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Joris Vandendriessche and Benoît Majerus, eds., Medical Histories of Belgium: New narratives on health, care and citizenship in the nineteenth and twentieth centuries Joris Vandendriessche和benot Majerus主编。《比利时医学史:19世纪和20世纪关于健康、护理和公民身份的新叙述》
Pub Date : 2022-10-27 DOI: 10.1163/26667711-20220009
T. Bolt
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引用次数: 0
Greta Jones, Doctors for Export: Medical Migration from Ireland c.1860 to 1960 格里塔·琼斯:《出口医生:1860年至1960年爱尔兰的医疗移民》
Pub Date : 2022-10-24 DOI: 10.1163/26667711-20220008
Fallon Mody
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引用次数: 0
Doctors and ‘Educational Overpressure’ in Nineteenth-Century Britain: A Fatigue State that Divided Medical Opinion 19世纪英国的医生和“教育压力过大”:医学观点分歧的疲劳状态
Pub Date : 2022-10-20 DOI: 10.1163/26667711-bja10026
H. Connor
The expansion of education in the later nineteenth century led to concerns that ‘educational overpressure’ was damaging the health of children. Overpressure was an ill-defined condition which presented nosological problems and diagnostic difficulties. These were further clouded by political and sociocultural issues which included malnutrition, learning disabilities and postulated hereditable physical and mental degeneration. Uncertainty about the true nature of overpressure divided the British medical profession with a vocal minority alleging that it was common and could result in serious illness, another group who thought that the consequences were minor, and some who altogether doubted its existence. In Britain the debate was intensified by politically motivated funding decisions which put pressures on elementary schoolchildren. In continental Europe the emphasis was on secondary schoolchildren but in other respects the condition was similar, though severe symptoms were more commonly described in Britain. Comparisons with neurasthenia and similar states show that overpressure was what is now recognized as a fatigue state. Nosological difficulties are common in these conditions and often result in conflicting opinions. Disputes about overpressure temporarily damaged the British profession’s credibility at a time when some doctors were pressing for further medical involvement in the educational arena. However, schools could now no longer be regarded as exclusively pedagogical and overpressure had contributed to wider concerns about child health and welfare.
19世纪后期教育的扩张引起了人们对“教育压力过大”正在损害儿童健康的担忧。超压是一种定义不清的疾病,它提出了分类学问题和诊断困难。政治和社会文化问题,包括营养不良、学习障碍和假定的可遗传的身体和精神退化,使这些问题进一步蒙上阴影。对压力过大的真实性质的不确定性使英国医学界产生了分歧,少数人声称压力过大很常见,可能导致严重疾病,另一群人认为后果不大,还有一些人完全怀疑压力过大的存在。在英国,出于政治动机的拨款决定给小学生带来了压力,这一争论愈演愈烈。在欧洲大陆,重点是中学生,但在其他方面情况相似,尽管严重的症状在英国更常见。与神经衰弱和类似状态的比较表明,过度压力是现在公认的疲劳状态。在这些情况下,分类学上的困难是常见的,经常导致相互矛盾的意见。当一些医生迫切要求医学进一步介入教育领域时,关于过度压力的争论暂时损害了英国医学界的信誉。然而,学校现在不能再被视为纯粹的教学场所,压力过大导致对儿童健康和福利的更广泛关注。
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引用次数: 0
“Her Parents Are Exhausted and Unable to Ensure her Safety” – Families, Institutions, and Psychiatric Care in France in the Second Half of the Nineteenth Century “她的父母筋疲力尽,无法保证她的安全”——19世纪下半叶法国的家庭、机构和精神科护理
Pub Date : 2022-08-29 DOI: 10.1163/26667711-bja10023
Anatole Le Bras
The significant increase in the number of internees in French asylums after the “Law on the insane” of 1838 raised the question of the place of the family in the system of psychiatric care. Drawing from medical and administrative literature, as well as from admission registers and patient files from four French public asylums located in the Seine and Finistère departments, this article aims at understanding how the responsibilities for care were delineated before, during, and after internment. It sheds light on the evolutions of psychiatric practices in the last third of the nineteenth century. Prompted by practical constraints as well as by new conceptions of care, these practices allowed for a more sustained cooperation between families and doctors in the processes of commitment and discharge. While the overall role of the family in the sharing of the responsibility for care was increasingly recognized, the article shows that its involvement depended on local arrangements, and on factors such as gender and class.
