Use of Characterization Of Physicians
Men in White was a critical and commercial success when it was first produced on the New York stage in 1933. Although it raises compelling social issues that are still of concern today, such as abortion and the conflict between personal and professional life, Kingsley’s work generally has resonated much less loudly in the decades following his initial success. Paul Bailey notes in the Dictionary of Literary Biography, ‘‘Many contemporary critics of drama and theatre . . . tend to dismiss him with a brief mention of his work and an acknowledgment that his plays are either dated or insignificant.’’ The main reason for this dismissal is Kingsley’s dramatic style, which often strikes modern audiences as unrealistic, stilted, and underdeveloped. Writes Couch in her introduction to Sidney Kingsley, Five Prizewinning Plays this style ‘‘dates his work more than do the issues he confronts in that writing.’’
A prime example of the shortcomings of Kingsley’s writing, from a contemporary point of view, is seen in the characters who populate the hospital in Men in White. Medical personnel and patients alike fail to truly emerge as flesh-and-blood people. However, this stylistic technique for creating characters serves a more important purpose than presenting ‘‘round’’ characters: It illuminates Kingsley’s message—that being a good doctor requires absolute dedication, and if necessary, selfsacrifice. Kingsley creates three doctors associated with the hospital, whom Bailey finds to be ‘‘drawn in bold and clear strokes,’’ to demonstrate the options that Ferguson has before him as he is forced to choose between the demands of his fiancée, his mentor, and himself. These doctors—Cunningham, a successful but incompetent society doctor; Levine, a beaten-down doctor scraping by in private practice; and Hochberg, the well-respected, capable chief of surgical staff—all provide examples of whom Ferguson might become in the future.
As a young, talented intern with a bright but busy future ahead of him, Ferguson is at a crossroads in his life and career. He plans on becoming a surgeon but this path requires significant sacrifices. He is willing to make these sacrifices but his willful, spoiled fiancée, Laura, rejects all notion of them. Tired of Ferguson’s unavailability and foreseeing this as the pattern of their life together, Laura tells him that she only will put up with his schedule for another year; after they return from Vienna she wants him to discontinue his studies in order to ‘‘arrange our lives like human beings.’’ Her solution is for Ferguson to ‘‘open up an office and have regular hours . . . specialize!’’ Through the character of Cunningham, however, Kingsley makes it clear what kind of doctor—and man—Ferguson would become were he to choose this path.
With his flourishing Park Avenue practice, ‘‘impressive equipment,’’ and wealthy patients, Cunningham would seem the picture of a successful doctor. However, Cunningham is all image, and his success merely the result of his ‘‘political influence,’’ which has also helped him secure the privilege of using the hospital facilities although ‘‘his colleagues look down on him with scorn.’’ In truth, Cunningham is a dangerous, incompetent quack. Having no interest in ‘‘keeping up with the medical journals and the march of treatment,’’ and believing that ‘‘nine patients out of ten will be cured by nature anyway, and the tenth will die no matter what the physician does for him,’’ he lacks the dedication that people expect from physicians. He is so unfamiliar with current medicine that, were it not for Ferguson’s intervention, he would have killed his young patient, Dot, whom he had misdiagnosed and sent into shock with an overdose of insulin. Kingsley makes it clear that...
(This entire section contains 1513 words.)
Unlock this Study Guide Now
Start your 48-hour free trial and get ahead in class. Boost your grades with access to expert answers and top-tier study guides. Thousands of students are already mastering their assignments—don't miss out. Cancel anytime.
Already a member? Log in here.
if Ferguson accepts the hospital’s offer of an associateship, he will end up like Cunningham, a doctor for whom he feels nothing but distaste. At the meeting of trustees, it is roundly acknowledged that if Ferguson goes into private practice, ‘‘[W]ith his wife’s connections, he ought to . . . er . . . do very nicely.’’ But according to Hochberg, Ferguson ‘‘doesn’t know enough, yet; he’s apt to make mistakes’’; Ferguson is neither ready for an associateship nor private practice, but at Laura’s behest, he is willing to ‘‘sacrifice his career for a nice office and an easy practice.’’ Ferguson well recognizes the mistake he is about to make in terms of his medical career. Though he claims to be ‘‘delighted’’ by the opportunity, in reality he ‘‘looked so glum’’ after speaking to one of the doctors about his acceptance of it. Already, with the decision he has made, Ferguson is becoming more and more like Cunningham.
