Archibald Joseph Cronin was a Scottish novelist, dramatist, and non-fiction writer who was one of the most renowned storytellers of the twentieth century. His best-known works are The Citadel and The Keys of the Kingdom, both of which were made into Oscar-nominated films. He also created the Dr. Finlay character, the hero of a series of stories that served as the basis for the long-running BBC television and radio series entitled Dr. Finlay's Casebook. -Wikipedia:
Originally published in 1937, this story follows newly physician鈥檚 assistant, Andrew Manson, recently accepted to a post in a mining town in Wales.
Manson is driven by his ethics and wont of care for his poor patients. Life is a struggle for the young man, but Manson grows in his self-esteem and ambition.
This is the story of his life, trials and tribulations, and, life-altering successes.
The author was a medical doctor prior to writing THE CITADEL; and, I wondered how much of his own life he breathed into Andrew Manson.
is the morality tale of the initially idealistic Scottish Doctor Andrew Manson who starts off working in the mining towns of the South Wales valleys before descending into the vanity fair of fashionable London doctors, who specialise in conditions which cost a lot of money to treat, where he reaches a crisis point before returning to the narrow path of virtue.
In the Welsh Valleys, Manson encounters the diseases of poverty exacerbated by poor housing conditions and industrial injuries, leaving behind the Celtic fringe for the slightly shabby attractions of London he will encounter the profitable diseases of the rich, such as hypochondria, which as everyone with a taste for earning money knows, is best treated with inflated bills and quack treatments.
It is clearly a book of its time. Published in 1937 this is Britain before the National Health Service, it is critical of the then private for profit system of Doctors' practices which makes for a nice moral contrast between success in this world and the disturbing possibilities of an ideal of the Doctor as someone using their skills to help the sick.
Several kinds of solutions can be offered for this dichotomy. This book doesn't predict the National Health Service or imagine anything near as wide ranging, although it is sometimes said to have paid a role in bringing it about. Cronin, who was a Doctor himself, imagines instead something like the Polyclinics of the Soviet Union staffed by a mixed group of medical personnel devoted to the ideal of healing rather than of earning money. Individual virtue rather than structural change is as far as he goes. I suppose this is often the imagined answer because we can imagine that we might, if well supported, be able to practise individual virtue, while massive structural social change seems a bit fantastical, in the event the Second World war occurred and the practise of national mobilisation produced a profound shift in thinking which dominated the country until the end 1970s. But Cronin wasn't to know that in 1937.
In this book Cronin has a weakness towards tell don't show, rather than letting characters emerge through their dialogue or actions and his use of Manson's wife - really potentially an interesting figure in her own right - is wasteful. But he tells here a lively story of aspiration and corruption. had more flashes of skill down at the sentence level but suffered from a super abundance of potential plot directions, this is a simple story but that makes for a better book.
This work is superb to discover because it has retained all its relevance, and the transmitted message retains all its force. This book is the first by this author for me. I opened it because I was intrigued by the title and wanted to know more and browse the story. What a good idea I had! The book is fascinating from start to finish and is a superb surprise that I highly recommend!
The Citadel is a beautiful study of an idealistic young doctor who attempts to swim against the tide of the established medical ethics and the unorganized system, who, though almost drowned by it in the cause, courageously extricates himself and swims ashore conscientiously.
This story of the young Scottish doctor, Andrew Manson, is one inspirational story. Beginning his career as the medical assistant to a doctor in a South Wales mining community, he receives his first blow in the understanding that his learning at the medical school is inadequate to cater to the actual illnesses of the people. Slowly, with the help of a senior colleague and a little practical experience, he develops a scientific method of diagnosis and treatment. But in so doing, he is in for war, for he must face many difficulties since his method is against the traditionally established medical ethics. On top of it, Dr. Manson must face the jealousies and rivalries of the old practitioners who saw him as a threat to their practices. He is driven from place to place, but nowhere could he find his ideal system. Frustrated, he then swims in line with the established system for a time and finds himself slowly drowning in the benefits and money it brings. But one horrible incident wakes up the dormant idealist in him and thereon, he defies the system resorting to the beneficial yet unorthodox more scientific methods of treatment.
Based on his own experiences as a physician, in this semi-autobiographical novel, Cronin pours out his own views for an organized medical system, boldly confronting the established traditional medical ethics. Cronin wanted a change in the system, to establish an ordered method where the doctors could work conscientiously and in accordance with the Hippocratic Oath. He succeeded in his mission as this groundbreaking novel served to inspire the formation of the National Health Service (NHS).
