Pain: Pasion, Compassion, Sensibility
A
Wellcome Trust exhibition at the Science Museum, London SW7; from 13
February until 20 June 2004; admission
free
www.wellcome.ac.uk/pain;
www.sciencemuseum.org.uk
Pain.
Pleasure. Religion. Catharsis. This exhibition considers all these
things, but, above all, pain. "This exhibition is about the
cultural place of pain and how science and other ways of thinking have
shaped our beliefs, our understanding, and our attempts to control
it," explains the curator, Spanish philosopher Javier
Moscoso.
Moscoso has teamed up with
the Science Museum and the Wellcome Trust to look at pain from its
widest perspective. He explores not only the history of pain (including
its evolution from antiquity to modernity), but also its effect on
individuals and
society.

A 19th century Spanish
amputation saw
"The physical, psychological, and
social aspects of pain are universal," Moscoso explains.
"Its bounds-which are those of language and of
identity-are also the bounds of the world. Pain is not, however,
unchanging; and its universality has not always put it at the centre of
the human condition. Pain has multiple histories-of those who
suffer, of those who contemplate and study it, as well as those who
inflict and alleviate it."

A Chinese torture
chair
On
display are more than 170 disparate items, from traditional paintings
to a collection of prostitutes' cards offering flagellation and
other sadomasochistic services. Each exhibit seems carefully selected
to emphasise a particular aspect of pain, as well as highlighting
underlying themes-such as passion, compassion, sensibility,
remedies-that subdivide the
collection.
The influence of
medicine on this exhibition is great. Medical historians will be
delighted by the comprehensive collection of often unusual items on
display, including early anaesthetic equipment, a bronze vaginal
speculum that probably dates to the time of Pompeii (despite its age,
the principles of operation look remarkably similar to modern
equivalents), a 19th century French bullet extractor, and some
trepanned skulls. Trepanation-the act of cutting, drilling, or
scraping a hole into the skull-is apparently the oldest form of
surgery
known.

>German anaesthetic equipment
dating from the first world war
Unsurprisingly, torture is well represented here. An
18th to 19th century wooden Chinese torture chair provides a
particularly good example: its 12 steel blades for arm rests ensure the
sense of pain sinks in to any viewer. The mental images of torture are
cemented by pictures showing its use, with a wood engraving depicting
"La torta del cavaletto" (the torture of the rack) being
particularly
memorable.
"The
technologies have changed, the practice still continues," the
caption chillingly tells us. Some of the most memorable exhibits are
held in bright white booths that admit only one person at a
time. Among these is an old black and white film, Unterschenkel
amputation, which shows a distinguished grey-bearded man,
Professor Dr E v Bergmann, gruesomely hacking off
a leg. The film only plays as long as the viewer holds down
a button next to the screen, presumably to accommodate the
squeamish.
No exhibition
about pain could be complete without the derision of
dentistry. A variety of objects that have tortured teeth
throughout the ages are on show, as well as accompanying
pictures. A particularly striking coloured lithograph (dated
1823-8) shows a dentist, standing behind his
contorted victim's face, straining his bulging muscles to remove
the offending
tooth.

>A scene from Bill Viola's video Anthem
This exhibition is a thought provoking combination of
medical history, art, and ideas. If there is a fault, it is that there
are almost too many exhibits, and some could easily have been left out.
Plainly laid out displays of medication packages, dating from the last
couple of decades, simply fail to add to the overall effect. Despite
this slight shortcoming, Pain: Passion, Compassion, Sensibility will
offer doctors, and all those with an interest in health, a fresh
insight into this essential aspect of
humanity.
Vittal Katikireddi Clegg scholar BMJ
Email: vkatikireddi@bmj.com
studentBMJ 2004;12:133-176 April ISSN 0966-6494