[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.].
This article explores the 'the moment of patient safety'-the period around 2000 when patient safety became a key policy concern of the British National Health Service (NHS), and other healthcare systems. While harm caused by medical care (iatrogenic injury) had long been acknowledged by clinicians and scientists, from 2000 a new systemic language of patient safety emerged in the NHS that promoted novel managerial and regulatory approaches to patient harm. This language reflected the state's increasing role in regulating healthcare, as well as the erosion of medical autonomy and the rise of new forms of bureaucratic management. Acknowledging a transnational, intellectual context behind the rise of policy interest in patient safety-for example, the application of insights from the industrial safety sciences-this article examines the role played by domestic cultural factors, such as medical negligence litigation and healthcare scandals, in helping to define the new language in Britain.
This article asks why British mainstream forensic literature and practice did not acknowledge the long-term mental consequences of rape for victims and their need for a sympathetic approach before the 1970s. I argue that this was not simply out of ignorance, considering that in the period 1924-1978 there already were some medical practitioners-women doctors, psychiatrists and gynaecologists-who expressed concern for these matters. However, the forensic expert witnesses, who were influential in the field, considered the virtue of sympathy and the practices of care that women doctors promoted to be incompatible with the judicial virtue of impartiality. To avoid any suggestion of partiality, which would damage their authority in the adversarial courtroom, these men instead employed the epistemic virtue of emotional detachment. This led them to adopt a sceptical attitude towards rape victims and drew their attention away from the psychological care women and children might require.
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