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Male hysteria in theory and practice: Analyzing patient records of the Tartu Psychiatric Hospital (Estonia), 1881-1895. 男性癔病的理论与实践:分析塔尔图精神病院(爱沙尼亚)的病人记录,1881-1895 年。
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-04-01 Epub Date: 2024-11-24 DOI: 10.1080/0964704X.2024.2422052
Anu Rae

During 1881-1895, a small number of male patients-18 in total-were diagnosed with hysteria at the University of Tartu Psychiatric Hospital. Rather than constituting an obscure psychiatric institution on the margins of European medical traditions, Tartu during these years witnessed the arrival of several influential psychiatrists: Hermann Emminghaus (1845-1904), Emil Kraepelin (1856-1926), and Vladimir Chizh (1855-1922). Yet, when comparing patient case records of male hysteria written by doctors who also published journal articles and medical textbooks on the topic, one can detect a clear inconsistency between the theory and practice of psychiatry at an important moment of its formation. Contrary to the simplified characterizations in the textbooks, there was no uniform formulation of male hysteria in the case records. The clinical description differed remarkably, throughout the career of individual doctors, between symptomology presented in a textbook and clinical picture described in a patient record, and between different doctors who practiced in the same clinic during this 15-year period. This study highlights the importance of using patient case records in conjunction with a formal medical treatise to provide new insights and nuances to the intellectual history of hysteria, but also other diagnoses and clinical practice more broadly.

1881-1895 年间,塔尔图大学精神病院诊断出少数男性患者患有癔病,共计 18 人。在这些年里,塔尔图不仅没有成为欧洲医学传统边缘的一个默默无闻的精神病院,反而见证了几位有影响力的精神病学家的到来:他们是赫尔曼-艾明豪斯(Hermann Emminghaus,1845-1904 年)、埃米尔-克拉佩林(Emil Kraepelin,1856-1926 年)和弗拉基米尔-奇兹(Vladimir Chizh,1855-1922 年)。然而,在比较那些同时发表过相关期刊文章和医学教科书的医生所撰写的男性癔症病例记录时,我们可以发现,在精神病学形成的重要时刻,其理论与实践之间存在着明显的不一致。与教科书中的简化描述相反,病例记录中对男性癔症的表述并不统一。在个别医生的整个职业生涯中,教科书中描述的症状与病历中描述的临床表现之间,以及在这 15 年期间在同一诊所执业的不同医生之间,临床描述存在明显差异。这项研究强调了将患者病例记录与正式医学论文结合使用的重要性,从而为癔病的思想史、其他诊断和更广泛的临床实践提供新的见解和细微差别。
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引用次数: 0
Charcot as a collector and critic of the arts: Relationship of the 'founder of neurology' with various aspects of art. 夏科特作为收藏家和艺术评论家:“神经学的创始人”与艺术的各个方面的关系。
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-04-01 Epub Date: 2025-01-13 DOI: 10.1080/0964704X.2024.2439234
François Boller, Julien Bogousslavsky

In his teaching, Charcot often used artistic representations from previous centuries to illustrate the historical developments of various conditions, particularly hysteria, mainly with the help of his pupil Paul Richer. Charcot liked to draw portraits and sketches of colleagues during boring faculty meetings and students' examinations, including caricatures of himself and others, church sculptures, landscapes, soldiers, and so on. He also used this skill in his clinical and scientific work. He drew histological or anatomic specimens, as well as patients' features and demeanor. His most daring artistic experiments were drawing under the influence of hashish. Charcot's tastes in art were conservative; he displayed little interest for the avant-gardes of his time, including impressionism, or for contemporary musicians, such as César Franck or Hector Berlioz. The pamphleteer Léon Daudet described Charcot's home as a pseudo-gothic kitsch accumulation of heteroclite pieces of furniture and materials. However, he taught medicine not only as a science but also as an art, a style that has now been almost universally forgotten.

