The Doctor's Dilemma (play)

Last updated

The Doctor's Dilemma
Alvin Langdon Coburn-Shaw.jpg
Written by George Bernard Shaw
Date premiered20 November 1906
Place premiered Royal Court Theatre, London
Original languageEnglish
SubjectA doctor must decide who will receive scarce life-saving treatment
Genre problem play
SettingA doctor's consulting room; an artist's studio

The Doctor's Dilemma is a play by George Bernard Shaw first staged in 1906. It was published in 1909. [1] It is a problem play about the moral dilemmas created by limited medical resources, and the conflicts between the demands of private medicine as a business and a vocation.

Contents

Characters

Roles and original cast:

THE DOCTOR'S DILEMMA
ROYAL COURT THEATRE PROGRAMME
"Commencing Monday December 31st, 1906 for Six Weeks Only"
The Newspaper Man is played by Mr Jules Shaw, according to this programme.

Plot

Photograph of scene designed by Jo Mielziner for George Bernard Shaw's Doctor's Dilemma, 1927 Jo Mielziner Doctor's Dilemma.jpeg
Photograph of scene designed by Jo Mielziner for George Bernard Shaw's Doctor's Dilemma, 1927

The eponymous dilemma of the play is that of the newly knighted doctor Sir Colenso Ridgeon, who has developed a revolutionary new cure for tuberculosis. However, his private medical practice, having limited staff and resources, can only treat ten patients at a time. From a group of fifty patients he has selected ten he believes he can cure and who, he believes, are most worthy of being saved. However, when he is approached by a young woman, Jennifer Dubedat, with a deathly ill husband, Louis Dubedat, he admits that he can, at a stretch, save one more patient, but he insists that the individual in question must be shown to be most worthy of being saved. The situation then becomes complicated, as an old friend and colleague reveals, he too, needs treatment. Sir Colenso must choose which patient he will save: a kindly, altruistic, poor medical colleague, or a young artist who is extremely gifted, but an amoral, very unpleasant womaniser and bigamist. Sir Colenso has also fallen in love with the young and vivacious Jennifer Dubedat, which makes it even harder for him to be clear about his motives for choosing who shall live.

In the end, the doctor decides to treat his colleague, deceiving Louis and Jennifer by telling them that another doctor will treat him. Before Louis dies, he persuades his wife to promise that she will remarry. Sir Colenso convinces himself that she will marry him. But when she learns of his wish, she is horrified: she cannot imagine wanting to marrying someone as old as he is. At that point, Sir Colenso confesses to her that he had selected his colleague over Louis partly because he is infatuated with her. Jennifer’s disgust upon learning this makes Sir Colenso question his decision.

Preface

The Preface to the play – typically, as long as the drama itself – is an extensive tirade against the professions, and in particular the medical profession, as being excessively given to protestations of the public good and the actual pursuit of private interest. As a founding member of the Fabian movement in 1884, Shaw – a school drop-out who had used the British Library to achieve a massive self-education programme in his 20s and was active in local politics in the deprived London area of St Pancras – was a passionate critic of the huge disparities between the wealthy and the poor, and his unique combination of prodigious intellect and panoramic knowledge meant that he was seldom intimidated in his mission for fairness and truth (a substantial part of the Preface, however, is given over to a glittering harangue against vivisection). At the time of this play he was a highly successful dramatist, with works such as Man and Superman and Major Barbara enjoying international acclaim. The Doctor's Dilemma would come to be seen as the greatest satire on the medical profession since Molière's Malade Imaginaire . [2]

Shaw credits Almroth Wright as the source of his information on medical science: "It will be evident to all experts that my play could not have been written but for the work done by Sir Alm[r]oth Wright on the theory and practice of securing immunization from bacterial diseases by the inoculation of vaccines made of their own bacteria." [3] This remark is characteristically ironical. Wright was knighted shortly before this play was written, and Shaw was suspicious of Wright's high reputation (the latter was also known by the nickname Sir Almost Right). The two men met in 1905, and engaged in a long series of robust discussions, involving at one point a challenge from the medical audience that they had "too many patients on our hands already". Shaw's response was to ask what would be done if there was more demand from patients than could be satisfied, and Wright answered: "We should have to consider which life was worth saving." This became the "dilemma" of the play. [4]

The preface mentions that there is another dilemma: poor doctors are easily tempted to perform costly but useless (and in the best case harmless) operations or treatments on their patients for personal gain. "Could I not make a better use of a pocketful of guineas than this man is making of his leg?" This was reportedly inspired by the behaviour of a prominent Ear Nose and Throat specialist in London who had developed a simple and almost harmless operation to remove the uvula, which did no benefit to his patients but made the surgeon a great deal of money.

Significance

The play also mentions (then) new developments in the germ theory of disease, namely opsonins, and included socialist and anti-vivisectionist viewpoints.

The theme of the play remains current: in any time, there will be treatments that are so scarce or costly that some people can have them while others cannot. Who is to decide, and on which grounds is the decision to be taken?

