Showing posts with label Lord Moran. Show all posts
Showing posts with label Lord Moran. Show all posts

Thursday, December 22, 2011

Forthcoming attractions

January 1st in the archives is a time not only for new resolutions and new projects, but for new raw material: at the start of each year, a batch of material that has been closed for Data Protection reasons is opened for readers to work upon. The precise contents of this year's batch, of course, are still secret for a little over a week. We can, however, give at least the bare-bones information from the archive catalogue about these forthcoming attractions. They include:
  • More material from the papers of Lord Moran, Churchill's physician (PP/CMW), to join that released on 1st January 2011.

  • Two items from the Queen's Nursing Institute (SA/QNI): a volume of the Queen's Roll, on which inspections of nurses were recorded, covering 1926-1927; and - from the card index that replaced the original bound Roll - a microfilm of nurses' records on cards from 1907 to 1927.

  • A file from the Brain Research Association (SA/BRA) explaining the Association's position regarding the 1979 Protection of Animals (Scientific Purposes) Bill and the 1979 Laboratory Animals Protection Bill.

  • Files from the Beit Memorial Fellowship (SA/BMF) on various candidates for a fellowship, discussed in 1927.

  • A file from the papers of the psychiatrist Donald Winnicott (PP/DWW) relating to a few adult patients whose papers found in a small file of predominantly child patient notes from the 1920s.


  • The full list is as follows. Only a little while to go....

    MS.8155; Christo P. Popoff; 1957; letter to Dr. C. Allen of the Seamen's Hospital, Greenwich, London. Popoff writes about a case of schizophrenia and enquires about the effectiveness of Largactil in stabilising patients suffering from this condition.
    PP/CMW/D.9/1; Moran's Notes; 1950-1951.
    PP/CMW/D.13/2; 1951 Recommendations; 1951.
    PP/CMW/D.13/2/1; London Teaching Hospitals and Regions 'For meetings, 7/2/52 & 6/3/52'; 1951.
    PP/CMW/D.13/2/2; Index to 1951 recommendations; 1951.
    PP/CMW/D.13/3; 'Notes 1951'; 1951.
    PP/CMW/D.13/3/1; Birmingham I, Manchester, Liverpool, Newcastle; 1951.
    PP/CMW/D.13/3/2; Wales, Leeds, Sheffield; 1951.
    PP/CMW/D.13/3/3; North East, North West Metropolitan Region; 1951.
    PP/CMW/D.13/3/4; South East, South West Metropolitan Region; 1951.
    PP/CMW/D.13/3/5; Specialities, London Regions and Teaching Hospitals; 1951.
    PP/DWW/F/1; Adult Clinical material; 1920s; A few cases of adult patients found in a small concertina file of predominantly child patient notes from the 1920s (now in PP/DWW/E.2/1) and separated out here.
    PP/HUN/C/1/23; Cysticercosis; 1932-1943.
    SA/BMF/A.2/109; Hacker, Henry Pollard; 1927.
    SA/BMF/A.2/110; Winton, Frank Robert; 1927.
    SA/BMF/A.2/111; Wooldridge, Walter Reginald; 1927.
    SA/BMF/A.2/112; Morgan, Walter Thomas James; 1927.
    SA/BMF/A.2/113; Eggleton, Philip; 1927.
    SA/BMF/A.2/114; Marrian, Guy Frederick; 1927.
    SA/BMF/A.2/115; Fee, Archibald Roderick; 1927.
    SA/BRA/C.1/3/2; Brain Research Association response to the 1979 Protection of Animals (Scientific Purposes) Bill and the 1979 Laboratory Animals Protection Bill (Includes papers from the Committee for the Reform of Animal Experimentation, The Physiological Society, the Research Defence Society, The Royal Society, and the Universities Federation for Animal Welfare); 1980-1981.
    SA/QNI/J.3/35; The Queen's Roll: 8301-8550; Oct 1926-Jul 1927.
    SA/QNI/J.4/1; The Queen's Roll on cards; 1907-1927; 3055-8499.


