Soldiers: Civil War Medical Images,
The unlikely location of Louis Baggers moving experience, recounted in 1873 in Appleton's Journal, was Washington, DCs Fords Theatre, the scene of Lincolns assassination in 1865. Two years later the theatre became home to the Army Medical Museum, where the public could view its array of human anatomical and pathological specimens preserved in glass jars and stored in wooden cases, along with its extensive collection of medical images.2 Founded in 1862 just after the onset of the Civil War, the Army Medical Museum would become the nations premier educational and research institution for the study of military medicine. Its original mission was the collection and classification of all manner of battlefield injuries, wounds, war-related illnesses and causes of death.
While illustrations like the one seen by Bagger were created for specific educational reasons, over the next 140 years the Museums collection of medical images in particular its photographswere used and interpreted in ways that were often akin to their original purpose, sometimes far removed from it. As with the much larger corpus of Civil War photographs, which as Keith Davis asserts, become endlessly new in a continuing process of rediscovery and interpretation, 3 this subset of medical images too seemingly becomes endlessly new. As we will show through analysis of selected but representative examples from the archival collections of the successor to the Army Medical Museum,4 Civil War medical photographs became medical research materials; evidentiary documents to support disability and pension claims; a commodity to be sold or traded for personal, commercial or institutional gain; occasional worthless scraps; historical artifacts; and fine art images. Along this path of varied uses many social issues such as race and gender, personal privacy and patient anonymity, sexuality, memory and identity, nationalism, warfare and death are encountered. This exploration thus raises many emotive and perplexing issues that the images creators and original guardians could not have foreseen. Or did they? As we will argue, it seems an inescapable conclusion that, at times, the photographers and their subjects knew that they were participating in more than a simple, objective visual recording of a biomedical condition or injury. Contemporary statements were being made through the medium of photography that would survive through time and the exigencies of American culture. We are not the first to acknowledge the intellectual power and resilience of these particular medical images, thus this paper is a further contribution to the growing literature dealing with them and medicines visual culture in general. But it is our hope that this discussion will provide a more detailed and more nuanced examination of this case in support of the contention that the visual culture of medicine, like other forms of visual culture, is not merely a mirror that reflects national identity, but rather a complex venue for its interpretation.
I. Medical Specimens as National Icons
The extensive clinical specimens and images from both Union and Confederate troops as well as some civilians, were, generally speaking, understood to be collected, studied, preserved and exhibited for scientific and medical purposes. But that these human remains, paintings, photographs, and other reproductions originated from the tumultuous era of the Civil War also imbued them with a totemic significancecollectively and individually, the Museums holdings of smashed skulls, amputated limbs, deformed bone, and diseased tissue were iconic symbols of a battle-worn and badly injured American nation.
The image Bagger saw must have been Hermann Fabers 5 arresting painting of Eben Smith, now surviving only as a lithograph. Smith's picture is one example of the Museums recording activities. Smith was of especial interest due to his survival of the surgery that removed his entire leg at the hip. He was the subject of three paintings and a photograph. An earlier painting by amateur Museum artist Peter Baumgras, now lost, was itself photographed and published as one of the earliest images available from the Museum. [Fig. 2] This picture was replaced by Faber's more accomplished lithograph in subsequent printings. Baumgras did another painting of Smith, looking decidedly less angelic than in Faber's version, which has never been published. [Fig. 3] Finally, in 1867, Dr. B.B. Breed had a photograph taken of Smith that he forwarded to the Museum. [Fig. 4] While images of Smith are perhaps the most poignant, similar examples of multiplying images can be found throughout the Museum's collection, usually demonstrating a complex surgical procedure. Faber's artwork, by far the most skilled and 'finished' of the four images of Smith, personalized Smith for Louis Bagger and the larger audience visiting the Museum. Baggers lament for Smith, a young boy with a beautiful face, almost perfect, but whose eyes and features told a sorry tale of suffering, was one contemporary linkage of a Civil War medical image, memory and American identity.