1838年《精神错乱法》颁布后,法国精神病院的被拘留者人数显著增加,这引发了家庭在精神护理体系中的地位问题。根据医学和行政文献,以及塞纳省和菲尼斯特尔省四所法国公共收容所的入院登记和病人档案,本文旨在了解在拘留之前、期间和之后是如何界定护理责任的。它揭示了19世纪最后三分之一的精神病学实践的演变。由于实际的限制和新的护理概念的推动,这些做法允许家庭和医生在承诺和出院过程中进行更持久的合作。虽然人们日益认识到家庭在分担照料责任方面的全面作用,但这篇文章表明,家庭的参与取决于地方安排以及性别和阶级等因素。
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引用次数: 0
Shared Responsibilities in Fighting the Plague in Moldavia, 1800–1830 1800-1830年在摩尔达维亚抗击鼠疫的共同责任
Pub Date : 2022-06-09 DOI: 10.1163/26667711-bja10020
Sorin Grigoruță
The plague was the epidemic disease that had the deepest impact upon the lives and memories of the people who lived in Moldavia up to the mid-nineteenth century. By investigating a series of anti-epidemic measures, this paper aims to emphasise the shared responsibility for care during the plague epidemics. The tasks of coordinating and financing these anti-epidemic efforts were assumed by the reigning leaders. Their authority, in some situations, was substituted by representatives of the Russian military administration, at times when the Romanian Principalities were occupied by Russian troops. The anti-epidemic mobilization gathered all available forces to fight the spread of disease: amongst others, the boyars, merchants, and local authorities. The physicians of the times represented a discrete, but sometimes, an essential presence. More numerous but scarcely involved in the 1828–1830 epidemic period, doctors played a decisive role especially in the context of the medical-administrative transformations after 1830. The role of the Church should also be noted, as priests had the task of popularizing the anti-epidemic measures within their communities and of persuading their congregations to accept public health measures.
直到19世纪中叶,鼠疫是一种对摩尔达维亚居民的生活和记忆影响最深的流行病。本文通过对一系列防疫措施的探讨,旨在强调鼠疫流行期间的共同护理责任。协调和资助这些抗疫努力的任务由执政领导人承担。在某些情况下,当罗马尼亚公国被俄罗斯军队占领时,他们的权力被俄罗斯军事行政当局的代表所取代。防疫动员动员了所有可用的力量来对抗疾病的传播:其中包括波雅尔、商人和地方当局。那个时代的医生代表着一个分散的,但有时却是必不可少的存在。在1828年至1830年的流行病期间,医生人数较多,但很少参与,特别是在1830年之后的医疗行政改革背景下,医生发挥了决定性作用。还应注意到教会的作用,因为牧师的任务是在他们的社区内普及防治流行病的措施,并说服他们的会众接受公共卫生措施。
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引用次数: 0
The ‘Greenlandization’ of Care: Disability in Postcolonial Greenland, 1950s–1980s 护理的“格陵兰化”:后殖民时期格陵兰的残疾,1950 - 1980
Pub Date : 2022-06-09 DOI: 10.1163/26667711-bja10021
Anna Derksen
When the former Danish colony Greenland obtained Home Rule in 1979, becoming an autonomous region within the Danish Realm, it faced the challenge of having to establish a comprehensive social welfare system. This article looks at disability care and its interrelations with post-colonialism and national identity formation, as previous practices of medical care and accommodation in Danish institutions were replaced with local solutions. Frame analysis reveals the outlines of the responsibilities of Danish experts for disabled Greenlanders under colonial rule and during the modernization period until 1979. The transition phase of the early 1980s was a central arena for Greenlandic national discourse wherein care responsibilities in welfare policies, disability care institutions, advocacy organizations and the media were framed and renegotiated. The ‘Greenlandization’ of disability care and the respective shift in responsibilities was a highly uneven process that continued to be suffused with Danish norms and practices.