    Image: 19th century wood engraving from the Wellcome Library's Iconographic Collections.

    Saturday, January 1, 2011

    Their finest hour: Lord Moran papers open for study

    In May 1940 Sir Charles Wilson (1882-1977) received a summons from the War Cabinet: he was to become the personal physician of Winston Churchill, who had become Prime Minister just two weeks before. The health of a political leader is always important; when he is in his mid-sixties and has taken office at a time when nothing less than national survival is at stake, his every move, cough or dizzy spell is a matter of historic importance. For the next twenty-five years Wilson – who became Baron Moran of Manton in 1943 – was Churchill’s doctor, until doctor and patient were in their eighties and nineties respectively and Moran had long retired from any other practice.

    Moran was thus privileged to have a front-row seat at the making of history; and we, decades later, are lucky that it was this man who filled the seat. Moran’s life was marked by an almost Puritanical commitment to honesty, to facing facts squarely (he was described, according to his DNB entry, as “a Roundhead among Cavaliers” in Churchill’s circle) and by an unwillingness to play the game of medical politics even at cost to his career. When summoned by the War Cabinet, he was Dean of the medical school at St. Mary’s Hospital, Paddington, and a Harley Street physician (counting among his patients both Brendan Bracken and Lord Beaverbrook, both Churchill confidantes: hence his appointment); he was, however, poor by Harley Street standards and had long looked forward to the establishment of some form of National Health Service, coming into conflict with his fellow-professionals over this. Like many of the men who directed the Second World War effort, he brought to it memories of the First: he had served in the front line as a member of the Royal Army Medical Corps and become fascinated by issues of morale and courage, of how it is that one man could endure shattering bombardment and pitched combat whilst another collapsed under the strain. His notes on this subject formed the basis of lectures on “The Mind in War” in the 1930s and eventually of his 1945 book The Anatomy of Courage. He was, therefore, ideally placed to study and analyse the effects on Churchill of long-term stress, and whilst he regarded his patient as the greatest Englishman since Pitt the Elder (see, again, his DNB entry) he was clear-eyed about Churchill’s character failings or lapses of behaviour.

    Controversially, Moran published a book of his experiences not long after Churchill’s death: Winston Churchill: the Struggle for Survival, 1940-1965 (1966): his commitment to honesty and in this instance to capturing his observations for the historical record taking precendence over what was prudent in terms of his popularity. The manuscripts on which Moran drew for this book have remained closed for sixty years after their creation (the closure was initially a condition stipulated by Moran’s family when his papers were deposited at the Wellcome Library and of course has been sharpened subsequently by the passage of the Data Protection Act, some thirty years after Moran published his work and sixteen years after the papers were deposited). Now their closure period begins to elapse: last year one notebook was released (along with two other files relating to medical administration) and today a major batch of drafts relating to the war becomes available for study, along with other papers from Moran’s archive (full listing below). Over the next fifteen years there will be a steady flow, until, by 1st January 2026, the majority of the Moran papers will have been opened (a few papers containing detailed medical information will have longer closure periods).

    In the papers released today, we read Moran’s accounts of journeys to Canada to meet Roosevelt and to Casablanca for the first big conference of the three Allied leaders, Churchill, Roosevelt and Stalin. The interpersonal tensions between men stretched to the limit are clear. Stalin is particularly difficult to work with, as one would imagine:
    “As for the twelve different items the Allies had in mind to put on the Agenda [for the Casablanca summit], Stalin brushed them aside: they did not interest him, he said in his rude way.” (PP/CMW/K.5/1/2)

    Closer to home, another ally proves hard to take for the stressed Prime Minister:
    De Gaulle is another story, for he does seem to go out of his way to be difficult. He first dawned on me in the hall at Chequers when he was about to leave for London; an improbable creature, like a human giraffe … he seemed to sniff down his nose at mortals beneath his gaze. … The P.M. is a bad hater, but in these days when he is stretched taut certain people seem to get on his nerves. De Gaulle is one of them. His cold austerity chills him. (PP/CMW/K.5/1/1)

