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'The Advice of a Gent Who Died from Neglecting it': The Gentlemanly Pursuit of Knowledge Regarding Domestic Medicine in Kent c.1630-1800. 一位因忽视而死亡的绅士的建议":1630-1800 年间肯特郡绅士对家庭医学知识的追求。
IF 0.6 2区 哲学 Q1 HISTORY Pub Date : 2024-10-08 DOI: 10.1093/shm/hkae041
Francesca Elizabeth Richards

English gentlemen in the early modern period held ultimate responsibility for the health of their households. Building on previous studies which have revealed how both men and women of the gentry participated in remedy-collecting and some forms of caring duties as necessity demanded, this article situates gentlemanly interest in domestic medicine within familial, social and professional networks of knowledge and reading practices. Employing a micro-historical approach, this study explores the interests of Sir Henry Oxinden of Barham and his great-grandson, Lee Warly of Canterbury, who developed their medical knowledge by consulting female relatives, local acquaintances and medical texts. They assessed the value of physicians' advice and the appeal of new ingredients. This article thus contributes a significant case study to the historiography of domestic medicine, presenting the gentlemanly pursuit of medical knowledge for practical and academic purposes as an activity which enhanced male status within the family and community.

现代早期的英国绅士对其家庭的健康负有最终责任。以前的研究揭示了绅士中的男性和女性如何根据需要参与药方收集和某些形式的护理工作,本文在此基础上,将绅士对家庭医药的兴趣置于家庭、社会和专业的知识和阅读实践网络中。本研究采用微观历史方法,探讨了巴勒姆的亨利-奥克辛登爵士及其曾孙坎特伯雷的李-瓦利的兴趣,他们通过向女性亲属、当地熟人和医学文献咨询来发展自己的医学知识。他们对医生建议的价值和新成分的吸引力进行了评估。因此,这篇文章为家庭医学史学提供了一个重要的案例研究,介绍了出于实用和学术目的而追求医学知识的绅士风度,这种活动提高了男性在家庭和社区中的地位。
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引用次数: 0
Hunting the Royal Navy’s Medical ‘Snark’: Diagnosis, Prevention and Treatment of Tropical Neurosis in British Sailors, 1943–1945 狩猎皇家海军的医学 "火枪手":1943-1945 年英国海军热带神经症的诊断、预防和治疗
IF 0.7 2区 哲学 Q1 HISTORY Pub Date : 2024-07-01 DOI: 10.1093/shm/hkae037
Frances Houghton
Summary Between 1943 and 1945, Britain’s Royal Naval Medical Service dispatched urgent missions to investigate physiological and psychological effects suffered by British sailors who were deployed in tropical climates. This article draws on the resulting, previously neglected, medical articles and medical research reports to examine understandings of ‘tropical neurosis’ in the wartime Fleet. Exploring how tropical neurosis was encountered, framed and explained by senior naval medical professionals, this article investigates the condition’s portrayal as a serious health and military risk during the Second World War. This research analyses hitherto unexplored intersections of constructions of race, gender and environment in British naval medical conclusions and recommendations, delivering significant new understandings of the insidious operation of medical racism in Britain’s wartime armed forces. It also establishes, for the first time, how this ambiguous illness was construed as a threat to Britain’s naval war effort, and even the very future of Empire, by the Navy’s medical branch.
