Pub Date : 2022-03-01Epub Date: 2022-02-07DOI: 10.1007/s00048-022-00323-0
Fabian Brenker
In 1894, the Germanisches National Museum in Nuremberg acquired an instrument resembling a leg harness. Stiff legs could be bent or stretched with it by means of lateral threads. Judging by the etched decoration, it comes from the collection of Elector August of Saxony (1526-1586). A comparison with contemporary leg harness reveals that the piece was originally made as an orthopaedic instrument. It completed the collection of surgical instruments in Dresden. Presumably, the plate harness was a technological condition for such orthoses and prostheses in many characteristics.
{"title":"[An Armor-like Orthopaedic Instrument for Stretching Crooked Legs from the Collection of Elector August of Saxony (1526-1586)].","authors":"Fabian Brenker","doi":"10.1007/s00048-022-00323-0","DOIUrl":"https://doi.org/10.1007/s00048-022-00323-0","url":null,"abstract":"<p><p>In 1894, the Germanisches National Museum in Nuremberg acquired an instrument resembling a leg harness. Stiff legs could be bent or stretched with it by means of lateral threads. Judging by the etched decoration, it comes from the collection of Elector August of Saxony (1526-1586). A comparison with contemporary leg harness reveals that the piece was originally made as an orthopaedic instrument. It completed the collection of surgical instruments in Dresden. Presumably, the plate harness was a technological condition for such orthoses and prostheses in many characteristics.</p>","PeriodicalId":43143,"journal":{"name":"NTM","volume":"30 1","pages":"89-107"},"PeriodicalIF":0.4,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39600044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-01Epub Date: 2022-02-10DOI: 10.1007/s00048-022-00324-z
Divya Rama Gopalakrishnan
Recent scholarship on the social history of health and medicine in colonial India has moved beyond enclavist or hegemonic aspects of imperial medicine and has rather focused on the role of Indian intermediaries and the fractured nature of colonial hegemony. Drawing inspiration from this scholarship, the article highlights the significance of the Indian subordinates in the lock hospital system in the nineteenth century Madras Presidency. This study focuses on a class of Indian subordinates called the "gomastah", who were employed to detect clandestine prostitution in Madras to control the spread of venereal disease. It also underlines the role of other native and non-native subordinates such as Dhais, Chowdranies and Matrons, the ways in which they became indispensable for the smoother operation of the Contagious Diseases Act and the lock hospitals on a day-to-day basis. By emphasising how Indian subordinates were able to bring in caste biases within colonial governmentality, adding another layer to the colonial prejudices and xenophobia against the native population, it underlines the fact that there was not a one-way appropriation or facilitation of the coloniser's knowledge or biases by the colonised intermediaries. Rather, it argues for an interaction between them, and highlights the complexities of caste hierarchies and prejudice within the everyday colonial governmentality. Moreover, the article focuses on the consequent chaos and inherent power struggle between different factions of colonial staff.
{"title":"Gomastahs, Peons, Police and Chowdranies: The Role of Indian Subordinate in the Functioning of the Lock Hospitals and the Indian Contagious Diseases Act, 1805 to 1889.","authors":"Divya Rama Gopalakrishnan","doi":"10.1007/s00048-022-00324-z","DOIUrl":"https://doi.org/10.1007/s00048-022-00324-z","url":null,"abstract":"<p><p>Recent scholarship on the social history of health and medicine in colonial India has moved beyond enclavist or hegemonic aspects of imperial medicine and has rather focused on the role of Indian intermediaries and the fractured nature of colonial hegemony. Drawing inspiration from this scholarship, the article highlights the significance of the Indian subordinates in the lock hospital system in the nineteenth century Madras Presidency. This study focuses on a class of Indian subordinates called the \"gomastah\", who were employed to detect clandestine prostitution in Madras to control the spread of venereal disease. It also underlines the role of other native and non-native subordinates such as Dhais, Chowdranies and Matrons, the ways in which they became indispensable for the smoother operation of the Contagious Diseases Act and the lock hospitals on a day-to-day basis. By emphasising how Indian subordinates were able to bring in caste biases within colonial governmentality, adding another layer to the colonial prejudices and xenophobia against the native population, it underlines the fact that there was not a one-way appropriation or facilitation of the coloniser's knowledge or biases by the colonised intermediaries. Rather, it argues for an interaction between them, and highlights the complexities of caste hierarchies and prejudice within the everyday colonial governmentality. Moreover, the article focuses on the consequent chaos and inherent power struggle between different factions of colonial staff.</p>","PeriodicalId":43143,"journal":{"name":"NTM","volume":"30 1","pages":"29-61"},"PeriodicalIF":0.4,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39906484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-01Epub Date: 2022-02-10DOI: 10.1007/s00048-022-00322-1
Vanessa Osganian
This paper examines the institutional and social dimensions of cooperation in the Alliance of Science Organisations, the central corporatist stakeholder in German science policy, in the 1970s and 1980s, which were a crucial period for this committee. In doing so, this essay mainly focuses on the way science organizations interact with each other, as well as with national politics. The Federal Ministry of Research invited the Alliance to regular meetings and thereby fostered its involvement into political decision-making processes. Consequently, the question of who belonged to the Alliance came into the focus of different players. Although the members of the Alliance themselves decided on the composition of their committee, they were not able to completely insulate themselves from external demands. Including new members into the Alliance had a destabilizing effect on the carefully balanced distribution of power within this committee, as will be shown through the case study on the admission of the Association of the Major Research Centers (Arbeitsgemeinschaft der Großforschungseinrichtungen, AGF) in 1976. In order to restabilize the situation, the members of the Alliance tried to exclude the AGF from certain issues. At the same time, the AGF itself was keen on being regarded as an equal partner and thus strove for its inclusion. This complex interplay of cooperative and competitive actions finally resulted in the institutionalization of the Alliance.