    Churchill himself is examined closely, in passages written towards the end of the conflict when Moran takes stock of the traits of character that both helped and obstructed the war effort: the supreme self-confidence that enabled Churchill to take on and hold the responsibility of wartime leadership leading also to problems in his management of his subordinates. In a particularly revealing file, PP/CMW/K.5/5/1, we read
    While he could concentrate for six hours at a stretch on intricate documents and feel at the end of it that he was just beginning the night’s work … he also had grave disabilities which added to the strain. He had no gift of devolution. He liked a finger in every pie. Rowan [Leslie Rowan, Churchill’s private secretary] complained at Potsdam that he could not get the P.M. to read important papers and yet he would not hand over anything…
    Perhaps Winston found that when he did choose a man to do a job of work he so often let him down. For he had no gift of picking people. It was his Achilles heel… he is always losing opportunities of learning by his desire to instruct, or at any rate by his urge to lay down some proposition. That is the secret of his inability to pick the right people, he isn’t interested in them.


    Later in the same file Moran quotes Clementine Churchill as saying that "Winston has all his life been surrounded by charlatans and quacks", with "Brendan [Bracken] and Max [Aitken, Lord Beaverbrook]" cited as examples.

    When Moran published his memories in 1966 Churchill the war hero was still fresh in people’s memories and the candour of his physician was bound to be controversial. Yet the picture that emerges from the book and from these manuscripts, scribbled with corrections, jottings and fine-tunings, is a more human one and in the end – as Moran himself asserted – one that if anything adds to our admiration of the wartime leader. What we see here is a man stretched to the limit, dealing day by day with matters of global significance, driving himself on without rest and – let us remember – someone who does not have the benefit of hindsight and unlike us does not know that the story will come to a victorious conclusion. That he should be fallible is human; the character failings that Moran notes are, as he surmises, perhaps inevitable concommitants of the self-confidence and drive that made it possible to take the job on in the first place. In Moran’s papers we can see the sheer human wear and tear of life at the nerve-centre during the nation’s finest hour; catch our breath, and wonder how we might have measured up. It is our good fortune that these pivotal years in the nation’s history were recorded by this clear-eyed observer and that he captured his impressions for us.

    Items from the Moran papers opened today:
    Lord Moran papers
    PP/CMW/D.1/2: Minutes, 2nd-4th meeting, 22 Jul, 29-30 Dec 1949 and 17-18 Jan 1950; 1949-1950.
    PP/CMW/D.1/3: Agendas and minutes, 5th-13th meeting; Jan-Dec 1950.
    PP/CMW/D.2/1: Official lists of consultants and proposed awards (papers A3-A7, A12-A16); Jan-Feb 1950; Also lists of regional hospital boards, chairmen of medical committees of teaching hospitals and notes on grading of specialists.
    PP/CMW/D.2/2: Further official lists of doctors and recommended awards with associated documents (papers A21-24, A28-29, A31-33); Feb-Mar 1950.
    PP/CMW/D.2/3: Review of the Committee's Work up to June 1950' (Paper A35); Jun-50.
    PP/CMW/D.6/1/2: Lists for London regions, some headed 'not on photostat list', surgeons (carbon typescript) with covering letter to selectors Jan 1950, paediatricians (carbon typescript), general medicine (carbon typescript), lists of surgeons (pencil manuscript, not Moran); c.1950.
    PP/CMW/D.6/2: Schedules of consultants listed by speciality for Professional Assessment Committee; c.1949-1950.
    PP/CMW/D.6/2/1: South East metropolitan region, with recommendations; c.1949-1950.
    PP/CMW/D.6/2/2: South West metropolitan region, annotated by Moran with recommended grades; 1950.
    PP/CMW/D.6/2/3: North West metropolitan region, Supplementary list, annotated by Moran with recommended grades; 1950. .
    PP/CMW/D.6/3: 'Results of 1950 Voting'. Manuscript lists, annotated by Moran, for Birmingham, Bristol, East Anglia, Leeds, Liverpool, Manchester, Newcastle, Oxford, Sheffield, Wales and London regions; 1950.
    PP/CMW/D.6/4: Surgeons. Lists of recommendations by Association of Surgeons and Royal College of Surgeons; 1949-1950.
    PP/CMW/D.6/5: Whole-time clinical teachers. Lists and manuscript notes by Moran; 1950.
    PP/CMW/D.13/1: 1950 (?) Awards; 1945-1950.
    PP/CMW/D.13/1/1: Bristol, Sheffield, North East, North West, South East Metropolitan Regions, Association of Surgeons (with partial index); 1949-1950.
    PP/CMW/D.13/1/2: London Teaching Hospitals (with index); 1949-1950.
    PP/CMW/D.13/1/3: 'Faculties', Anaesthetics, ENT, Orthopaedics, Radiology, Ophthalmology, Royal College of Surgeons and Royal College of Physicians recommendations. All areas; 1945-1950.
    PP/CMW/K.5/1/1: Casablanca (1st Version, with Sir Desmond MacCarthy's comments), covering Jan-Feb 1943; c.1950.
    PP/CMW/K.5/1/2: Untitled typescript, with Desmond MacCarthy's comments, covering Feb-Oct 1943; c.1950.
    PP/CMW/K.5/1/3: Red Twinlock, revised version of Casablanca by CMW with comments and annotations by CMW, John Wilson and others. Covering Dec 1941-Feb 1945; c.1950.
    PP/CMW/K.5/5/1: Mr Churchill's fall from Power, '1st typing, with Sir Desmond MacCarthy's comments'. Period covered Feb 1945-Dec 1947; c.1950.
    PP/CMW/K.6/1/1: 'Mr Churchill's Fall from Power' (1945 period); c.1950.
    PP/CMW/K.6/2: Early revisions of war-time volumes; c.1949-1950.

