The paper examines Thomas Mann's novel, The Magic mountain, to show how ima
ginative literature can enhance our understanding of health in place. The s
tory centers on the experiences of flans Castorp, a young bourgeois German,
at a tuberculosis sanatorium in the Swiss Alps. Three themes are examined:
(1) how knowledge about illness and health, death and life, is gained; (2)
how knowledge is arrived at through a dialectical process which reconciles
seeming opposites; and (3) how new knowledge is gained through making tran
sitions. Lessons for health geography an drawn from analysis of the three t
hemes. (C) 2000 Elsevier Science Ltd. All rights reserved.