Others, roughly contemporaneous with Bagger, made the link between national identity and the Museums flesh and bones more explicit. Two decades after the beginning of the war when there was discussion of removing the Museum to a new, permanent Washington location, Congressman Potter of New York opposed the preserving of the relics [our emphasis] and bones or wounds caused by the war at any place in our capital . Rather, he desired that they be buried and covered all over with green grass and hidden from sight forever. 6 Clearly, for Potter these relics human remains that have acquired some spiritual or iconic significancewere best put to some final resting place out of sight and out of mind because they remained a tangible reminder of the strife and national disunity of an earlier era. Contrasting with this opinion was that of Dr. John Shaw Billings. Billings, after four years of medical service in the field during the Civil War, became attached to the Office of the Surgeon General; from 1883 to 1893 he headed the Army Medical Museum and Library. During this tenure he became recognized as a medical authority both nationally and internationally. 7 Writing for medical colleagues in 1888, Billings readily acknowledged that the majority of the Museums specimens were collected during a great war ostensibly for medical reasons, but that they have an interest beyond that which is purely professional. That we are physicians Billings continued, does not imply that we look upon them from a medical or scientific stand only. Owing to the passage of time since the 1860s the bitter enmity of that period had subsided within the nation, thus for Billings the Museum collections educational role was now broader than originally envisaged during the war: Those of the combatants who survive are now better friends than ever [he declared], and the museum specimens coming as they do from the sick and wounded of both armies, and contributed by both Union and Confederate surgeons, enforce the lesson of the unity of the profession and of its interests, as well as that of our country [our italics]. 8
Potter and Billings may have disagreed over the disposition of the Museums Civil War relics, but their statements attest to the fact that these medical mementos mori were considerably more than simply bottled or mounted human scientific specimens. In the end it was Billings who won out. For the remainder of the nineteenth century, the twentieth and into the twenty-first centuries, tens of thousands of Americans would engage in a pilgrimage of sorts to view the bony remains of Abraham Lincoln, army generals and privates alike from both sides, as well as images of war wounded including young Eben Smith.
II. Interpreting Medicines Visual Culture
Because during wartime, weapons produced wounds generally unseen by civilian practitioners, medical illustration-- photographs, engravings, drawings, or paintings-- could best portray, for instructional and training purposes, wounds and methods of treatment. Throughout the Civil War era, medical art remained popular even though the recently-developed medium of photography could produce a "truer" image.9 Professional artists Hermann Faber and Edward Stauch were supplemented with amateurs such as Peter Baumgras; professional photographers William Bell 10 and E.J. Ward took many of the museum's photographs. Photographs were also donated to the museum in large numbers. One result of this enterprise was the six-volume, 6,000 page copiously illustrated Medical and Surgical History of the War of the Rebellion, which took over twenty-three years to complete. 11 A product of the nineteenth-century philosophy of natural history, the History is a systematic, statistical compilation of the types of injuries and diseases a military doctor could expect to encounter, along with discussions and examples of treatment. It was not a textbook but rather a reference book, a compendium of experience.
Photography, more than any other form of illustration, made the Museum's publications possible. Fewer than two hundred pieces of artwork were made for the History, while thousands of photographs were used. Photographs were not directly reproduced though; halftone illustrations were not invented until 1880 and did not become common until after 1890. 12 The photographs of specimens and soldiers still had to be interpreted by the engraver or lithographer. Color was only possible when an artist's work was reproduced via lithography, and the nature of some of the medical illustration required it. By using all of the techniques of medical illustration, the Museum produced a monumental work. Many of the photographs and illustrations gathered or created by Museum staff were converted to lithographs and engravings to illustrate the History. Four hundred photographs were also published between 1865 and 1882 in an eight-volume series entitled Photographs of Surgical Cases and Specimens, or simply Surgical Photographs .13 The Surgical Photographs became widely distributed after the war. Museum curator Dr. George Otis had 8" x 10" photographs taken of surgical cases or specimens .14 [Fig. 5] Many of these photographs were taken at the Army Medical Museum in the 1860s and 1870s to illustrate the outcomes of interesting surgical operations or difficulties. 15 Bell took approximately the first 200 photographs, while Ward shot the remainder. The photographs usually show either a damaged bone or a soldier showing his wound. As the war came to a close, the pictures began including civilians and women. The very last pictures are long-term follow-ups of specimens from two soldiers, twelve and eighteen years, after they were wounded during the war. Following a patient over the course of years is common now, but was rarely done before the Civil War.
