[Images of gender and gender-specific therapies in German homoeopathic and naturopathic guidebooks (c. 1870-1930)].

Andreas Weigl
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Abstract

In the second half of the nineteenth and early twentieth century sex and gender became crucial categories not only in the medical discourse of German speaking countries. At the very centre of this discourse was the idea of women as the weaker sex. Because of the paradigm shift in the history of medicine (due to the discovery of the cytopathology) the principle of a weaker sex seemed to be corroborated by scientific research, a fact which impacted on medical practice in many ways. "Nervous" disease evolved as the major threat "of our times," with urban girls, young women and "weak" young men being most at risk. At the same time homoeopaths and naturopaths challenged modern medicine, offering alternative health practices, cures and drugs for people who could not afford the help of physicians or distrusted them. An analysis of several alternative medical guidebooks printed between c. 1870 and 1930 showed that homoeopaths and naturopaths shared the "sexualization" of medical discourse and practice only to an extent. On the one hand they believed that disorders such as hysteria, masturbation, chorea Sydenham and anaemia were nervous in nature and that the chances of curing them were poor. With the exception of masturbation these "deadly" threats were considered to be typically female. The general approach of alternative physicians, on the other hand, was unisex. The cures they offered to the public used unisex scales of constitutional characters. They even ignored the gender specificity of sick headaches. Gender-specific problems such as difficult deliveries and childbed fever were treated as "natural" and mild cures were favoured. The conclusion is that the influences of upper and middle class discourse on common health practices should not be overestimated.

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[德国顺势疗法和自然疗法指南中的性别和性别特异性疗法的图像(约1870-1930)]。
在19世纪下半叶和20世纪初,性和社会性别不仅在德语国家的医学论述中成为重要的范畴。这一论述的核心是女性是弱势性别的观念。由于医学史上的范式转变(由于细胞病理学的发现),性别较弱的原则似乎得到了科学研究的证实,这一事实在许多方面影响了医疗实践。“神经”疾病逐渐演变为“我们这个时代”的主要威胁,城市女孩、年轻女性和“虚弱”的年轻男性面临的风险最大。与此同时,顺势疗法和自然疗法挑战了现代医学,为那些负担不起医生帮助或不信任医生的人提供了替代的健康实践、治疗方法和药物。对1870年至1930年间印刷的几种替代医学指南的分析表明,顺势疗法和自然疗法只是在一定程度上共享了医学话语和实践的“性化”。一方面,他们认为癔症、手淫、西德纳姆舞蹈病和贫血等疾病本质上与神经有关,治愈这些疾病的可能性很小。除了手淫之外,这些“致命”的威胁被认为是典型的女性行为。另一方面,替代医生的一般做法是不分性别的。他们向公众提供的治疗方法使用了男女通用的体质特征量表。他们甚至忽略了病态头痛的性别特征。难产和产褥热等性别问题被视为“自然”问题,并倾向于温和治疗。结论是,不应高估上层和中产阶级话语对常见健康做法的影响。
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