Subtitled "A Study of Provincial Life", the novel is set in the fictitious Midlands town of Middlemarch, which is thought to be based on Coventry, during the period 1830-32. It has multiple plots with a large cast of characters and distinct, though interlocking narratives. The main themes, include the status of women, the nature of marriage, idealism, self-interest, religion, hypocrisy, political reform, and education. The pace is leisurely, the tone is mildly didactic (with occasional authorial comment).
Although Middlemarch has some comical elements, it is a work of realism. Through the voices and opinions of different characters we become aware of various issues of the day: the Great Reform Bill, the beginnings of the railways, the death of King George IV, and the succession of his brother, the Duke of Clarence (who became King William IV). The novel also provides insight into the state of contemporary medical science and the deeply reactionary mindset found within a settled community facing the prospect unwelcome change.
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