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Illness and Self-help in Late Eighteenth-Century Rural Switzerland The Strategies of Ulrich Bräker (1735–1798) 18世纪晚期瑞士乡村的疾病与自助——乌尔里希的策略Bräker (1735-1798)
Pub Date : 2006-11-17 DOI: 10.3384/HYGIEA.1403-8668.065115
Susanne Hoffmann
n a representative survey on health care in Germany just 35 percent of the interviewees over 16 years recently maintained that they immediately consulted a doctor when they felt ill – in other words: 65 percent trust in self-help. 1 In comparison, self-help constituted an even more important strategy in early modern times to restore one’s health and cope with hardships caused by illness (or other incidents during the course of life). 2
最近,在德国进行的一项关于医疗保健的代表性调查中,16岁以上的受访者中,只有35%的人坚持认为,当他们感到不舒服时,他们会立即咨询医生——换句话说,65%的人相信自助服务。相比之下,在现代早期,自助是一种更重要的策略,用于恢复健康和应对疾病(或生命过程中的其他事件)造成的困难。2
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引用次数: 0
The poor and the patient : protestant Geneva in the early modern period 穷人与病人:近代早期的新教日内瓦
Pub Date : 2006-11-17 DOI: 10.3384/HYGIEA.1403-8668.065133
P. Rieder
Exploring the medical marketplace in early modern Geneva reveals an active town with a high density of both regular and irregular healers. The aim of this article is to assess just how ordinary and poor people used these services and to what extent medical commodities were available to the destitute. Using both court records, private and public sources, this article explores traces of practices highlighting the flexibility with which practitioners were admitted, the high tolerance to irregular practices and the continuity of the recourse to supernatural and catholic healing traditions by Protestants living within the city walls. Data on self-help and medical support offered by family, friends and neighbours is discussed, suggesting the importance of informal medical services in everyday life. Examples demonstrate that to some extent the poor managed to elect strategies and to control therapies, whereas expensive treatment was regularly offered by charities interested in getting the ill back to work.
探索早期现代日内瓦的医疗市场揭示了一个活跃的城镇,有高密度的常规和不定期的治疗师。本文的目的是评估普通人和穷人是如何使用这些服务的,以及穷人在多大程度上可以获得医疗商品。本文利用法庭记录、私人和公共资源,探索了实践的痕迹,突出了从业者被接纳的灵活性、对不规则实践的高度容忍,以及生活在城墙内的新教徒诉诸超自然和天主教治疗传统的连续性。讨论了关于家庭、朋友和邻居提供的自助和医疗支持的数据,表明非正式医疗服务在日常生活中的重要性。例子表明,在某种程度上,穷人设法选择策略和控制治疗,而慈善机构经常提供昂贵的治疗,这些慈善机构对让病人重返工作岗位感兴趣。
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引用次数: 0
Introduction to the Volume : Situating Health-Care:: An Historical Perspective 卷的导言:保健的处境::一个历史的视角
Pub Date : 2006-11-17 DOI: 10.3384/HYGIEA.1403-8668.06517
M. Dinges
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引用次数: 1
The Invention of a Medical Institution?: A Discussion of Hospitals Around 1800 医疗机构的发明?1800年前后医院的讨论
Pub Date : 2006-11-17 DOI: 10.3384/HYGIEA.1403-8668.065191
Fritz Dross
iscussing health care between self-help, intermediary organisations and formal poor relief in terms of choices between the informal and the formal it seems quite clear on which side research of hospitals in the late 18 century is placed. Based on the formula of the “Birth of the Clinic” and relying on sociological research of hospitals of the late 1960s and 1970s wide parts of the German-speaking social history of medicine dedicated to the 19 and early 20 century development of the modern hospital claimed their historical subject to be “one of the most complex institutions of man.” This research abandoned the suggestion of a long-term transition from the medieval hospital to the late 20 century high-techclinic in which religion has been slowly disappearing from hospitals while clinical observation and permanently growing knowledge of nature of disease and finally scientific medicine captured the charitable home of benevolence. This research had to suggest a systematic rupture around 1800. Two reasons were named for that. Firstly, in a systematic sense, the main objective of medieval and early modern hospitals was not the physical cure of sick patients (i.e. the restoration of their ability to work). Being a charitable foundation it was dedicated to the salvation of its founder’s soul. Secondly, as a historical argument, it is obviously striking that the modern hospital fits extremely well in the discourse of medical police in the late 18 century. An example reference for these discussions is the German book published in 1790: “On the advantages of (modern) hospitals for the state.” Both arguments have been criticised in recent historical research. On the one hand, one could ask if there were any institutions that were not dedicated to the salvation of the Christians’ souls in medieval Europe. At least in this very shortened form, the systematic argument is not really convincing. Furthermore, there was of