    Images, from top:
    1/ Lord Moran, PP/CMW/P.61 (available via Wellcome Images).
    2/ Jottings from file PP/CMW/K.6/1/1,'Mr Churchill's Fall from Power', written c.1950, in which Moran analyses Churchill's defeat in the 1945 General Election.
    3/ From file PP/CMW/K.5/5/1, discussion of Churchill's difficulty in picking subordinates.

    Friday, December 31, 2010

    Tick… Tick… Tick…

    As the last hours of 2010 elapse, let’s look forwards to the new year. January is always significant for a repository that holds archive material: each new year brings the opening of new material to the public, material that was already catalogued but could not be made available because of its sensitivity. This is doubly significant for the Wellcome Library, of course, as we hold a large amount of material relating to the medical issues of named individuals, and this is a category of material that the UK’s Data Protection Act highlights as particularly sensitive and in need of careful handling. (Our access policy, setting out how we deal with this material and the demands placed by legislation, can be seen on our website at http://library.wellcome.ac.uk/node159.html: see the first bullet point under Access.)

    Full details of the material newly-opened, of course, will have to wait until the new year! For the moment, although we cannot open the files for you, we can list the materials whose closure expires at midnight. Chief among them are papers from Churchill’s personal physician, Lord Moran; files on various rare conditions collected by the physician Donald Hunter during his many years at the Royal London Hospital; files on recipients of the Beit Memorial Fellowship; ledgers from two mental hospitals, the Holloway Sanatorium in Egham and Ticehurst House in Sussex; and some staff records from the Wellcome Foundation. The full list is below. Only a little while to go…

