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Cover of Dr. Breen's Practice

Dr. Breen's Practice

Written by William Dean Howells

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About this book

"Dr. Breen's Practice" by William Dean Howells is a novel written in the late 19th century. The book revolves around Grace Breen, a young female physician, who is navigating her career in a society that is skeptical of female doctors, particularly as she tends to a patient named Mrs. Maynard at a seaside resort called Jocelyn’s. The narrative explores themes of gender roles, social expectations, and the complexities of human relationships against the backdrop of medical practice. The opening of the novel sets the scene at Jocelyn’s, describing the hotel and the natural surroundings while establishing the social dynamics among the boarders. We are introduced to Grace Breen and her interactions with other residents, including her ill-tempered patient, Mrs. Maynard, who has a history of feeling mistreated and is currently navigating the complexities of her own personal life. As Grace grapples with her responsibilities as a doctor, the narrative hints at her internal struggles and social pressures, especially as she attempts to maintain her professional integrity in a patriarchal context. The brief exchanges between Grace and her friends, as well as her mother’s concerns, lay the groundwork for exploring how her female identity intersects with her role as a healer in a world that often underestimates women's capabilities.

Reading guide

Themes, characters and key ideas in Dr. Breen's Practice, written by Chaptra AI.

  • about 9 hours
  • intermediate
  • Thought-provoking
  • Realistic
  • Social commentary

William Dean Howells' "Dr. Breen's Practice" delves into the struggles of Grace Breen, a pioneering female physician navigating a skeptical 19th-century society. Set at a seaside resort, the novel chronicles her professional and personal challenges as she treats the demanding Mrs. Maynard, all while contending with societal expectations regarding gender roles and medical practice. Grace's journey explores the intersection of her identity as a woman and a healer, highlighting her internal conflicts and the external pressures she faces. The narrative ultimately examines the complexities of human relationships and the pursuit of professional integrity in a patriarchal world.

"A woman's practice, even in medicine, must always be more or less a practice of human nature."

Key themes

Gender Roles and Professionalism
This is the central theme, exploring the immense societal barriers and prejudices faced by women, specifically Grace Breen, attempting to enter and succeed in male-dominated professions like medicine in the late 19th century. It examines the conflict between traditional feminine expectations and the desire for professional autonomy.
Social Expectations vs. Individual Aspirations
This theme delves into the tension between what society dictates as appropriate for an individual, particularly a woman, and the individual's personal desires, talents, and ambitions. Grace's journey is a prime example of this conflict.
Realism and Social Commentary
Howells, a leading proponent of literary realism, uses the novel to meticulously observe and critique American society. The theme emphasizes the objective portrayal of everyday life, characters, and social conditions, often highlighting the flaws and hypocrisies within the existing social structure without resorting to sentimentality or melodrama.

Worth discussing

How does Howells portray the challenges faced by women entering male-dominated professions in the 19th century? Are these challenges still relevant today?

Chapter-by-chapter breakdowns, character arcs and the full thematic analysis come with a free account.

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