当前丹麦殖民地格陵兰在1979年获得自治,成为丹麦王国内的一个自治区时,它面临着必须建立一个全面的社会福利制度的挑战。本文着眼于残疾护理及其与后殖民主义和民族认同形成的相互关系,因为丹麦机构以前的医疗保健和住宿做法已被当地解决方案所取代。框架分析揭示了丹麦专家在殖民统治时期和直到1979年的现代化期间对残疾格陵兰人的责任概况。1980年代初的过渡阶段是格陵兰国家话语的中心舞台,在此期间,福利政策、残疾护理机构、宣传组织和媒体中的护理责任被制定和重新谈判。残疾护理的“格陵兰化”和相应的责任转移是一个高度不平衡的过程,继续充斥着丹麦的规范和做法。
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引用次数: 0
Between Miasmas and Microbes: French Military Doctors in Dahomey (1889–1904) 在瘴气和微生物之间:达荷美的法国军医(1889-1904)
Pub Date : 2022-05-10 DOI: 10.1163/26667711-20220007
Dario Adjaho
This article focuses on the work of French Army doctors deployed in Dahomey, a region that corresponds to present-day Benin. The chronological boundaries of this article begin with the conquest of the territory (1890–1894) and end in 1904 with its integration into the federal government of French West Africa. At that time, the microbial paradigm (germ theory) was ascendant and leading to important discoveries, notably that of the role played by mosquitoes in the spread of malaria. Nevertheless, the influence of miasma theories still persisted in medical circles. These considerations lead us to examine the contribution of medical knowledge during the colonization of Dahomey, just as the richness of intercultural exchanges prompts us to consider the dynamics of sharing with regard to medical knowledge. It is therefore mainly from this perspective that this article aims to study hospital structures, medical staff, sanitary equipment, theoretical representations of African diseases, and experimentation with therapeutic practices.
这篇文章的重点是法国军医部署在达荷美,相当于今天的贝宁地区的工作。本文按时间顺序划分边界,从征服该领土(1890-1894)开始,到1904年并入法属西非联邦政府结束。当时,微生物范式(细菌理论)正在兴起,并导致了重要的发现,特别是蚊子在疟疾传播中所起的作用。然而,瘴气理论在医学界的影响依然存在。这些考虑促使我们审视达荷美殖民时期医学知识的贡献,正如丰富的跨文化交流促使我们考虑医学知识共享的动态一样。因此,本文主要是从这一角度来研究医院结构、医务人员、卫生设备、非洲疾病的理论表征以及治疗实践的实验。
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引用次数: 0
Catholic Charity and Public Poor Relief in Nineteenth-century Belgium: Reconquest, Competition, Complementarity, Superiority 19世纪比利时的天主教慈善和公共救济:重新征服、竞争、互补、优势
Pub Date : 2022-05-03 DOI: 10.1163/26667711-bja10017
Peter Heyrman
The compatibility of public poor relief with private, in particular faith-based, charity is a long-debated issue. Our contribution offers a historical reflection by analysing the evolving discourses of Catholic charity in nineteenth-century Belgium. We highlight its somewhat ambiguous self-imagery and evaluate its (un)willingness to cooperate with official provisions. Belgian Catholics at first sought to complement and even to infiltrate the public structures created under French rule, but rising ideological tensions on the issue in Belgian society from 1850 onwards made them realise that the clock couldn’t be turned back. A further expansion or more pronounced agency of public provisions, however, was considered unwanted and unnecessary. The Belgian Church eagerly defended the pre-eminence of private charity provisions, considering them to be more community-embedded, encompassing, efficient, flexible and innovative. Religious charity was portrayed as morally pre-eminent, much more committed and interpersonal, with strong connotations of vocation, pastorate, penance and salvation emerging from its transcendental perspective. Given this mindset, it was far from self-evident that a division of tasks with public poor relief should be sought. While nineteenth-century Belgian Catholics repeatedly made public appeals for pragmatism and cooperation, the continued expansion of their charitable networks and the associated discourses reveal an inherently competitive strategy and a continuous, even growing conviction that upheld the superiority of private initiative.
