This essay examines the survival of waters therapy in twentieth-century France with a view to understanding the conditions that make a therapy convincing in one national context and not in another. Part of the explanation for this survival has to do with the size and power of the spa industry. Where this industry was strong and economically powerful-as it was in France-its survival became a national priority. Of equal importance, however, was the role of the medical elite. In twentieth-century France, (...) a small but influential group of elite physicians served as the chief architects of the continued survival and development of water cures. The primary mechanism for this process was a massive and successful campaign to introduce hydrology into the curriculum of medical schools. Once this was achieved, a large corps of academic hydrologists were in a position to produce significant amounts of convincing hydrological science that seemed to demonstrate the varied physiological effects of mineral waters. By the 1940s mineral waters had enough scientific visibility to ensure their inclusion without controversy in the national health insurance system that was being set up. (shrink)

This essay traces the history of premenstrual syndrome in French, British, and American medical literature from 1950 to 2004. Aetiological theories, treatments and diagnostic criteria have varied over time and place, reflecting local conditions and changing notions of objectivity and evidence. During the 1970s researchers in each nation utilised different research strategies to overcome variation and contradictory results characteristic of PMS research. Since the 1980s, attempts have been made to standardise research internationally through prospective daily rating questionnaires that diagnose and (...) measure PMS. Amidst controversy, a psychiatric reformulation of the syndrome was included in the Diagnostic and Statistical Manual of Mental Disorders . While the diagnostic criteria for this psychiatric category, now called premenstrual dysphoric disorder , are widely accepted for research purposes, efforts to transfer them to medical practice have been less successful. PMDD remains a contested disease construct. (shrink)