Medical History at UCSF: the Department of the History of Health Sciences, 1927-1998

The Archives and Special Collections contain both administrative and teaching files from the Department of the History of Health Sciences, especially between the years 1985-1998, before it became a Program in the interdisciplinary Department of Anthropology, History and Social Sciences. The unit was originally created in 1927, but became official on January 1, 1930 as Department of Medical History and Bibliography, supplied with a special seminar and rare book room in the new library. Fueled by the Oslerian cultural ideal, the medical classics were read and quoted since many educated physicians still could read Latin fluently. Chairing these seminars was Le Roy Crummer, a notable bibliophile and veteran collector of old books, together with Dean Langley Porter and professors Herbert Evans and Chauncey Leake. These activities were meant to convey to UC Regents that the campus provided a cultural environment that would preclude the removal of the Medical School to the Berkeley campus.

During the 1930s and 1940s, the Department flourished under the leadership of John B. de C. M. Saunders, a Professor of Anatomy and University Librarian. During these decades, its stewardship of archival materials and historical collections expanded, particularly with the acquisition of a collection of Oriental medicine titles. The name of the unit changed to History of Health Sciences in 1965 to accurately reflect the interests of the entire campus, and Dr. Saunders was appointed Regents Professor of Medical History, a post he occupied until his retirement in 1973. His long tenure featured the development of a graduate program of studies leading to an M.A. and Ph.D. degrees. His successor, Gert H. Brieger, then guided the Department from 1975 to 1984, when another change in name occurred to better illustrate its humanistic mission: History and Philosophy of Health Sciences.

Poster for the 1994 public lecture series at UCSF entitled “From House of Mercy to Biomedical Showcase: A Retrospective of Hospital Life.”

Poster for the 1994 public lecture series at UCSF entitled “From House of Mercy to Biomedical Showcase: A Retrospective of Hospital Life.”

My appointment in 1985 allowed a resumption of the graduate program and the development of new elective courses for medical students, all supported by a library and audiovisual collection. With bioethics rapidly becoming an independent field, the designation History of Health Sciences returned. By this time, moreover, medical history was no longer the medicine’s inspirational handmaiden of its early days, but a scholarly enterprise designed to carefully reconstruct the medical past within its scientific, social, political, economic and cultural contexts. Such an outward glance, however, was complemented with an inward look at medicine itself, particularly the emotional demands of becoming and being a healer and establishing relationships with patients.

To implement such goals, the Department sponsored a program of noon-hour illustrated lectures, delivered at the Parnassus campus and open to faculty, students and staff during the 1990s. Among the most prominent themes presented with the use of slides and films were a history of the Western hospital from antiquity to AIDS and another of alternative healing traditions. In my opinion at the time, the old-fashioned lecture format was still the best way to convey the complex and contingent panorama of medicine’s impact on society. For medical students, our elective tutorials were designed to allow a guided exploration of the process of becoming a physician—emotional and technical– with the help of historical examples.

During more than half a century of its existence, many scholars played prominent roles in the Department’s development. Among them were faculty, students, health professionals, visiting lecturers and guest speakers, as well as patrons and donors who provided resources for the unit to flourish, allowing it to remain at the forefront of similar academic medico-historical institutions in the country and the world.

Guenter B. Risse MD, PhD is a historian of health and medicine. He was the chair of the Department of the History of Health Sciences at UCSF in 1985–2001. He now is Professor Emeritus, Department of Anthropology, History and Social Medicine at UCSF. His most recent book “Plague, Fear and Politics in San Francisco’s Chinatown”  was published in 2012 by Johns Hopkins University Press; it depicts the work of UCSF faculty during the epidemic.

Eric Berne Rare Book Inventory Completed

The Eric L. Berne collection includes over 300 rare books from Berne’s personal library. Published between 1829 and 1984, these volumes illustrate Berne’s study of medicine, psychology, philosophy, folklore, and therapeutic techniques, as well as his published work. The researcher will find medical textbooks from Berne’s student days at McGill University in Montreal, Canada, practical manuals from psychiatric clinics and hospitals, popular “self-help” books of the 1950s and 1960s, and weighty tomes on psychoanalysis by major thinkers like Freud, Erikson, and Federn. Many books are underlined and annotated in Berne’s handwriting.