摘要 1943 年至 1945 年间,英国皇家海军医疗服务部派出紧急任务,调查部署在热带气候下的英国水兵所遭受的生理和心理影响。本文利用由此产生的、以前被忽视的医学文章和医学研究报告,研究战时舰队对 "热带神经症 "的理解。本文探讨了海军高级医学专家是如何认识、界定和解释热带神经症的,并将其描述为第二次世界大战期间严重的健康和军事风险。这项研究分析了英国海军医学结论和建议中种族、性别和环境建构之间迄今为止尚未探索过的交叉点,对英国战时武装部队中医疗种族主义的阴险运作提供了重要的新认识。该书还首次证实了海军医学部门是如何将这种模棱两可的疾病视为对英国海军战争努力,甚至是帝国未来的威胁。
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引用次数: 0
Voluntarism as Resistance to State Control: A Case Study of the Kingston Victoria Hospital and the Fledgling NHS 抵制国家控制的自愿主义:金斯顿维多利亚医院和新生国家医疗服务体系案例研究
IF 0.7 2区 哲学 Q1 HISTORY Pub Date : 2024-06-20 DOI: 10.1093/shm/hkae034
Steph Haydon
Summary With the launching of the National Health Service (NHS) in 1948, this taxpayer-funded, centralised, universal service seemingly negated the need for new voluntary hospitals to be established in Britain. Within 3 years, however, the former doctors of the Kingston and Malden Victoria Hospital (KMVH) announced a new voluntary hospital (the New Victoria) after the KMVH was closed for repurposing in the NHS. Examining this case reveals stakeholder perceptions of the early NHS, including debates over general practitioner (GP) independence, local democracy and state control which predated and permeated the founding of the Service. I argue the New Victoria was founded as a response to and revolt against centralised bureaucracy and an attempt to restore a sense of GP independence and patient control in the local hospital service. Voluntarism, in the form of a voluntary hospital, was the medium through which these debates took place.
摘要 1948 年,随着英国国民医疗服务体系(NHS)的启动,这项由纳税人出资、集中管理的全民服务似乎不再需要在英国建立新的志愿医院。然而,在 3 年之内,金斯顿和马尔登维多利亚医院(KMVH)的前医生们宣布,在金斯顿和马尔登维多利亚医院关闭后,新维多利亚医院(New Victoria)将重新用于国民保健服务。对这一案例的研究揭示了利益相关者对早期国家医疗服务体系的看法,包括对全科医生(GP)独立性、地方民主和国家控制的争论,这些争论在该服务体系成立之前就已存在,并渗透其中。我认为,"新维多利亚 "的成立是对中央集权官僚体制的回应和反抗,也是试图在地方医院服务中恢复全科医生的独立性和病人控制权的一种尝试。以志愿医院为形式的志愿主义是进行这些辩论的媒介。
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引用次数: 0
‘Immune from the germ-laden things’: Immunity and Irish Newspaper Advertising, 1890–1940 对充满细菌的事物免疫":免疫与爱尔兰报纸广告,1890-1940 年
IF 0.7 2区 哲学 Q1 HISTORY Pub Date : 2024-06-20 DOI: 10.1093/shm/hkae035
Maebh Long
Summary From 1890, as advertising in Irish newspapers grew in quantity and sophistication, a discourse of immunity began to circulate. Advertisers drew on advancements in bacteriology and immunology to present their goods as defensive strategies against a range of threats, from major infectious diseases to everyday coughs and colds. Consumers were urged to supplement their bodies’ vulnerabilities by purchasing pills and tonics, with medical products joined by immunity-assuring underwear, coats, cosmetics and cars. From a dataset of every immunity-focused advertisement in the Irish Newspaper Archives and The Irish Times archives between 1890 and 1940, I unpack the ways immunity was presented to the Irish public outside of medical institutions. I show how discourses of immunity intersected with influenza outbreaks, consider the implication of the non-national origins of many advertisements, and trace their rhetoric of protection and resistance across a range of product types.