    Lord Moran papers
    PP/CMW/D.1/2: Minutes, 2nd-4th meeting, 22 Jul, 29-30 Dec 1949 and 17-18 Jan 1950; 1949-1950.
    PP/CMW/D.1/3: Agendas and minutes, 5th-13th meeting; Jan-Dec 1950.
    PP/CMW/D.2/1: Official lists of consultants and proposed awards (papers A3-A7, A12-A16); Jan-Feb 1950; Also lists of regional hospital boards, chairmen of medical committees of teaching hospitals and notes on grading of specialists.
    PP/CMW/D.2/2: Further official lists of doctors and recommended awards with associated documents (papers A21-24, A28-29, A31-33); Feb-Mar 1950.
    PP/CMW/D.2/3: Review of the Committee's Work up to June 1950' (Paper A35); Jun-50.
    PP/CMW/D.6/1/2: Lists for London regions, some headed 'not on photostat list', surgeons (carbon typescript) with covering letter to selectors Jan 1950, paediatricians (carbon typescript), general medicine (carbon typescript), lists of surgeons (pencil manuscript, not Moran); c.1950.
    PP/CMW/D.6/2: Schedules of consultants listed by speciality for Professional Assessment Committee; c.1949-1950.
    PP/CMW/D.6/2/1: South East metropolitan region, with recommendations; c.1949-1950.
    PP/CMW/D.6/2/2: South West metropolitan region, annotated by Moran with recommended grades; 1950.
    PP/CMW/D.6/2/3: North West metropolitan region, Supplementary list, annotated by Moran with recommended grades; 1950. .
    PP/CMW/D.6/3: 'Results of 1950 Voting'. Manuscript lists, annotated by Moran, for Birmingham, Bristol, East Anglia, Leeds, Liverpool, Manchester, Newcastle, Oxford, Sheffield, Wales and London regions; 1950.
    PP/CMW/D.6/4: Surgeons. Lists of recommendations by Association of Surgeons and Royal College of Surgeons; 1949-1950.
    PP/CMW/D.6/5: Whole-time clinical teachers. Lists and manuscript notes by Moran; 1950.
    PP/CMW/D.13/1: 1950 (?) Awards; 1945-1950.
    PP/CMW/D.13/1/1: Bristol, Sheffield, North East, North West, South East Metropolitan Regions, Association of Surgeons (with partial index); 1949-1950.
    PP/CMW/D.13/1/2: London Teaching Hospitals (with index); 1949-1950.
    PP/CMW/D.13/1/3: 'Faculties', Anaesthetics, ENT, Orthopaedics, Radiology, Ophthalmology, Royal College of Surgeons and Royal College of Physicians recommendations. All areas; 1945-1950.
    PP/CMW/K.5/1/1: Casablanca (1st Version, with Sir Desmond MacCarthy's comments), covering Jan-Feb 1943; c.1950.
    PP/CMW/K.5/1/2: Untitled typescript, with Desmond MacCarthy's comments, covering Feb-Oct 1943; c.1950.
    PP/CMW/K.5/1/3: Red Twinlock, revised version of Casablanca by CMW with comments and annotations by CMW, John Wilson and others. Covering Dec 1941-Feb 1945; c.1950.
    PP/CMW/K.5/5/1: Mr Churchill's fall from Power, '1st typing, with Sir Desmond MacCarthy's comments'. Period covered Feb 1945-Dec 1947; c.1950.
    PP/CMW/K.6/1/1: 'Mr Churchill's Fall from Power' (1945 period); c.1950.
    PP/CMW/K.6/2: Early revisions of war-time volumes; c.1949-1950.

    Donald Hunter papers
    PP/HUN/C/1/2: Acromegaly; 1923-1937.
    PP/HUN/C/1/16: Chloroma; 1913.
    PP/HUN/C/1/38: Grave's disease; 1928-1929.
    PP/HUN/C/1/66: Pigmentations; 1919-1937.

    Beit Memorial Fellowships
    SA/BMF/A.2/102 : Lythgoe, Richard James; 1926.
    SA/BMF/A.2/103 : Burnet, Macfarlane Frank; 1926.
    SA/BMF/A.2/104 : Frew, John Glover Hugo; 1926.
    SA/BMF/A.2/105 : Goldblatt, Maurice Walter; 1926.
    SA/BMF/A.2/107 : Stephens, John Gower; 1926.
    SA/BMF/A.2/108 : Woolf, Barnet; 1926.

    Mental After Care Association
    SA/MAC/G.2/6: Case Agenda Books; Jul 1925-Dec 1926.