Although the Army Medical Museum remained the central repository for the Civil War medical specimens, the Museums pioneering commitment to medical photography permitted the images of these wounded soldiers (or their injuries) and specimens to be distributed to other parts of the nation. Illustrations based on photographs became increasingly popular in the years following the war. The Philadelphia Photographer noted in 1875, that it was "difficult to go into a bookstore now without seeing serious works illustrated by means of one or more of the various photomechanical processes."16 The Museum was no exception and used many techniques including photoengravings, woodburytypes, heliotypes, lithographs and chromolithographs to illustrate the History. Engravings were made from photographs taken of museum specimens to illustrate the History, the Catalogue and other publications of the Museum.
The importance of medical photography to both historians and fine art scholars alike has only recently come to be appreciated. Early studies of this visual medium focused on the technical details of photographing clinical subjects, noting the limitations and achievements of first generation operators and their equipment. 17 More recently, medical historians who have discussed the uses and role of photographs in scholarly inquiry or teaching have been, for the most part, preoccupied with determining the truth of the pictorial representations before them. As scholars trained in a tradition of interpreting manuscripts and printed documents, a tradition which necessitates first and foremost the assessment of these materials veracity or factual content, these historians understandably apply the same rules to reading photographs. Within this paradigm it is believed to be important to differentiate and discriminate between posed and natural or candid scenes captured on plate or film. While individual or group portraits of doctors, nurses, and students staged in studios, hospitals, dissecting rooms or wherever are interesting and have historical value, some scholars believe that they do not contain the same historical content as photographs which capture their subjects in action and unaware of the camera. It seems that in some way the latter type of photographs, as they are unstaged, are actual eyewitnesses to the event and hence more reliable. Also within this frame of reference, posed photographs of patients exhibiting injuries or manifestations of their diseases or ailments are deemed primarily of use only for the clinical content contained or revealed through this specialized visual record.18
The difficulties or ambiguities in interpreting medicine's visual culture can be seen in examples from the Museum. In spite of their creation for a clinical/educational reason, many of the Museum's images by Bell and Ward, even as the patient displays his horrific wound, look similar to Matthew Brady's portraiture. This is perhaps not surprising since some of Bell's photographs have been attributed to Brady. An example of their portrait style can be seen in Major General Barnum's pose. [Fig 6] At the same sitting, a standard traditional portrait of Barnum was taken. [Fig. 7] The photographs look very similar, as "when picturing the sick, the earliest photographers employed the conventions used in making ordinary portraits." The photograph from Barnum's pension file [Fig. 8] shows how odd early clinical photographs could look when taken by a photographer who did not use the same portrait conventions as the Museum photographers. This photographer seemed to view Barnum as a freak. 19 Other poses struck at the time may appear disturbing now. In a published photograph of admittedly poor quality, Jesse Smith [Fig. 9], a sixteen-year old African-American cattle drover, sat with a removed fragment from his skull as a mounted and numbered Museum specimen, balanced on his head. Smith's pose contrasts strikingly with Julius Fabry's more natural pose, [Fig. 10] his removed femur resting on a table alongside his chair. The charge of a generalized racism would appear to be easy to level against the Museum where it not for the fact that Smith is the only example of this pose; the Museum published more typical portrait-style photographs of blacks including a dignified image of Louisa Walters's amputation. [Fig. 11]
Adding to the variation in the Museum's collection of photographs, many doctors commissioned their own images and later sent them to the Museum. The "Contributed Photographs" collection, as it came to be known, consisted of photographs donated or contributed to the Museum. Many photographs were sent by military doctors such as Gurdon Buck 20 , Reed Bontecou of Harewood Hospital in Washington, J.C. McKee of Lincoln General Hospital in Washington, and J.H. Armsby of Ira Harris General Hospital in Albany, New York, who contributed dozens of photographs at the end of the war. After the war, prosthetic maker and physician, E.D. Hudson, also worked closely with museum curators. Contributors received publications and other photographs from the Museum in exchange.
