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'Andromeda freed from her chains': attitudes towards women and the oral contraceptive pill, 1950-1970. “摆脱枷锁的仙女座”:对女性和口服避孕药的态度,1950-1970年。
Pub Date : 2017-02-22 DOI: 10.1163/9789004333390_011
L. Marks
In this paper I concentrate on the attitudes of the medical profession towards women’s bodies and predominantly the high-dosage pill in the years 1950-1970. (excerpt)
在本文中,我集中讨论了1950-1970年间医学界对妇女身体的态度,主要是对高剂量避孕药的态度。(摘录)
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引用次数: 9
Doctors and Their Patients in the Seventeenth to Nineteenth Centuries. 17至19世纪的医生和病人。
Pub Date : 2016-01-01
Marion Baschin, Elisabeth Dietrich-Daum, Iris Ritzmann

How can these finings be interpreted in conclusion? Analysis has revealed firstly that, depending on the chosen period, the socio-geographical situation and the profile of the individual doctor's practice, the clientele varied widely in terms of gender, age and social rank. The consultation behaviour of men and women changed noticeably. Findings overall suggest that up until t8o the gender distribution varied in the individual practices. There was a trend for women to be overrepresented in urban practices during the earlier period. But in general, from the mid-nineteenth century they predominated - in towns as well as in the country in allopathic as well as homeopathic practices. The absence of children, which was bemoaned by many physicians, did not apply to the practices under investigation. On the contrary: the percentage is consistently high while older patients remained underrepresented right up until the end of the period under investigation, even though their proportion increased in the individual practices during the course of the nineteenth century In each of the nineteenth century practices investigated - and increasingly among the lower and middle classes - the physicians' services were used by several members of the same family. We have found no evidence to support the thesis that up until the nineteenth century academic physicians were mainly consulted by aristocratic or wealthy bourgeois patients. The theory probably applies only to early modern urban doctors. In the practices examined here, from the middle of the eighteenth century, patients from all social strata went to consult physicians. The participation of members of the lower classes or from an artisanal, (proto) industrial or agricultural background clearly increased over time 'despite ubiquitous economic and cultural barriers. That the annual numbers of consultations per physician increased - despite the growing number of physicians available - suggests that for economically disadvantaged social groups also, the consultation of learned physicians became more common: in towns from the first half of the nineteenth century and in the country from the middle of the century. In addition, the individual findings reveal that, prior to the introduction of statutory health insurance for salaried persons, patients of more secure social standing consulted a physician considerably more frequently in the course of the year than lower class patients. While the patient structure clearly changed around 1800, the relationship between physician and patient continued without major changes from the seventeenth to the nineteenth century. The therapeutic encounter up until the end of the investigated period can be summarized as a negotiation process. Patients were discerning in their choice of healer and did not refrain from using rival services. They sought help for unpleasant symptoms such as indigestion, pain or fever, and only rarely in cases of emergency Therapy was decided on after