The novel is mostly medical fiction, but it is also a good portrayal of a doctor's life, the hardships they face in carrying out their duties, the struggle to keep a decent professional front amidst financial difficulties, and the normal human feelings of love, separation, loss, grief, and hope. The sympathetic presentation of these professional men, showing that they are also humans with feelings in their non-professional capacity is really touching. Cronin may not be a literary genius, but his presentation of them is genuine and heartfelt. Andrew Manson earns readers' sympathy, and though his conduct is not always noble, he is a likable hero, because he feels real and human. And so are the other characters. Even those you don't like are relatable. Reading the story was almost like reading a true story.
For a newbie to Cronin, I'm pleasantly surprised by how much I enjoyed the story and his simplistic writing. There is no pretension or any unnecessary adornment. He connects us with the characters effortlessly. And though his writing is simple, there is a power in its simplicity which makes the story stay with you long after you finish reading it. That is the ability of a good storyteller, and Cronin qualifies as one.
Oh this is wonderful story - a 1937 publication concerning primarily, the life of a young doctor investigating lung disease rife amongst miners and social conditions in mid Wales. Fully recommended.
I will definitely be reading more by this author--SOON!
Read first the book description鈥攊t is accurate.
What should be pointed out? *There is a feel of the old-fashioned in the prose. I like this very much. *Historical information is captivatingly drawn. At the same time facts are informatively presented. There is a good balance of heart and head. *Ethics, both medical and personal, is a central theme. How to live a life and the road toward finding one鈥檚 own way is movingly portrayed. Life鈥檚 ups and down, happiness and sorrow--both are here. The reader observes the allure of money and fame and the depths to which they can bring a person. This was a very important element of the story for me! *The characters become individuals you come to know very, very well. The characters presented at the start of the novel carry through to the end. None are extraneous. The story is well thought out. *I don鈥檛 enjoy sweet, happy, cute fairy tales. They are not reality. Reality is delivered here.
The audiobook is read by Franklin Engelmann. The narration performance is fine, but the recording is poor. The sound is distant, as if you were listening to an old movie recording that crackles.
The author was himself a doctor--he writes of what he knows!
I so wish I had more time to spend writing about this classic. Life intrudes.
I dont know if I can do justice to this book from my review, but I will try. The Citadel is my favourite novel without doubt. I will always love this book no matter how many brilliant books I read in the future. I treat this book with a kind of reverence which I give to no other novels and that has a lot to do with how I came across the book and the time at which I read it.
I found a really old withered copy of this book in the attic of my mother's home. It was owned by a lot of her relatives as it was a course book in their college syllabus and was handed over from one person to another and finally left in the attic to decay, once everyone passed out of college. I felt so sorry for this book and a few others which I rescued and brought back home.
As I read past the yellowed pages of the really delicate book, I was enchanted by Andrew Manson, his dedication and his high morals. I loved Christine Barlow and her honesty and values. I loved the plot. I was appalled by the changes in Manson as he grew rich and felt sorry for Christine as she struggled to support her husband and tried and failed to bring him back to the person he was when she met him for the first time.
This book is the journey of a young doctor fresh out of college, eager to help everyone with his knowledge and skills who ends up lost in the charm of money and fame and losses all interest in the morals and values he once fought for. This is a story of a woman who fell in love with an honest hardworking doctor who went to great lengths to save lives, only to find him changing for the worse into someone whom they both despised. The story of her struggles to make him realise his mistakes. This is a book about medical ethics and what it means to be a doctor. It is a great read and all aspiring medical students must definitely read this stunning book.
I am definitely in love with this book and its characters ever since I read it many years ago when I was just 15. And I will never stop loving it. Hope this review inspires readers to try this amazing book.
It is a semi autobiographical novel of A. J. Cronin who was a doctor. This is the only novel of Cronin's I had ever read. And there I have given my longest review on 欧宝娱乐!馃榿
Set in the 1920s in a Welsh mining town, protagonist Andrew Manson is a newly qualified Doctor of Medicine. He is idealistic and eager to make his mark. He wants to change the traditional ineffective methods and use the latest science in his treatments. He becomes fascinated with analyzing the source of miners鈥� lung diseases. As he moves upward in his career, he loses his idealism and becomes more interested in accumulating wealth. His wife grows disillusioned, wondering what happened to the man she married.
