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Discipline
and the
S Turner
Body
The recent work of Michel Foucault has brought the question of the discipline of the
body and the rise of scientific knowledge to the centre of sociological theory. White
it is difficult to summarise Foucaults social philosophy, one central theme of his
treatment of knowledge is that the growth of systematic knowledge coincides with
the extension of power-relations, especially with the exercise of social control over
bodies in social space. This theme can be illustrated by his study of the development
of penology and criminology which facilitated a more precise, detailed and rigorous
control of the criminal body within the scientificially managed social space of the
penitentiary (Foucault 1979a). Benthams panoptican scheme provided a systematic
control and surveillance of the inmate world and established a model of docility for
schools, factories and hospitals. Similarly, the rise of clinical medicine (Foucault
1973) and scientific psychiatry (Foucault 1975) coincided with institutional
developments in hospital architecture, work-houses and asylums within which unruly
bodies were exposed to detailed control.
It can also be argued that the emergence
of the separate disciplines of demography, geography, moral statistics and sociology
were manifestations of an increasing social control of bodies within urban space.
While conventional histories of science regard such developments as rational and
progressive, Foucault, by contrast, claims that scientific advances do not liberate the
body from external control, but rather intensify the means of social regulation. Blunt
and primitive systems of physical control and punishment - the mad-hut, the scaffold
and the torture chamber - give way to more precise, rigorous disciplines of the
penitentiary, lunatic asylum and classroom. In the treatment of madness, the reforms
of Tuke and Pinel replaced chains by the inner discipline of private conscience
operating within the regimented space of the modern asylum.
23
In
24
&dquo;Diaetetick
Management&dquo;
Although
treatises
on
The theoretical basis to Cheynes medical regimen was derived from Descartes
mechanistic model of the body, the medical rationalism of the Leyden school of
medicine and the iatromathematical tradition of Herman Boerhaave (1668 - 1738).
Descartes position that the body is nothing else than a statue or machine of clay
(Descartes 1927) and Harveys work on the circulation of the blood provided Cheyne
with the argument that the body is an Hydraulic Machine, filld with liquor (Cheyne
1740). The health of this system of pipes, pumps and passages could only be
maintained by appropriate supplies of food and liquid as determined by clinical
experience and scientific knowledge. The use of drugs and surgery was secondary to
diaetetick management in controlling disease and in
promoting long life. These
iatromathematical principles were combined with a Christian emphasis on health as a
religious duty which regarded gluttony as tantamount to suicide. Cheynes dietetics
were thus part of a religio-moral tradition in which the control of the body was part
of the religious calling.
There is some evidence (Cheyne & Richardson 1943), that Cheynes views on diet
influenced by the Hygiasticon, or the right course of preserving life and
health unto extreme old age (1634) of Leonard Lessius (1554-1623) and by Luigi
Cornaros Trattato della vita sobria (1558), translated and published by George
Cornaro (1475-1566) was an Italian nobleman from Venice who, like
Herbert in 1634.
Cheyne, had cured his own infirmities by diet and sobriety. The disorders with
Cornaros body were seen to be symptomatic of a general social malaise brought on
by bad customs, namely: &dquo;The first, flattery and ceremoniousness; the second,
Lutheranism, which some have most preposterously embraced; the third intemperance
(Cornaro 1776 p14)
were
was a
disciplined
In
gave over the use of such meats and wines, likewise of ice; chose wine suited
to my stomach, drinking of it but the quantity I
knew I could digest.
I did
the same by my meat, as well in regard to quantity as to quality, accustoming
myself to contrive matters so as never to cloy my stomach with eating and
drinking, but constantly to rise from table with a disposition to eat and drink
still more&dquo; (Cornaro 1776 p 22-23).
25
Dieting produced a number of blessings: health, mental stability and aided reason to
passions. Temperance and sobriety are our main defence against
melancholy, hatred and other violent passions. Indeed, the passions&dquo;Have, in the
main, no great influence over bodies governed by the two foregoing rules of eating
and drinking&dquo; (Cornaro 1776 p 25) Cornaro thus conceives of diet within an
exclusively religious framework as a defence against the temptations of the flesh,
referring to that Divine Sobriety, agreeable to the Deity. It is not surprising,
therefore, that George Herbert found Cornaro and Lessius attractive writers on
sobriety and that this religio-medical regimen found followers at Little Gidding.