在结论中如何解释这些结论呢?分析首先表明,根据所选择的时期、社会地理情况和医生个人执业情况的不同,客户在性别、年龄和社会地位方面差别很大。男性和女性的咨询行为发生了显著变化。研究结果总体上表明,直到1980年,性别分布在个体实践中有所不同。在较早时期,妇女在城市实践中所占比例过高是一种趋势。但总的来说,从19世纪中期开始,它们在城镇和乡村的对抗疗法和顺势疗法中占主导地位。许多医生都对儿童的缺席感到惋惜,但这并不适用于被调查的做法。相反,直到调查结束,老年患者的比例一直很高,尽管他们在19世纪的个人实践中所占的比例有所增加,但在19世纪的每一次调查中,医生的服务都是由同一个家庭的几个成员使用的,并且越来越多地出现在下层和中产阶级中。我们没有发现任何证据支持这样的论点,即直到19世纪,学术医生主要是由贵族或富有的资产阶级病人咨询的。这个理论可能只适用于早期的现代城市医生。在这里研究的实践中,从18世纪中叶开始,来自社会各个阶层的病人都去咨询医生。尽管经济和文化障碍无处不在,但随着时间的推移,下层阶级成员或来自手工、(原型)工业或农业背景的成员的参与明显增加。尽管有越来越多的医生可供选择,但每位医生每年的咨询人数还是增加了,这表明对于经济上处于不利地位的社会群体来说,有学问的医生的咨询也变得更加普遍:从19世纪上半叶开始,在城镇,从19世纪中叶开始,在乡村。此外,个别调查结果显示,在对受薪人员实行法定健康保险之前,社会地位较有保障的患者在一年中看医生的次数要比社会地位较低的患者多得多。虽然病人的结构在1800年左右发生了明显的变化,但从17世纪到19世纪,医生和病人之间的关系没有发生重大变化。直到调查期结束的治疗遭遇可以总结为一个谈判过程。患者在选择治疗者时很有眼光,并没有避免使用竞争对手的服务。他们会在出现消化不良、疼痛或发烧等令人不快的症状时寻求帮助,只有在罕见的紧急情况下,才会在关键的、自主的病人与通常愿意妥协的医学专家交流后决定治疗方案。虽然病人的结构在1800年左右发生了明显的变化,但从17世纪到19世纪,医生和病人之间的关系没有发生重大变化。直到调查期结束的治疗遭遇可以总结为一个谈判过程。患者在选择治疗者时很有眼光,并没有避免使用竞争对手的服务。他们在出现消化不良、疼痛或发烧等不愉快的症状时寻求帮助,只有在紧急情况下才会寻求帮助。在关键和自主的客户与通常愿意妥协的医学专家之间进行交流后,决定治疗方法。
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引用次数: 0
Daily Business: The Organization and Finances of Doctors' Practices. 日常业务:医生执业的组织和财务。
Pub Date : 2016-01-01 DOI: 10.1163/9789004303324_005
Philipp Klaas, Hubert Steinke, Alois Unterkircher
During the night of 6 December 1826, Franziska Gross, a midwife in the Austrian town of Innsbruck, was called to a heavily pregnant woman who had just gone into labour. When the woman, after suffering severe convulsions, lost consciousness the midwife sent two messengers to the nearby physician. But because ‘there was no bell’,1 the attempt to find immediate help in the middle of the night failed. Driven by despair, the two messengers hurried on to the nearby military hospital where they were given tea and ointment for the dangerously ill woman. She died in the evening of the following day. This example of a failure to establish contact between a physician and a patient or her relatives, tragic as it was, holds important clues as to how physicians organized their availability outside the usual practice hours. Ringing the night-bell should have woken the doctor. The search for medical help often ended outside the physician’s house, however, as in the case above, when there was no bell, when no bell could be found or when the residents could not be aroused from their deep sleep. The physician, on the other hand, could not – when packing his instrument bag and saddling his horse – be sure that he would still find an acute case of emergency at the house he was led to by the messenger that the distraught relatives had sent. In many cases medical intervention had become obsolete after the many hours taken to travel to some remote village. On 26 October 1889 the South Tyrolean country physician Franz von Ottenthal arrived in a farmhouse in Luttach in the Ahrn Valley, a village, which had 400 inhabitants at the time. He went there every day to see a 73-year-old man who had, for
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引用次数: 1
Observationes et Curationes Nurimbergenses: The Medical Practice of Johann Christoph Götz (1688-1733). 《纽伦堡观察与治疗:约翰·克里斯托夫·戈茨的医学实践》(1688-1733)。
Pub Date : 2016-01-01 DOI: 10.1163/9789004303324_009
A. Kinzelbach, S. Grosser, Kay Peter Jankrift, M. Ruisinger
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引用次数: 0
Medical Bedside Training and Healthcare for the Poor in the Würzburg and Göttingen Policlinics in the First Half of the Nineteenth Century. 19世纪上半叶<s:1>罗兹堡和Göttingen医院的医疗床边培训和穷人的医疗保健。
Pub Date : 2016-01-01 DOI: 10.1163/9789004303324_011
Stephanie Neuner, Karen Nolte
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引用次数: 2
The Subject as Instrument: Galvanic Experiments, Organic Apparatus and Problems of Calibration. 作为仪器的主题:电实验、有机仪器和校准问题。
Pub Date : 2016-01-01 DOI: 10.1163/9789004286719_005