Cover of Berne's medical school textbook "The Autonomic Functions and the Personality" by Dr. Edward J. Kempf, 1921

Cover of Berne’s medical school textbook “The Autonomic Functions and the Personality” by Dr. Edward J. Kempf, 1921

Berne's annotations in "The Autonomic Functions and the Personality"

Berne’s annotations in “The Autonomic Functions and the Personality”

The collection also includes copies of Berne’s published works. His 1964 best-seller Games People Play was translated into nearly twenty different languages, and the Italian, German, Danish, Finnish, Swedish, Hebrew, Chinese, Norwegian, and Dutch editions are represented on the shelves. Working copies and first editions of The Mind in Action, A Layman’s Guide to Psychiatry and Psychoanalysis, The Structure and Dynamics of Organizations and Groups, Principles of Group Therapy, Transactional Analysis in Psychotherapy: A Systematic Individual and Social Psychiatry, and What Do You Say After You Say Hello? are available, as well as works by other contemporary and later practitioners of Transactional Analysis.

Cover of Dutch edition of Games People Play (Mens erger je niet)

Cover of Dutch edition of Games People Play (Mens erger je niet)

The rare book collection will soon be searchable through the UCSF Library catalog, and is available to researchers in the Archives and Special Collections Reading Room.

Nursing students in the 1920s: Clara & Vivian Edmonston

Clara Edmonston and Vivian Coats met as nursing students at UCSF in the 1920s. We have small collections from both women– MSS 2011-14 Vivian Coats (Edmonston) papers and MSS 2013-9 Clara Edmonston papers. The collections are full of insights into the lives of the two women in nursing school and as working nurses in the 1920s. Much of the collections is correspondence and documentation of their work, allowing the reader to hear Clara and Vivian’s voices and get to know them a bit.

Clara Edmonston, 1924.

Clara Edmonston, 1924.

Vivian Coats (Edmonston), 1923.

Vivian Coats (Edmonston), 1923.

 

 

 

 

 

 

 

 

 

I recently had the opportunity to chat with Dr. Frances Edmonston, daughter of Vivian and niece of Clara, and she elaborated on their stories. Clara and Vivian were friends in nursing school and Clara had the idea to introduce Vivian (nee Coats) to her brother, Charles Edmonston. The match was a success– Vivian and Charles later married. Vivian finished her BS in Nursing in 1923, Clara in 1924. Vivian later went on to graduate in 1927 with a certificate in Public Health Nursing and continued to work in public health-related nursing roles in the Bay Area.

Vivian took care to save items that she felt represented her nursing career. She saved notes, newspaper clippings, official forms, correspondence, reports, and other memorabilia.

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Vivian’s notes for making Poison Oak Lotion.

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Vivian’s notes on the incubation period of infectious diseases.

 

 

 

 

 

 

 

 

 

 

She worked in a number of nursing capacities to help underserved populations. In 1929 Vivian was employed by the Red Cross in Willows, CA  to provide Itinerant Nurse Service. Newspaper clippings collected by Vivian document the work that she accomplished and positive effect she had on the town.

In an April 30, 1929 report to the Red Cross on her work’s progress, Vivian wrote that “in the Willows Grammar School [she] examined 555 children and found 876 defects. These defects included faulty vision, carious teeth, throat abnormalities, skin eruptions, enlarged lymph nodes or glands in the necks, and those more than 10% underweight or 20% overweight.” Furthermore, she goes on to say that she “visited 19 rural schools examining a total of 392 children and found 837 abnormalities. Notice the greater number of defects in proportion to the number of children. If statistics are of any value as an indicator and guide, they surely point to the rural districts as needing prevention and correction of defects and health education.” A number of students were found to be in need of tonsillectomies and candidly she says, “I know many of the teachers will be relieved, next Fall, to see fewer mouth breathers and more nose breathers.”

Page 1 of newspaper clippings from Willows from February 16-May 1, 1929.

