Medical History最新文献

This paper examines letters from the casebooks of the Valkenberg Lunatic Asylum in the Cape Colony during the South African War. Valkenberg was opened in 1891 in Cape Town, and was the only asylum established exclusively for white patients in the Cape. The South African War took place between 1899 and 1902, and several soldiers serving in the War were treated at Valkenberg during this period. The letters were written by a male patient who used bureaucratic and legal channels to claim his sanity and secure release from the asylum, showcasing a rare example from the archive of a patient's voice as well as a view into the inner workings of a colonial asylum in South Africa. These letters allow a view into the personal lives of patients and attendants, the medical rules doctors followed, and instances of racism, unexpected solidarity, and loneliness. Analysing these letters reveals the changes taking place in a turbulent South Africa, including the tensions and conflicts of a country at war, the racism and nationalism of early twentieth-century South Africa, and the violence present within the asylum network. By examining letters written directly by a patient, which give voice to a perspective that official institutional records would not ordinarily allow, this paper seeks to contribute to the literature on patient voices in the history of psychiatry.

This article studies the relation between research reactors, the development of nuclear research centres and the pharmaceutical industry in the recent history of nuclear medicine. While existing scholarship has rightfully highlighted how medical applications served as a useful argument to de-militarize the image of large-scale nuclear research infrastructure during the Cold War, this study extents this perspective beyond the Cold War era. Using the Belgian Nuclear Research Centre as a case study, this article highlights how their orientation was negotiated within economic and political considerations. From the 1990s onwards, therapeutic radiopharmaceuticals experienced increasing attention, while the amount of radioisotope-producing reactors was decreasing. In an era that had become more critical of nuclear infrastructure, this article shows how the production of radioisotopes became a social-political argument in the preservation of test reactors.

This article examines the historical transformation of childhood vaccination in the Netherlands between 1872 and 1959. It analyses how vaccination was reframed from an individual parental responsibility to a collective practice through the establishment of the 'Rijksvaccinatieprogramma' (National Immunisation Programme). I analyse this historical trajectory as a case of 'public health atomism', a strategy that achieves collective health by prioritizing individual health outcomes and local action. Rather than relying on top-down state mandates, the 'Rijksvaccinatieprogramma' was a consequence of co-operation between general practitioners, municipal health officials, civil society organisations, and volunteers. Drawing from published medical sources, parliamentary records, and material from local and national archives, this article provides a detailed historical account of how local governance and autonomy shaped vaccination practices, highlighting the role of the 'entgemeenschap' (vaccination community) as a key organisational model for situated collaboration. As such, it revisits childhood vaccination as an archetypical example of biopolitical state intervention, demonstrating how localised, flexible co-operation was instrumental in integrating vaccination into Dutch society.

The Pinel Sanatorium, the brainchild of Doctor Antonio Carlos Pacheco e Silva, a leading figure in Brazilian psychiatry, was inaugurated in 1929 in São Paulo as a private institution. It operated until 1944, during which time it recorded approximately 4,500 hospitalisations. In 30 psychiatric records, in addition to the usual clinical records, such as the Psychiatric Examination - in which the doctor records the elements he deems essential for identifying the mental illness from different sources of information, such as those provided by family members - attachments were found containing letters and short texts written by the inpatients. Addressed to different people, these letters, which were retained and evaluated by the doctors, played a central role in assessing the psychiatric conditions of the inmates. However, by being considered historical sources that reveal the 'point of view' of the mad, these documents are fundamental to the development of innovative approaches in the field of the history of madness and psychiatry. Based on the articulation between the context in which these records were produced, the social markers of difference that constitute the subjects, as well as the emotions expressed by the people who wrote them, the article sets out to answer two questions: (1) How the emotions expressed - both by the inmates and by their loved ones - were interpreted by psychiatrists and used to formulate diagnoses, and to define treatments and prognoses; (2) What meanings these emotions took on for the inmates themselves, in other words, how they put their experiences and subjectivities on display.

