Medical History最新文献

While the plague of Provence is the most studied outbreak of the disease in early modern Europe, there is little in the extensive historiography on this topic about fears of the cross-species transmission of disease which re-emerged in the early eighteenth century because of events in southwestern France. Concerns about the interplay between cattle murrains and human plague resurfaced in the early eighteenth century because the plague of Provence followed an outbreak of cattle disease which swept across Europe and killed tens of thousands of animals. This article focuses on the debate about the spread of contagious diseases between species which occurred in Britain during this time. Links between the health of animals and that of humans became objects of heated discussion especially following the issuing of the 1721 Quarantine Act, which was designed to prevent the plague currently ravaging southwestern France from taking hold in Britain. It then considers the different beliefs regarding contagion and the transmission of diseases between different species during the plague of Provence. While focusing on the richly documented and highly revealing discussions in early eighteenth-century Britain about the interplay between plague in cattle and plague in humans, it also utilises materials from earlier centuries to examine more fully how early modern populations understood the relationship between plague in humans and cattle murrains.

This article explores the intersection of Cold War geopolitics, cultural psychiatry, and migration in Taiwan from the mid-1940s to the 1970s. Building on recent scholarship in cultural psychiatry and Cold War science, it examines how geopolitical tensions shaped psychiatric knowledge production in East Asia. Focusing on the psychological and social impact of the 1949 mass migration, when over a million Chinese immigrants arrived in Taiwan, alongside the clinical and academic work of Taiwanese psychiatrists, the study highlights how migration and societal upheaval became central research concerns. Operating under the authoritarian Kuomintang regime and within the constraints and opportunities of international politics, Taiwanese psychiatrists - most of whom were native-born with colonial backgrounds - drew on intellectual traditions from imperial Japan, fascist Germany, and the Cold War Western bloc. Navigating both global psychiatric discourses and local concerns, they positioned themselves as key contributors to the international development of psychiatric research. While their portrayals of Chinese character structure and family dynamics sometimes reflected essentialist views, their work also demonstrated a nuanced awareness of historical change and contemporary realities during a period of intense political repression and uncertainty. By analysing archival sources and medical texts, this article illuminates the complex interplay between geopolitics and psychiatric knowledge production in Cold War Taiwan.

The presence of children in eighteenth-century English voluntary hospitals is an area of increasing interest and attention. The Northampton Infirmary admission records detail inpatient and outpatient ages from 1744 to 1804, allowing for longitudinal investigations of children in the institution. The most common distempers affecting children were surgical infections, infectious diseases, and skin diseases; fifty-six per cent of the child patients were male and 43.3 per cent were female. Nearly seventy-five per cent of children left the hospital 'cured'. This article outlines the Northampton Infirmary Eighteenth Century Child Admission Database, and demonstrates how the patterning of distempers within and among children provides insight into the health journeys of eighteenth-century children through the lens of their bodies, their parents, and their institutional recommenders.

Surgical sterilisation practices significantly increased in contraceptive capacity as the twentieth century unfolded. Despite this prolific uptake, sterilisation is markedly absent from histories of birth control and family planning and instead has remained addressed within histories of eugenics and coercion. The purpose of this article is twofold: firstly, to demonstrate a voluntary, contraceptive history of sterilisation that is distinct from, though connected to, involuntary and eugenic sterilisation; and secondly, to explain the integral role that individual doctors and their private practice played in the rise of contraceptive sterilisation in twentieth-century Australia. Through a combination of archival material and oral history interviews with twentieth-century practitioners of tubal ligation and vasectomy, this article reframes the history of surgical sterilisation, situating it firmly within the history of birth control.

This paper examines the history of the 'lower cavity' of the gastrointestinal tract, a distinctive anatomical feature in Greco-Roman medicine that described a second stomach-like organ in the large intestine. It traces how a bipartite model of the digestive system emerged in fourth-century bce Greek medical and philosophical thought and persisted in the works of influential figures such as Galen, Vesalius, and Glisson, despite shifts in terminology, anatomical observations, and physiological theories. The study demonstrates that this understanding arose primarily from three complementary factors: a specific terminology that paired the stomach with a lower cavity, systematic animal dissections that revealed pronounced caeca in certain species, and emerging physiological theories that required separate bodily receptacles for digested food and residues. Through this case study, the paper illuminates how premodern anatomical knowledge was articulated by a constant negotiation between animal bodies, human bodies, and past textual authorities, facilitating the surprising longevity of ideas like the 'lower cavity' in the gastrointestinal tract.