Page 1 of newspaper clippings from Willows from February 16-May 1, 1929.

Vivian is very clear about the services that must be improved in the schools and the communities to have a positive impact on the health of the residents. Her recommendations include follow-up home visits, new outhouses at schools, bacteriological examination of drinking water, and updated health and anatomy curriculum in schools.

During my conversation with Frances she called my attention to the work Vivian did with vaccinations, which serves to illuminate some of the larger public issues of the early 20th century. For one position Vivian was loaned a model T Ford and hired to investigate cases of diphtheria. In the event that the presence of the disease was confirmed, Vivian had to put a quarantine sign on door of the home. Other duties included vaccinating children for diphtheria and small pox in the San Leandro area– which, it seems, were controversial among the parents. Vivian saved many of the notes from parents concerning the vaccinations.

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Page 1 of a letter from a parent to the school teacher concerning vaccinations, circa 1934.

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Page 2 of the letter from a parent to the school teacher concerning vaccinations, circa 1934.

 

 

 

 

 

 

 

 

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A close-up of the portion of the letter discussing the diphtheria vaccination, circa 1934.

This History of Vaccines timeline provides a bit of context for Vivian’s work. Around 1922, many schools began requiring the students to be vaccinated for smallpox before they could attend. Similarly new diphtheria immunizations were introduced in the 1920s (and are credited with virtually wiping the disease out of the United States). Furthermore, it notes that in 1926 opposition to mandatory vaccinations was growing among the public. The same argument is echoing in many communities today.

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Page of parents requesting that their children not be vaccinated at school, 1933-1934.

New year, new collections!

We’re very pleased anytime we’re able to bring new collections out of dark corners and, you guessed it, into the light. The following newly cataloged collections cover a breadth of topics including tobacco control, AIDS history, nursing school in the 1920s, inventing the pap smear, surgery in the 19th century, and UCSF history:

  • MSS 2013-4 Grande Vista Sanatorium collection, 1922-1938: Collection includes various medical mailings that Dr. Hendrik Belgum, the founder of the sanatorium, received. The sanatorium was founded in 1914 in Richmond, CA where some of its ruins can still be found in the Wildcat Canyon Regional Park.
  • MSS 2013-9 Clara Edmonston papers, 1921-1924: Papers include Clara’s correspondence while she was a UCSF nursing student in the 1920s. Our holdings also include the papers of Clara’s friend, future sister-in-law, and co-nursing student: MSS 2011-14 Vivian Coats (Edmonston) papers, 1921-1935.
  • MSS 2012-30 Dr. George N. Papanicolaou collection, 1945-1990:  Research material put together by Dr. Robert Liner for a film documenting the story of the Pap smear development by Dr. George N. Papanicolaou. Dr. Liner was not able to produce the film. It includes two boxes with papers, photographs, and publications as well as a box of six audio cassettes with interviews of Mrs. Mary Papanicolaou, Mrs. Trout, Dr. Joseph Hinsey, and Constantine Railey.
  • MSS 2012-27 Carolyn B. Martin papers, 1988-2004:  Document Martin’s involvement with California tobacco control. She was a Lung Association volunteer and helped to lead the state campaign for Prop. 99 in 1988 and served as the first chairperson of the state advisory committee on program and expenditures. Martin participated in the negotiations for the implementation legislation for the proposition, numerous other tobacco related bills and lawsuits, and education efforts.
  • MSS 98-60 Villagomez manuscript, circa 19th century: A handwritten, unpublished manuscript in Spanish concerning surgery techniques from the 19th century.
  • AR 2013-08 UCSF School of Nursing – Primary Health Care Nurse Practitioner Program records, 1991-1995: Documents the grant application for the UCSF School of Nursing Primary Health Care Nurse Practitioner program.
  • MSS 96-32 Brooks Linton ephemera collection, 1983-1995: AIDS-related ephemera collected by Brooks Linton, a former San Francisco General Hospital AIDS Ward nurse, from approximately 1983-1995. Items include newspaper clippings, brochures, reports, magazine articles, announcements, and others.
  •  AR 2012-25 UCSF Division of Gastroenterology lab records, 1968-2012Collection contains electronic data files, spectrophotometer recordings, and gastroscopy records books that were kept by Dr. McDonagh in his lab. Other materials include, floppy disks, zip disks, CDs, DVDs, slides, and hard drives. Dr. McDonagh was a professor and researcher at UCSF from 1971-2012.
  • AR 2012-26 UCSF Medical Center Quality Improvement Department records, 1989-1999: Collection includes materials on the projects, reports, and initiatives of the Quality Improvement Department. The department aims to develop data-driven strategies to improve care and to lead the field by disseminating their experiences locally and nationally.