摘要 从 1890 年开始,随着爱尔兰报纸广告的数量和复杂程度不断提高,一种关于免疫力的言论开始流传。广告商利用细菌学和免疫学的进步,将他们的商品作为抵御从重大传染病到日常咳嗽和感冒等一系列威胁的防御策略。消费者被敦促通过购买药丸和补药来补充身体的弱点,除了医疗产品外,还有保证免疫力的内衣、外套、化妆品和汽车。通过爱尔兰报纸档案馆和《爱尔兰时报》档案中 1890 年至 1940 年间所有以免疫力为主题的广告数据集,我解读了在医疗机构之外向爱尔兰公众展示免疫力的方式。我展示了有关免疫的论述是如何与流感爆发交织在一起的,考虑了许多广告的非国家起源的含义,并在一系列产品类型中追溯其保护和抵抗的修辞。
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引用次数: 0
Medical Voluntarism and Orthopaedic Advancements: Lancashire and the Disabled Ex-Servicemen of the First World War. 医疗志愿服务与矫形外科的进步:兰开夏郡与第一次世界大战伤残退役军人》。
IF 0.6 2区 哲学 Q1 HISTORY Pub Date : 2024-06-12 eCollection Date: 2024-08-01 DOI: 10.1093/shm/hkae029
Nicola Smith

This article explores the fundamental role of Lancashire's medical voluntarism in providing restorative orthopaedic treatments to the region's First World War, disabled ex-servicemen and assisting in their return to society. It offers a case study of orthopaedic treatments and schemes of rehabilitation provided at Grangethorpe Hospital, Rusholme, between 1914 and 1918. Forming a regional comparison to existing histories of First World War disabled ex-servicemen, which focus primarily on the interwar period, this article traces continuities in pioneering medicine and examples of Lancashire-based medical individuals and institutions. In doing so, this article demonstrates how the region's response to disablement during the Industrial Revolution underpinned the construction of charities and the advancement of orthopaedic treatments required to provide rehabilitative care during the First World War. Moreover, this paper situates Lancashire and its commitment to medical voluntarism and the reconstruction of disabled ex-servicemen as a key site in the UK's history of voluntarism.

本文探讨了兰开夏郡的医疗志愿服务在为该地区的一战伤残退役军人提供矫形康复治疗并帮助他们重返社会方面所发挥的重要作用。该书对 1914 年至 1918 年期间在拉肖尔姆的格兰杰索普医院提供的矫形治疗和康复计划进行了案例研究。与现有的一战伤残退役军人史(主要集中在战时)相比,本文追溯了开创性医学的连续性以及兰开夏郡医疗个人和机构的范例。在此过程中,本文展示了该地区在工业革命时期对伤残问题的反应如何支撑了慈善机构的建设以及在第一次世界大战期间提供康复护理所需的矫形治疗的进步。此外,本文还将兰开夏郡及其对医疗志愿服务和伤残退伍军人重建的承诺定位为英国志愿服务历史上的一个关键地点。
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引用次数: 0
Interrogating ‘Parriah Arrack’: Anxieties Over Health, Race and Drinking in Early Colonial Calcutta 拷问 "Parriah Arrack":殖民地早期加尔各答对健康、种族和饮酒的忧虑
IF 0.7 2区 哲学 Q1 HISTORY Pub Date : 2024-05-30 DOI: 10.1093/shm/hkae027
Sarbajit Mitra
Summary The colonial authorities in India had always been watchful of the drinking activities of the European soldiers and sailors, expressing concerns about their moral and physical health. The article suggests that such anxieties motivated the European population in India, particularly in its early days, to investigate the drinking practices of the local population and examine the effects of locally distilled liquor on their health and constitution. Through an analysis of a petition and a Commission report, the paper explores a dialogue between a group of European distillers and the Fort William Medical Board in early nineteenth-century Calcutta, focussing on the topics of drinking and health. The article argues that these early interrogations on the local drink not just reinforced the racial stereotypes concerning taste and technology but also consolidated the idea of the ‘tropic’ that continued to inform Anglo-Indian medical discourses in subsequent years.