{"title":"Competitive Cooperation : Institutional and Social Dimensions of Collaboration in the Alliance of Science Organisations in Germany.","authors":"Vanessa Osganian","doi":"10.1007/s00048-022-00322-1","DOIUrl":"10.1007/s00048-022-00322-1","url":null,"abstract":"<p><p>This paper examines the institutional and social dimensions of cooperation in the Alliance of Science Organisations, the central corporatist stakeholder in German science policy, in the 1970s and 1980s, which were a crucial period for this committee. In doing so, this essay mainly focuses on the way science organizations interact with each other, as well as with national politics. The Federal Ministry of Research invited the Alliance to regular meetings and thereby fostered its involvement into political decision-making processes. Consequently, the question of who belonged to the Alliance came into the focus of different players. Although the members of the Alliance themselves decided on the composition of their committee, they were not able to completely insulate themselves from external demands. Including new members into the Alliance had a destabilizing effect on the carefully balanced distribution of power within this committee, as will be shown through the case study on the admission of the Association of the Major Research Centers (Arbeitsgemeinschaft der Großforschungseinrichtungen, AGF) in 1976. In order to restabilize the situation, the members of the Alliance tried to exclude the AGF from certain issues. At the same time, the AGF itself was keen on being regarded as an equal partner and thus strove for its inclusion. This complex interplay of cooperative and competitive actions finally resulted in the institutionalization of the Alliance.</p>","PeriodicalId":43143,"journal":{"name":"NTM","volume":"30 1","pages":"1-27"},"PeriodicalIF":0.2,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8885498/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39906480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01Epub Date: 2021-10-29DOI: 10.1007/s00048-021-00317-4
Hans-Georg Hofer, Volker Roelcke
{"title":"[Subject, Statistics, Science: Epistemological Positionings and Evidence Practices in Clinical Medicine since 1949. : Introduction].","authors":"Hans-Georg Hofer, Volker Roelcke","doi":"10.1007/s00048-021-00317-4","DOIUrl":"10.1007/s00048-021-00317-4","url":null,"abstract":"","PeriodicalId":43143,"journal":{"name":"NTM","volume":"29 4","pages":"379-386"},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608766/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39662066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01Epub Date: 2021-11-11DOI: 10.1007/s00048-021-00319-2
Maike Rotzoll
At the Wiesbaden Internist Congress of 1949, Alexander Mitscherlich and Viktor von Weizsäcker called for an expansion of the scientific concept of causality to include the search for the meaning of illness in one's personal history. This called into question a traditional psychiatric paradigm which presumed somatic causes of mental illness. Additionally, common psychiatric evidence practices were put to the test. In the first part of this article, three psychiatric positions that were presented at the 1949 congress are reconstructed. In the second part, the development of one of the psychiatrists involved, Jürg Zutt, is examined by focusing on the question of the possible effects of the Wiesbaden debate on his scientific reorientation as well as its consequences for his view of psychiatric evidence.