If these, or any, of our materials strike your fancy and you’d like a closer look, please head to our homepage and click on the calendar to the right to schedule an appointment. If you have any questions don’t hesitate to contact us!

Other additions in the latter part of 2013 included:

Eric Berne Papers Processing Project Now Underway

A new project to process the manuscripts and personal papers of Eric Berne, bestselling author of Games People Play and the founder of the Transactional Analysis approach to psychotherapy, is now underway. The project will produce detailed collection guides and provide online access to significant records of Berne’s life and work.

A Canadian-born psychiatrist who settled in San Francisco and Carmel, CA, Eric Berne developed his theory of Transactional Analysis (TA) to augment the traditional thinking of psychiatrists and to provide better mental health care to individuals and groups. He viewed social interactions as basic exchanges, or “transactions” between people, who acted from one of three ego-states (Parent, Adult, or Child) in order to get what they want. Berne termed these common transactions “games” and analyzed them using frank and often humorous titles like “Why Does This Always Happen to Me” (WAHM) and “Let’s You and Him Fight” (LYAHF). When Games People Play was published in 1964, it sold over 2 million copies and spent 111 weeks on the New York Times bestseller list.

Cover of 1966 British edition of "Games People Play"

Cover of 1966 British edition of “Games People Play”

In addition to his writing career and his private practices in Carmel and in San Francisco, Berne ran popular Tuesday evening seminars from his home and consulted with psychiatrists in the United States and around the world. He founded the International Transactional Analysis Association in 1964 to connect TA practitioners and to provide continuing education through lectures, conferences, and publications.

Berne also gave lectures at UCSF’s Langley-Porter Psychiatric Institute during the 1960s. He was the headliner for the 1966 Jake Gimbel Sex Psychology Lecture series, and later turned his material into another major book (Sex in Human Loving).

Postcard for the 1966 Jake Gimbel Sex Psychology Lectures at UCSF

Postcard for the 1966 Jake Gimbel Sex Psychology Lectures at UCSF

Thanks to the recently received gift, several different collections of Berne’s papers will now be preserved and organized for researchers and visitors. As a first step, we’re surveying the 26 boxes and cartons of material and have already uncovered original drafts of Berne’s writings, travel diaries, and letters from major figures like Gertrude Stein and Alfred Kinsey, as well as from hundreds of Berne’s fans and fellow practitioners.

For more information about the International Transactional Analysis Association’s Eric Berne Archives project, please visit http://www.ericbernearchives.org/. And stay tuned for further updates on this fascinating collection!

Archives receives a gift to process and digitize Eric Berne collections

We are happy to report the archives recently received a generous gift through the International Transactional Analysis Association (ITAA) that will support the processing and cataloguing of Eric Berne collections preserved at the UCSF Library. It will also permit us to make a comprehensive and sizable part of his papers available online through the archives website so that researchers, practitioners, and general public can easily access and search it at any time.

Eric Berne, M.D., 1969. Eric Lennard Berne Papers, 1959-66, MSS 82-0.

Eric Berne, M.D., 1969. Eric Lennard Berne Papers, 1959-66, MSS 82-0.

Dr. Eric Berne (1910 –1970) was the founder of Transactional Analysis and since the beginning of 1980s the archives has been serving as a repository of his papers, including correspondence, photographs, films, and manuscripts. These collections were donated to UCSF by his former colleagues from the ITAA and also members of the Berne family.

Dr. Berne’s archival materials will continue to be a valuable resource for scholars researching his life and theory and to Transactional Analysis practitioners who wish to develop a deeper understanding of the man and his body of work.

