The Journal of biocommunication最新文献

An historian of World War II Germany was asked, about whether there was a single ideological notion that proved to be the most influential in allowing the horrific evils of the Holocaust to take place. It is the very idea, derived from the Romantics, he wrote, that artists are entitled to live outside of morality. Hitler and others unquestionably saw themselves in this way. With this realization we have arrived at the reductio ad absurdum of this Romantic ethic: the Artist as Murderer. And it is because we believe that like artists, physicians occupy a higher sphere, that we have, in Holocaust times, the transformation of the physician, like the artist, into the murderer. Like the artist, who murders but does not do so with his own hand, the physician supervises executions and unspeakable experiments. Anatomists buttressed their collections at a range of German and Austrian universities, by placing orders from among the executed and about-to-be executed. It is this that I have in mind when I speak of "murder-a-la-carte." Pernkopf was one of these anatomists. Through the atlas he immortalizes the victims. Years later, a surgeon asks about the atlas and protocols for continued use, to benefit patients and educate, are created. The surgeon may well be rescuing the medical profession itself from its own historical sins of presumed unaccountability, of returning it to a human place where the dignity of the patient remains inviolable, and where the victims of medically inspired evil gaze out at us from the pages of the atlas, both as a blessing and as a warning.

(Reprinted with permission from Annals of Anatomy Vol. 194, No. 3, 2012).

After decades of denial, German academic medicine was reluctant to accept responsibility for its complex collaboration with the Nazi regime. Consequently, much of this history needs further detailed exploration, as legacies from this history still exist in the form of "Books, Bones and Bodies." Specifically, this concerns the legacies of anatomists' use of bodies of Nazi victims in teaching and research, as "data" have become anatomical knowledge and specimens from victims continue to be discovered.

Despite the revelations of the Nuremberg Medical Trial and subsequent prosecutions, the reality is that, with particular respect to medicine and the role of leading academic and scientific institutions during the so-called "Third Reich," the postwar period war was marked by a "Great Silence." With few exceptions, this silence continued until the 1980's, when increasing systematic scholarly research and inadvertent discoveries revealed the significant role played by the German and Austrian medical profession during the Nazi period and the Shoah. The discoveries included body parts of victims of Nazi terror in the collections of university institutes of anatomy and scientific research. The Pernkopf Atlas of Human Anatomy represents a legacy from Nazi medicine. Although it includes images from Nazi victims, its accuracy makes it a valued resource in surgery. The Vienna Protocol is a new halachic responsum on the question of what to do with newly discovered remains from Nazi victims and their data, and can provide guidance in the ethical reasoning on whether to use the Pernkopf atlas.

(Reprinted with permission from Lancet (2000) 355: 1445-57).

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