从非正式和正式之间的选择来讨论自助、中介组织和正式贫困救济之间的医疗保健,似乎很明显,18世纪晚期医院的研究是放在哪一边的。基于“诊所的诞生”的公式,并依靠20世纪60年代末和70年代对医院的社会学研究,德语医学社会史的大部分致力于19世纪和20世纪初现代医院的发展,声称他们的历史主题是“人类最复杂的机构之一”。这项研究放弃了从中世纪医院到20世纪后期高科技诊所的长期过渡的建议,在这种过渡中,宗教已经慢慢地从医院消失,而临床观察和对疾病本质的永久认识以及最终科学医学占领了仁爱的慈善家园。这项研究必须表明,在1800年左右发生了系统性的破裂。这其中有两个原因。首先,从系统意义上讲,中世纪和早期现代医院的主要目标不是对病人进行身体治疗(即恢复他们的工作能力)。作为一个慈善基金会,它致力于拯救创始人的灵魂。其次,作为一个历史论点,现代医院在18世纪后期的医疗警察话语中非常适合,这显然是惊人的。这些讨论的一个参考例子是1790年出版的一本德国书:《论(现代)医院对国家的好处》。在最近的历史研究中,这两种观点都受到了批评。一方面,人们可能会问,在中世纪的欧洲,是否有任何机构不是致力于拯救基督徒的灵魂。至少在这个非常简短的形式中,系统的论证并不真正令人信服。此外,还有
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引用次数: 1
Old Age Coping Strategies of the Ionian and Maltese Poor, 1800–1865 爱奥尼亚和马耳他穷人的老年应对策略,1800-1865
Pub Date : 2006-11-17 DOI: 10.3384/HYGIEA.1403-8668.065151
J. Chircop
growing corpus of historical work is increasingly showing the complexity and diversity of old age, while proving that it was common for the elderly to remain active and continue working up till they became incapable, in different European societies and periods. Elaborating on this accumulating historical knowledge, the present study seeks to examine the survival strategies adopted by the aging poor in response to unanticipated changes in their life circumstances, due to disability, illness or financial mishaps, and to mitigate the more predictable vulnerabilities associated with advanced old age. This means focusing attention on the daily practices and tactics employed by old men and women to acquire provisions, social assistance and medical treatment from the intersecting social nets of the household, neighbourhood and the parish, from communal and formal state charity establishments. Most historical studies on old age point to the fundamental role, which the household and the neighbourhood played as a mainstay of social support and human care for the elderly during long-term illness. At the same time, on the whole, this literature corroborates Pieter Spierenburg’s conception that “‘a golden age’ of unequivocal respect for the elderly in which children, relatives and the
越来越多的历史著作越来越多地显示了老年的复杂性和多样性,同时证明了在不同的欧洲社会和时期,老年人保持活跃并继续工作直到他们失去能力是很常见的。在积累了这些历史知识的基础上,本研究试图研究老年贫困人口在应对生活环境中因残疾、疾病或经济灾难而发生的意外变化时所采取的生存策略,并减轻与老年相关的更可预测的脆弱性。这意味着把注意力集中在老年男子和妇女从家庭、社区和教区等相互交织的社会网络以及社区和正式的国家慈善机构获得供应、社会援助和医疗的日常做法和策略上。大多数关于老年的历史研究都指出,家庭和社区在老年人长期患病期间发挥了社会支持和人类护理的主要作用。与此同时,总体而言,这些文献证实了彼得·斯皮伦伯格的观点,即“‘黄金时代’明确尊重老人,其中子女、亲戚和父母。
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引用次数: 0
From Apartheid to Globalisation: Health and Social Change in South Africa 从种族隔离到全球化:南非的健康和社会变革
Pub Date : 2004-12-10 DOI: 10.3384/HYGIEA.1403-8668.0441153
M. Chopra, D. Sanders
outh Africa’s transition from a racist apartheid society that denied basic human rights to a majority of its population to a fully democratic nation is one of the more celebrated transitions of recent times. However this transition is having its costs as it has also involved an acceleration of the integration of South Africa into the global economy and a stripping away of many of the protective trade barriers that cocooned the South African economy. The freedom of movement resulting from the scrapping of apartheid laws and a neo-liberal macro-economic policy has led to rapid urbanization, increasing unemployment and deepening inequalities. As was the case in 19 Century Europe South Africa is suffering a significant rise in mortality, especially amongst young men and women. This paper briefly summarises the economic, social and political transitions that South Africa has gone through in the last decade. It then highlights some of impacts this transition has had on mortality. The last section explores the parallels between the impact of the recent South African transition and that which occurred in industrializing Europe. The paper concludes with a discussion on the prospects of South Africa enjoying the same development trajectory as that of 19 Century Europe.
