This is the third review I have written on Socio-medical histories by Roy Porter. I read and reviewed this book, "Gout - the Patrician Malady" at the same time as his more general medical histories "Cambridge Illustrated History: Medicine" - and "The Greatest Benefit to Mankind". I wanted to compare these books with Porter's work on more specific topics. Porter mentions Gout in passing in both his general histories, but I wondered how he would deal with a more specific subject which had the space of an entire book to develop.

He certainly brings the same light writing style to this book as he does to his other subjects and I it made fun reading for what at times could have been very dull and dry.

Porter turns a medical subject into a very interesing social history, he overlays the historical recognition of Gout, its rise in prevalance and treatment, as well as the development of it as a fashionable, upper-class ailment very well. He does this by drawing in the literature and art of the times to track its social progress. Porter certainly shows himself a master of the subject. However, I didn't like the way he sectioned the book. It felt clumsy to me. It is in three parts Histories, Cultures and Goutometries and they seemed to overlap especially the last two sections. Although I did love the chapter on Art in 'Goutometries'. Perhaps the most interesting chapter for me was the in the 'Cultures' section "Indian Summer; Romantic and Victorian Gout" which traced the literary tradition against the actual social status of Gout through the nineteenth century using representations of Gout in Disraeli and Austen to George Eliot. The most amusing thing, I thought, was Gout as a symbol of social status - Gout was for the upper classes, and rather fashionable - and this resulted in many non-gout illnesses being diagnosed as Gout.

At times I found the book rather long - but I rather think that was me rather than the writing. Most of my interest lies in the Georgian period which was really the peak of the Gout popularity. I wish it had been illustrated in colour too. The only illustrations at all were in the Goutometries and those were black reproductions on standard paper. The book probably has limited interest to most people - but for lovers of Georgian period or medical histories I think this is well worth reading.