This book explores ethics in the medical profession. It portrays doctors of varying competence. Some keep up their skills and others become wedded to traditional remedies. Some compete vigorously with other doctors. The story contains descriptions of diagnoses, medical procedures, and surgeries. Published in 1937, this book was helpful in pointing out changes needed in the UK鈥檚 health care system.
The Citadel won the National Book Award for Novels in 1937. It was written by A.J. Cronin
The dialogue in this semi-autobiographical story about a talented young Welsh doctor was quite good. The cases and threads were also convincing. The doctor, Andrew, and his wife, Christine, were both likable characters.
The problem that I had with the book is that the prose is very choppy and not always a pleasure to read. The death of a major character does not garner more than three pages in the book. In the same vein, there are many medical cases that occur, mostly accidents, so it reads like a series of vignettes without a lot of drama.
3.5 stars. The story and writing style is dated. It probably garners an additional half star when comparing to other books written in the 1930鈥檚.
Que eu sou um f茫 de livros com tem谩tica de medicina, isso j谩 deixei bem claro por aqui! Por isso, foi com muita expectativa que comecei a ler A cidadela, em que s茫o narradas as condi莽玫es de trabalho de um jovem m茅dico rec茅m-formado no in铆cio do s茅culo XX. Al茅m disso, em nossa conversa para o @dariaumlivropodcast, o livro havia sido indicado por Ant么nio Fagundes como um dos seus favoritos.
O protagonista da hist贸ria, Dr. Andrew Manson, inicia sua carreira em uma pequena aldeia do Pa铆s de Gales. Por n茫o ter tido muita experi锚ncia com pacientes, conseguimos acompanhar a inseguran莽a de um jovem com a enorme responsabilidade de lidar com a vida dos moradores de Drineffy. Por茅m, sempre buscando enxergar o seu paciente como um ser complexo, indo al茅m da simples an谩lise dos seus sintomas f铆sicos, Dr. Manson come莽a a chamar a aten莽茫o na regi茫o em que atende.
Apesar de o in铆cio da leitura ter me prendido bastante a aten莽茫o, confesso que o desenvolvimento do meio da narrativa ficou um pouco lento. Tive a sensa莽茫o de que a rotina do Dr. Manson teria ficado mon贸tona, sem grandes acontecimentos.
Por sua vez, consegui retomar o ritmo no ter莽o final da obra. Depois que se muda para Londres e come莽a a adentrar no c铆rculo social dos pacientes ricos e importantes, o personagem passa a esbarrar em quest玫es 茅ticas interessantes. Foi como se o m茅dico t茫o interessado no bem-estar do paciente passasse a ser corrompido por uma sociedade que vive pelo dinheiro e pelo poder. H谩 um crescente conflito interno entre sucesso profissional e os objetivos 茅ticos da t茫o venerada profiss茫o dos m茅dicos鈥� Temas que, na minha vis茫o, ainda devem existir para quem vive nesse meio. Tamb茅m 茅 interessante ver como as quest玫es profissionais acabam irradiando para o lado pessoal e familiar do protagonista.
Mesmo com esse ritmo mais lento no desenvolvimento da obra, a experi锚ncia da leitura foi bem prazerosa. Recomendo bastante a leitura para quem se interessa pelo tema e para quem gosta de romances que retratam a sociedade do in铆cio do s茅culo passado!
This book was written in 1937. It is about an idealistic young doctor who starts off poor and has a great heart for the poor and the sick. He marries a wonderful young teacher named Christine and they are very happy, not having much materially, but rich in love and plans for the future. They begin their life in the mining town of Wales, where he begins research involving the men with breathing problems due to their exposure to the dust in the underground mines. They eventually move to London. He slowly begins to see that there is a great deal of money to be made by tending to the rich and pampering them with pills and potions and attention. He loses his high standards and begins the downward slope. Christine is not happy with the change and their once idyllic relationship begins to fall apart. He's not the man she married. It is the story of falling and then getting back up again. Wonderfully told, sometimes wordy, with great characters and lots of in and outs. I loved it!
Wonderful. I picked this up for $1 at a used book store. I didn't recognize the title or the author but figured, what do I have to lose, it's only a buck, right?
Once I started reading, it all came back to me. I read this twenty years ago and in my mind I lumped it with Francis Brett Young's "Dr. Bradley Remembers" which is another great book, high on the list for a re-read, and very similar in style and subject matter to "Citadel".
You know a good book when twenty years later you still know all the characters, the plot, the finale, and it remains a five star read.