This article assesses the impact of the discovery of bacteriophages, which emerged from an investigation into a 1915 outbreak of bacillary dysentery in France, on influenza virus research. Specifically, it details the way in which the phages became a vehicle for importing certain assay techniques into the study of influenza and other viruses that cause infectious diseases in humans and other animals, thereby enabling the scaling up of vaccine production for these diseases. Very soon after his 1917 report of the discovery of bacteriophages, Felix d'Herelle developed an assay technique based on their ability to form countable plaques on solid media when incubated along with the dysentery bacteria. This basic technique was further refined by Macfarlane Burnet in the late 1920s. Still later, in the wake of a 1935 influenza outbreak in Australia, Burnet applied the principles of serial dilution and plaque counting, honed during his work on the phages, to develop a technique for cultivating influenza viruses in fertilised eggs and assaying them by counting the pocks induced on the chick embryo membranes. The ability to grow and assay these viruses proved crucial in developing the first successful vaccines against influenza. In the 1950s, bacteriophage assay techniques were once more carried over to the assaying of viruses on cultured cells by Renato Dulbecco and Marguerite Vogt. The importance of quantification in science, as well as the ability to apply the results of investigations in one area of biology to another, relatively unrelated field, is also discussed.

Developments such as the opening of the first psychiatric outpatient clinic, the emergence of psychiatric social work, the surge of interest in psychology and psychiatry, and the tightening of notions about sexual hygiene, intersected with the rise of the mental hygiene movement in India from 1930s. There exists little to no discussion on how mental hygiene developed in the colonies. This study is the first to shed light on the lesser-known chapter of psychiatry in India. The dynamics of family, childhood, and nation-state when merged with ideas about racism, caste, and communalism were critical in the making of new nation-states like India. Moreover, the trajectory of India's participation in international health movements, such as psychoanalysis and mental hygiene, allowed for exchange and participation. India's participation in the mental hygiene movement allowed the growth of psy-disciplines in innumerable ways. This paper fills in a major lacuna in historical writing by providing an outline of the number of interconnected developments in the colonies, which are often sidelined. The international visibility of India also permitted India to take centre stage in many significant studies that were conducted by the World Health Organization after the Second World War.

This article examines the place of habit in the medical thought and practices of 18th-century Britain. Scholars, including Steven Shapin and Phil Withington, have shown that habit was important to the broadly humoral understandings of health, disease, and regimen that dominated in Europe for much of the early modern period. In this article, I offer the first sustained attempt to understand the role of habit in the medical thought of 18th-century Britain, focusing on the influential Scottish physician William Cullen. For the first time engaging with all of Cullen's work on habit, including his correspondence, pathological lectures, and clinical lectures, I show that medics of the 18th century developed a new understanding of habit, linked to changing ideas about the nervous system. Increasingly, they emphasised the role that habit could play in causing the periodical return of bodily functions, even when there appeared to be no plausible physical cause. In so doing, medics engaged with one of the key debates of the 18th century - the contested notion that human nature itself might be contingent on social and environmental conditions. For them, habit provided the means by which society could quite literally change the body. These ideas come through clearly in the striking suggestion - hitherto unnoticed - that menstruation was the product of habit, arising not from nature but from culture. Discussions of menstruation reveal the political stakes of habit, with links to highly contested debates about the role that bodies of different genders might play in society.

The U.S. National Library of Medicine holds two collections by Adolf Nichtenhauser (1903-53) that have become important sources for historians of medical and health films: an unpublished book-manuscript in which he surveys the history of medical and health films to around 1950, primarily in Europe and North America; and the valuable collection of documents he amassed partly during his research for this book-manuscript. Such is the richness of these collections that it is difficult to imagine a history of medical and health film that is not in some way indebted to Nichtenhauser. Indeed, his book-manuscript has become a standard citation in the historiography of medicine, health and film. Yet very little is known about Nichtenhauser himself, other than that he was a European immigrant to the United States who wrote this key history and died before its completion. This article seeks to do three things: to provide the first English-language biography of Nichtenhauser from his early life in Austria to his career in the United States; to use this biography to explain how he came to write this book-manuscript; and to explore the relationship between his historiography and efforts in the 1940s and 1950s to identify and solve problems with application of film to medicine and health.