This potential of developing into Cunningham is taken away after Laura breaks off the engagement, which means Ferguson loses the offer of the associateship and the chance to progress himself through the Hudson family connections. However, the chain of events instead offers Ferguson another alternate future: becoming a Levine. This oncepromising intern gave up the chance to ‘‘be somebody’’ when he married. Disowned by his wealthy mother, he was forced to discontinue his studies in order to go into private practice to support his wife. The facts of his life since he left the hospital bear out his loss. When Levine first went into practice, he was sure and confident. He wouldn’t allow Hochberg to help him even a little bit. However, without connections, as Ferguson now is, Levine was reduced to ‘‘Tenements! Fifty-cent patients! Poverty! Dirt! Struggle!’’ The past six years have been a struggle for Levine and his wife, who has since developed tuberculosis. When Ferguson first meets Levine, the former intern presents the picture of a man whom life has beaten down, with his shabby clothing and worry lines crossing his forehead. By the end of the play, desperately trying to build up a new practice in Colorado, he is reduced to begging Hochberg for the loan of a few dollars.
Levine has come to feel some sense of regret for the choices he made in the past. He considers Ferguson lucky to have the opportunity to study with Hochberg and sighs sadly when speaking of the same opportunities that he squandered. Kingsley makes the parallelism clear: If Ferguson follows through on his intention of marrying and going into private practice to earn a living, he will become like Levine, haunted by bitterness and the memories of what he gave up. Levine considers himself a ‘‘human sacrifice,’’ and Ferguson will undoubtedly become another sacrifice, with his ambitions and ideals destroyed.
One other future faces Ferguson, a future represented by Hochberg himself. Hochberg has devoted his life to his work and urges Ferguson, whom he believes has great potential, to follow in his footsteps. His dedication to the medical profession shows itself in his utter lack of personal life; with Ferguson, he talks only of patients and of the studies that lie ahead. The rest of the doctors, as well as discerning patients such as Hudson, greatly revere Hochberg. When he enters the library where they gather, he is immediately bombarded with requests and opinions. Hochberg has earned this position because he placed his medical career above everything else. He continually reminds Laura that Ferguson needs to concentrate on his studies, holding out as an example a doctor who works with him now who ‘‘even has a cot rigged up in one of the laboratories’’ to ease his 16-plus hour days. As Ferguson’s mentor, Hochberg will undoubtedly sculpt the younger man into a version of himself.
While Bailey finds Hochberg a sympathetic character who is ‘‘full of wisdom and patience,’’ other readers may choose to question the surgeon’s narrow focus and its accompanying lack of humanity. His attitude is most clearly seen when he learns of Ferguson’s intention to marry Barbara. Calling Ferguson’s desire to do the honorable thing ‘‘[M]id- Victorian idealism,’’ he urges Ferguson to reconsider letting this ‘‘accident . . . ruin yourself—the rest of your life—destroy your ambition.’’ He believes that in helping a woman whose ruin he helped bring about, Ferguson will merely be ‘‘throwing his life away.’’ With his admonitions, he reveals his essential belief that nothing is important but the medical profession. He puts the important work that good doctors do—saving lives—ahead of everything else.
At the end of the play, with Barbara’s sudden death, Ferguson has the chance to choose between these three models or to carve out his own style of doctoring. After Laura rescinds her earlier demands that he give up his studies with Hochberg, declaring that she will marry him nonetheless, Ferguson has the opportunity to combine his professional love and his personal love. Instead, Ferguson decides to follow in Hochberg’s footsteps. He affirms his commitment to the medical profession when he tells Laura ‘‘This is where I belong!’’ Ferguson has come to accept, like Hochberg before him, that for the physician the reward is in ‘‘something richer than simply living’’—it is in sacrificing his own life to the greater need of society.
Source: Rena Korb, Critical Essay on Men in White, in Drama for Students, The Gale Group, 2002.
Deep Issues of Staged Production
Sidney Kingsley’s three-act play, Men in White, is a mix of social commentary on moral issues and soapopera drama. But more than this, it is a deeply felt philosophical treatise on humanity. The visible, driving emotional force of the play is a young intern’s struggle to integrate his career with an upcoming marriage. Its hospital setting uses lifeand- death issues, love, and betrayal to pull the audience toward a conclusion. The drama of the intern’s tortured conscience over a sexual impropriety, which eventually causes the death of a young nurse, rakes the conclusion with profundity. The actual cause of her death, a botched, back-street abortion, becomes an underlying moral theme, seldom discussed in the 1930s. Beneath this veneer, however, many other serious issues are brought forth: medical ethics, the economics of medicine following the Depression, integrity in actions, and altruism in a most dedicated form.