As these examples illustrate, categorizing medical photographs is difficult since they straddle different styles and purposes. In a perceptive essay, Erin OConnor 21 emphasizes this point, noting that medical photography consists of part portrait, part record. She argues that as portraits, they were clearly artistic [b]ut as portraits of diseased , deformed, and deranged individuals , they were frequently far from aesthetic, and occasionally hard to identify as pictures of people. 22 Because the logic of medical photography is, OConnor asserts, the inverse of regular portraiture, it emphasizes the human imperfections, flaws, and marks of disease as well as also anonymizing the subjectoften quite literally through the technique of blocking out patients eyes. In making a plea for the non-exclusion of medical photography from the mainstream of the history of photography, however, she believes it necessary to view this highly specialized technique as a genre unto itself. She writes:
Yet the modern issue of medical anonymity, raised by O'Connor, becomes difficult when applied retrospectively. Typically, the patient, whether soldier or civilian, was identified on the photograph, usually by name, rank, company, regiment and state. The particulars of his case, including the credit due to his doctors, were summarized. Modern notions of privacy due in clinical situations had not yet been established, although some soldiers were only identified by initials. The particulars of the case, including the battle in which the soldier was wounded, were summarized with proper credit given to the doctors concerned. Nevertheless, OConnors insights to medical photography as a genre, in particular her discussions on the medical inversion of regular portraiture and its connection to metaphorically and literally anonymizing the subject demand our attention. At a fairly high level of abstraction OConnor may well be correct; but at a literal level, for the nineteenth century and early twentieth century, one only occasionally finds examples of patients being anonymized by their eyes being blocked out or obscured in some other way.
In a rare nineteenth century
example of an anonymized patient, one of only a handful out of hundreds
of photographs in the Museum, most of a womans head is blocked from
view by a large scarf or towel wrapped around it. [Fig.
12] It becomes almost impossible for viewers eyes not to alight
and fix on the womans enlarged and pendulous bosom (this is a case
of extreme hypertrophy of the breasts); thus her imperfections
or manifestation of disease dominate her medical portrait at the expense
of her as the subject, as O'Connor would argue. Due to Western
attitudes to sexuality and the female body, we would be remiss if we did
not suggest that for some people this image, in certain contexts, would
have had sexual overtones. However, one can stare at her without embarrassment
because she cannot return our gazeindeed, the subject
has no idea who might be viewing her, or by how many people, or for what
reason she is being viewed. One could have photographed simply the detail
of the injury or pathology to make a generic image, and made no reference
to the whole person. Photographs were taken this way, but no longer hold
a modern viewer's interest. In fact, in light of the infrequency of the
actual anonymizing of patients (and the fact that full patient identification
and history is written on the photographs themselves), and with specific
reference to the case we cited we are tempted to turn the whole anonymity
argument on its head by reversing the identity of who is being protected.
Is it not reasonable to assume that it is not the womans personal
feelings that are being spared; rather, they are those of the viewer?
To extend this point, consider
these examples of photographs of nude and semi-nude injured male Civil
War soldiers. [Figs 13,
14] No attempt has been
made by the photographer to anonymize them by blocking out their eyes
in any way. Neither have their genitalia been hidden from view. These
photographs are clearly portraits, in which the patients are presented
as people, and not just as pathological conditions. What is more interesting
about this series of images is what happened when they became more directly
aligned as images associated with a celebration of national identity.
More than decade after these photographs were first taken, they were used
in the 1876 Centennial Exposition in Philadelphia. Due to this venue,
at which they could be viewed by a mixed, lay audience and not exclusively
by medical men, the photographs were retouched. 24
No attempt was made to shield the identity of these
men by obscuring their eyes however, but artificial fig leavesappropriately
placedwere carefully added to each negative, and thus each subsequent
print. [Fig. 15] To be
sure, prior to this event one can find photographs in which a soldiers
shirt or sheet is discreetly draped around his groin, and there is at
least one portrait of a soldier wearing a real leaf, [Fig.
