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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 Arts and Humanities 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
The Social Origins of Alcoholism: Abraham Myerson and the Significance of Drinking Norms in Alcohol Addiction, 1938–1946 酗酒的社会起源:亚伯拉罕-迈尔森与饮酒规范在酗酒成瘾中的意义,1938-1946 年
IF 0.7 2区 哲学 Q1 Arts and Humanities Pub Date : 2024-04-25 DOI: 10.1093/shm/hkae023
Matthew J McLaughlin
In the 1940s, Abraham Myerson’s work on drinking norms in the USA was central to reorienting the approach medical and scientific experts adopted when studying and treating alcoholism. A leading psychiatrist and neurologist from Boston, Myerson argued that tensions between alcohol’s ability to satisfy a pleasure-seeking drive and the rise of asceticism had generated ambivalent social attitudes, traditions and expectations towards drinking. This article explores how Myerson identified and employed social factors to uncover the relationship between ambivalent drinking norms, one’s gender, ethnic or religious background, and whether one would drink to excess. In doing so, it will illuminate how Myerson’s innovative efforts to highlight the role of social attitudes and traditions in alcoholism ultimately helped shape the approach of medical science to the alcohol problem.
20 世纪 40 年代,亚伯拉罕-迈尔森(Abraham Myerson)对美国饮酒规范的研究,对调整医学和科学专家研究和治疗酒精中毒的方法起到了核心作用。迈尔森是波士顿著名的精神病学家和神经学家,他认为,酒精能够满足人们追求快感的欲望,而禁欲主义的兴起则导致了社会对饮酒的矛盾态度、传统和期望。本文探讨了迈尔森是如何识别和利用社会因素来揭示矛盾的饮酒规范、个人性别、种族或宗教背景与是否过量饮酒之间的关系的。在此过程中,文章将阐明迈尔森是如何通过创新努力来强调社会态度和传统在酗酒中的作用,并最终帮助医学界形成了应对酒精问题的方法。
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引用次数: 0
Michael Bresalier, Modern Flu: British Medical Science and the Viralisation of Influenza, 1890-1950 Michael Bresalier,《现代流感》:英国医学科学与流感病毒化,1890-1950 年
IF 0.7 2区 哲学 Q1 Arts and Humanities Pub Date : 2024-04-22 DOI: 10.1093/shm/hkae026
George Dehner
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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 Arts and Humanities 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
Alison Li, Wondrous Transformations: A Maverick Physician, the Science of Hormones, and the Birth of the Transgender Revolution 艾莉森-李,《奇妙的转变》:一位特立独行的医生、荷尔蒙科学和变性革命的诞生
IF 0.7 2区 哲学 Q1 Arts and Humanities Pub Date : 2024-04-20 DOI: 10.1093/shm/hkae024
Robert Brain
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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 Arts and Humanities 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
On the Margins of Maternity: Low-Income Women’s Experiences of Maternity Care in Late Twentieth-Century Glasgow 产妇的边缘:二十世纪晚期格拉斯哥低收入妇女的孕产护理经历
IF 0.7 2区 哲学 Q1 Arts and Humanities Pub Date : 2024-04-17 DOI: 10.1093/shm/hkae011
Janet Greenlees
Summary The healthcare provided to expectant mothers impacts the health outcomes of the mother and infant, or infants, and reflects current social and political priorities which mirror middle-class values and leave poorer women feeling socially isolated. Utilising focus group interviews with nineteen women who were living on low-incomes in Glasgow, Scotland, when they delivered their first child between the 1970s and early 2000s, this article analyses the women’s recollections of their maternity care experiences within the changing middle-class health context. It reveals how expectant mothers remembered feeling healthcare practitioners prioritised the needs of the embryo/foetus/infant before their own. The women recalled feeling stigmatised for being pregnant and poor. While interviewees identified individual caring practitioners, overall a disconnect remained between the middle-class healthcare providers and the needs of low-income mothers. Finally, this article suggests that co-creating history with a third-sector organisation could offer a potential methodology for addressing the middle-class bias of official sources.
摘要 为孕妇提供的医疗保健服务影响着母婴或婴儿的健康结果,并反映了当前社会和政治的优先事项,这些优先事项反映了中产阶级的价值观,使贫困妇女感到社会孤立。本文通过对苏格兰格拉斯哥 19 名低收入妇女的焦点小组访谈,分析了她们在不断变化的中产阶级健康背景下的孕产护理经历。文章揭示了准妈妈们在回忆中如何感受到医护人员优先考虑胚胎/胎儿/婴儿的需要,而不是她们自己的需要。这些妇女回忆说,她们因怀孕和贫穷而感到耻辱。虽然受访者指出了个别富有爱心的医疗从业者,但总体而言,中产阶级医疗服务提供者与低收入母亲的需求之间仍然存在脱节。最后,本文认为,与第三部门组织共同创造历史可以为解决官方资料来源中的中产阶级偏见提供一种潜在的方法。
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引用次数: 0
Sexpertise: Sexual Knowledge and the Public in the Nineteenth and Twentieth Centuries 性知识:十九世纪和二十世纪的性知识与公众
IF 0.7 2区 哲学 Q1 Arts and Humanities Pub Date : 2024-04-03 DOI: 10.1093/shm/hkae014
Hannah Charnock, Sarah L Jones, Ben Mechen
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引用次数: 0
Eric I. Karchmer, Prescriptions for Virtuosity: The Postcolonial Struggle of Chinese Medicine Eric I. Karchmer, Prescriptions for Virtuosity:中医药的后殖民斗争
IF 0.7 2区 哲学 Q1 Arts and Humanities Pub Date : 2024-04-01 DOI: 10.1093/shm/hkae016
David Luesink
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引用次数: 0
Correction. 更正。
IF 0.7 2区 哲学 Q1 Arts and Humanities Pub Date : 2024-03-27 eCollection Date: 2023-11-01 DOI: 10.1093/shm/hkae017

[This corrects the article DOI: 10.1093/shm/hkac052.][This corrects the article DOI: 10.1093/shm/hkab132.][This corrects the article DOI: 10.1093/shm/hkac032.].

[此处更正文章 DOI:10.1093/shm/hkac052][此处更正文章 DOI:10.1093/shm/hkab132][此处更正文章 DOI:10.1093/shm/hkac032]。
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引用次数: 0
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Social History of Medicine
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