在教学中,沙尔科经常使用前几个世纪的艺术表现形式来说明各种病症的历史发展,尤其是癔病,这主要是在他的学生保罗-里歇尔的帮助下完成的。在无聊的教师会议和学生考试期间,沙尔科喜欢为同事画肖像和素描,包括自己和他人的漫画、教堂雕塑、风景、士兵等。他在临床和科研工作中也运用了这一技能。他画组织学或解剖学标本,也画病人的特征和举止。他最大胆的艺术尝试是在大麻的影响下绘画。沙尔科对艺术的品味是保守的,他对当时的先锋派(包括印象派)或当代音乐家(如塞萨尔-弗兰克或赫克托-柏辽兹)兴趣不大。小册子作家莱昂-多代(Léon Daudet)将沙尔科特的家描述为由异质家具和材料堆积而成的伪哥特式媚俗建筑。然而,他不仅将医学作为一门科学,还将其作为一门艺术来传授,这种风格如今几乎已被世人遗忘。
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引用次数: 0
Charcot and recent French cinema. 沙尔科与法国近代电影
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-04-01 Epub Date: 2024-06-10 DOI: 10.1080/0964704X.2024.2362110
Ariane St-Denis, Rami Massie

In the scientific world, Professor Jean-Martin Charcot is known for his contribution to the establishment of the anatomo-clinical method in neurology in Paris at the Salpêtrière hospital. However, media attention in the late 1800s has focused on his work on hysteria. In this article, we aim to review how he has been depicted in two recent French movies: Augustine (2012) and Le Bal des Folles (The Mad Women's Ball) (2021). We will compare his image in those two films to articles at the time of his death and contrast how he is represented in other biographical works. Both in the newspapers and in the movies, Charcot's public lessons and experimental work on hypnosis in hysteria are put forward. The two movies offer a new perspective, as both directors were women, and both movies focus on a woman patient's journey at La Salpêtrière. His depiction remains superficial in Le Bal des Folles, portraying a cold, insensitive, and despotic approach to patients. He plays a more central role in Augustine, in which he develops intimacy with one of his patients and a more human and caring side is displayed, in parallel to his authoritative and meticulous figure. Both movies refer to him as a divine authority, but they also allude to his scientific method. In summary, Charcot's recent representations in cinema add a woman's perspective to life under Charcot at La Salpêtrière, which continues to shape further the image we have of this founder of modern neurology.

在科学界,让-马丁-沙尔科教授因其在巴黎萨尔佩特里耶尔医院建立神经病学解剖临床方法的贡献而闻名于世。然而,19 世纪晚期媒体关注的焦点却集中在他对癔病的研究上。在本文中,我们将回顾他在最近两部法国电影中的形象:《奥古斯丁》(2012 年)和《疯女人舞会》(2021 年)。我们将把他在这两部电影中的形象与他去世时的文章进行比较,并对比他在其他传记作品中的形象。在报纸和电影中,沙尔科的公开课和催眠治疗癔病的实验工作都得到了介绍。两部电影提供了一个新的视角,因为两位导演都是女性,而且两部电影都聚焦于一位女病人在萨尔佩特利耶的旅程。在《Le Bal des Folles》中,他对病人的刻画依然肤浅,表现出冷漠、麻木和专横的态度。在《奥古斯丁》中,他扮演了一个更为重要的角色,在这部影片中,他与一位病人建立了亲密的关系,展现出更多人性和关怀的一面,与他的权威和一丝不苟的形象并行不悖。两部电影都将他视为神圣的权威,但同时也暗指他的科学方法。总之,近期电影中对沙尔科的表现为沙尔科在萨尔佩特里耶的生活增添了女性视角,这将继续进一步塑造这位现代神经学奠基人的形象。
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引用次数: 0
The stone of madness: Charcot's interest in a copy after Pieter Bruegel Sr. as referred to by Henry Meige. 疯狂之石夏尔科对亨利-梅杰(Henry Meige)提到的老彼得-勃鲁盖尔(Pieter Bruegel Sr.)作品的兴趣。
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-04-01 Epub Date: 2024-05-28 DOI: 10.1080/0964704X.2024.2348421
Peter J Koehler