16] but the action taken to address the social standards or mores
of 1876 may have been a turning point in American medical photography.
But, again, we would assert that the appearance of leaves had less if
anything to do with guarding patient identity and modesty and more to
do with not offending the potential audience. Parenthetically, this issue
raises another: It seemed to be the case at this time that men with bullet
holes and other signs of battlefield trauma, as public displays, was deemed
to be less offensive to an Americans than pubic displays. Amazingly, over
a century later, two physicians who edited a volume of these Civil War
photographs employed the same technique of adding fig leaves to men whose
genitalia were displayed: " To preserve modesty for these men,"
they explained in 1996, "we have scanned in an natural leaf from
one of the original photographs and placed it over the perineal area."
III. Civil War Photographs
and Their Multiple Fates
Soon after the end of the war
the photographs taken for medical reasons were being used in an increasingly
wide manner. As noted, the Museum exhibited the photographs, not just
in Washington but throughout the country at expositions. After the war,
disabled veterans used their photographs to support themselves in a variety
of ways. Private Alfred Stratton took the most direct route. During the
war, he endured a double amputation of both arms in 1864 and, as a result,
received a pension of twenty-five dollars a month. In 1869, he visited
the Museum and had his photograph taken. In later years, he sold carte-de-visites
of himself in a uniform as a disabled soldier. 26
By the twentieth century, the War and thus the photographs of those who had fought in it, receded as a distant memory. (the United States had no National Archives, no central repository, for the nation's documentary history, until 1934). By World War I, the photographs and illustrations were considered worthless and over the next fifty years were given away, discarded or ignored in a large image library. [Fig. 22] The centennial of the War in 1961 brought some renewed interest in them, but it was the convergence of trends in the 1980s that brought them back to the public view. Professional and amateur historians rediscovered this war and produced a great number of publications about it. The History was then reprinted as The Medical and Surgical History of the Civil War in 1990. This trend culminated in Ken Burns' television documentary The Civil War, also in 1990, with the result that photographs of wounded soldiers have now been seen by millions of viewers. While the images remained on display in the various homes of the Museum, they were later 'discovered' by the fine art community. The increasing acceptance of photography as an art form led to two photographs being included in the Corcoran Gallery of Arts 1985 exhibition on war photography, The Indelible Image. 31 [Figs. 23-24, 25] At the same time, Museum photographs, including those of Barnum, began to be sold at major auction houses as collectibles. The growth of genealogical research has also increased demand for the images, as people search for photographs of their ancestors. 32 The pictures have gone from being clinical shots of wounded soldiers to valued images of forefathers -- perhaps the only surviving pictures of these men.
IV. Military Memory and
the Civil War Photographic Oeuvre of Dr. Reed Bontecou
Themes of the discussion so
far -- amassing examples of Civil War injury, transformation of such specimens
into national icons and symbols of political and professional unity, and
development of medical photography and its significance -- coalesce in
the work of Dr. Reed Bontecou.33 Bontecou
[Fig. 26] was a New York
surgeon who served in several smaller Civil War hospitals until finally
taking charge of the massive 3,000-bed Harewood U.S. Army General Hospital
located in Washington, DC. Described as one of the greatest contributors
to the Army Medical Museum when it was building its collections during
the 1860s, Bontecou donated hundreds of specimens from, and photographs
of, wounded soldiers. [Fig.