在1949年威斯巴登内科医师大会上,亚历山大·米切利希(Alexander Mitscherlich)和维克多·冯(Viktor von Weizsäcker)呼吁扩大因果关系的科学概念,包括在个人历史中寻找疾病的意义。这对传统的精神病学范式提出了质疑,该范式假定精神疾病的躯体原因。此外,常见的精神病学证据实践进行了测试。在本文的第一部分中,对1949年大会上提出的三个精神病学立场进行了重建。在第二部分中,通过关注威斯巴登辩论对他的科学重新定位的可能影响以及对他的精神病学证据观点的影响,研究了其中一位精神病学家j rg Zutt的发展。
{"title":"[Clinical \"Experience\" as a Criterion of Evidence? Psychiatric Contributions to a Post-War Debate on a \"Reform of Medicine\" and the Development of Jürg Zutt's \"Understanding Anthropology\"].","authors":"Maike Rotzoll","doi":"10.1007/s00048-021-00319-2","DOIUrl":"https://doi.org/10.1007/s00048-021-00319-2","url":null,"abstract":"<p><p>At the Wiesbaden Internist Congress of 1949, Alexander Mitscherlich and Viktor von Weizsäcker called for an expansion of the scientific concept of causality to include the search for the meaning of illness in one's personal history. This called into question a traditional psychiatric paradigm which presumed somatic causes of mental illness. Additionally, common psychiatric evidence practices were put to the test. In the first part of this article, three psychiatric positions that were presented at the 1949 congress are reconstructed. In the second part, the development of one of the psychiatrists involved, Jürg Zutt, is examined by focusing on the question of the possible effects of the Wiesbaden debate on his scientific reorientation as well as its consequences for his view of psychiatric evidence.</p>","PeriodicalId":43143,"journal":{"name":"NTM","volume":"29 4","pages":"447-473"},"PeriodicalIF":0.4,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39718353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01Epub Date: 2021-11-04DOI: 10.1007/s00048-021-00315-6
Volker Roelcke
The Wiesbaden congress of internal medicine in 1949 played host to a heated debate on issues of method, epistemology, and evidence in psychosomatic medicine. Paul Martini, specialist in internal medicine and protagonist of methodically conducted clinical trials, criticized the methodology of knowledge production in psychosomatic medicine and disputed the validity of its claims. Starting from this controversy, the contribution reconstructs the formation and implementation of an experimental system on the origins of hypertension in which Thure von Uexküll, specialist in internal medicine as well as in psychosomatics, aimed to integrate somatic variables as well as the subjectivity, the biography, and the social relations of the patient. In this experimental system, the interpretations of patients had a privileged status. For Uexküll, empirical evidence, traceability, and reproducibility were seen as basic criteria for relevant and valid knowledge-requirements formulated by Martini in 1949.
1949 年的威斯巴登内科医学大会就心身医学的方法、认识论和证据问题展开了激烈的辩论。保罗-马尔蒂尼(Paul Martini)是内科专家,也是有条不紊地进行临床试验的倡导者,他批评了心身医学的知识生产方法论,并对其主张的有效性提出了质疑。Thure von Uexküll 既是内科专家,也是心身医学专家,他的目标是整合躯体变量以及病人的主观性、传记和社会关系。在这一实验体系中,病人的解释具有特权地位。对 Uexküll 而言,经验证据、可追溯性和可重复性被视为相关和有效知识的基本标准--这些要求是 Martini 于 1949 年提出的。
{"title":"[Biography, social context, and the body in an experimental system: evidence as result of an integrated methodology exemplified by the hypertension research of Thure von Uexküll].","authors":"Volker Roelcke","doi":"10.1007/s00048-021-00315-6","DOIUrl":"10.1007/s00048-021-00315-6","url":null,"abstract":"<p><p>The Wiesbaden congress of internal medicine in 1949 played host to a heated debate on issues of method, epistemology, and evidence in psychosomatic medicine. Paul Martini, specialist in internal medicine and protagonist of methodically conducted clinical trials, criticized the methodology of knowledge production in psychosomatic medicine and disputed the validity of its claims. Starting from this controversy, the contribution reconstructs the formation and implementation of an experimental system on the origins of hypertension in which Thure von Uexküll, specialist in internal medicine as well as in psychosomatics, aimed to integrate somatic variables as well as the subjectivity, the biography, and the social relations of the patient. In this experimental system, the interpretations of patients had a privileged status. For Uexküll, empirical evidence, traceability, and reproducibility were seen as basic criteria for relevant and valid knowledge-requirements formulated by Martini in 1949.</p>","PeriodicalId":43143,"journal":{"name":"NTM","volume":"29 4","pages":"475-506"},"PeriodicalIF":0.2,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39843283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01Epub Date: 2021-11-04DOI: 10.1007/s00048-021-00316-5
Hans-Georg Hofer
The 1949 congress of internal medicine saw a heated and widely perceived controversy on epistemological issues of psychosomatic medicine. This article begins by outlining the place and significance of the congress in post-war history and tracing the course of the debate. The positions of the proponents of psychosomatic medicine, Viktor von Weizsäcker and Alexander Mitscherlich, are reconstructed, as well as those of the internist Paul Martini, who offered fundamental criticisms on the basis of his methodology of clinical research. In a second step, the respective different understandings of causality, evidence, and subjectivity are elaborated and contextualized. A special focus is on Martini's explicit use of these terms as well as his further research initiatives. Finally, I argue that "1949" can be analyzed as the culmination of an ongoing controversy about scientific evidence in clinical medicine that spanned several decades with its participants and levels of reference.