Jean-Martin Charcot (1825-1893) is known to have possessed interesting works of art, e.g. Jan Steen's Marriage at Cana. In 1899, his pupil and colleague Henry Meige (1866-1940) wrote that Charcot had been interested in a painting (after a drawing) by Bruegel, named Les Arracheurs de Pierres de Teste. At the time the painting belonged to Charcot's contemporary Ernest Mesnet (1825-1898). When Charcot visited Mesnet, he offered him a considerable amount of money. The owner did not want to sell it, but promised to leave it to Charcot in his will. As Charcot died earlier than Mesnet, the painting went to the latter's heirs. In 1899, it was possessed by dermatologist dr. Paul de Molènes-Mahon (b. 1857). Meige published an article, in which he criticized the quality of the copy. Surgeon Henri Gaudier (1866-1942) wrote about the original painting in the Museum of St. Omer and confirmed Meige's opinion about the copy. I will illustrate the St. Omer painting and describe Meige's and Gaudier's comments by comparing it with the black & white copy in Meige's 1899 article. My study looks at Charcot as a collector of paintings, which is a minimally studied topic. He may have been interested in the Paris Bruegel copy for clinical and medical-historical reasons, rather than on aesthetic grounds.

让-马丁-沙尔科(Jean-Martin Charcot,1825-1893 年)拥有许多有趣的艺术作品,例如扬-斯泰恩(Jan Steen)的《迦拿的婚礼》(Marriage at Cana)。1899 年,他的学生和同事亨利-梅杰(Henry Meige,1866-1940 年)写道,沙尔科对勃鲁盖尔的一幅名为《Les Arracheurs de Pierres de Teste》的油画(根据一幅素描)很感兴趣。当时,这幅画属于沙尔科的同时代人欧内斯特-梅斯内(Ernest Mesnet,1825-1898 年)。当夏尔科拜访梅斯内时,他给了他一大笔钱。画的主人不想卖画,但答应在遗嘱中将画留给沙尔科。由于沙尔科比梅斯内死得早,这幅画就归了后者的继承人。1899 年,皮肤科医生保罗-德-莫莱纳斯-马洪(Paul de Molènes-Mahon,生于 1857 年)拥有了这幅画。梅杰发表了一篇文章,批评了临摹作品的质量。外科医生亨利-高迪埃(Henri Gaudier,1866-1942 年)撰文介绍了圣奥美博物馆中的原画,并证实了梅杰对复制品的看法。我将为这幅圣奥马尔画作绘制插图,并通过将其与梅杰 1899 年文章中的黑白摹本进行比较来描述梅杰和高迪耶的评论。我的研究着眼于沙尔科作为绘画收藏家的身份,而这是一个很少有人研究的话题。他之所以对巴黎勃鲁盖尔的复制品感兴趣,可能是出于临床和医学史方面的原因,而非审美方面的原因。
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引用次数: 0
Brouillet's Une leçon clinique à la Salpêtrière as an epistemic tool in Charcot's research on hysterical amnesia. 布吕耶的《Une leçon clinique à la Salpêtrière》是沙尔科特研究癔症性遗忘症的认识论工具。
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-04-01 Epub Date: 2024-08-15 DOI: 10.1080/0964704X.2024.2385231
Paula Muhr

Much has been written, mostly in overly critical terms, about Jean-Martin Charcot's use of images in his hysteria research. Besides the images of patients Charcot produced for his clinical research, one other image has preoccupied present-day scholars-André Brouillet's painting Une leçon clinique à la Salpêtrière. Unveiled at the 1887 Salon in Paris, this life-sized painting depicts Charcot lecturing on hysteria to his male audience while presenting a swooning female patient. For many present-day critics, Brouillet's painting symbolizes Charcot's purported misuse of his female hysteria patients. Contrary to such interpretations, this article shows that Brouillet's painting did not merely serve as an iconic visual representation of Charcot's hysteria research but was also used by Charcot as an active epistemic tool in his research on hysterical amnesia. Through a close reading of Charcot's only published lecture on hysterical amnesia, which he held on December 22, 1891, I analyze the process through which Charcot generated new medical insights into hysterical amnesia. I thereby trace the decisive role that Une leçon clinique played in this process.