27] In addition to the National Museum of Health and Medicine, whose
holdings of Bontecous photographs and military medical photographs
in general are unrivalled in the world, both Yale and Cornell universities
hold Bontecou material, as does the private Burns Archive. 34
What is fascinating about these
images are the reactions and emotional responses of those who discovered
them for themselves almost 150 years after they were first shot. Blair
Rogers, a plastic surgeon, on seeing this collection of Civil War photographs
was reminded of his experiences during World War II and the dreadful
wartime defects of the face and neck, extremities, and the body proper,
of the soldiers on both sides of that war. 35
Rogers training as scientist and doctor is evident
in his quantitative and clinical grouping of the cases then before himage
range of soldiers treated, their home states, location of injuries, and
so on. Yet as an amateur historian, Rogers, in his account,
reveals a greater sensitivity to these visual documents. He becomes acutely
aware of the construction and mounting techniques for the photographs.
He describes, almost with a sense of reverence, how each board is covered
by a thin piece of semi-opaque paper or tissue to protect the printed
face of each photograph which has been cut to fit into a gilt oval frame.
Along the entire very thin edge of each board there is a thin gold lining
or coating. The thin covering sheet of fine tissue paper, which protects
the photograph itself, is rather fragile and needs to be handled with
great care because of its age. This thin sheet of paper, however, has
served its purpose well, and there seems to be no deterioration of the
photograph surfaces, despite their age of 135-136 years. 36
What Rogers describes is no different from countless
other photographs of this era, but we might infer from his careful description
that he believes that there is something incongruous between the subject
matter of these photographs and their protective mountings: why would
so much attention be lavished on a mere medical record of a wounded soldier?
It is as though Dr. Rogers has fully subscribed to the statement made
by his erstwhile colleague, Dr. Billings, more than a century earlier
(although the former physician had no knowledge of it): that these photographs
radiate an interest more than purely scientific or medical.
This interpretation is borne
out by Rogers when he writes about how these photographs are interesting
in many different ways, for they show us how tragically very
young were the casualties; the personal manner of their dress; the
furniture they sat upon to support their lame and mutilated bodies for
the lengthy time it took to photograph them; and also their facial
anxiety, fear, anger, suspicion, humility, despondency, etc. He
continues, [i]n the flick of turning just a few pages back and forth
and looking at these photographs silently, quickly, or perhaps more slowly
and curiously, the reader probably experiences a number of emotions, all
of which cannot be typified, described or even encompassed within the
confines of this article. 37 Finally,
in a statement that might ring a bit hollow or sound maudlin were it not
for Rogers experiences as a plastic surgeon and his recollections
of the wounded World War II soldiers, he offers a plea for no more warsa
sentiment inspired in great part after viewing the Bontecou collections:
The power of these medical
images to stir national as well as personal memory is again vividly characterized
in Kathy Newmans encounter with the Bontecou material. 39
Writing in the Yale Journal of Criticism, Newmans
background as scholar and her intended audience are both profoundly different
from those of Rogers, and yet the points of intersection in their analyses
remain remarkable. Like Rogers, Newman draws attention to the gilt oval
frames and protective opaque tissue. Although she recognizes the conventional
nature of the portrait she is struck that this is no ordinary
remembrance. Employing the trope of injury in her own discourse,
she, too, declares how these images triggered her (if only vicarious)
war memories. The first time I examined this collection I was surprised
to discover that the images beneath each tissue assaulted my senses as
no CNN footage ever had, even though (or perhaps especially though)
I began my subscription to cable television during the Gulf War. Now two
years have passed and still I can neither refuse nor transform their traces
of violence: the graininess of a gunshot wound in black and white, the
folds of an amputated stump, the boldness with which a soldiers
gaze seems, occasionally, to answer mine." 40
The emotions of the soldier-subjects
as perceived in these photographs also stir Newmans imagination,
but she feels that we can only guess at them. Regarding the
portrait of George Morrison [Figs.
28, 29] who was wounded in the last month of the war when it was obvious
to all that it was ending,
we must ask what it is that he
sees when he looks into the camera and straight into our eyes.
