The Rise of Forensic Science

Forensic medicine, also called "medical jurisprudence" or "legal medicine," emerged in the 1600s. As European nation-states and their judicial systems developed, physicians and surgeons participated more frequently in legal proceedings. By the late 1700s, medical jurisprudence had become a standard subject in the medical curriculum. In the early 1800s, Parisian medical professor Mathieu Orfila and others began to intensively study poisons and the decomposition of bodies.

To win acceptance, aspiring medical experts had to make their procedures, accomplishments, and themselves, visible. In the university, laboratory, courtroom, press, and even the pages of the medical treatise, forensic medicine had a theatrical aspect. The medical witness, the eminent professor, the autopsist, and the toxicologist all sought to dramatize their methods, findings, and professional identity.

The tryal of Spencer Cowper, Esq., London, 1699

This pamphlet shows the increasing involvement of physicians and surgeons as expert witnesses in murder investigations—and the growth of a reading public interested in news of such matters.

Courtesy National Library of Medicine

The Rise of Forensics

Medico-Legal Questions

Forensic medicine first appeared as a distinct subject in works such as Paolo Zacchia's Questiones Medico-Legales (1621). These early treatises discussed medical questions commonly treated in courts: How could one determine whether an infant was stillborn or the victim of infanticide? Whether a woman was a virgin? Whether a body found in water was someone who had drowned or the victim of a disguised homicide?

The larger issues raised by the first wave of forensic treatises are still debated: What methods produce reliable knowledge? Who should we accept as an expert in a court of law? What role should experts play in criminal investigations, civil cases, and government policymaking? What constitutes a good society—and what role can forensic medicine play in achieving it?

Quaestiones medico-legales…, 5th ed.; Paolo Zacchia, 1657

Medico-Legal Questions attempted to deal with every aspect of forensic medicine.

Courtesy National Library of Medicine

The Rise of Forensics

The Coroner's Report

In late medieval England, it became customary to transcribe the coroner's view of the body onto paper, in the form of a written inquest. Over the following centuries, the documentation associated with the coroner and the forensic medical report gradually expanded, a paper trail of transcripts, depositions, and death certificates. Eighteenth-century Britain and America had only rudimentary policing structures, and physicians and surgeons were rarely called upon to participate in coroners' inquests and criminal proceedings. Coroners' reports and testimony were handwritten, short, and varied widely from case to case, and locale to locale. Over the course of the 19th century, investigations of sudden or suspicious deaths became institutionalized and bureaucratic—police departments and court systems grew exponentially; nations began to require formal death certificates to aid in the collection of mortality statistics—and coroners began to employ physicians on a regular basis. Pathological anatomy and toxicology became more complex and sophisticated, and so did legal codes and police investigative procedures. The coroner's report became more elaborate—the entire record of an investigation—and the legal and medical language of the inquest became more technical. The format of the printed form expanded; paperwork proliferated and became more standardized. In our time, this trend has continued, aided by computerization.

Coroner's inquest, before Richard Croker, Coroner, Inquisition taken September 2, 1875

Courtesy New York Municipal Archives

An Inquest Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

Courtesy National Library of Medicine

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

Courtesy National Library of Medicine

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

Courtesy National Library of Medicine

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

Courtesy National Library of Medicine

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

Courtesy National Library of Medicine

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

Courtesy National Library of Medicine

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

Courtesy National Library of Medicine

An Inquisition Before Henry Woltman, Coroner, on the Body of Charles Thomas, May 9, 1879

Courtesy National Library of Medicine

The Rise of Forensics

The Coroner’s Office on Trial

The campaign to abolish the office of the coroner began, in America, in the late 19th century. As newspapers filled with reports of corrupt coroners who extorted money, accepted bribes, or slanted findings to cover up murders and other crimes, progressives demanded that elected coroners be replaced by appointed medical examiners—doctors trained in forensic pathology, hired on merit. Over the first three quarters of the 20th century, some jurisdictions adopted the medical examiner system. Others retained the coroner's office—although some coroners today are board-certified forensic pathologists. Unfortunately, some medical examiners, like some coroners, have not always met the highest scientific, legal, and ethical standards. Efforts to ensure the impartiality and competence of forensic investigations continue.

Both the coroner system and medical examiner system are currently used with some jurisdictions using a hybrid of both.