J. Steigerwald
What was being studied in galvanic experiments, among its simple chains of frog legs and metals? Galvanic experiments promised a new technique for investigating the phenomena of muscular contraction, and the respective roles of nerves and muscle fibers and the action of stimuli in effecting contractions. Organic parts, frog legs capable of reacting to stimuli, were also used as sensi­ tive instruments for detecting weak forms of electricity. But galvanic experi­ ments seemed also to indicate new forms of electricity, an electricity generated in organic material or through metallic contact, that appeared to be related to and yet distinct from the artificial electricity generated by electrical machines and atmospheric electricity. Galvanic experiments were also productive of chemical changes in organic parts and metals, and thus suggestive of relations between chemistry, electricity and organic processes. Finally, they promised medical applications, as a new useful instrument for the treatments of cer­ tain ailments and for distinguishing merely apparent from actual death. But because galvanic experiments intersected with such a variety of phenomena and interests, it was not always clear in these experiments what was being studied. In galvanic experiments, what constituted the phenomena being investigated, what was the apparatus generative of the phenomena, and what was the instru­ ment reading the phenomena? This entanglement of phenomena, apparatus and instruments was at the centre of investigations of galvanic experiments in German settings. Reports of Luigi Galvani’s remarkable experiments in German periodicals from 1792 framed them in the terms of Galvani’s dispute with Alessandro Volta, and the question of whether Galvani’s experiments had disclosed a new form of elec­ tricity, animal electricity, or whether the frog legs used in the experiments were
在由青蛙腿和金属组成的简单链条中,电实验研究的是什么?电实验为研究肌肉收缩现象、神经和肌肉纤维的各自作用以及刺激在收缩中的作用提供了一种新技术。青蛙的有机部分,即能够对刺激作出反应的腿,也被用作检测微弱电流的灵敏仪器。但是电实验似乎也指出了电的新形式,一种在有机材料中或通过金属接触产生的电,这种电似乎与电机和大气电产生的人工电有关,但又不同。电实验也产生了有机部分和金属的化学变化,从而暗示了化学、电和有机过程之间的关系。最后,他们承诺在医学上的应用,作为一种新的有用的工具来治疗某些疾病,并区分只是表面上的死亡和实际的死亡。但是,由于电实验与各种各样的现象和兴趣相交叉,在这些实验中并不总是清楚所研究的是什么。在电偶实验中,是什么构成了被研究的现象?产生这些现象的装置是什么?读取这些现象的仪器是什么?这种现象、仪器和仪器的纠缠是德国电实验研究的中心。从1792年开始,德国期刊上对路易吉·伽伐尼非凡实验的报道,主要围绕伽伐尼与亚历山德罗·沃尔特的争论,以及伽伐尼的实验是否揭示了一种新的电形式——动物电,或者实验中使用的青蛙腿是否存在这种电
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引用次数: 1
Cornucopia Officinae Medicae: Medical Practice Records and Their Origin. 药用聚宝盆:医疗实践记录及其来源。
Pub Date : 2016-01-01 DOI: 10.1163/9789004303324_003
V. Hess, Sabine Schlegelmilch
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引用次数: 1
Doctors and Their Patients in the Seventeenth to Nineteenth Centuries. 17至19世纪的医生和病人。
Pub Date : 2016-01-01 DOI: 10.1163/9789004303324_004
M. Baschin, E. Dietrich-Daum, I. Ritzmann
How can these finings be interpreted in conclusion? Analysis has revealed firstly that, depending on the chosen period, the socio-geographical situation and the profile of the individual doctor's practice, the clientele varied widely in terms of gender, age and social rank. The consultation behaviour of men and women changed noticeably. Findings overall suggest that up until t8o the gender distribution varied in the individual practices. There was a trend for women to be overrepresented in urban practices during the earlier period. But in general, from the mid-nineteenth century they predominated - in towns as well as in the country in allopathic as well as homeopathic practices. The absence of children, which was bemoaned by many physicians, did not apply to the practices under investigation. On the contrary: the percentage is consistently high while older patients remained underrepresented right up