This fundraising campaign was spearheaded by Carol Solomon Ph.D., Transactional Analyst based in San Francisco. The efforts quickly spread internationally to include Terry Berne (Eric’s youngest son) in Spain, Ann Heathcote in the United Kingdom, Gloria Noriega in Mexico, and Marco Mazzetti in Italy.

We are grateful to all dedicated donors from the ITAA, the European Association for Transactional Analysis, and other associations in the United States and around the world as well as many individuals and Eric Berne’s family for contributing funds for this project. Thanks to their generosity this gift allowed the archives to hire a project archivist, Kate Tasker who at the end of September started working on arranging several Eric Berne collections and preparing their finding aids. She will be regularly posting updates about the progress of the project and profiling treasures from these collections.

Kate is a recent graduate of San Jose State University’s Master of Library and Information Science (MLIS) program. She has worked in the archival field for the past three years, and became a member of the Academy of Certified Archivists in August 2012. Kate also holds a B.A. in History from Sonoma State University, where she focused on social history.

And today I would like to introduce Kate’s first story chronicling the Eric Berne processing and digitization project at UCSF.

Season’s Greetings!

We’ve no shortage of stunning, interesting, and unique images in our collections. The task of choosing an image to feature on the library’s holiday card brought up a wealth of options. The winner? The lovely Magnolia below.

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Magnolica Glauca, Plate XXVII

The Magnolia glauca, or small magnolia, comes to us from Jacob Bigelow’s American Medical Botany, 1817-1820. According to Bigelow, Magnolias “are distinguished by their rich, smooth foliage, large fragrant flowers, and aromatic bark… They begin to flower in different parts of the United States in May, June and July. The flowers are highly fragrant, and may be perceived by their perfume at a considerable distance.” The text goes on to classify Magnolia as an aromatic tonic that is most effective in treating chronic rheumatism.

Published as a three volume set in Boston, American Medical Botany is a compendium of plants and their medicinal uses. Each plant is illustrated and described in detail. American Medical Botany was one of the first botanical books printed with color. (The other, also in our collection, is Benjamin Barton’s Vegetable Materia Medica of the United States of the same year.) To avoid the time-consuming process of hand-coloring each of the sixty plates in each printing, Bigelow invented a mechanical method of printing the engraved plates and tinting them simultaneously. Read on to see more beautiful prints!

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New AIDS history exhibits at the library

We would like to invite all of you to visit two new exhibits currently on view at the UCSF Library:

Surviving and Thriving: AIDS, Politics, and Culture
This banner exhibition utilizes a variety of historic photographs, pamphlets, and publications to illustrate how a group of people responded, or failed to respond, to HIV/AIDS. The title Surviving and Thriving comes from a book written in 1987 by and for people with AIDS that insisted people could live with AIDS, not just die from it. Jennifer Brier, the exhibition curator, explains that “centering the experience of people with AIDS in the exhibition allows us to see how critical they were, and continue to be, in the political and medical fight against HIV/AIDS.” Surviving and Thriving presents their stories alongside those of others involved in the national AIDS crisis. NLM curators used several images and documents from the UCSF Archives in the exhibit and its companion website: http://www.nlm.nih.gov/survivingandthriving/. This travelling NLM exhibit will be at the library until January 4th, 2014. UCSF is the only location in the Northern California to host this exhibit. Please check this page for location and hours.

National Library of Medicine’s (NLM) travelling exhibit "Surviving & Thriving: AIDS, Politics and Culture" on display at the UCSF library.

National Library of Medicine (NLM) travelling exhibit “Surviving & Thriving: AIDS, Politics and Culture” on display at the UCSF library.

UCSF AIDS History Project: Documenting the Epidemic
The UCSF Archives and Special Collections organized a companion exhibit that showcases materials from the AIDS History Project (AHP). The AHP began in 1987 as a joint effort of historians, archivists, AIDS activists, health care providers, and others to secure historically significant resources about the response to the AIDS crisis in San Francisco. This collection includes selected records from numerous AIDS-related agencies and community-based organizations in the Bay Area, diaries from AIDS activists, papers of clinicians, health care workers, and researchers working at SFGH and UCSF, as well as materials collected by social scientists and journalists. AHP continues to grow and its collections remain the most heavily used among Archives’ manuscript holdings.