在 1949 年的内科医学大会上,人们对心身医学的认识论问题展开了激烈而广泛的争论。本文首先概述了这次大会在战后历史中的地位和意义,并追溯了争论的过程。文章重构了心身医学支持者维克多-冯-魏茨泽克(Viktor von Weizsäcker)和亚历山大-米舍利希(Alexander Mitscherlich)的立场,以及内科医生保罗-马尔蒂尼(Paul Martini)的立场,后者根据自己的临床研究方法提出了根本性的批评。第二步,阐述了各自对因果关系、证据和主观性的不同理解,并对其背景进行了分析。其中特别强调了马尔蒂尼对这些术语的明确使用以及他的进一步研究举措。最后,我认为 "1949 年 "可以被分析为一场关于临床医学中科学证据的持续争论的高潮,这场争论跨越了几十年,其参与者和参考水平也各不相同。
{"title":"[Causality, Evidence, and Subjectivity: Paul Martini's Methodological Critique of Psychosomatic Medicine].","authors":"Hans-Georg Hofer","doi":"10.1007/s00048-021-00316-5","DOIUrl":"10.1007/s00048-021-00316-5","url":null,"abstract":"<p><p>The 1949 congress of internal medicine saw a heated and widely perceived controversy on epistemological issues of psychosomatic medicine. This article begins by outlining the place and significance of the congress in post-war history and tracing the course of the debate. The positions of the proponents of psychosomatic medicine, Viktor von Weizsäcker and Alexander Mitscherlich, are reconstructed, as well as those of the internist Paul Martini, who offered fundamental criticisms on the basis of his methodology of clinical research. In a second step, the respective different understandings of causality, evidence, and subjectivity are elaborated and contextualized. A special focus is on Martini's explicit use of these terms as well as his further research initiatives. Finally, I argue that \"1949\" can be analyzed as the culmination of an ongoing controversy about scientific evidence in clinical medicine that spanned several decades with its participants and levels of reference.</p>","PeriodicalId":43143,"journal":{"name":"NTM","volume":"29 4","pages":"387-416"},"PeriodicalIF":0.4,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39843284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-12-01Epub Date: 2021-11-10DOI: 10.1007/s00048-021-00318-3
Steffen Dörre
This paper examines the shifts in Alexander Mitscherlich's epistemological position in the 1940s, 50s and 60s via his plea for psychosomatic medicine. These shifts illustrate the post-war controversy among psychiatrists, physicians, and psychotherapists about what constitutes valid and practically relevant knowledge. The subjectivity of patients is key to Mitscherlich's concept of disease. This informs his continuous criticism of the use of statistical methods to validate individual diagnoses and hypotheses. This paper shows that Mitscherlich's criticism of a science-based medical methodology is highly adaptable, even though, in spite of many theoretical changes and adaptations, the main thrust of his approach remains consistent.
{"title":"[Shifts in Epistemological Position. Alexander Mitscherlich's Plea for Psychosomatic Medicine].","authors":"Steffen Dörre","doi":"10.1007/s00048-021-00318-3","DOIUrl":"10.1007/s00048-021-00318-3","url":null,"abstract":"<p><p>This paper examines the shifts in Alexander Mitscherlich's epistemological position in the 1940s, 50s and 60s via his plea for psychosomatic medicine. These shifts illustrate the post-war controversy among psychiatrists, physicians, and psychotherapists about what constitutes valid and practically relevant knowledge. The subjectivity of patients is key to Mitscherlich's concept of disease. This informs his continuous criticism of the use of statistical methods to validate individual diagnoses and hypotheses. This paper shows that Mitscherlich's criticism of a science-based medical methodology is highly adaptable, even though, in spite of many theoretical changes and adaptations, the main thrust of his approach remains consistent.</p>","PeriodicalId":43143,"journal":{"name":"NTM","volume":"29 4","pages":"417-446"},"PeriodicalIF":0.4,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8608775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39860338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}