until the end of the period under investigation, even though their proportion increased in the individual practices during the course of the nineteenth century In each of the nineteenth century practices investigated - and increasingly among the lower and middle classes - the physicians' services were used by several members of the same family. We have found no evidence to support the thesis that up until the nineteenth century academic physicians were mainly consulted by aristocratic or wealthy bourgeois patients. The theory probably applies only to early modern urban doctors. In the practices examined here, from the middle of the eighteenth century, patients from all social strata went to consult physicians. The participation of members of the lower classes or from an artisanal, (proto) industrial or agricultural background clearly increased over time 'despite ubiquitous economic and cultural barriers. That the annual numbers of consultations per physician increased - despite the growing number of physicians available - suggests that for economically disadvantaged social groups also, the consultation of learned physicians became more common: in towns from the first half of the nineteenth century and in the country from the middle of the century. In addition, the individual findings reveal that, prior to the introduction of statutory health insurance for salaried persons, patients of more secure social standing consulted a physician considerably more frequently in the course of the year than lower class patients. While the patient structure clearly changed around 1800, the relationship between physician and patient continued without major changes from the seventeenth to the nineteenth century. The therapeutic encounter up until the end of the investigated period can be summarized as a negotiation process. Patients were discerning in their choice of healer and did not refrain from using rival services. They sought help for unpleasant symptoms such as indigestion, pain or fever, and only rarely in cases of emergency Therapy was decided on after an exc
在结论中如何解释这些结论呢?分析首先表明,根据所选择的时期、社会地理情况和医生个人执业情况的不同,客户在性别、年龄和社会地位方面差别很大。男性和女性的咨询行为发生了显著变化。研究结果总体上表明,直到1980年,性别分布在个体实践中有所不同。在较早时期,妇女在城市实践中所占比例过高是一种趋势。但总的来说,从19世纪中期开始,它们在城镇和乡村的对抗疗法和顺势疗法中占主导地位。许多医生都对儿童的缺席感到惋惜,但这并不适用于被调查的做法。相反,直到调查结束,老年患者的比例一直很高,尽管他们在19世纪的个人实践中所占的比例有所增加,但在19世纪的每一次调查中,医生的服务都是由同一个家庭的几个成员使用的,并且越来越多地出现在下层和中产阶级中。我们没有发现任何证据支持这样的论点,即直到19世纪,学术医生主要是由贵族或富有的资产阶级病人咨询的。这个理论可能只适用于早期的现代城市医生。在这里研究的实践中,从18世纪中叶开始,来自社会各个阶层的病人都去咨询医生。尽管经济和文化障碍无处不在,但随着时间的推移,下层阶级成员或来自手工、(原型)工业或农业背景的成员的参与明显增加。尽管有越来越多的医生可供选择,但每位医生每年的咨询人数还是增加了,这表明对于经济上处于不利地位的社会群体来说,有学问的医生的咨询也变得更加普遍:从19世纪上半叶开始,在城镇,从19世纪中叶开始,在乡村。此外,个别调查结果显示,在对受薪人员实行法定健康保险之前,社会地位较有保障的患者在一年中看医生的次数要比社会地位较低的患者多得多。虽然病人的结构在1800年左右发生了明显的变化,但从17世纪到19世纪,医生和病人之间的关系没有发生重大变化。直到调查期结束的治疗遭遇可以总结为一个谈判过程。患者在选择治疗者时很有眼光,并没有避免使用竞争对手的服务。他们会在出现消化不良、疼痛或发烧等令人不快的症状时寻求帮助,只有在罕见的紧急情况下,才会在关键的、自主的病人与通常愿意妥协的医学专家交流后决定治疗方案。虽然病人的结构在1800年左右发生了明显的变化,但从17世纪到19世纪,医生和病人之间的关系没有发生重大变化。直到调查期结束的治疗遭遇可以总结为一个谈判过程。患者在选择治疗者时很有眼光,并没有避免使用竞争对手的服务。他们在出现消化不良、疼痛或发烧等不愉快的症状时寻求帮助,只有在紧急情况下才会寻求帮助。在关键和自主的客户与通常愿意妥协的医学专家之间进行交流后,决定治疗方法。
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引用次数: 3
Franz von Ottenthal: Local Integration of an Alpine Doctor's Private Practice (1847-1899). 弗朗茨·冯·奥滕塔尔:阿尔卑斯医生私人执业的地方整合(1847-1899)。
Pub Date : 2016-01-01
Elisabeth Dietrich-Daum, Marina Hilber, Eberhard Wolff
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引用次数: 0
Nazi Human Experiments: The Victims’ Perspective and the Post-Second World War Discourse. 纳粹人体实验:受害者视角与二战后话语。
Pub Date : 2016-01-01 DOI: 10.1163/9789004286719_011
Paul Weindling
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引用次数: 1
期刊
Clio medica (Amsterdam, Netherlands)
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