It is sometimes claimed that an unexpected side-effect of the play's success was to greatly increase the popularity of the first name "Jennifer" (the name of the main female protagonist) in the English-speaking world. [5] However, UK government statistics (covering England and Wales) only show the name 'Jennifer' first entering the top 100 most commonly used names for baby girls in 1934—a full 28 years after the play was first staged. Similarly, the name didn't enter the top 1,000 names for newborn US girls until 1938.

Production information

The Doctor's Dilemma was first produced on 20 November 1906 at the Royal Court Theatre. [6]

Actress Katharine Cornell produced the play on Broadway in 1941, starring herself and Raymond Massey. [7]

In 1942 Binkie Beaumont produced the play as a vehicle for Vivien Leigh. After a 6 month provincial tour it opened in London's West End at the Haymarket where it ran for over a year.

A film adaptation of the play, with the same title, was made in 1958, directed by Anthony Asquith, starring Leslie Caron and Dirk Bogarde. [8]

The play’s most recent high-profile revival (2012) was on the Lyttelton stage at the National Theatre in London. [9] The production was directed by Nadia Fall, with Aden Gillett playing the eponymous doctor, Genevieve O'Reilly as Jennifer Dubedat, and Tom Burke as Louis Dubedat. The production received middling reviews. [10] [11]

Related Research Articles

<span class="mw-page-title-main">George Bernard Shaw</span> Irish playwright, critic, and polemicist (1856–1950)

George Bernard Shaw, known at his insistence as Bernard Shaw, was an Irish playwright, critic, polemicist and political activist. His influence on Western theatre, culture and politics extended from the 1880s to his death and beyond. He wrote more than sixty plays, including major works such as Man and Superman (1902), Pygmalion (1913) and Saint Joan (1923). With a range incorporating both contemporary satire and historical allegory, Shaw became the leading dramatist of his generation, and in 1925 was awarded the Nobel Prize in Literature.

<span class="mw-page-title-main">John Robinson (English actor)</span> English actor

John Robinson was an English actor, who was particularly active in the theatre. Mostly cast in minor and supporting roles in film and television, he is best remembered for being the second actor to play the famous television science-fiction role of Professor Bernard Quatermass, in the 1955 BBC Television serial Quatermass II.

<span class="mw-page-title-main">Harley Granville-Barker</span> British actor and playwright (1877–1946)

Harley Granville-Barker was an English actor, director, playwright, manager, critic, and theorist. After early success as an actor in the plays of George Bernard Shaw, he increasingly turned to directing and was a major figure in British theatre in the Edwardian and inter-war periods. As a writer his plays, which tackled difficult and controversial subject matter, met with a mixed reception during his lifetime but have continued to receive attention.

<span class="mw-page-title-main">Almroth Wright</span> British microbiologist and immunologist (1861-1947)

Sir Almroth Edward Wright was a British bacteriologist and immunologist.

<i>Mrs. Warrens Profession</i> Play by George Bernard Shaw

Mrs. Warren's Profession is a play written by George Bernard Shaw in 1893, and first performed in London in 1902. It is one of the three plays Shaw published as Plays Unpleasant in 1898, alongside The Philanderer and Widowers' Houses. The play is about a former prostitute, now a madam, who attempts to come to terms with her disapproving daughter. It is a problem play, offering social commentary to illustrate the idea that the act of prostitution was not caused by moral failure but by economic necessity. Elements of the play were borrowed from Shaw's 1882 novel Cashel Byron's Profession, about a man who becomes a boxer due to limited employment opportunities.

<i>The Philanderer</i> Pay by George Bernard Shaw

The Philanderer is a play by George Bernard Shaw.

<i>The Apple Cart</i>

The Apple Cart: A Political Extravaganza is a 1928 play by George Bernard Shaw. It is a satirical comedy about several political philosophies which are expounded by the characters, often in lengthy monologues. The plot follows the fictional English King Magnus as he spars with, and ultimately outwits, Prime Minister Proteus and his cabinet, who seek to strip the monarchy of its remaining political influence. Magnus opposes the corporation "Breakages, Limited", which controls politicians and impedes technical progress.

<i>Heartbreak House</i> Play by George Bernard Shaw

Heartbreak House: A Fantasia in the Russian Manner on English Themes is a play written by George Bernard Shaw, first published in 1919. The English language premiere was at the Garrick Theatre in November 1920. According to A. C. Ward, the work argues that "cultured, leisured Europe" was drifting toward destruction, and that "Those in a position to guide Europe to safety failed to learn their proper business of political navigation". The "Russian manner" of the subtitle refers to the style of Anton Chekhov, which Shaw adapts.

<span class="mw-page-title-main">Robert Flemyng</span> British actor

Benjamin Arthur Flemyng, known professionally as Robert Flemyng, was a British actor. The son of a doctor, and originally intended for a medical career, Flemyng learned his stagecraft in provincial repertory theatre. In 1935 he appeared in a leading role in the West End, and the following year had his first major success, in Terence Rattigan's comedy French Without Tears. Between then and the Second World War he appeared in London and New York in a succession of comedies.

Marilyn J. "Lynn" Farleigh is an English actress of stage and screen.