公共救济穷人与私人,特别是基于信仰的慈善机构的兼容性是一个长期争论的问题。我们的贡献提供了一个历史的反思,通过分析十九世纪比利时天主教慈善事业的演变话语。我们强调其有些模棱两可的自我意象,并评估其(不)配合官方规定的意愿。比利时天主教徒起初试图补充甚至渗透到法国统治下建立的公共结构中,但从1850年开始,比利时社会在这个问题上日益加剧的意识形态紧张使他们意识到,时钟无法逆转。但是,进一步扩大或更明显地提供公共供应被认为是不需要和不必要的。比利时教会热切地为私人慈善条款的突出地位辩护,认为它们更具有社区内涵、包容性、效率、灵活性和创新性。宗教慈善被描绘成道德上卓越的,更加忠诚和人际关系,具有强烈的职业内涵,牧师,忏悔和救赎从其超验的角度出现。鉴于这种思维方式,寻求与公共救济穷人的任务分工是很不明显的。虽然19世纪的比利时天主教徒一再公开呼吁实用主义和合作,但他们的慈善网络和相关话语的持续扩张揭示了一种内在的竞争策略,以及一种持续的、甚至日益增长的信念,即坚持私人主动性的优越性。
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引用次数: 0
God’s Invisible Particles as an Explanation for the Rinderpest Outbreak (1713–1714): The Reception of Medical Knowledge in the Dutch Republic 上帝用看不见的粒子来解释牛瘟爆发(1713-1714):荷兰共和国对医学知识的接受
Pub Date : 2022-05-03 DOI: 10.1163/26667711-20220006
Theo Dekker
In recent decades, historians have made significant contributions to the understanding of the production and circulation of knowledge in the early modern period. This article aims to go further, by demonstrating how a non-medical expert acquired and applied new medical knowledge, and how chronicles can be used as a source to study the reception of (medical) knowledge in the early modern period. To do this, I have used the corpus of the research project Chronicling Novelty which contains 311 early modern chronicles from the Low Countries, written by a heterogenous group of authors from the ‘middling’ ranks of society. The farmer and alderman Lambert Rijckxz Lustigh (1656–1727) tried to make sense of the rinderpest outbreak that spread across the Low Countries in 1713. In contrast to most of his contemporaries, he combined a corpuscular theory of medicine with other forms of knowledge to demonstrate how God’s ‘invisible particles’ caused an epidemic. This paper presents how expert knowledge became part of a complex chain of cultural translation and retranslation in society. Moreover, by examining Lustigh’s explanations in relation to his contemporaries and other chroniclers, this paper offers an additional perspective on the preconditions for the acceptance of new knowledge and change among the middling ranks of society.
近几十年来,历史学家对理解近代早期知识的生产和流通做出了重大贡献。本文旨在更进一步,通过展示非医学专家如何获得和应用新的医学知识,以及如何使用编年史作为研究近代早期(医学)知识接受的来源。为了做到这一点,我使用了编年史研究项目的语库,其中包含了311个来自低地国家的早期现代编年史,这些编年史是由来自社会“中等”阶层的异质作者撰写的。农场主和议员Lambert Rijckxz Lustigh(1656-1727)试图弄清楚1713年席卷低地国家的牛瘟爆发的原因。与他同时代的大多数人不同,他将医学的微粒理论与其他形式的知识结合起来,证明了上帝的“看不见的粒子”是如何引起流行病的。本文介绍了专业知识如何成为社会中复杂的文化翻译和再翻译链的一部分。此外,通过考察勒斯廷与其同时代人和其他编年史家的解释,本文提供了一个额外的视角来研究中产阶级接受新知识和变化的先决条件。
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引用次数: 0
Catholic Civil Servants and Social Services: State and Subsidiarity in Italy and France, 1945–1958 天主教公务员和社会服务:意大利和法国的国家和辅助机构,1945-1958
Pub Date : 2022-04-26 DOI: 10.1163/26667711-bja10015
Giacomo Canepa
After World War ii, in France and in Italy, a new generation of civil servants in charge of public assistance policies – all coming from Catholic movements – sought to transform the ways in which roles and responsibilities were allocated between State, local councils, private actors, and families. This article focuses on the Italian Amministrazione per gli aiuti internazionali, established in 1945 and headed by deputy Lodovico Montini (brother of the future pope Paul vi), and on the French Direction de la population at the Ministère de la Santé et de la population, created in 1946 and managed by Emmanuel Rain. The analysis will contribute to an explanation of how public assistance, which was deemed to disappear in the face of the emergence of social security, underwent an expansion and how a new welfare regime characterized by a novel form of mixed economy emerged.
第二次世界大战后,在法国和意大利,负责公共援助政策的新一代公务员——都来自天主教运动——试图改变国家、地方议会、私人行动者和家庭之间角色和责任分配的方式。这篇文章的重点是意大利的Amministrazione per gli aiuti internazionali,成立于1945年,由洛多维科·蒙蒂尼(Lodovico Montini,未来教皇保罗六世的兄弟)副手领导,以及法国的人口部门de la santeet de la population,成立于1946年,由Emmanuel Rain管理。这一分析将有助于解释由于社会保障的出现而被认为消失的公共援助是如何扩大的,以及以新型混合经济为特征的新福利制度是如何出现的。
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引用次数: 0
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European journal for the history of medicine and health
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