Rather than using medicine as a mere setting for entertainment, Kingsley takes on the philosophical issues of ethics, truthfulness, compassion, altruism, and even greed, in a very simple, yet dramatic format. One line, brought into the body of the text through the remembered voice of the young intern’s father, sums up Kingsley’s theme for Men in White: ‘‘My dad used to say, ‘Above all is humanity!’ He was a fine man—my dad.’’ The intern goes on to say how his father died because he refused to give up medicine as a career in favor of his own health. Then he says, ‘‘Above all else is humanity—that’s a big thought. So big that alongside of it you and I don’t really matter very much. That’s why we do it, I guess.’’ Kingsley’s ideas about personal values come through in scene after scene. Had he not become a playwright and actor, he may well have become a physician or some other server of humanity.
Along with praise, reviewers and critics have found fault with Men in White, yet it was a triumph on stage and screen. In a review in Sidney Kingsley: Five Winning Plays, edited by Nena Couch, Thomas E. Luddy of Salem State College in Massachusetts says that the usual response of critics to Kingsley’s plays has been that ‘‘they practice outdated dramaturgy (19th-century naturalism), argue a suspect sociology (determinism), and embrace a dead politics (socialism).’’ In the 1930s, ideas of the nineteenth-century may have become stale to the point of feeling outdated, but it was these elements that contributed to the success of Men in White. Kingsley’s use of personal struggle and dedication in an unkind world gave its audience a point of identification. Luddy believes, however, that because of ‘‘the writing power, the mastery of issues, and complexity of the stage vision,’’ Kingsley’s plays have a permanent place in the theatre. The themes and style of Kingsley’s plays can be seen in many contemporary TV shows. Social elements and laws of nature, always present in society and often presented as dramatic themes, create an emotional impact for an audience.
One person who thought little of Kingsley’s writing power in Men in White and of his mastery of issues was Elia Kazan. Kazan was a member of the Group Theatre company, as was Kingsley, that first performed Men in White in 1933. In his autobiography, A Life, published in 1988, Kazan wrote that it was ‘‘the style of Lee Strasberg’s production and their own [the Group’s] ensemble playing [that] had provided Sidney Kingsley’s bone-bare text with what it didn’t deserve.’’ What it didn’t deserve, according to Kazan, was its great success on Broadway, and the Pulitzer Prize it won the following year. It was even the ‘‘first great success’’ for the Group, said Kazan, giving its members ‘‘a long flow of full salaries.’’ In 1934, while still on Broadway, Men in White was released as a film by MGM, starring Clark Gable and Myrna Loy. It was a success, although Kazan never acknowledged its attributes. Its issues and emotional base did not make it a success for Kazan.
MGM recognized the opportunity for success with Kingsley’s theme and issues, however; issues common to all societies, issues of substance, brought forth through love, death, and sacrifice. This is dramaturgy with naturalism that reaches across social boundaries. Beyond soap-opera dramatizing, the emotional impact of the issues thrives.
In reading only the script, it is true that the dialogue, settings, and characterizations are all quite average. The story is simple, the scenes minimal. Yet, when reading the original text as published by Covici Friede in 1933, with footnotes intact, it is apparent that Kingsley’s purpose was not merely to create an actable play, with hopes of stardom, but rather to purport some profound philosophical ideas. His dedication of the play reads ‘‘To the men in medicine who dedicate themselves, with quiet heroism, to man.’’ Following the dedication in the text, and before the opening scene of the play, Kingsley places a lengthy excerpt from the Hippocratic oath, which as Kingsley says, ‘‘physicians have bound themselves since the days of antique Greece.’’ As an oath, it is a most serious commitment for men of medicine, meant to bind them with heart, mind, and spirit to the principles of altruism. They are sworn by ‘‘all the gods and goddesses’’ to do only good for the benefit of the sick and all men.