Peter M. Hoffman, Coroner, Cook County, examines a hammer used to murder George Dietz, April 18, 1913

Hoffman (1863–1948) worked as a grocer and a railroad clerk before his election as Cook County Coroner in 1908. Indicted on corruption charges in 1925, he retired from politics the following year, after serving six months in jail.

Courtesy Chicago Daily News negatives collection, Chicago Historical Society

Coroner Thomas Wakley and the Hounslow Incident

The exposure of the circumstances surrounding Private John White's death at Hounslow Barracks in 1846 scandalized the British public. At the first inquest, the coroner's jury, upon hearing the testimony of a military surgeon, ruled that White died from natural causes. But Thomas Wakley, coroner of Middlesex, convened another inquest. That investigation found that White's death was caused by the 150 lashes he received. The re-opening of the case received much notice in the British press, where it was cited as a vindication of the argument that justice could only be served if coroners were democratically-elected, medically trained, independent and fair-minded. Public uproar over the killing of John White eventually spurred the reform of Great Britain's military disciplinary codes: White was the last British military man to suffer death by flogging.

Coroner Thomas Wakley and the Hounslow Incident

Thomas Wakley, M.D., Engraving by W. H. Engleton, about 1840

British surgeon Thomas Wakley (1795–1862) was a prominent medical and political reformer. In 1823, Wakley founded The Lancet, a journal dedicated to the reform of medicine. In 1828, Wakley became active in campaigns to extend voting rights beyond the small group of men who could meet property qualifications, and to remove property qualifications for parliamentary candidates, abolish slavery, and suspend the Newspaper Stamp Act, which priced newspapers out of the reach of many Britons. He himself first ran for Parliament in 1832 as a radical. He was defeated in that race, but was elected in 1835, and served in the House of Commons for seventeen years thereafter.

As a member of Parliament, Wakely was particularly concerned with reform of forensic medicine, public health, and other medical issues, and campaigned to reinvent the office of the coroner as an open, democratic, and medically competent institution. In cases of suspicious death, the coroner was traditionally required to make a public "view of the body" before jurors and witnesses at the crime scene or other accessible place. But when officials or powerful persons were involved, inquests were sometimes moved behind closed doors or not held at all, and evidence was suppressed. Wakley argued that coroners should be qualified medical men and elected advocates of the people—not lawyers and appointees and that an inquest could only produce justice if conducted publicly and scientifically, without favoritism or prejudice. After Wakley was elected Middlesex coroner in 1839 (a position he held concurrently with his parliamentary office), he worked to expose cover-ups and wrongdoing, such as the 1839 case of Thomas Austin, a 79-year-old man who was incarcerated in a workhouse for indigents, and who died there after falling into a copper vat of boiling water. Austin's body was hastily buried by the workhouse authorities, but Wakely ordered it to be exhumed and held an inquest. The coroner's jury found ruled that Austin's death was accidental, but that the workhouse authorities' negligence, in not placing railings around the vat, had been a contributory factor.

Courtesy National Library of Medicine

The Flogging Excitement at Hounslow, broadsheet ballad, London, 1846

After a closed, government-led inquest attempted to cover up the circumstances that led to the death of an English soldier, coroner Thomas Wakley set up an independent inquest. The coroner's jury concluded that the soldier had, in fact, been flogged to death. The broadsheet ballad, a parody of a well-known song, "The Gallant Hussar," comments on the case.

"If this is not the body of the man who was killed in your vat, pray, Sir, how many paupers have you boiled?" British coroner Thomas Wakley to workhouse official, Thomas Austin inquest, 1839

Courtesy Bodleian Library, University of Oxford

The Rise of Forensics

Forensics on Trial

Cause and manner of a death are not always evident—even after visual examination and dissection of the body. Over the centuries, forensic medicine has developed technologies of visibility, ways of seeing things that would otherwise be undetectable.

  • Post-mortem examination helps us look into the human body for concealed wounds, foreign objects, and other evidence.
  • Chemical analysis helps us see invisible traces of poison, establishes the identity of body, body parts and fluids, and helps link the victim's body to the perpetrator and the crime scene.
  • The microscope helps us see tiny lesions, crystals, microbes, and distinguish hairs and fibers.
  • Spectroscopic analysis of blood, tissues, and material found on or near the body, helps us distinguish and match trace elements that link the body of the victim, crime scene, and perpetrator.

