Selecting a somatic type: the role of anorexia in the rest cure.

A collection of before and after photographs of female patients treated using Weir Mitchell's Rest Cure for neurasthenia shows how important the anorectic body was to the promotion of this specific method of treatment. The photographs document the inevitable weight gain that resulted from the Rest Cure's prescription of absolute bed rest and the consumption of a high caloric diet requiring the ingestion of several quarts of milk daily. In doing this, the photos served a powerful semiotic function, since the plump individual at the end of the treatment presented a dramatic contrast to the emaciated long-term invalid who had begun it. The after treatment photographs also implied that these women were now capable of discharging their roles as wives and mothers, since an additional benefit of the Rest Cure was that severely underweight patients resumed normal menstrual cycles. However, although the Rest Cure undeniably alleviated some physical symptoms, it did not address underlying issues of what had caused so many of these patients to take to their beds in the first place, often for years at a time.