    Wellcome Foundation records
    WF/CA/07: Staff Index Cards; c1898-c1933; Contents of six wooden filing drawers, originating from a larger series, containing staff index cards, arranged alphabetically by surname. Cards record: name, staff number, age and date of birth, start and leave date, reasons for leaving, department and wages. These cards refer to staff overseas as well as in the UK and include staff at WPRL.
    WF/CA/07/01: Brown - Carnay; c1898 - c1933.
    WF/CA/07/02: Carnay - Cook; c1898 - c1933.
    WF/CA/07/03: Cooke - Cooper; Hasleden - Hopkins; c1898 - c1933.
    WF/CA/07/04: Horley - Huckstep; Hum - Judges; c1898 - c1933.
    WF/CA/07/01/05: Judson - Ken[?y]ie; c1898 - c1933.
    WF/CA/07/06: Mee - Narayen; c1898 - c1933.
    WF/CA/07/07: Nash - Noye; Oakes - Pearson; c1898 - c1933.

    Holloway Sanatorium
    MS.5161: Females no. 28: Certified female patients admitted November 1924-October 1926; 1924-1926; Notes mainly by Elizabeth Casson and C Rutherford.

    Ticehurst House
    MS.6277: Medical journal; 1905-1910.

    Image: detail from a computer graphic by Rowena Dugdale, depicting costs of long-term care: from Wellcome Images.

    Thursday, January 28, 2010

    Rudolf Hess and the psychiatrists


    Rudolf Hess’s state of mind from the date of his landing in Scotland in 1941, throughout the years of his imprisonment in England, and during his trial in Nuremberg, has been the subject of speculation by historians, fiction writers and conspiracy theorists ever since. Prior to his trial Hess was examined by a commission of psychiatric experts from the United States, Great Britain, Russia, and France. The report of the British delegation, which included Lord Moran, concluded that he was ‘unstable’ and exhibited the characteristics of a ‘psychopathic personality’ but that he was not ‘insane in the strictest sense’ and he was subsequently deemed fit to stand trial. Moran’s own file relating to the matter is held by the Wellcome Library. It contains correspondence, clinical notes on Hess by J.R. Rees and Moran’s own notes (Ref: PP/CMW/G.3/2).

    Psychiatrists have since used this kind of material, gathered at the time, to come to their own conclusions. William Sargant’s interest in Hess is borne out by his possession of an English translation of an account by Hess of his imprisonment in England, including his physical and mental health and medical treatment. This document forms part of a recently-catalogued accession to the Sargant papers held in the Library (Ref: PP/WWS/A/22). Sargant gave his opinion in a review in the BMJ in 1962 of James Leasor’s Rudolf Hess, The Uninvited Envoy (London: George Allen and Unwin, 1962). He believed that ‘Hess was obviously psychiatrically ill at his trial’ and that Leasor had relied rather heavily on official sources when concluding that Hess was sane during his imprisonment. For Sargant
    It shows how the facts of history can so often be misjudged for posterity. Fortunately there are ample clinical descriptions ...of Hess’s many and complicated delusional systems, and of his hallucinations and other psychiatric abnormalities, so that future medical men will have a lot of factual data available to judge for themselves.[1]

    The two files of stray papers that form the additional Sargant accession were found amongst the papers of Ann Dally (Ref: PP/DAL), who was at one point working on a biography of Sargant, and transferred the original collection of his papers to the Library in 1995. In addition to the Hess document, they include small amounts of correspondence, published and unpublished writings and presscuttings. They date from the 1930s to the 1970s and cover a wide range of Sargant’s interests. Examples include texts for two lectures given in the 1940s, one on ‘modern treatments in psychiatry’ written for a postgraduate course at the West End Hospital for Nervous Disorders and one given in the United States on ‘physical treatment in psychiatry from a Pavlovian viewpoint’, Eliot Slater’s vote of thanks after a lecture given by Sargant in 1968 and reviews of Sargant’s autobiography, The Unquiet Mind.[2]

    [1] William Sargant, ‘Hess’s mental state’, BMJ (20 October 1962), p.1036.
    [2] William Sargant, The Unquiet Mind (London: Heinemann, 1967).