But no method is infallible. The tests and procedures of forensic medicine have not always stood up to the scrutiny of judges, expert witnesses, lawyers, professional peers, and the public. Over time, the experience of forensic medicine in the courtroom has led to improvements in science, technology, and investigative procedures. But the process has been uneven—scientific experts have at times been suffered embarrassment—and forensic science has not always prevailed.

An inquest chaired by Thomas Wakley at University College Hospital, London, Sketch by George Scharf, 1846

Courtesy The British Museum

Making Toxicology Visible: The Vosburgh poisoning case

In May of 1878, Reverend George Vosburgh, the charismatic young pastor of Jersey City's Madison Avenue Baptist Church, was indicted on charges of attempting to poison his wife Harriet. It was alleged that he repeatedly administered overdoses of tartar emetic (a commonly prescribed medicine whose active ingredient was the toxic metal antimony).

Throughout the winter of 1877–78, the Vosburghs' marriage had been failing. The Reverend was angry that his wife had not given him any children, had undergone two abortions without his approval, and had accepted a ring from a "barman." In the midst of the quarrels between the Reverend and his wife, Mrs. Vosburgh fell gravely ill. James Sickles, her brother, suspected that the Reverend, while attending his wife at her sickbed, was slowly poisoning her. Sickles collected samples from drinks that the Reverend had served his wife, and also a sample of her urine, and brought them to the laboratory of Dr. R. Ogden Doremus, professor of chemistry at Bellevue Medical College. Doremus found evidence of antimony in every sample.

During the trial, the professor brought his apparatus into the courtroom and performed three toxicological tests before the jury. Doremus's demonstration on the witness stand was novel and impressive. It was featured in reports in daily and weekly newspapers, and several illustrated newspapers. For a time, it seemed to sway the jury and the public.

But the Reverend's politically-connected defense team cast doubt on the prosecution's case by calling disputing experts, attacking the chain of custody (Sickles couldn't prove where his samples came from), and by constructing alternative (albeit contradictory) explanations for what had occurred. At the same time, a visibly recovered and fashionably-dressed Mrs. Vosburgh sat by her husband during the trial and refused to testify.

The jury found Vosburgh not guilty, despite the courtroom chemical analysis. After his acquittal, Vosburgh resumed his ministry, but he and his wife separated. A few months later, additional evidence was brought forth in the press, indicating that Vosburgh had treated his wife badly and had in fact attempted to poison her. Public support for him faded and he was forced to resign his ministry.

Making Toxicology Visible: The Vosburgh poisoning case

Professor Doremus Exhibiting the Chemical Apparatus used in Detecting the Existence of Poison at the Trial of the Rev. George B. Vosburgh from The Daily Graphic, 1878

The chemical apparatuses represent three separate tests to detect antimony. At the bottom of the page, Doremus is shown on the witness stand holding what appears to be a chart of spectrograms. Inset portraits, from left to right: Rev. George B. Vosburgh; Mrs. Jennie Sickles (Mrs. Vosburgh's sister-in-law); Mrs. Harriet Vosburgh; Mrs. Elvira Manton (Mrs. Vosburgh's sister); James Sickles (Mrs. Vosburgh's brother and the Reverend's principal accuser).

Courtesy New York Historical Society

Professor R. Ogden Doremus, M.D., about 1880

Doremus had a long and distinguished career as a toxicologist and professor of chemistry in and around New York City. In the 1850s he equipped the first chemical laboratory for medical students in the United States, at New York Medical College, and began performing toxicological analyses in criminal cases. He was said to be an excellent speaker who easily connected with students, jurors and the general public.

Courtesy NYU School of Medicine Archives, Frederick L. Ehrman Medical Library

Toxicology in the dock: Alfred Swaine Taylor and the William Palmer murder trial

The new science of toxicology was tested and found wanting in one of the most controversial murder trials of mid-Victorian England, the case of William Palmer.

On November 14, 1855, John Parsons Cook, a 28-year-old gambler and horse-owner, fell ill and went into convulsions while celebrating his horse's victory and £3000 in winnings. Surgeon William Palmer, a fellow gambler and horse-owner, immediately took charge of the young man's medical treatment. After suffering a week of excruciating pain, Cook died—though not before he accused Palmer of poisoning him.

The incident was one of a long series of deaths due to sudden illness with which Palmer was connected. A few months earlier, Palmer's wife Ann and middle-aged brother both died—after the surgeon had taken out large insurance policies on them. Before that, Palmer's mother-in-law, most of his children, his uncle, and four or five other people had also suddenly taken ill and died. These deaths—along with the fact that Palmer was deeply in debt, pressed by creditors, and holding Cook's prize money—aroused the suspicion of Cook's father-in-law, who requested that Cook's body be exhumed and examined.

