In his great poemThe Wreck of the DeutschlandGerard Manley Hopkins evokes the conversions of Paul and Augustine as two contrasting examples of the way in which God may intervene in human affairs:With an anvil-dingAnd with fire in him forge thy willOr rather, rather then, stealing as SpringThrough him, melt him but master him still:Whether at once, as once at a crash Paul,Or as Austin, a lingering-out sweet skill….

Medical discourse in the contemporary United States is rife with military metaphors. These metaphors have come under vigorous criticism over the last few decades but to no avail; the militaristic tendency has proven tenacious. This essay suggests that its tenacity stems, at least in part, from a dualistic understanding of medicine unaddressed by prior criticisms. For an alternative, this essay turns to Augustine of Hippo, balancing close readings of works that deal explicitly with medical themes—The Catholic Way of Life and (...) the Manichean Way of Life (De moribus) and The Nature of the Good (De natura boni)—with a constructive approach. By adapting Augustine's privative account of evil, we can understand disease as a condition of loss and treatment as a task of restoration. This reconfiguration shifts the focus of our interpretive discourses from malicious invaders to a fuller affirmation of the lived experiences of those who are ill. (shrink)