Originally published in 1992 Medical Journals and Medical Knowledge examines both broad developments in print and media and the practice of particular journals such as the British Medical Journal. The book is the first study to address these questions and to examine the impact of regular news on the making of the medical community. The book considers the rise of the medical press, and looks at how it recorded and described principal developments and so promoted medical science and enhanced medical consciousness. This book was a seminal work when first published and was one of the first to consider the importance of the roots of medical journalism, editorial practices and the ways in which the medical journalism altered the world of medicine.

The best things in my Ufe have come to me by accident and this book results from one such accident: my having the opportunity, out of the blue, to go to work as H. Tristram Engelhardt, Jr. 's, research assistant at the Institute for the Medical Humanities in the University of Texas Medi cal Branch at Galveston, Texas, in 1974, on the recommendation of our teacher at the University of Texas at Austin, Irwin C. Lieb. During that summer Tris "lent" me to Chester Bums, who has done important schol arly work over the years on the history of medical ethics. I was just finding out what bioethics was and Chester sent me to the rare book room of the Medical Branch Library to do some work on something called "medical deontology. " I discovered that this new field of bioethics had a history. This string of accidents continued, in 1975, when Warren Reich (who in 1979 made the excellent decisions to hire me to the faculty in bioethics at the Georgetown University School of Medicine and to persuade Andre Hellegers to appoint me to the Kennedy Institute of Ethics) took Tris Engelhardt's word for it that I could write on the history of modem medical ethics for Warren's major new project, the Encyclopedia of Bioethics. Warren then asked me to write on eighteenth-century British medical ethics.

Roy Porter's two key assumptions are, first, that the human body is the chief signifier and communicator of all manner of meanings - religious, moral, political and medical alike - and, second, that pre-scientific medicine was an art which depended heavily on performance, ritual, rhetoric and theatre. In a text at once robustly humorous and learned, Porter argues that great symbolic weight was attached to contrasting conceptions of the healthy and diseased body, and that such ideas were mapped onto antithetical notions of the good and the bad, the beautiful and the ugly.