Simply put, this is the story of a doctor's assistant who gets an appointment in Wales to help an MD in a mining village. However, when he arrives, he finds that the MD has been incapacitated from a stroke and he must carry on without him. From there, he starts specializing in diseases of the lungs, gets his MD licence, works his way up the corporal ladder and very nearly sells his soul in his quest to "be someone".听
Everything about this is excellent. The characters, the plot, the dialog; I really couldn't change a thing. Just an all over great read.
CONTENT:
Sex: None shown
PROFANITY: Very mild. D's
VIOLENCE: None. Some surgical procedures, a mine accident, traffic accident. Nothing graphic.
Instead of telling you what the story is like, I'd rather tell you what I felt like when reading it.
My heart intertwined with the main character's heart in a firm grasp, Cronin made the character come alive for me - I felt each little bit of happiness, stressfulness and sadness in those droplets of ink. The main character's personality growth was astounding.
I recommend this book especially to everyone considering a career as a doctor.
This is the story of a young country doctor life and how he struggled to become a successful doctor in a big city.
Andrew Manson, a young Scotsman man, started his professional life in the mines of Wales where he worked in a tough condition by paying part of his salary to a senior and reputed local doctor. He dedicated part of his life studying lung diseases which was the primary disease found in most of the local miners.
In order to improve his career, he moves to London with his wife - a school teacher. There he pursuit to become a prestigious doctor by submitting to a board examination. This fact will bring a lot of prestige, money and all kind of human ambition.
However, the death of a patient will roll his life upside down, making him to revise his moral obligations against his family, friends and to the society as well.
By telling this magnificent story, the author built a great fiction masterpiece. That鈥檚 why he is considered with great justice as one most great writers of the 20th century fiction.
Several other books have this kind of storyline but in different scenarios and covering different heath issues, such as:
"If we go on trying to make out that everything's wrong outside the profession and everything is right within, it means the death of scientific progress."
First published in 1937 and set during the interwar years 'The Citadel' shines a light on the medical establishment in Britain at the time through the eyes of a young newly qualified Scottish doctor. Andrew Manson, takes up his first clinical post as an assistant to a GP in a small Welsh mining community where disease and poverty is rife, sanitation poor and operations are performed on kitchen tables before moving as his career progresses to the fashionable, greedy world of London with its private clinics, hypochondriac patients and rich awards. Manson arrives with a bagful of enthusiasm and idealism but soon comes face to face with the realism of his chosen profession.
Archibald Joseph Cronin was born in Cardross, Dunbartonshire, in 1896, and was destined either for the Church or medicine: he chose medicine. Cronin trained in various hospitals in Scotland, Dublin and South Wales. He was appointed as a Medical Inspector of Mines and reported on coal-dust inhalation and lung disease before subsequently moving to London and private practice. This novel is therefore semi-autobiographical in nature as he draws on his professional career as a background.
The novel has two specific areas of emphasis. Firstly, the work of the doctor in a poor community and how his work is transformed when he moves to a city and private practice. Secondly the competence, or incompetence, of doctors and their need to keep their skills up to date. Manson is often critical of the quality of other doctors' work.
In the small Welsh mining village, the men, as miners, can change doctors through a company insurance scheme whenever they wish, their choices often based on the doctor's own popularity rather than his ability. Manson is outspoken and critical of the way in which the service is funded which lands him in trouble.
But the climax comes when Manson is asked to treat the daughter of an old friend who has tuberculosis. Manson has her admitted to an established London hospital but when the treatment provided there shows no signs of benefit he recommends a new therapy. His senior disagrees and Manson removes his young patient to a newly built hospital with an un-medically qualified boss. However, despite the success of the treatment and his patient's subsequent discharge, when Manson鈥檚 London colleagues hear about this he is referred to the General Medical Council (GMC) to be investigated with the potential outcome of him being struck off the Medical Register.
In many respects this novel is a creature of its time. Cronin identified many of the issues in clinical practice which needed to be tackled , including better supervision of young doctors, postgraduate education programmes and the novel's popularity along with the cinematic portrayal helped towards the establishment of the NHS a decade or so later. However, some of the issues, in particular affordability, are still relevant today.
This isn't perhaps great literature. Manson despite his revolutionary zeal isn't always a particularly likeable character, he is often, selfish, arrogant and uncaring, but Cronin still manages to present an interesting and entertaining story. I am always interested in novels that feature social history and this book had the power to change public attitudes and behaviour towards health as well as professional thinking and for that reason alone deserves to be more widely read today.