The autopsy was performed by a team of local medical men, with Palmer present as a colleague not a suspect. During the examination, Palmer was said to have tampered with a key piece of evidence—the contents of Cook's stomach—by bumping into one of the physicians as he was lifting out the stomach, causing the contents to spill. The remaining material was placed in a sealed jar, but Palmer was also suspected of slitting open the seal.

The coroner consulted Dr. Alfred Swaine Taylor, who tested Cook's stomach and the small remaining sample of stomach contents. The results showed only a small, non-lethal amount of antimony, the active ingredient of tartar emetic, a common medicine. But on the basis of reported symptoms and circumstances prior to death, Taylor concluded that Cook had been poisoned by strychnine. Palmer was indicted for Cook's murder.

The trial lasted 12 days. Taylor was called as a witness. Renowned as a great authority on forensic medicine, Taylor had made grand claims for toxicology in his textbooks.

"Probably there is no branch of medicine in which we meet with a larger assemblage of truths ascertained by observation….To the physician, the pathologist, and the medical jurist, a knowledge of [toxicology] is of great importance…in drawing a clear distinction between changes produced in the body by disease and those caused by poison, [and]…in detecting and punishing those…guilty of the crime of poisoning." —Alfred Swaine Taylor, M.D., English toxicologist, 1848

The defense's strategy was to put Taylor's expertise, and toxicology itself, on trial. Palmer's lawyers showed that Taylor had no direct knowledge of the effects of strychnine on humans, having only observed the effects of strychnine on ten rabbits in an experiment performed more than twenty years earlier. They put opposing experts on the stand who contradicted Taylor, and they claimed that Taylor, who had a haughty demeanor on the witness stand, was biased and made prejudicial statements to the press.

The prosecution countered that Palmer's tampering rendered thorough chemical analysis impossible, and that Cook's poisoning was particularly hard to analyze because Palmer's medical expertise made him an exceptionally crafty poisoner, capable of murdering with minimal doses of strychnine, a hard-to-trace, organic poison, which is lethal in small doses and decomposes over time.

The jury agreed. Palmer was found guilty and sentenced to be hanged. But his last words were "I am innocent of poisoning Cook by strychnine." The decision—and Taylor's claims for forensic toxicology—remained controversial. Taylor was besieged by public criticism and ridicule, but, over the years, he maintained his standing as an eminent authority. In the 1859 edition of On Poisons, in Relation to Medical Jurisprudence and Medicine, he devoted many pages to justifying his actions in the Palmer trial. As years passed and public memory of the case faded, he omitted mention of it in later editions.

Toxicology in the dock: Alfred Swaine Taylor and the William Palmer murder trial

Performing the analysis from the Illustrated and unabridged edition of the Times report of the trial of William Palmer, for poisoning John Parsons Cook, at Rugeley, 1856

Dr. Alfred Swaine Taylor (left) and a colleague, performing the Marsh test on samples taken from the body of John Parsons Cook. The two were looking for traces of arsenic and antimony.

Courtesy National Library of Medicine

The trial of William Palmer from Illustrated and unabridged edition of the Times report of the trial of William Palmer, for poisoning John Parsons Cook, at Rugeley, 1856

Courtesy National Library of Medicine

From the Illustrated and unabridged edition of the Times report of the trial of William Palmer, for poisoning John Parsons Cook, at Rugeley, 1856

Courtesy National Library of Medicine

From the Illustrated and unabridged edition of the Times report of the trial of William Palmer, for poisoning John Parsons Cook, at Rugeley, 1856

Courtesy National Library of Medicine

The counsel for the defense from the Illustrated and unabridged edition of the Times report of the trial of William Palmer, for poisoning John Parsons Cook, at Rugeley, 1856

Courtesy National Library of Medicine

Palmer’s prison cell from the Illustrated and unabridged edition of the Times report of the trial of William Palmer, for poisoning John Parsons Cook, at Rugeley, 1856

Courtesy National Library of Medicine

The jury deliberates from the Illustrated and unabridged edition of the Times report of the trial of William Palmer, for poisoning John Parsons Cook, at Rugeley, 1856

Courtesy National Library of Medicine

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Upon a View of the Body

The Rise of Forensics
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