The Foursome

Christina Baker Kline
58 pages1-hour read
Fiction
Novel
Adult
Published in 2026

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Background

Content Warning: This section of the guide includes discussion of death, physical abuse, emotional abuse, racism, and ableism.

Cultural Context: The 19th-Century Exhibition Circuit

During the 19th century, people with physical disabilities and rare physical characteristics often occupied a complicated position between scientific curiosity, popular entertainment, and celebrity. Public exhibitions of individuals with disabilities and rare medical conditions became enormously popular, drawing audiences to museums, lecture halls, and traveling exhibitions, eager to witness what newspapers and showmen insisted was extraordinary or exotic. As a result, people with visible physical disabilities were often exploited and abused by managers and audiences, becoming public figures whose private lives were treated as entertainment.


One of the most influential figures in this ableist culture of spectacle was P. T. Barnum, who “was making nearly $500 per week in profit ($10,700 in current dollars)” by the age of 19 (Crockett, Zachary. “The Rise and Fall of Circus Freakshows.” Priceonomics, 30 Apr. 2014). His American Museum in New York City operated from the 1840s to the 1860s. It was a premier venue, featuring acts like Charles Stratton, a performer with dwarfism who was marketed as “General Tom Thumb,” while also exhibiting unusual animals, historical artifacts, and scientific curiosities. Earlier in his career, Barnum notoriously leased an elderly enslaved woman named Joice Heth, falsely claiming that she was 161 years old and George Washington’s former nurse (Osbourne, Abigail. “Joice Heth: The Life, the Lie, and the Autopsy Behind The Greatest Showman.” Odd Feed). 


No one understood this world better than Chang and Eng Bunker, who were conjoined twins. After arriving in the US from Siam (modern-day Thailand) in 1829, they quickly became international celebrities. They were initially managed by Abel Coffin, who treated them like property by tightly controlling their finances and travel while profiting from their popularity. Like many performers on the exhibition circuit, the brothers had little control over their public image during the early years of their career. They eventually broke from Coffin after he insured their lives for his own profit and a state legislature classified them as legally enslaved for tax purposes. In turn, they began managing their own tours and became successful businessmen, a fact that makes them unusual among performers. 


The Foursome captures the reality of ableism and exoticization through the brothers’ complicated relationship with exhibition. Performing provides them with financial independence and opportunities unavailable to most people with disabilities, yet it also ensures that they remain objects of constant public scrutiny. Even after becoming respected landowners and family men, economic hardship eventually forces them back onto the exhibition stage, demonstrating the challenges of achieving autonomy.

Historical Context: Slavery, the Civil War, and Reconstruction

The world of The Foursome is shaped by the institution of slavery and the dramatic social transformation brought about by the Civil War and Reconstruction. When Chang and Eng Bunker settled in North Carolina in 1839, slavery formed the foundation of the Southern economy and social hierarchy. Wealth, political influence, and social status were closely tied to land ownership and the labor of enslaved people. Although only a minority of Southern families enslaved large numbers of people, enslaving remained the defining marker of membership in the elite class. For ambitious individuals like Chang and Eng, purchasing land and enslaving laborers represented a pathway to acceptance in a society that had long regarded them as outsiders.


The brothers’ rise to prominence was unusual. The Naturalization Act of 1790 restricted citizenship to “free white persons,” effectively excluding most Asian immigrants from becoming citizens (“Nationality Act of 1790.” Immigration History). Because there was little legal precedent for people from Siam, Chang and Eng were nevertheless able to become naturalized in North Carolina. This unusual legal status allowed them to purchase land, vote, marry white women, and enslave other human beings. Kline uses this historical paradox to explore one of the novel’s central moral contradictions: Men who had themselves experienced exploitation and social exclusion willingly exploited others in order to secure status and stability.


As the novel progresses, national events increasingly shape the characters’ lives. Southern secession following Abraham Lincoln’s election in 1860 led to the Civil War (1861-1865), fought primarily over the expansion and preservation of slavery in the South. Like many wealthy Southern families, the Bunkers supported the Confederacy both financially and ideologically, investing in Confederate war bonds and contributing crows to the war effort. However, economic hardship, military defeat, and the abolition of slavery fundamentally changed their household and relationships.


The Reconstruction era that followed the war brought legal and social changes to the South. The 13th Amendment abolished slavery except as punishment for a crime. In reality, this developed into an exploitative system of sharecropping for formerly enslaved people who remained in the South, while those who migrated to cities (mostly in the North) generally obtained low-paying service jobs. Kline reflects these historical changes through Grace’s return to the Bunker farm as a paid employee rather than as property. Her insistence on fair wages, secure housing, and education illustrates her understanding of the new yet highly limited opportunities created by emancipation. By tracing the Bunker family’s fortunes across slavery, war, and Reconstruction, The Foursome shows how large historical events reshape private lives while exposing the financial and social motivations for upholding exploitative systems.

Scientific Context: 19th-Century Medicine and Conjoined Twins

During the 19th century, conjoined twins were a subject of intense medical and public fascination. Physicians possessed only a limited understanding of embryonic development, and the condition was often interpreted through a mixture of scientific observation, religious belief, and public superstition. Some regarded conjoined twins as medical anomalies worthy of careful studies, now known as a branch of teratology, while others viewed them as divine signs or people to be avoided and shunned (“From ‘Monsters’ to Medical Miracles: Moments in the History of Conjoined Twins.” National Library of Medicine). The novel references famous historical cases that fueled this curiosity, such as the Biddenden Maids of 12th-century England and the Hungarian Sisters of the 18th century, who were subjects of both popular lore and early medical inquiry. Because so few documented cases existed, each set of conjoined twins attracted extraordinary attention from doctors, journalists, and the general public alike. Medical examinations were frequently conducted before audiences, making scientific investigation itself a form of public spectacle.


Chang and Eng Bunker became the best-known conjoined twins in modern history, fundamentally shaping medical understanding of the condition. Physicians throughout Europe and the US carefully documented their anatomy, observing that although the brothers shared a connecting ligament and portions of their circulatory systems, they possessed separate personalities, emotions, thoughts, and dreams. The brothers’ insistence that they were two distinct individuals became just as important to medical history as their anatomy, influencing how later physicians came to understand conjoined twins. For Chang and Eng, this fascination meant a lifetime of scrutiny from physicians who documented their shared and separate physiologies.


The question of surgical separation was a constant presence in their lives. Although advances such as anesthesia (introduced in the 1840s) and antiseptic surgery (developed later in the century) influenced many areas of medicine, surgical separation remained far too dangerous. As the novel depicts, doctors consistently warned that an attempt to sever their connecting band would be fatal. This was confirmed only after their deaths in 1874. An autopsy performed by physicians at the College of Physicians of Philadelphia revealed that their livers were fused within the connecting ligament. This discovery, reflected in the novel’s conclusion, proved that the brothers had been correct to resist separation, as the procedure would have been lethal with the medical technology of their time.

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