摘要 印度殖民当局一直关注欧洲士兵和水手的饮酒活动,对他们的道德和身体健康表示担忧。文章认为,这种忧虑促使在印度的欧洲人,特别是在印度早期,调查当地人的饮酒习惯,研究当地蒸馏酒对他们的健康和体质的影响。本文通过对一份请愿书和一份委员会报告的分析,探讨了 19 世纪早期加尔各答的一群欧洲蒸馏酒商与威廉堡医疗委员会之间的对话,重点讨论了饮酒与健康的话题。文章认为,这些早期对当地饮品的质询不仅强化了有关口味和技术的种族成见,而且巩固了 "热带 "的概念,这一概念在随后的岁月中一直贯穿于英印医学论述中。
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引用次数: 0
Educative Psychological Treatment at Edinburgh’s Royal Asylum: Unfolding The Morningside Mirror, 1845–1882 爱丁堡皇家精神病院的教育性心理治疗:1845-1882 年晨曦镜的展开
IF 0.7 2区 哲学 Q1 HISTORY Pub Date : 2024-05-02 DOI: 10.1093/shm/hkae022
Christopher Holligan
Summary This article examines moral therapy in relation to writing by fee-paying ‘lunatic’ asylum patients from the upper and middle classes. Their work was published in a nineteenth-century monthly periodical, The Morningside Mirror. There is an intersection of the periodical with status and the interests of gentlemanly values. Despite their psychopathological diagnoses, which included melancholia, writers for the Mirror retained their human capacity to share poignant insights into love and social injustice. Edinburgh’s reputation as a cultural and scientific centre of learning provided opportunities for the asylum to market itself as an iconic sanctuary that could maintain the materially privileged lifestyles of patients. The Morningside Mirror offered creative activity, self-esteem maintenance and public recognition. It connected the Asylum to the society outside. The expression of logic as reflective of the repair of reason signalled, from the viewpoint of psychological medicine, the Mirror’s therapeutic impact and utility to project reputation.
摘要 本文研究了中上层阶级收费 "疯人院 "病人的道德治疗与写作的关系。他们的作品发表在 19 世纪的月刊《晨边镜报》上。该期刊与身份地位和绅士价值观的利益存在交集。尽管《镜报》的作家们被诊断出患有忧郁症等精神疾病,但他们仍能保持人性的光辉,分享对爱情和社会不公的深刻洞察。爱丁堡作为文化和科学学习中心的声誉为精神病院提供了机会,使其成为一个标志性的避难所,可以维持病人物质上优越的生活方式。晨边镜报》提供了创造性的活动、自尊的维护和公众的认可。它将精神病院与外部社会联系在一起。从心理医学的角度来看,逻辑的表达反映了理性的修复,标志着镜子的治疗效果和声誉。
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引用次数: 0
French Psychiatry and Alcoholism in the 1950s and 1960s: The Paradoxes of Outpatient Care 二十世纪五六十年代的法国精神病学与酗酒:门诊治疗的悖论
IF 0.7 2区 哲学 Q1 HISTORY Pub Date : 2024-05-01 DOI: 10.1093/shm/hkae020
Anatole Le Bras
Summary This article examines the place of alcoholic patients in French psychiatry in the 1950s and 1960s, an era of incipient psychiatric reform. Relying on medical literature, national and department archives, as well as hitherto unexploited patient files from one of the first anti-alcoholic consultations opened in the early 1950s in Paris, it shows how new therapies and drugs, such as disulfiram, revived the interest of psychiatrists for alcoholism and enabled the outpatient treatment of alcoholics. However, the study of patient trajectories reveals that ambulatory care did not substitute itself for hospitalisation. The article then analyses how the psychiatrist–patient relation was transformed in the framework of the consultation, and included new stakeholders such as social workers and family members. It finally explains why therapeutic enthusiasm gave way, at the end of the 1960s, to increasing doubts concerning the role of the psychiatrist in the cure of alcoholism.