Following the trajectories of vaccines against foot-and-mouth disease (FMD) in France and Britain up to the 1960s, this paper will show how vaccine efficacy has two meanings: 1) technical - or experimental - which refers to test protocols and regimes of evidence, and 2) practical - or experiential - which refers to the experience various actors have of diseases and their direct or indirect impacts on society and the economy, as well as on representations and imaginaries they share about diseases, vaccines, and vaccination. The assessment protocols in the two countries are analysed to show how these two meanings are deeply intertwined and influence the different public policies chosen by each country. Although statistically assessed, the efficacy of the same vaccines appears situated, depending not only on regimes of evidence but also on the reality of agricultural practices, on national stock exchanges, and on various imaginaries about animal health and the absence of disease that differ between and within countries. As a consequence, this analysis reveals how public policies regarding vaccination do not always come from governmental incentives but can also emerge from private and local initiatives.

This article examines the evolution of breastfeeding practices in twentieth-century China, focusing on the complex interplay between medical knowledge, state policies and social transformation. This study demonstrates how medical recommendations concerning lactation timing, intervals and weaning were shaped by factors beyond purely scientific developments. Mid-twentieth-century biochemical studies validated traditional practices while revolutionising attitudes towards colostrum, marking a critical juncture in Chinese infant nutrition science. Following the establishment of the People's Republic in 1949, maternal and child health initiatives underwent fundamental changes. Drawing on new understanding of breast milk's nutritional value, health benefits, and economic advantages, healthcare professionals and state authorities actively promoted scientific breastfeeding methods. Their multifaceted approach reflected both the dissemination of medical knowledge and the state's strategic consideration of female labour force participation. This study analyses how women's liberation from feudal constraints, changing employment patterns, Soviet medical influence, and advances in artificial feeding technologies shaped breastfeeding practices. Through examining the intersection of medical advice, health policies, and women's labour liberation, it provides fresh insights into the evolution of breastfeeding discourse within Chinese medical circles. Situating these developments within broader medical, social and cultural contexts, this research not only illuminates the multiple factors that shaped modern Chinese infant feeding practices but also contributes to our understanding of the complex relationships between medical practice, state policy, and social change in twentieth-century China.

Cross-gender behaviour gradually entered the spheres of aetiology and diagnosis during the eighteenth century with reference to scattered instances of male cross-dressing. But well into the nineteenth century, "gender identity" (a mid-twentieth-century term) remained a poorly theorised instance of medicalisation. Late eighteenth-century concepts of "dynamic hermaphroditism" accounted for gender-nonconforming behaviours and aspirations, but could not account for the observed heterogeneity in disparities between sexed body and mind. Increasingly substantive contributions to aetiology were seen during the late 1870s and 1880s, particularly in response to Carl Westphal's convoluted, 1869 concept of "contrary sexual feeling" (conträre Sexualempfindung). Richard von Krafft-Ebing's notion of metamorphosis sexualis paranoica provided one of the most authoritative approaches to the question of gender identification in "sexual inversion". The notion, which took the first seven German editions of his Psychopathis sexualis to achieve a definitive formulation, needs to be seen in light of Krafft-Ebing's earlier conceptions of sexual delusion, which straddled the realms of the experienced sexual body and sense of self. Moreover, Krafft-Ebing was not the first to outline a theory of non-cisgender identity, as demonstrated by the mid-1880s work of Théodule-Armand Ribot and Rudolph Arndt, as well as various significantly earlier approaches to what had been considered the "monomania of sexual transformation".

Ghostwriting autobiographies has gained so high a profile that novels and films focus on the ghost. To deepen understanding of such collaborations in science and medicine, this article reconstructs the making of A Matter of Life (1980), 'the sensational story of the world's first test-tube baby'. Although critiqued by feminist scholars, revised through research and embellished in fiction, this double autobiography of Robert Edwards and Patrick Steptoe is still the standard history of the British team's work to achieve in vitro fertilisation (IVF). It is thus high time to investigate the debt acknowledged only by 'gratitude for his invaluable help' to the physician and poet Dannie Abse. I use previously unexploited manuscripts to illuminate relationships among authors, rewriter, and editor, and among those they cast as involved in the research. The records show that Abse rewrote underwhelming drafts for a publisher that had bought and sold the doctors' story of the 'baby of the century' and needed a bestseller. To engage readers, he reworked the text so that alleviating infertility appeared as a career-long quest. As a result of adding vivid scenes with characters and expository dialogue, Abse began to give women-wives, assistants and patients-larger roles in the drama. The objections of Edwards and his circle to various literary references and factual claims were overruled. Yet the authors came across more sympathetically, and IVF was promoted more effectively, than in their own drafts. The process puts recent retellings of the story into perspective and exemplifies how collaboration can shape scientific and medical autobiographies.