A great novel. While it traces the career and challenges of a young doctor this story could easily be about almost any young person's choices in most any career. A book that should be read by every young person just starting out.
Dup膬 absolvirea facult膬葲ii de medicin膬, t芒n膬rul 葯i ambi葲iosul Andrew Manson vine s膬 lucreze 卯n calitate de medic asistent 卯ntr-o mic膬 localitate minier膬 de la sudul 葲膬rii galilor. Plin de ne卯ncredere 卯n for葲ele proprii, aici descoper膬 diferen葲a dintre teorie 葯i practic膬. 脦ncepe s膬 lege prietenii durabile 卯n timp (Denny - in chirurg extraordinar) 葯i se 卯ndr膬goste葯te. 脦ns膬 fiind nedrept膬葲it, alege un viitor nesigur 卯n alt膬 parte, dec芒t s膬 l芒ncezeasc膬 in acela葯i loc, aliment芒ndu-葯i nemul葲umirea. 脦葯i schimb膬 adesea locul de trai 葯i postul de lucru, fiind 卯n continu膬 dezvoltare. Sus葲ine examene, avanseaz膬 卯n titlu, devine bogat. 脦ns膬 descoper膬 lacune 卯n sistemul medical. G膬se葯te medici pentru care banii sunt mai importan葲i dec芒t pacien葲ii. 脦nt芒lne葯te medici cu titlu 葯i f膬r膬 abilit膬葲i practice, dar 葯i oameni care profeseaz膬 excelent medicina f膬r膬 a de葲ine titlu de medic.
Andrew constituie pesonajul complex (nici prea bun, nici prea r膬u; uneori blajin, alteori arogant); un medic 卯n devenire, apoi unul care tinde spre perfec葲iune, reforme, implic芒ndu-se 卯n proiecte 葯tiin葲ifice, av芒nd curajul s膬 declare nefolositoare medicamentele 葯i metodele de diagnostic utilizate pe vremuri 葯i aplic芒nd 卯n practic膬 (destul de reu葯it) altele noi. 脦n carte sunt descrise at芒t de bine sentimentele unui medic la fiecare etap膬 a procesului de avansare 葯i declin!
Mi-a pl膬cut devotamentul lui Christine. O femeie spiritual膬, so葲ia perfect膬, dedicat膬 卯n 卯ntregime so葲ului, scopul lui devenind 葯i scopul ei.
E o carte despre medicin膬 葯i c膬ile ei deloc u葯oare, despre deontologia medical膬, despre colegialitate, grij膬, devotament.
De葯i publicat膬 acum 83 de ani, cartea continu膬 s膬 fie dureros de actual膬.
馃┖ "Dac膬 persist膬m, 卯ncerc芒nd doar s膬 dovedim c膬 toate merg de minune 卯n meseria noastr膬, 葯i c膬, 卯n afar膬 de meseria noastr膬, nu mai exist膬 nimic bun - atunci, 卯ntr-adev膬r, aceasta 卯nseamn膬 moartea progresului 葯tiin葲ific."
馃┖ "La drept vorbind suntem statici. Nu ne g芒ndim niciodat膬 la progres, la faptul c膬 facem unele lucruri, dar 卯n realitate nu facem nimic. De ani de zile, ne v膬ic膬rim, 卯nfier芒nd condi葲iile mizerabile 卯n care lucreaz膬 infirmierele noastre, salariile de foame pe care le primesc. 葮i am f膬cut ceva? Ele continu膬 s膬 fie exploatate, 葯i sunt pl膬tite 葯i azi 卯n acela葯i fel."
"You won't find it conform to the best traditions of romantic practice. There's no hospital, no ambulance, no X-rays, no anything. If you want to operate, you use the kitchen table. In a dry summer, the kids die like flies with infantile cholera."
These are the prospects of our protagonist, newly-qualified Dr Andrew Manson, as he arrives in 1924 in the fictitious Welsh mining town of Drineffy, as an assistant to an elderly Doctor Paige. Eager to improve the lives of his patients, who were mainly coal miners, Manson researches lung disease, silicosis in particular to great success, even receiving the prestigious MRCP (Membership of the Royal Colleges of Physicians of the United Kingdom).
But this is indeed nothing short of a horror story - a horror story about medical ethics. Or lack thereof.