摘要 本文探讨了二十世纪五六十年代法国精神病学中酗酒患者的地位,当时法国精神病学改革刚刚起步。文章依据医学文献、国家和部门档案,以及 20 世纪 50 年代初在巴黎开设的首批抗酒精中毒诊室中至今未被利用的患者档案,展示了新疗法和药物(如双硫仑)如何重新激发了精神病医生对酒精中毒的兴趣,并使酒精中毒患者的门诊治疗成为可能。然而,对病人轨迹的研究表明,门诊治疗并不能取代住院治疗。文章随后分析了精神科医生与患者之间的关系如何在会诊框架内发生转变,并将社会工作者和家庭成员等新的利益相关者纳入其中。文章最后解释了为什么在二十世纪六十年代末,治疗热情让位于对精神科医生在酗酒治疗中作用的日益怀疑。
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引用次数: 0
Psychiatry, Modernity and the Politics of the Individual: The Historical Contours of Mental Hygiene 精神病学、现代性与个人政治:精神卫生的历史轮廓
IF 0.7 2区 哲学 Q1 HISTORY Pub Date : 2024-04-21 DOI: 10.1093/shm/hkae015
Grégory Dufaud, Nicolas Henckes, Marianna Scarfone
Summary This introduction to this special issue devoted to mental hygiene movements in Europe examines the issues and problems facing their historical study. While the definition of mental hygiene was obvious to contemporaries, it referred to highly divergent projects in different socio-political contexts. As a result, historians have struggled to come up with a unified definition of mental hygiene as a category for analysis. After outlining historiographical responses to this question, this essay suggests that mental hygiene can best be understood as a specific way of articulating four dimensions of the psychiatric discipline, namely its organization and its relationship to the state, individuals and science. The final section provides an overview of the themes developed by the articles in this special issue.
摘要 本特刊的导言专门讨论欧洲的精神卫生运动,探讨了这些运动的历史研究面临的问题。虽然精神卫生的定义对同时代的人来说是显而易见的,但在不同的社会政治背景下,它所指的项目却大相径庭。因此,历史学家们一直在努力为精神卫生下一个统一的定义,并将其作为一个分析范畴。在概述了史学界对这一问题的回应之后,本文认为,精神卫生最好被理解为阐述精神病学科四个方面的一种特定方式,即它的组织及其与国家、个人和科学的关系。最后一部分概述了本特刊文章所阐述的主题。
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引用次数: 0
The First Dog Doctors: Canine Healthcare Practitioners in the Eighteenth-Century Medical Marketplace 第一批狗医生十八世纪医疗市场中的犬类医疗从业者
IF 0.7 2区 哲学 Q1 HISTORY Pub Date : 2024-04-18 DOI: 10.1093/shm/hkae012
Stephanie Howard-Smith
Summary The question of when dogs became the recipients of veterinary care has long been debated; current scholarship does not acknowledge the long tradition of canine healthcare provided by irregular specialists prior to the late nineteenth century. This article reveals, however, that eighteenth-century Britain was home to a thriving canine medical marketplace. Among its key actors were ‘dog doctors’—individuals without formal healthcare training who regularly treated and healed dogs. This article offers the first historical account of the eighteenth-century dog doctor, contextualising and reappraising his identity, clients and services. It focusses on the dynamic career of the celebrity practitioner John Norborn, who proudly self-identified as a ‘dog doctor’ when the term was considered an insult. In doing so the article considers the conditions in which specialist care for dogs first developed and argues for a new chronology of canine veterinary medicine.
摘要 长期以来,人们一直在争论狗何时成为兽医护理对象的问题;目前的学术研究并不承认在 19 世纪晚期之前由非正规专家提供犬类医疗保健的悠久传统。然而,本文揭示了十八世纪的英国是犬类医疗市场繁荣的发源地。其主要参与者包括 "狗医生"--没有接受过正规医疗培训的个人,他们定期为狗进行治疗和康复。本文首次对十八世纪的狗医生进行了历史性的描述,对其身份、客户和服务进行了背景分析和重新评估。文章重点介绍了名医约翰-诺伯恩(John Norborn)充满活力的职业生涯,当 "狗医生 "一词被认为是一种侮辱时,他却自豪地自我定位为 "狗医生"。在此过程中,文章考虑了狗的专业护理最初发展的条件,并为犬兽医学的新编年史提出了论据。
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引用次数: 0
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Social History of Medicine
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