Why does he look so serious, and so sad? Is it his own pain, or the memory
of anothers that pulls at the corners of his mouth?
sadness in his eyes, we suspect, is mixed with something like defiance,
a looking back that is also a taking back. George Morrison, a century
dead, still refuses to be (reduced to) a sign." 41
as did Rogers, these same images compel Newman to vent about the relationship
between nationhood, identity, and war, and one of wars inevitable
outcomesdeath. Reacting to the portrait of a dead or near dead military
patient, [Fig. 30] Newman
remarks how the gilded frame cannot mitigate the wastedness of his
body or the raggedness of his amputated limb. [The photograph] unveils
the truth of the disease (gangrene) only to discover that the horror of
lies beneath. She further notes:
During the century following
Americas civil war, the Army Medical Museum continued its mission
of documenting the changing nature of battlefield trauma through photography
and other visual artifacts. Medical photographs of wounded and disabled
soldiers from the Spanish-American War, World Wars I and II, the Korean
Conflict, and the Vietnam War fill box upon archival box, shelf upon shelf.
But there were subtle differences. While many clinical photographs were
still being taken, the emphasis had shifted towards action and documentary
During this elapsed period
of over 100 years the technical quality of the photographs has improved
with the advent of fast speed black and white, and later color film the
images are finer, their details sharper, their utility greater. Professional
medical photographers, employed by the same hospitals where patients were
being treated, shot these clinically precise photographs. In the twentieth
century, movie film, by adding motion and providing new information, made
certain types of still photography obsolete. 43 But
as medical photography advanced, the social and aesthetic significance
of this genre of visual culture receded. As we have shown, the medical
photographs of the Civil War were not perceived as "private"
so they enjoyed a long "public" life that allowed them to be
viewed, interpreted and reinterpreted. This contrasts with their twentieth-
and twenty-first century analogs that remain sequestered in patient file
folders due to strict institutional and legal regulations regarding patient
privacy. Admittedly, there have been exceptions to this. For example,
the "official" Army hospital photographs of World War II double
amputee, Harold Russell, convey an atypical insight to the patients
character. Perhaps not surprisingly Russell was able to make his disability
work to his advantage, first through an Army training film on the subject
of soldier amputees, then through his role as Homer Parrish in the highly
successful Hollywood film of 1946, The Best Years of Our Lives.
Because the central story of the film is a romanticized account of the
readjustment of veterans (one of whom is disabled) to civilian life during
peacetime, it echoes themes that were explored in the medical photographs
of Civil War soldiers. In this twentieth-century portrayal, [Fig.
31] however, it is a dramatized and carefully staged public
image that depicted the wounded soldiers plight, not his private
army medical photographic record. 44 This
distinction between the public and private spheres vis-à-vis
medical images seems not to have existed for those Civil War soldiers.
Arguably, medical photographs, now that they are available only for the gaze of doctors and rarely if ever exposed to public view, have become an element of a constantly evolving invisible culture. Hopefully, these images will continue to migrate to non-medical research repositories such as archives and museums, so some time in the future they too may become the stuff of scholarly scrutiny, if the rapidly-changing custom and law permit. They will certainly not be released with the speed that Civil War photographs were --- and publishing a large systematic collection is even less likely. We would wager, however, that should todays medical images be studied as art they will inevitably be compared with those originating with the Civil Warand so the cycle of their interpretation will continue.
The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the US Department of Defense. This piece is a US government work and, as such, is in the public domain in the United States of America.
J.T.H. Connor holds a doctorate in history and is Assistant Director, National Museum of Health and Medicine at the Armed Forces Institute of Pathology, Washington, DC. He has published widely on history of medicine in North America, including medical technology and alternative medical practices. His latest book, Doing Good: The Life of Toronto's General Hospital (Toronto: University of Toronto Press, 2000), has received several awards.
Michael G. Rhode is chief archivist of the Otis Historical Archives at the National Museum of Health and Medicine at the Armed Forces Institute of Pathology, Washington, DC. Rhode has co-written a chapter in Disabled Veterans In History (ed. David A. Gerber. Ann Arbor: University of Michigan Press, 2000), as well as the foreword to Photographic Atlas of Civil War Injuries (1996). Rhode has also written on exhibits investigating the Civil War and the Spanish-American War. Since 1994 he has been a member of the Armed Forces Institute of Pathologys Institutional Review Board.