Herbert cured his own ague by refraining from meat and drink (Charles 1977).
control the
Just
Cheynes
returning
medical
men
to
regimen
a
was
life of
Although Cheyne wrote for and was popular among an urban sedentary elite, his views
on sobriety reached a wider
audience through the mediation of John Wesley whose
Primitive Physick or an Easy and Natural Method of Curing Most Diseases
(1752) embraced Cheynes prescriptions for a life of regularity and moderation.
Wesley commended Cheynes Essay of Health and Long Life to his mother in 1724,
noting that it is chiefly directed to studious and sedentary persons (Telford 1931).
Downloaded from tcs.sagepub.com at Harvard Libraries on April 24, 2011
26
In a letter to the Bishop of London, BNesley admitted that abstaining from wine and
flesh was not a requirement of Christianity, but nonetheless compatible with it.
Since following Cheynes advice, Wesley noted that
&dquo;I have been free (blessed be God) from all bodily disorders.
Would to God I
knew any method of being equally free from all &dquo;follies
and indescretions&dquo;.
But this I never expect to attain till my spirit returns to rod.&dquo;
Capitalism
and the
Spirit
through
the
of Medicine
norms
of
sobriety
of
relationship
century suggests
between medical
rather obvious
While individual capitalists may have an interest in the health of their workers, there
is little economic incentive for them to be concerned with the health standards of
the population as a whole.
Within a Marxist framework, there would be strong
reasons for expecting a fall in health standards in early capitalism.
The competition
between capitalists forces them to mechanise production, lower wages and reduce the
labour force.
Unemployment and hunger provided the general background to disease
and sickness. However, each individual capitalist will want his workers to be healthy,
clean and tidy in so far as these contribute to efficient production.
Alternatively, it
has been claimed that bourgeois interest in hygiene, diet and exercise for workers in
the middle of the nineteenth century had important ideological functions (Tempkin,
1949). The popularity of the organic metaphor of society meant that responsibility
for disease could be squarely placed on the shoulders of intemperate individuals.
Illness was thus the consequece of individual abuse of the body or the mismanagement
Pietist reformers like Florence Nightingale, Edwin Chadwick and Dr.
of sanitation.
Southwood Smith rejected the specificity of the germ theory of disease in favour of
notions of moral responsibility for removing filth from the environment and
encouraging personal cleanliness (Rosenburg 1979). The diseases of civilization were
to be countered by personal salvation and clean water.
the dietary management of
the body was thus paralled to the management of water and sanitation in the
environment, since both were aimed at moral control of impurity.
27
between poverty and the incidence of infectious diseases, tuberculosis, bronchitis and
pneumonia (Susser 1962). The interest in environmental improvement and the
importance of quantification of disease was as much protective as philanthropic. The
problem of infectious diseases cannot be separated from the second general condition
which interested the middle class in the health of the working force, namely the
problem of the tax burden of illness on the rich.In general, early capitalist society
was caught between promoting political security or economic growth.
As Foucaults
study of the asylums of Paris suggests, incarceration of the urban poor achieved some
measure of political stability,
but this was at the cost of economic accumulation,
because docile bodies were also idle bodies.
Unless the unemployed sick are to die
upon the streets, there must be some provision for the poor out of general revenue
which represents a drain on national wealth.
The third and most significant general factor in the emergence of the science of the
body and for state intervention in general standards of health is modern, mass
warfare.
From the Crimean War to the Second World War, investigations into the
health of recruits for military service revealed an appalling
depth of general
disability and disease in the male working-class population. Medical evidence from
military sources suggested that Britain, as a leading imperial power, was in fact
incapable of defending herself unless there was a dramatic improvement in health
General anxiety about military defence found its expression in the
standards.
national efficiency movement which sought to promote health and discipline through
temperance, military service and physical education (Gilbert 1966). The new emphasis
on training the body coincided with an interest in the health of school children,
school meals and regular medical inspections. Dr. Arnolds public school reforms had
already provided the model, not only of team-work and fitness on the sports field,
but of regularity in sleep, eating and work. In Foucaults terminology, the school, the
factory and the hospital became social locations for the discipline of the body, under
the control of the scientific discourses of pedagogy, dietetics, demography,
criminology and Taylorism, within an urban space. Anxiety about urban space was
reflected in uncertainty about appropriate policies - survival of the fittest versus
state control.
28
The
Labouring Body
compounds.
29
Notes
30
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