ArgumentThis article highlights the epistemic concerns that have permeated the historical discourse around charlatanism. In it, I study the term “charlatan” as a multivalent actor’s category without a stable referent. Instead of defining or identifying “the charlatan,” I analyze how the concept of the charlatan was used to make epistemic interventions about what constituted credible knowledge in two interconnected controversies. Focusing on these controversies allows me to thematize how the concept of “the charlatan” expanded beyond medical contexts and to bring (...) a history of knowledge perspective to the history of medicine.The title of the article, “Charlatan Epistemology,” indicates a historical epistemological approach to charlatanism as well as the existence of a charlatan’s embodied epistemology. On the one hand, I historicize the epistemic characteristics of charlatanism, focusing on virtues as well as vices, knowledge as well as ignorance, by addressing the historical and contextual specificities of two case studies and the larger epistemic concerns at play. On the other hand, I show how references to charlatanism implied the existence of specific embodied knowledges, special skills and techniques to manipulate either natural secrets or the human psyche, and I explore the similarities and differences between charlatan epistemology and artisanal epistemology. (shrink)

In recent years so-called Complementary and Alternative Medicine practices have made significant political and professional advances particularly in the United Kingdom : osteopathy and chiropractic were granted statutory self-regulation in the 1990s effectively giving them more professional autonomy and independence than health care professions supplementary to medicine ; the practice of acupuncture is widespread within the National Health Service for pain control; and homoeopathy is offered to patients by a few General Practitioners alongside conventional treatments. These developments have had a (...) number of consequences: one is that both CAM and Conventional and Orthodox Medical professions have had to reappraise their professional identity. In manual therapy for example, questions have been asked about the differences between physiotherapy, osteopathy and chiropractic, and what the justification is for having separate professions. A wider question concerns the relationship between CAM and COM; are CAM distinct professions or should they, as has happened to a limited extent in the UK, be absorbed into the broader field of ‘ Medicine ’ or ‘Health Care’ as adjunctive therapies. CAM professions have also had to develop, implement and enforce codes of practice for practitioners and clarify the scope of practice within a profession. At the heart of these issues lies the need to identify and clarify professional values. A key claim of CAM professions is that their practice is distinct and the outcome of treatment at least as effective and in many cases more effective than with conventional therapies. In addition, what counts as effective outcome is often different from conventional medical understanding, involving more subtle humanitarian considerations, for example. Three values are identified as being commonly held across CAM professions. These are: offering ‘natural’ treatment; being patient rather than disease focussed; and being holistic. However, these may not be as distinctive of CAM as is claimed either because the meaning is unclear or because COM professions claim similar values. The paper argues that the values that inform ‘good practice’ and ‘effective outcome’ should be seen as distinct components of professional competence. This has implications for establishing professional identity and codes of practice. (shrink)

ArgumentThis article examines the medical and political discussions regarding a controversial medicinal bark from Ecuador – cundurango – that was actively sponsored by the Ecuadorian government as a new botanical cure for cancer in the late nineteenth century United States and elsewhere. The article focuses on the commercial and diplomatic interests behind the public discussion and advertising techniques of this drug. It argues that diverse elements – including the struggle for positioning scientific societies and the disapproval of the capacities of (...) Ecuadorian doctors, US abolitionist history, regional and local political struggles – played a role in the quackery accusations against cundurango and its promoters. The development and international trade of this remedy offer interesting insights into the global history of drugs, particularly how medical knowledge was challenged during a period when scientific medicine was struggling for hegemony. It explores how newspapers expanded “the public interest” in a possible cancer cure. (shrink)

The world of charlatans is a world of constantly shifting borders and redefinitions, a world of crossed lines and pushed boundaries. Can one even speak of “the world” of charlatans in the singular, when the examples we are given to read in this volume reveal such great diversity that they seem to defeat any attempt to define common traits, as Roy Porter tried to do in his time? Certainly, commercial interests and the lure of a quick and easy profit seem (...) to have motivated some charlatans. Certainly, the universal effects of the nostrum or therapeutic procedures were often put forward as a commercial argument. Certainly, many had an itinerant career; but this was not always the case. In fact, these traits are not shared, and the main reason is probably that, aside from a very particular context in early modern Italy, the qualification of charlatan was not claimed by the actors themselves, but was attributed to them by others, be they contemporaries or later historians. These features are therefore only common if we understand them as stigmata1 attributed to charlatans by those who wish to distinguish themselves from them or to draw a line between orthodoxy and heterodoxy. (shrink)

With the increased acceptance of complementary and alternative medicine (CAM) within society, new research reflects deeper folk health histories beyond formal medical spaces. The contested relationships between formal and informal medicine have deep provenance and as scientific medicine began to professionalise in the 19th century, lay health knowledges were simultaneously absorbed and disempowered (Porter 1997). In particular, the ‘medical gaze’ and the responses of informal medicine to this gaze were framed around themes of power, regulation, authenticity and narrative reputation. These (...) responses were emplaced and mobile; enacted within multiple settings by multiple agents and structures over time. The work is drawn from secondary material from Ireland, which identify more indigenous narratives of health and act as potential sources for medical humanities. While assumptions have been made as to the place of folk-medicine being essentially rural, evidence will be presented which shows a more complex network of health beliefs and practices. The narratives of informal practice and folk-medicine drawn from evidence from Ireland point to more fluid and hybrid relations with formal medicine and suggest that the complementary nature of the two models reflected wider cultural debates and models of belief (Del Casino Jnr., Health & Place 10:59-73, 2004). (shrink)

When customers like Samuel Pepys visited the shop of Thomas Tuttell, instrument maker to the king, they could purchase a pack of mathematical playing-cards. The seven of spades, reproduced as Figure 1, depicted the diverse connotations of magnets, or loadstones. These cards cost a shilling, and were too expensive for many of the surveyors, navigators and other practitioners shown using Tuttell's instruments. They provide an early example of the products promising both diversion and improvement which were increasingly marketed to polite (...) audiences. Tuttell's description of loadstone as ‘a treasure of hidden vertues’ encapsulated many contemporary perceptions of these naturally occurring magnets which were to endure throughout the century. This phrase, with its hints of concealed financial and epistemological benefits, resonates with major eighteenth-century analytical themes, such as commercialization, the opposition between vice and virtue, and the fascination with the occult in the face of Enlightenment rationality. This card is emblematic of the multiple interpretations and utilizations of magnetic phenomena during the eighteenth century. It thus provides a useful starting-point for exploring some of the disputes which arose as enterprising individuals concerned with natural philosophy promoted themselves, their activities and their products. (shrink)