关于让-马丁-沙尔科(Jean-Martin Charcot)在研究歇斯底里症时使用图像的问题,已经有很多论述,其中大部分都是批评性的。除了沙尔科为其临床研究制作的病人图像外,还有一幅图像也令当今的学者们十分关注--安德烈-布吕耶(André Brouillet)的画作《Une leçon clinique à la Salpêtrière》。这幅画在 1887 年的巴黎沙龙上亮相,画中描绘了沙尔科向他的男性听众讲解歇斯底里症的情景,同时展示了一位昏迷的女病人。对于当今的许多评论家来说,布吕耶的这幅画象征着沙尔科对其女性歇斯底里症患者的滥用。与这种解释相反,本文指出,布吕耶的画不仅仅是沙尔科癔病研究的标志性视觉代表,也被沙尔科用作他研究癔病性失忆症的一种积极的认识论工具。通过细读沙尔科在 1891 年 12 月 22 日发表的唯一一次关于癔症性遗忘症的演讲,我分析了沙尔科对癔症性遗忘症产生新医学见解的过程。由此,我追溯了 Une leçon clinique 在这一过程中发挥的决定性作用。
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引用次数: 0
Malcolm Bruce Macmillan (1929-2024). 马尔科姆·布鲁斯·麦克米伦(1929-2024)
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-02-03 DOI: 10.1080/0964704X.2025.2452242
Nicholas J Wade
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引用次数: 0
Neuroanniversary 2025. 2025 年神经周年纪念
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-01-01 Epub Date: 2024-09-02 DOI: 10.1080/0964704X.2024.2393959
Paul Eling
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引用次数: 0
Early depiction of anterior spinal arteries and veins in André du Laurens's Historia anatomica humani corporis (1600). André du Laurens 的《人体解剖学史》(1600 年)中对脊柱前动脉和静脉的早期描述。
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-01-01 Epub Date: 2024-09-24 DOI: 10.1080/0964704X.2024.2399535
Philippe Gailloud

Scholars usually consider the Historia anatomica corporis humani, published in 1600 by André du Laurens, as an obsolete defense of Galenic principles against the novelty of Vesalian material. Although du Laurens's book plagiarized many illustrations from Vesalius's De humani corporis fabrica (1543), critics such as Choulant insisted that the Historia's iconography had "no particular anatomical or artistic value." However, four of the Historia's engravings appear to be original. One of these, the Tabula hæc veram spinalis medullae et nervorum ab ea prodeuntium effigiem exprimit, is now famous for depicting the intradural spinal nerves as a horsetail, leading to the addition of the term cauda equina to the anatomical lexicon. A less flamboyant figure from the same plate shows small blood vessels coursing over the surface of the cervical spinal cord. This drawing may be the first published depiction of anterior spinal arteries and veins.

学者们通常认为安德烈-杜-劳伦斯(André du Laurens)于 1600 年出版的《人体解剖学史》(Historia anatomica corporis humani)是对维萨里乌斯材料新颖性的一种过时的捍卫。虽然杜劳伦斯的书剽窃了维萨里乌斯的《人体构造论》(De humani corporis fabrica,1543 年)中的许多插图,但评论家(如 Choulant)坚持认为,《人体构造论》的图解 "没有特别的解剖学或艺术价值"。不过,《史记》中有四幅雕刻似乎是原创的。其中一幅名为 "Tabula hæc veram spinalis medullae et nervorum ab ea prodeuntium effigiem exprimit",因将硬膜内脊神经描绘成马尾而闻名于世,并因此在解剖学词典中加入了马尾一词。同一版画中的另一幅图则不那么张扬,画中的小血管流经颈脊髓表面。这幅画可能是首次公开描绘脊髓前动脉和静脉。
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引用次数: 0
António Egas Moniz: From pioneering brain imaging to controversial psychosurgery. A 150th birthday celebration. 安东尼奥-埃加斯-莫尼兹:从开创性的脑成像技术到备受争议的精神外科手术。150 周年庆典。
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI: 10.1080/0964704X.2024.2401469
Larissa Junkes, Marleide da Mota Gomes, Antonio E Nardi

António Egas Moniz, born in 1874, was a pioneer in neurology, neurosurgery and psychiatry who brought about important changes in the 1920s using groundbreaking brain imaging techniques, such as cerebral angiography. This innovative procedure allowed the visualization of brain structures, leading to many advances in neurology and neurosurgery. Moniz also made noteworthy contributions to psychosurgery, including the development of prefrontal lobotomy. Although initially praised for his inventive techniques, lobotomy sparked ethical debates and public controversies due to its adverse effects and questionable scientific foundation. Moniz's was awarded the Nobel Prize in Physiology or Medicine in 1949 and received various honors in Portugal for his scientific, literary, and artistic achievements. His work continues to influence the field of neuroscience, and angiography remains a crucial imaging method for diagnosing and treating brain disorders. Moniz's complex legacy highlights the intricate balance between medical advances, ethical considerations, and public perceptions in the history of medicine.