南非从一个剥夺大多数人口基本人权的种族隔离社会过渡到一个完全民主的国家,是近年来比较著名的过渡之一。然而,这一过渡也有其代价,因为它还涉及加速南非与全球经济的一体化,并消除了束缚南非经济的许多保护性贸易壁垒。废除种族隔离法律和实行新自由主义宏观经济政策所带来的行动自由导致了迅速的城市化、失业增加和不平等现象加深。与19世纪欧洲的情况一样,南非的死亡率,特别是青年男女的死亡率正在显著上升。本文简要总结了南非在过去十年中所经历的经济、社会和政治转型。然后强调了这种转变对死亡率的一些影响。最后一节探讨了最近南非转型的影响与工业化中的欧洲的影响之间的相似之处。最后,本文讨论了南非与19世纪欧洲的发展轨迹相同的前景。
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引用次数: 29
Mortality Reversal in Russia: The story so far 俄罗斯死亡率逆转:到目前为止的故事
Pub Date : 2004-12-10 DOI: 10.3384/HYGIEA.1403-8668.044129
V. Shkolnikov, E. Andreev, David A. Leon, M. Mckee, F. Meslé, J. Vallin
commentator on population health, viewing the global situation as it was in the early 1970s, could have been forgiven for concluding that the second half of the twentieth century was unfolding as an overwhelming success. Although the world had, relatively recently, experienced a global conflict that had claimed many million lives prematurely, there was much to be optimistic about. Advances in technology were changing many lives for the better. In the area of health care, new drugs, technologies, and ideas were transforming the ability to prevent and treat disease. Many of the common infectious diseases that had taken children from their families were being vanquished and one, smallpox, was on the brink of eradication. Almost everywhere, life expectancy was increasing, in some places faster than at any time in recorded history. Indeed, many commentators were predicting, with confidence, sustained improvements, with the UN Population Division assuming that countries where life expectancy at birth was still under 62 years would experience a gain of 2.5 years in each period of five calendar years, after which the gain would decrease to about two years. They had grounds for confidence as, until then, mortality trends in industrialized countries, as well as in
人口健康评论员在看到1970年代初的全球形势后,得出结论说二十世纪下半叶取得了压倒性的成功,这是可以原谅的。虽然世界最近经历了一场全球冲突,导致数百万人过早死亡,但仍有许多值得乐观的地方。科技的进步使许多人的生活变得更好。在卫生保健领域,新的药物、技术和思想正在改变预防和治疗疾病的能力。许多夺去儿童生命的常见传染病都已被消灭,其中一种,天花,即将被消灭。几乎所有地方的预期寿命都在增长,有些地方的增长速度比历史上任何时候都要快。事实上,许多评论人士满怀信心地预测,预期寿命将持续改善。联合国人口司假设,出生时预期寿命仍低于62岁的国家,在每5个日历年的周期内,预期寿命将增加2.5岁,之后预期寿命将减少到两年左右。在此之前,他们有理由相信工业化国家和非洲的死亡率趋势
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引用次数: 131
Continuity and Discontinuity of Health and Health Care in the Czech Lands during two Centuries (1800-2000) 两个世纪以来捷克境内卫生和保健的连续性和不连续性(1800-2000年)
Pub Date : 2004-12-10 DOI: 10.3384/HYGIEA.1403-8668.044181
P. Svobodný, H. Hnilicová, H. Janecková, E. Krizova, H. Mášová
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引用次数: 3
Introduction: Health and Social Change Past and Present Evidence 引言:健康和社会变化的过去和现在的证据
Pub Date : 2004-12-10 DOI: 10.3384/HYGIEA.1403-8668.04417
J. Sundin
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引用次数: 3
Health and Vulnerable Men. Sweden : From Traditional Farming to Industrialisation 健康和弱势男子。瑞典:从传统农业到工业化
Pub Date : 2004-12-10 DOI: 10.3384/HYGIEA.1403-8668.0441175
J. Sundin, S. Willner
n every society, there are different kinds of resources for good health. For instance, social capital matters – formed in networks by members of the local community and supported by concerned public and private institutions. Finding ways to understand these processes, which are the most vulnerable groups and why it happens is a major theme for the following narrative. An analysis of the relationship between health and social transitions during the late eighteenth and nineteenth century in Sweden must, due to the availability of sources, rely mostly on mortality figures and history has to be divided into three, partly artificial periods, making the social change visible:
每个社会都有不同种类的健康资源。例如,社会资本问题- -由当地社区成员在网络中形成并得到有关公共和私营机构的支持。找到理解这些过程的方法,这些过程是最脆弱的群体,以及为什么会发生,这是下面叙述的一个主要主题。对18世纪末和19世纪瑞典的健康与社会转型之间关系的分析,由于资料来源的可用性,必须主要依靠死亡率数字,而且历史必须分为三个部分人为的时期,使社会变革可见:
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引用次数: 5
期刊
Hygiea Internationalis : An Interdisciplinary Journal for The History of Public Health
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