    Author: Jennifer Haynes

    Friday, January 8, 2010

    Addicted artists and the corridors of power: archive material opened January 2010

    Sherlock Holmes took his bottle from the corner of the mantel-piece, and his hypodermic syringe from its neat morocco case. With his long, white, nervous fingers he adjusted the delicate needle, and rolled back his left shirt-cuff. For some little time his eyes rested thoughtfully upon the sinewy forearm and wrist, all dotted and scarred with innumerable puncture marks. Finally, he thrust the sharp point home, pressed down the tiny piston, and sank back…
    (Sir Arthur Conan Doyle, The Sign of Four: opening words)


    Every year, at the start of January, the Wellcome Library opens various archive items to the public that have been closed under the Data Protection Act until this point. As usual, this year’s collection of expired closures is widely varied, the subjects spanning madness, animal experimentation, the skin pigmentation disorder Argyria, and the discussions of Allied leaders during World War II. The items’ formats include patient records, personal diary notes, fellowship applications and organisational subject files. But what do any of these have to do with the opening words of The Sign of Four, possibly the best-known depiction of drug use in English literature until Trainspotting came along?

    Among the items opened are several from the Manor House asylum, a private mental hospital located in Chiswick House, south-west London, some of whose papers are held at the Wellcome Library. MS.6224 comprises a volume of case notes for male patients in the years 1906-1925. The very first case provides our link. The patient, Charles Henry Malcolm Kerr, is an artist aged 48 who arrived at Chiswick in 1906. The doctor examining him on admission takes up the story:

    "He is described as being normally rather reserved, and has done some good work painting, his portraits having been accepted by the Academy…. Broke down last spring and became irritable & excitable. Taken by Dr Lord to his "home" at Hampstead, then began to smash things, & threaten, and evidently in a condition of absolute insane excitement, was certified & sent to the Priory."

    From the Priory Kerr was transferred to Chiswick. What his problems were may perhaps be indicated by the following undated note inserted between the pages of the newly-opened casebook:

    "Dear Dr Tuke,
    I wish I c[oul]d have some more brandy: it is like being in prison to be deprived like this of ordinary necessities.
    C.K.
    Also if you c[oul]d lend me a hypodermic syringe I s[houl]d be very much obliged."

    Another note sheds light on the syringe:

    "Dear Dr Tuke
    Last night, the morphia bottle was not found in my room: so Mr [illegible] refused to give me a dose at all: this, I regard as the most monstrous piece of insolence in a paid [illegible] I have ever heard of: but not by any means the only bit of impertinence I have been subject to.
    The morphia you have given me has had no effect at all. Mr Savage said definitely that I was to have it in doses strong enough to have some effect. I have told you over and over again that I have to take morphia in larger doses than people who are not accustomed to it: but you never attend to anything I say.
    C.K"

    Finally, another undated note suggests possible withdrawal symptoms:

    "Sir
    For heaven's sake send me some brandy or something, I never felt so ill in my life. If I had been at my own home I c[oul]d have put myself right hours ago.
    C.K"

    But the link to Sherlock Holmes? Although the doctor making notes on Kerr’s admission concentrates on his portrait work, Kerr was also a book illustrator of some note, providing pictures for works by Rider Haggard, Robert Louis Stevenson – and Conan Doyle. In fact, when The Sign of Four, with its vivid opening depicting intravenous drug use, was published in 1890, it was with illustrations by Charles H.M. Kerr.

    Holmes’s drug of choice is said to be cocaine rather than the morphia Kerr uses, but Doyle does make a reference to “the drowsiness of the drug” when talking of cocaine use in a way that suggests this is one of his notorious errors of detail and that, at least sometimes, Holmes should be seen as taking morphia. Does art imitate life in this case, or life imitate art? Did the illustrator work on a text describing a dependency he knew only too well, or only later fall victim to the same addiction? The case-notes await work that would flesh this out.

    What is only too clear is that the two addicts had different fates: Holmes, famously, is weaned off his drug-use by Watson, but Kerr has a less happy end. On September 8th 1906 he leaves the Manor House for his wife’s care, noted as "Discharged ‘Relieved’", but a note below this comments "Died at Burgess Hill, December 1907", a little over a year later.

