.The asylum colony
wasbuiltin1933with400acrestheself-sustainingcityremote17kmfromthecity.
However, the crescent cure of the disease originated the dismantling of the territory
sincethe60s.Theprocessofheritagesafeguardstartedintheearly90sandfocused
onthesocialarea(CONDEPHAAT,2016).Insidethesanitarydermatologyhospital,the
museumhadtocreateanewcommunicationstrategytoreflectthepublicengagement
and new visitors with focus on inclusion and diversity, important to combat the stigma
associatedwiththecityof lepers.Itwasnecessarytoreachthestaff andpatients,soa
monthly exhibition module at the clinic was developed, also a project to improve communication at long-term exhibition and itinerant modules for outdoor exhibits were
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prepared.Theexhibitionaddressedtheseveralterritoryoccupations:asylum/sanatorium/hospital/researchinstitute.Itallowedacriticalreviewaboutthequalityof life
of institutionalizedandsociallymarginalizedcitizens,preservationof memoryand
impact of leprosy on individuals, families and society. A grant award of Culture and
CreativeEconomyDepartmentof theStateofSãoPauloimplementedin2020allowed
theaccesstopublichealthculturalheritageintheinteriorSãoPauloregion.
BRIEF CURRICULA
Olga Susana Costa Coito e Araujo is a PhD student at the UNICAMP- University of
CampinasState/ProvinceGerontology–Schoolof MedicalSciences.MasterinMuseology by University of São Paulo USP and anthropologist by Universidade NOVA
deLisboa.Interestinculturalheritage,territoryandsociety.Winnerof Award“Creative Economy Itaú Cultural” research in development in 2017. http://Lattes.CNPQ.
br/5681764902412784
PatriciaSammarcoRosaisthetechnicalDirectorof Health–DepartmentofResearch
andTeachinginHealthDivisionof InstitutoLaurodeSouzaLima,ResearchlevelII.
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Welcome to Lisbon
81
LISBON
CITY PROFILE
General Information
Country: Portugal
Metropolitan area: Lisbon
Area: 100,05Km2
Population: 545,245inhabitants
Density: 6,458inhabitants/Km2
Metropolitan area:2,821,876inhabitants
Officialwebsite:www.cm-lisboa.pt
CONTEXT
Lisbon,capitalofPortugal,islocatedontherightshoreof theTagusRiverEstuary,
which is the longest river in the Iberian Peninsula. It is one of the most ancient towns
in Europe.
Lisbon is a city of irregular topography, dominated by hills and valleys of variable
dimension. Given this irregular topography, Lisbon is known as the city of the
seven hills.
The capital occupies an area of 100 Km2. In 2013, its resident populationwas up to
520,549 people.The city´s population density is of 5,202.7 inhabitants per Km2, 46
timeshigherthanthegeneraldensityinPortugal,whichwasof 113.4inhabitantsper
Km2approximatelyin2013.
Duetoitsgeographicpositionandclimateconditions,Lisbonreceivesanaverageof
260 days of sunshine in a year, meaning it is one of de sunniest cities in Europe. Moreover, the conjugation of several factors generates a distinctive light in Lisbon, which
makes it the subject of literature, cinema, painting, and advertising, among other
forms of expression.
Thecityof LisbonisincludedintheLisbonMetropolitanAssociation(LMA)composed
by18municipalitiesformsthehighestconcentrationof populationaneconomicactivity in Portugal.
In City Profile Lisbon, Câmara Municipal Lisboa, 2016
(availableinhttp://www.agenda21culture.net/sites/default/files/files/cities/content/
cityprofile_lisbon.pdf)
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WELCOME to LISBON
in a virtual way …
THE CITY
Lisboa Promocional
Câmara Municipal de Lisboa, 2019
https://vimeo.com/252925007
CULTURE
LisboaCultura-Wethink,create,andshareculture
Câmara Municipal de Lisboa
https://vimeo.com/299872168/d4c6ea2e8c
Cultura em Lisboa | Culture in Lisbon
EGEAC,2017
https://www.youtube.com/watch?v=Hz8HP76_VBI
EN/PT
Project Shops with History | Saving historic Lisbon | DW Documentary
Thecitycouncilinitiative„ShopswithHistory”isfightingtopreserve
traditional stores at risk of closure because of the real estate boom.
AfilmbyLourdesPicareta,SWR/Arte,2019
https://www.youtube.com/watch?v=cVycW-iqdsQ&fbclid=IwAR0PMweWrzTKd4GRib1z2dVLZhJniANvEPlcp1VKGWwaz37Vxqc3xLENsy0
EN
https://www.youtube.com/watch?v=RaM1E-XYxJE&fbclid=IwAR2HLB1eCrV6RhgJDrDp9-17PmZkesyWXIdIP1S1MjhhayRUUZJoofS2JXY
ES
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LISBON EUROPEAN GREEN CITY 2020
Portuguese Flag
Attheopeningof LisbonGreenCapital2020,thefirstsustainablenationalflag
made from 2 tons of wire created from plastic collected from the oceans was
hoisted at Parque Eduardo VI
Câmara Municipal de Lisboa, 2020
https://vimeo.com/384489903
EN
Lisboa, Growing Together
Lisbon´sapplicationvídeoforEuropeanGreenCity
Câmara Municipal de Lisboa
https://vimeo.com/274858928
EN
EN
Aos Indiferentes / To the Indifferent
Câmara Municipal de Lisboa, 2020
https://vimeo.com/467774253/7c399f98ed
HEALTH AND HOSPITALS HISTORY
Hospital Real de Todos-os-Santos | All Saints Royal Hospital
History, archaeology and documentar sources
Museu de Lisboa, 2020
https://www.youtube.com/watch?v=5WVZ8JWKIDs
PT
Hospital Real de Todos-os-Santos | All Saints Royal Hospital
Film of the exhibition commemorating the 500th anniversary of the foundation of
AllSaintsRoyalHospital
Arquivo Municipal de Lisboa - Videoteca, 1992
https://www.youtube.com/watch?v=ta6xH8GIyyo
PT
Psychiatric Hospital Miguel Bombarda
Setof3buildings,oneofthemrareintheworld–pannotic.Thearchitectureatthe
service of behavior control.
RTP2,VisitaGuiada,2015
https://www.rtp.pt/play/p2002/e211315/visita-guiada
PT
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Sant ́Ana Orthopedic Hospital
Itwasamaritimesanatorium,turnedintoareferencehospitalinthefield
of orthopedics. Parts of his story are reported on guided tours held every month.
SantaCasadaMisericórdiadeLisboa,2019
https://www.youtube.com/watch?v=pbJcOaSh8uM
PT
Pharmacy Museum of Lisbon - 5000 years of history
https://www.youtube.com/watch?v=ljP76_caZwE
OTHER PLACES
Thermal Hospital of Caldas da Rainha
Founded in the late 15th century on healing water springs,
it is considered the oldest thermal hospital in the world
RTP2,VisitaGuiada,2019
https://www.rtp.pt/play/p5656/e406727/visita-guiada
Hospital Centre Museum, Porto
Omnia,Ez-Team
https://hospitalsantoantonio360.pt/
PT
PT/EN/FR/ES
… see you soon!
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