Through the play’s dialogue, Kingsley speaks seriously about the nature of humanity, of the importance of man’s humanity toward his fellows as being the most important element of their lives. In the hospital setting, it is the service of the physician to his patients—above all else—be it home, health, money, or personal need that he attempts to bring forth. However, it is in the footnotes of the original text where Kingsley records not only his own views on these issues, but backs them up with serious thought from respected sages of the past. Some footnotes are merely historical in nature or give medical definitions to the reader, while others are educational, regarding advances in anesthesia and sterilization techniques. Many of Kingsley’s more serious concerns are brought out in the footnotes of the opening pages. A footnote on the first page of dialogue quotes the German born physician and researcher Hermann Nothnagel: ‘‘All knowledge attains its ethical value and its human significance only by the humane sense in which it is employed. Only a good man can be a great physician.’’ He makes a footnote reference to the enormous bulk of information that had come to the science of medicine by then, and to the great task of the physician to absorb and use it. Another footnote quote is by Karl Marx, from Garrison’s History of Medicine: ‘‘The education of most people ends upon graduation; that of the physician means a lifetime of incessant study.’’ Throughout both footnote and text, Kingsley continues to make a strong case for the seriousness and dedication needed to succeed in medicine. The principles of a dedicated humanity are extremely important to this author.
Perhaps the play’s most important issue, and the one it is most often remembered for, is abortion. While abortion plays a prominent part in the stage production, it is also discussed in the footnotes. Kingsley takes the issue seriously. He comments clearly on the criminal state of abortion: politically, ethically, and socially. Expanding on a footnoted quote by a former president of the American Medical Association on the number of abortions in New York and Chicago being greater than the number of children born, Kingsley says:
Most of these operations are performed on otherwise respectable, law-abiding, married women. Proof enough that here is another social problem that can’t be eliminated by legislation. No one wants to encourage the indiscriminate use of this grim practice. However, the lash of the law, instead of correcting the evil, only whips it into dark corners, creating a vicious class of criminal practitioner—bootleg doctors and ignorant midwives who work in dark, back-room apartments. A saner, healthier attitude is that adopted by the Soviet government, which is fostering birth control education, and instituting legal abortion clinics in a spirit best expressed by the motto inscribed over the door of one such clinic: ‘You are welcome this time, but we hope you will never have to come here again.’
The Group Theatre ensemble produced plays that dealt with moral issues. When Kingsley presented his ‘‘bare-bones text’’ to the Group, he opened the door for the rest of the process to complete itself—that process being creativity. Kazan was right in this regard, that the play needed a skilled ensemble to present it. When a dramatic work is written as a play, it is never finished on the page. Not until it is interpreted and performed by its actors is it a completed work. Kingsley was able to, with his simple presentation and complex issues, give his players just the right formula for a successful performance. Its ingredients were: an altruistic and well meaning leading man; an obstacle for the leading man in terms of a fiancée who doesn’t fully understand his need for dedication to medicine; a small but important outside love interest; a plotdriving mentor, always pushing for the hero’s success; one less-than-competent wealthy physician; comic relief in the form of two rather less-thanserious interns; a serious sociopolitical issue of the day (i.e., the state of medicine and hospitals in a floundering society recovering from a major Depression); and a seldom discussed social issue, abortion. Without the depth and intensity of the emotional issues, this may well have been bare-bones. But it is not and was not bare-bones, not when the surface had been pierced by the accomplished actors of the Group, who were able to bring all of the background sentiments and seriousness of the issues to the foreground. They brought personal feelings and experience to the stage and created believable, flesh-and-blood characters.
Apart from the emotional intrigue of the play, Kingsley did a successful job with pacing to give it dramatic impact (even with its contemporary soapopera flare). At the end of the first act the hero has an undescribed, but obvious, sexual liaison. At the end of act 2 he is in the operating room helping to undue the damage he had done at the end of act 1 (the girl with whom he had a sexual liaison had an abortion outside the hospital and was at the hospital due to complications from a botched underground procedure). Meanwhile, the hero’s fiancée is also in attendance and discovers that her fiancé is the cause of the poor girl’s condition. This is the major plot point of the entire play. At the end of act 3, all truth is revealed and actualized. The young nurse dies, from even more complications, the hero is sent into the world with a blessing to do his best for humanity and himself, and the fiancée has understood and accepted his need for dedication and service, somewhat forgiving him for his indiscretion. Her parting words are, ‘‘Maybe some day we’ll get together, anyway.’’ An audience loves the possibility of happily ever after.
Sidney Kingsley wrote a number of plays. Some were successful and some not, but the success of Men in White came from not only the drama of life, death, love, and sex, along with a talented ensemble and receptive audience, but also from the depth of the author’s obviously heartfelt issues involving medicine and altruism. Men in White was a combination of elements that worked.
Source: Ray Warren, Critical Essay on Men in White, in Drama for Students, The Gale Group, 2002.