    Elsewhere in the papers newly open, we find a notebook by Winston Churchill’s physician Lord Moran, containing observations on many topics including Churchill’s character and oratory, and the meetings of Allied leaders. In February 1945 he accompanies Churchill to the meeting of Allied leaders at Yalta and comments on Franklin D. Roosevelt’s poor health:

    There was a good deal of talk last night about the afternoon Conference at the President's house. Everyone thought he had gone to bits physically and there was much speculation ab[ou]t the cause. It was at [illegible] that I first realized there was something wrong and that he was losing weight. Now anyone can see that he is a very sick man. It is not only his physical deterioration that they notice. He intervened in the discussion very little, his mouth dropped and he seemed to have little grip on things. He has al[wa]ys been short of knowledge about the subject under discussion but his shrewdness as covered this up to the present. Now, they say, the shrewdness is gone and there is nothing left.
    Stalin doesn't seem to be taking advantage of the new situation…
    Cadogan [Sir Alexander George Montagu Cadogan (1884-1968), permanent under-secretary at the Foreign Office] told me he did not think Stalin liked the PM's theatrical style. He had noticed him looking at Winston when he was making gestures with tears in his eyes. I wonder if this only means Cadogan himself doesn't like this particular style of oratory…"
    (PP/CMW/K.4/2)

    This is one of only three items from the Moran papers to be opened this year, but these few are the prelude of a long series to come: January 2011 will see twenty-one items from that collection newly opened. Fascinating revelations can be expected.

    From addicted artists to the corridors of power: the full varied list of items newly opened is given below. Readers are warmly invited to visit the Library and enjoy the sensation of being among the first people to read these papers for decades.

    MS.6224 Manor House asylum: case notes, male patients (surnames A-K only), 1906-1925
    MS.6226 Manor House asylum: case notes, female patients (surnames L-Z only), 1906-1925
    MS.6334 Ticehurst House hospital: patient Certificates and Notices: Admission dates 1905-1909.
    MSS.6347-6348 Ticehurst House hospital: Margaret Georgina Finch patient file (2 parts)
    MS.6788 Ticehurst House hospital: Photograph Album
    PP/CMW/D.6/1/1 Lord Moran papers: notes on London teaching hospitals and metropolitan regions
    PP/CMW/D.6/1/3 Lord Moran papers: notes on teaching hospitals in the provinces
    PP/CMW/K.4/2 Lord Moran papers: notebook containing miscellaneous observations on Winston Churchill character, oratory, meeting Stalin, Teheran, 1943
    PP/HUN/C/1/7 Donald Hunter papers: Argyria
    PP/RAS/D.41/3 Hugo Rast papers: patient file, Wladimir Wolkoff
    SA/BMF/A.2/95-98, 100, 106 Beit Memorial Fellowship records. Files on: Eagles, George Hardy; Needham, Dorothy May; Chamberlain, Ernest Noble; Allott, Eric Newmarch; Denny-Brown, Derek Ernest; Irvine, James Tutin
    SA/BRA/C.1/3/1 Brain Research Association papers: response to the 1979 Protection of Animals (Scientific Purposes) Bill and the 1979 Laboratory Animals Protection Bill (Includes papers from the Committee for the Reform of Animal Experimentation, The Physiological Society, the Research Defence Society, The Royal Society, and the Universities Federation for Animal Welfare)
    SA/MAC/G.1/1 Mental Aftercare Association records: Registers
    SA/MAC/G.2/5 Mental Aftercare Association records: Case Agenda Books
    SA/RDS/J/12/3-9 Research Defence Society: files relating to the 1979 Protection of Animals (Scientific Purposes) Bill
    SA/RDS/J/17 Research Defence Society: correspondence, 1980

    All are described in the Archives and Manuscripts catalogue: simply search on the reference given at the start of each entry.

    Illustrations: the upper illustration shows the first page of The Sign of Four. The lower shows Lord Moran aboard a ship.