The original Ward 86 doctors: Paul Volberding, Connie Wofsy, and Donald Abrams. Photo from Ward 84/86 Records, MSS 94-61. Courtesy of UCSF Archives and Special Collections.

The original Ward 86 doctors: Paul Volberding, Connie Wofsy, and Donald Abrams.
Photo from Ward 84/86 Records, MSS 94-61. Courtesy of UCSF Archives and Special Collections.

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Treating the plague in 1500

The Archives and Special Collections at UCSF Library maintains an extensive collection of rare books in many fields of health sciences. Due to their unique and often fragile nature, rare books are available for use only under supervision. One of the most interesting books in the collection is Liber pestilentialis de venenis epidemie, written in German by Hieronymus Brunschwig and published in Strassburg in 1500. This first edition book was acquired in October 1955 from a rare bookseller in New York City, for a mere $650.00. A transaction note in the book indicates it to be an excessively rare book, especially given its good and complete condition.

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Hieronymus Brunschwig, Liber Pestilentialis de venenis epidemie,1500

This book is an example of incunabula – books printed between the 1450’s and January 1501, using metal type attributable to the transformative printer, Johann Gutenberg. You can note the black and angular gothic print, popular at the time. And as was the convention of the time, the parchment used was known as vellum made from calfskin that is bleached. The book includes 23 large woodcuts, and printed “pointed hand” nota marks in the margins. The book constitutes 40 leaves, or what we would call 80 pages today.

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Hieronymus Brunschwig, Liber Pestilentialis de venenis epidemie,1500

This particular book is considered to be one of the most important documents of its time for the history of contagious diseases, in particular its devotion to means of avoiding and treating the plague.  While little is known about the author, army surgeon Hieronymus Brunschwig, he is known to have been a scholar in the field of surgery and credited for having taken advantage of the recently invented printing press to gain influence.  He is best known for his first book, Buch der Cirurgia, Hantwirckung der Wundartzny, which served as a guidebook for surgeons and those in training.  Also notable for its woodcuts and early specimens of medical illustration, this book draws extensively on Brunschwig’s own experience, and contains the first detailed accounts of gunshot wounds in medical literature.

For more information, please refer to these sources:

Dawn of Western Printing. (2004). Incunabulahttp://www.ndl.go.jp/incunabula/e/index.html

Tubbs, R. S., Bosmia, A. N., Mortazavi, M. M., Loukas, M., Shoja, M., & Gadol, A. A. C. (2012). Hieronymus Brunschwig (c. 1450–1513): his life and contributions to surgery. Child’s Nervous System, 28(4), 629-632.

Waife, S. O. (Ed). (1976). Notable medical books.  Lilly Research Laboratories.

 

Stone’s Synchrotron

This season’s issue of UCSF Magazine, Fall 2013, includes a story inspired by a photograph in our collection and features an audio clip from one of our oral histories.

Robert Stone with Synchrotron, circac 1956

Robert Stone with Synchrotron, circa 1956

This compelling photograph (which, despite appearances, is not a scene from a sci-fi movie) depicts Dr. Robert Stone with the machine he created, the 70MeV electron synchroton. The synchrotron was a type of particle accelerator used to treat cancer patients with radiation from 1956 to 1964. Stone’s work contributed greatly to the safe clinical use of radiation.

The article in UCSF Magazine goes on to elaborate on Stone’s impact here at UCSF and on the wider medical community. The online version of the article also highlights a clip of Stone’s oral history, OH 23, taken in 1964. Be sure to check it out to hear Stone’s story in his own words!

View the issue as an online flipbook, download a pdf, download the iTunes app, or download the Android app. “Robert Stone and the Synchrotron” appears on page 50 of the Fall 2013 issue.

You can read more about Stone’s role in the history of Radiation Oncology at UCSF from 1928-1962 here.