Tracing Hospital Boundaries

Integration and Segregation in Southeastern Europe and Beyond, 1050-1970


Tracing Hospital Boundaries explores, for the first time, how the forces of both integration and segregation shaped hospitals and their communities between the eleventh and twentieth centuries in Europe, North America and Africa. Within this broad comparative context it also shines a light on a number of case studies from Southeastern Europe.
The eleven chapters show how people’s access to, and experience of, healthcare institutions was affected by social, cultural and economic, as well as medical, dynamics. These same factors intersected with developing healthcare technologies to shape hospital design and location, as well as internal policies and practices. The volume produces a new history of the hospital in which boundaries – both physical and symbolic – are frequently contested and redrawn.

Contributors are Irena Benyovsky Latin, David Gentilcore, Annemarie Kinzelbach, Rina Kralj-Brassard, Ivana Lazarević, Clement Masakure, Anna Peterson, Egidio Priani, Gordan Ravančić, Jonathan Reinarz, Jane Stevens Crawshaw, David Theodore, Christina Vanja, George Weisz, and Valentina Živković.

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Jane Stevens Crawshaw, MA (hons), MPhil, Ph.D. (2008) University of Cambridge, is Senior Lecturer in Early Modern European History at Oxford Brookes University. In 2012 she published her first book, which was the first holistic study of the development of quarantine and public health in early modern Venice. She has published articles and book chapters on a number of aspects of the social, cultural, environmental and gender history of health in Renaissance Italy.

Irena Benyovsky Latin is a scholarly advisor at the Department of Medieval History, Croatian Institute of History. Her research focuses on medieval urban history in the Eastern Adriatic (especially Trogir and Dubrovnik), urban social topography, the development of medieval urban institutions and the relationship between cities and central authorities. Since 2015 she has been the PL of the research project "Towns and Cities of the Croatian Middle Ages: Urban Elites and Urban Space“, supported by the Croatian Science Foundation. She is the Croatian representative on the International Committee of the History of Towns.
Representing the Scientific Board of the European Association for the History of Medicine and Health:

Series Editor:
Jonathan Reinarz, University of Birmingham

Associate Editors:
Cathy McClive, Florida State University
Bogdan Iacob, Romanian Academy

Editorial Board:
Jonathan Barry, University of Exeter
Alison Bashford, UNSW Sydney
Christian Bonah, University of Strasbourg
Sandra Cavallo, Royal Holloway, University of London
Pratik Chakrabarti, University of Manchester
Harold Cook, Brown University, Providence
Marcos Cueto, Casa de Oswaldo Cruz, Rio de Janeiro
Brian Dolan, University of California, San Francisco
Philip van der Eijk, Humboldt University, Berlin
Monica Green, Arizona State University, Tempe
Patrizia Guarnieri, Università degli studi, Florence
Rhodri Hayward, Queen Mary, University of London
Peregrine Horden, Royal Holloway, University of London
Sean Hsiang-Lin Lei, Academica Sinica, Taipei
Anne Kveim Lie, Institute of Health and Society, Oslo
Guillaume Lachenal, Université Paris Diderot
Vivienne Lo, UCL China Center for Health and Humanity, London
Daniel Margócsy, University of Cambridge
Hilary Marland, Warwick University, Coventry
Graham Mooney, Johns Hopkins University, Baltimore
Teresa Ortiz-Gómez, University of Granada
Steven Palmer, University of Windsor
Hans Pols, University of Sydney
Peter Pormann, University of Manchester
Michael Stolberg, University of Würzburg
Marius Turda, Oxford Brookes University
John Harley Warner, Yale University, New Haven
“This creative, insightful collection can be a useful resource in graduate and upper-level seminars on historical methodology and public health, and may also be used as supplementary reading for appropriate regional and global studies courses.
Summing Up: Highly recommended. Upper-division undergraduates. Graduate students and faculty.”
- J. P. Davis (Hopkinsville Community College), CHOICE, Vol. 58 (8), 2021.

Tracing Hospital Boundaries encompasses both understandings of the hospital within its very broad chronological sweep, from the eleventh to the twentieth century. Alongside the significant new research on hospitals, their patients, and their contexts presented in its individual chapters, a major contribution of the volume is how it allows historians of the medieval, early modern, and modern hospital to learn from each other. […]
This richly researched and wide-ranging volume advances our understanding of the hospital in all its meanings and associations.”
- Leslie Topp (Birkbeck, University of London), Isis, Vol. 112 (3), 2021, 590-591 pp.
  List of Figures
  Notes on Contributors

 Introduction: Hospitals, Integration and Segregation
   Jane Stevens Crawshaw and Gordan Ravančić

Part 1: Patient Identity and Experience

 1 Beyond the City’s Walls: The Lepers of Narbonne and Siena before the Black Death
   Anna M. Peterson

 2 Leprosaria: The Simultaneity of Segregation and Integration in Early Modern Southern German Towns
   Annemarie Kinzelbach

 3 The Role of Segregation and Integration in Identity Formation for Foundlings in Early Modern Dubrovnik
   Rina Kralj-Brassard and Ivana Lazarević

 4 “San Servolo Lunatic!”: Segregation and Integration in the Life Cycle of Pellagra Patients at Venice’s Provincial Asylums (1842–1912)
   David Gentilcore and Egidio Priani

Part 2: Hospital Form and Organisation

 5 Shelter and Custody. Identifying and treating Physical and Mental Disabilities in Eighteenth-Century Hessian High Hospitals
   Christina Vanja

 6 From Isolation to Integration: the Institutional Treatment of Burns Patients in Britain, c.1845–1950
   Jonathan Reinarz

 7 Segregating or Integrating Chronic Patients in Twentieth-century American Hospitals
   George Weisz

 8 “Dirty Dirty Dirt”: Automating Segregation in the Friesen Concept Hospital
   David Theodore

Part 3: Hospital Location and Context

 9 Sacral Topography, Charity and Hospitals in Late Medieval Kotor
   Valentina Živković

 10 Female Piety and Gendered Spaces: Women’s Hospitals in Renaissance Dubrovnik
   Irena Benyovsky Latin

 11 Government Hospitals as a Microcosm: Integration and Segregation in Salisbury Hospital, Rhodesia, 1890s–1950
   Clement Masakure

  Thematic bibliography
All interested in hospital history, as well as the dynamics of space, marginality and inclusivity.
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