<i>Cashel Byrons Profession</i> Book by George Bernard Shaw

Cashel Byron's Profession is George Bernard Shaw's fourth novel. The novel was written in 1882 and after rejection by several publishers it was published in serialized form in a socialist magazine. The novel was later published as a book in England and the United States. Shaw wrote five novels early in his career and then abandoned them to pursue politics, drama criticism and eventually play writing. The Admirable Bashville (1901), a short play based loosely on this novel, was written to protect American copyrights after the novel became unexpectedly successful in the United States.

The Shaw Festival is a major Canadian theatre festival in Niagara-on-the-Lake, Ontario, the second largest repertory theatre company in North America. Founded in 1962, its original mandate was to stimulate interest in George Bernard Shaw and his period, and to advance the development of theatre arts in Canada.

<i>The English Surgeon</i> 2007 British documentary film

The English Surgeon is a documentary film that premiered at the BFI London Film Festival in 2007. It focuses on the work of Henry Marsh, a neurosurgeon from the UK, and his efforts to help desperately ill patients in Ukrainian hospitals.

<i>The Dark Lady of the Sonnets</i> 1910 short comedy by George Bernard Shaw

The Dark Lady of the Sonnets is a 1910 short comedy by George Bernard Shaw in which William Shakespeare, intending to meet the "Dark Lady", accidentally encounters Queen Elizabeth I and attempts to persuade her to create a national theatre. The play was written as part of a campaign to create a "Shakespeare National Theatre" by 1916.

<i>The Doctors Dilemma</i> (film) 1959 British film

The Doctor's Dilemma is a 1958 British comedy-drama film directed by Anthony Asquith and starring Leslie Caron, Dirk Bogarde, Alastair Sim, and Robert Morley. It is based on the 1906 play The Doctor's Dilemma by George Bernard Shaw. A satire on the pretensions of the medical profession and their concentration on treating patients who can pay well, it contrasts their world of imperfect science, always bumping up against unknowns, with the boundless spheres of love and beauty.

<i>The Shewing-Up of Blanco Posnet</i>

The Shewing-Up of Blanco Posnet: A Sermon in Crude Melodrama is a one-act play by George Bernard Shaw, first produced in 1909. Shaw describes the play as a religious tract in dramatic form.

<i>The Simpleton of the Unexpected Isles</i> 1934 play by George Bernard Shaw

The Simpleton of the Unexpected Isles: A Vision of Judgement is a 1934 play by George Bernard Shaw. The play is a satirical allegory about an attempt to create a utopian society on a Polynesian island that has recently emerged from the sea.

<i>How These Doctors Love One Another!</i>

How These Doctors Love One Another! is a short playlet written in 1931 by George Bernard Shaw which satirises a dispute between two doctors about the use of antiseptics in surgery. Shaw regularly attacked conventional medicine in his works.

<i>The Inca of Perusalem</i>

The Inca of Perusalem, An Almost Historical Comedietta (1915) is a comic one-act play written during World War I by George Bernard Shaw. The plot appears at first to be a fairy-tale like story about a fantastical "Inca", but it eventually becomes obvious that the Inca is Kaiser Wilhelm II of Germany.

<i>OFlaherty V.C.</i>

O'Flaherty V.C., A Recruiting Pamphlet (1915) is a comic one-act play written during World War I by George Bernard Shaw. The plot is about an Irish soldier in the British army returning home after winning the Victoria Cross. The play was written at a time when the British government was promoting recruitment in Ireland, while many Irish republicans expressed opposition to fighting in the war.

References

  1. "The Project Gutenberg eBook of The Doctor's Dilemma: Preface on Doctors, by Bernard Shaw". www.gutenberg.org. Retrieved 13 August 2023.
  2. Iain McClure, British Medical Journal, 4 August 2007, "The Doctor's Dilemma".
  3. Violet M. Broad & C. Lewis Broad, Dictionary to the Plays and Novels of Bernard Shaw, A. & C. Black, London, 1929, p.41.
  4. Michael Holroyd, The Guardian 13 July 2012, "Bernard Shaw and his lethally absurd doctor's dilemma".
  5. Evans, Cleveland Kent (1 November 2011). "Jennifer went from 'strange' to popular". Omaha World Herald . Omaha, Nebraska. Archived from the original on 7 September 2012. Retrieved 15 January 2013.
  6. "Irish Playography". Archived from the original on 2 May 2007. Retrieved 24 October 2020.
  7. Tad Mosel, "Leading Lady: The World and Theatre of Katharine Cornell," Little, Brown & Co., Boston (1978)
  8. The Doctors's Dilemma - 1958 film - at Britmovie.co.uk
  9. "The Doctor's Dilemma | National Theatre | South Bank, London". Archived from the original on 3 November 2013. Retrieved 28 August 2013.
  10. Shuttleworth, Ian (25 July 2012). "The Doctor's Dilemma, National Theatre (Lyttelton), London". Financial Times. Retrieved 24 October 2020.
  11. "The Doctor's Dilemma, National Theatre, review". The Telegraph. Retrieved 24 October 2020.