I give extra points to Cronin for mentioning the whistling pneumothorax, with its treatment of collapsing an affected lung with nitrogen that was not universally accepted at the time - I am partial to this medical titbit as a part of Mann's .
I give triple extra points to Cronin for working on the correlation between coal dust inhalation and lung disease for , which provided the novel free health care services to the locals and for his book being credited as instrumental in the creation of the UK's National Health Service.
Cronin once stated in an interview, "I have written in The Citadel all I feel about the medical profession, its injustices, its hide-bound unscientific stubbornness, its humbug ... The horrors and inequities detailed in the story I have personally witnessed. This is not an attack against individuals, but against a system."
The NHS was one of the first universal health care systems established anywhere in the world. A decade after Cronin writes his book that even affects the British government, a leaflet (see ) was sent to every household in June 1948 which explained that:
"It will provide you with all medical, dental and nursing care. Everyone 鈥� rich or poor, man, woman or child 鈥� can use it or any part of it. There are no charges, except for a few special items. There are no insurance qualifications. But it is not a 鈥渃harity鈥�. You are all paying for it, mainly as tax payers, and it will relieve your money worries in time of illness."
鈥斺€奀entral Office of Information, for the Ministry of Health
Back in the day when I was a kid in hostel... The principal reason I treasured going back home for the holidays was to pounce on the mostly untouched private library of a crazy uncle. The books he owned, although withered with the passage of time, were absolute treasures to possess. The Citadel was one of those books.
My mother is a doctor and somehow this book - and it's subsequent movie adaptation - had stayed with her all her life since she'd been first introduced to it. Therefore it came highly recommended. Hence there was no hesitation as to what one was to do upon finding it in the library of aforementioned crazy uncle.
Considering the fact that it was written in 1937, it has a message that will perhaps be relevant as long as we have doctors to help us maintain good health and a long life. Dr. Manson is a character that many a good doctor might empathize with and his trajectory through the novel is as human as such portrayals go. In fact this book should be compulsory reading for anyone truly aspiring to fill in the big shoes of the men who are next only to God in the eyes of society.
This is the third time I have read this book and enjoy it more each time. Cronin is a master at character development and a pleasure to read. This book illustrates clearly the Thomas S. Monson quote, "Decisions determine destiny." Yet, the author's confidence in the basic goodness of most people leaves both the characters and the reader with hope and not despair.
Whenever a novelist sets out to send a social or moral or political message, he/she risks publishing a piece of journalism (or, heaven forbid, a diatribe) and the novel burdened with carrying the message is likely to suffer for it. The protagonist may sound like a pitchman, a preacher or an investigative journalist, in which case the underlying story becomes mere window dressing. The works of many novelists of our day, especially those whose themes focus on the environment, economics, race relations, political conflict, poverty, the illicit drug trade etc. suffer from this syndrome. 鈥淏ut hold on!鈥� you say. 鈥淗ow can a novel succeed without being relevant to the issues of our day?鈥� I concede the point; I only wish to emphasize the need to provide a strong STORY that stands on its own as a form of (at least to some degree) entertainment and artistic expression. Writers such as Wendell Berry, Richard Powers and many others always have 鈥渁n axe to grind鈥�; but in so doing, they also manage to be impressively entertaining. It鈥檚 a matter of balance. All of which leads me to point out that 鈥淭he Citadel鈥� is a novel that was very consciously intended to make a point, namely that the British medical system of Cronin鈥檚 day was badly in need of reform. It was a closed shop of self-seeking, poorly educated, change-averse charlatans. Indeed, the book turned out to be a ground-breaking publication that significantly influenced the creation of the British National Health a few years later. Accordingly, it must be judged in terms of its success in that sphere, as a social and political document as much as on its merit as a novel. As a novel, it deserves mixed reviews: In its description (and indeed celebration) of the Welsh landscape and its people, eking out a hard living in the mines, it succeeds admirably. As the story of a doctor鈥檚 life and especially of his moral struggles, it does reasonably well. As a period piece, it is true to its historical setting in the 1920s and 30s. But there are numerous flaws, especially in the flat predictability of its story line and in its surprisingly uneven character development; the doctor鈥檚 wife Christine could easily have emerged as a brilliantly inspiring and tragic figure but Cronin makes her pathetic and one-dimensional. A lost opportunity. This is in essence a morality tale and in that guise it stands up very well, even when read from today鈥檚 perspective. I have not seen the film based on this book but I expect it would fare very well in the hands of a great director who could make the characters shine. Not quite 4 stars.