安东尼奥-埃加斯-莫尼兹出生于 1874 年,是神经内科、神经外科和精神病学的先驱,他在 20 世纪 20 年代利用脑血管造影术等开创性的脑成像技术带来了重大变革。这种创新的方法使大脑结构可视化,从而推动了神经内科和神经外科的许多进步。莫尼兹在精神外科方面也做出了值得一提的贡献,其中包括前额叶切除术的发展。尽管莫尼兹最初因其创造性的技术而备受赞誉,但前额叶切除术却因其不良影响和可疑的科学基础而引发了伦理辩论和公众争议。莫尼斯于 1949 年获得诺贝尔生理学或医学奖,并因其科学、文学和艺术成就在葡萄牙获得各种荣誉。他的工作继续影响着神经科学领域,血管造影术仍然是诊断和治疗脑部疾病的重要成像方法。莫尼兹留下的复杂遗产凸显了医学史上医学进步、伦理考虑和公众看法之间错综复杂的平衡。
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引用次数: 0
From brain cytoarchitectonics to clinical neurology: Polish Institute for Brain Research in Vilnius, 1931-1938. 从脑细胞结构学到临床神经学:波兰维尔纽斯脑研究所,1931-1938 年。
IF 0.3 3区 哲学 Q3 HISTORY & PHILOSOPHY OF SCIENCE Pub Date : 2025-01-01 Epub Date: 2024-08-20 DOI: 10.1080/0964704X.2024.2386551
Eglė Sakalauskaitė-Juodeikienė, Aistis Žalnora

The Polish Institute for Brain Research was established in Warsaw in 1928 to support scientific research on the brain and its functions. The director of the institute was Maksymilian Rose (1883-1937), a distinguished Polish neurologist and neuroanatomist, a disciple of Oskar Vogt and Korbinian Brodmann. In 1931, the Institute was moved from Warsaw to Vilnius. The Institute was well-known in Europe at the time because of the research in the fields of neuroscience, clinical neurology, and psychiatry, as well as the cytoarchitectonic analysis of social activists' brains-a fashionable, neophrenological way to link the mental functions of deceased geniuses with the cellular composition of their central nervous systems. In 1939, the work of the Institute was interrupted by World War II; some of the preparations and materials were moved from Vilnius to Warsaw, some were stored in Vilnius, and some were lost. In this article, we analyze the primary and secondary sources, some of which were obscure for over 80 years, and evaluate the most important scientific achievements of the Polish Institute for Brain Research, as well as its legacy in the early period of modern neuroscience and neurology in interwar Vilnius.

波兰脑研究所于 1928 年在华沙成立,旨在支持对大脑及其功能的科学研究。研究所所长是波兰杰出的神经学家和神经解剖学家马克西米利安-罗斯(1883-1937 年),他是奥斯卡-沃格特和科比安-布罗德曼的弟子。1931 年,研究所从华沙迁至维尔纽斯。该研究所当时在欧洲享有盛誉,因为它在神经科学、临床神经学和精神病学领域开展研究,并对社会活动家的大脑进行细胞结构分析--这是一种时髦的新精神病学方法,可以将已故天才的精神功能与其中枢神经系统的细胞组成联系起来。1939 年,研究所的工作因第二次世界大战而中断;一些准备工作和材料从维尔纽斯转移到华沙,一些存放在维尔纽斯,还有一些丢失了。在这篇文章中,我们分析了一手和二手资料,其中一些资料已经模糊了 80 多年,并评估了波兰脑研究所最重要的科学成就,以及它在战时维尔纽斯现代神经科学和神经病学早期留下的遗产。
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引用次数: 0
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Journal of the History of the Neurosciences
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