Medizin, Gesellschaft, und Geschichte : Jahrbuch des Instituts fur Geschichte der Medizin der Robert Bosch Stiftung最新文献

This contribution focuses on the medical practice of the policlinics in Würzburg and Göttingen in the first half of the nineteenth century. In these institutions patients were treated free of charge by medical students and assistant physicians who, in turn, were able to gain further experience and develop their skills. The policlinics were therefore an important part of poor-healthcare in both these cities. The essay tries in particular to illustrate healthcare for poor patients against the background of their everyday lives and working environment. Based on the situation of individual poor patients, the concepts of 'sickness' and 'poverty' are discussed as mutually dependent determinants of the 'reality of life' among the urban lower classes. This contribution combines the evaluation of medical practice journals and patient histories with the analysis of source materials on urban poor relief and healthcare. It looks particularly at the children and elderly people who attended the policlinics. The encounters between physicians and poor patients documented in the sources not only provide valuable insights into historical patient behaviours, they also open up new perspectives of the physician-patient relationship during the nineteenth century transition from the 'sickbed-society' to hospital medicine.

Volker Roelcke, the well-known historian of medicine, wrote a biographical sketch on his father's role in National Socialism. Karl Roelcke (1907-1982) was an important hygienist at the University of Heidelberg and assistant to Ernst Rodenwaldt (1878-1965). Attempts to discuss the Nazi issue with his father directly ended unsuccessfully in the 1970s. In his essay of 2014, Volker Roelcke portrayed his father as quite sophisticated, but did not mention all aspects of his work. The present essay therefore offers new insights into the person of Karl Roelcke which are not constrained by family interests.

This essay takes a closer look at the shared traditions as well as separate developments in health education in both German states, based on the circulated gender images. Health education is a rewarding field of investigation because its materials not only convey information on the prevention of sickness or the cultivation of healthy lifestyles; they also--implicitly or explicitly--carry social key messages such as ideas regarding femininities and masculinities or the tasks and functions allocated to women and men within and outside the family. The fact, for instance, that women in East Germany were expected to be part of the labour force as early as the 1950 s, whereas their Western counterparts were expected to stay at home and look after the family, had an effect on health education. The question as to the normative images of femininity and masculinity is therefore at the centre of our inquiry. The sources used are health education publications and popular health magazines from both Germanies. Based on the parameters 'Home and Family', 'Work and Performance', 'Attractiveness and Outer Appearance', the ideas of femininity and masculinity, as portrayed in the health propaganda in East and West, are presented and compared. Analysis of these parameters shows that the gender images, while they coincided in some respects, also evolved in different ways in others, or that entirely different intentions were concealed behind the promotion of similar principles. Many of the guiding images discussed show how the two German states perceived each other. While there were attempts at dissociating from the other state entirely, there were also developments that seem to indicate that they referred to one another to a certain extent.

This essay follows the history of the Schwabe Company between 1933 and 1945 when it, like all other companies at the time, had to subject to the state-enforced conformity ('Gleichschaltung'). While Willmar Schwabe II (1878-1935), the company's second director, kept clear of Nazi politics, both of his sons, who succeeded him at an early age, became members of the Nazi party: Willmar III (1907-1983) probably from initial conviction and Wolfgang (1912-2000), who joined in 1937, more likely for opportunistic reasons. The two lay journals published by Schwabe--the Leipziger Populäre Zeitschrift für Homöopathie and the Biochemische Monatsblätter--embraced the Nazi ideology more thoroughly than the general homeopathic journal Allgemeine Homöopathische Zeitung, including above all contributions on racial hygiene. Our research has revealed that Schwabe only employed foreign workers from 1942 on, that their number was much lower, at 0.9 per cent in 1942 and 3.6 per cent in 1944, than that of other pharmaceutical companies and that their pay hardly differed from that of German workers. The sales and profit figures investigated have shown that the company did not profit exceptionally from the new Nazi health policies ('Neue Deutsche Heilkunde'): while its sales and profits rose in the Nazi era due to the increased use of medication among the civil population during wartime, the drugs produced by Schwabe remained marginal also during the war, as is apparent also from its modest deliveries to the army. All in all one can conclude that the company offered neither resistance nor particular support to the Nazi ideology.

As part of the research project, developments in the history of science and in the regional and ecclesiastic history of the late feudal petty state of Köthen-Anhalt have been assessed and numerous documents of the Nagel and Mühlenbein family histories examined that place the transcribed patient letters of the two Protestant clergymen within the context of the Hahnemann Archives. These findings complement and extend previous insights into Hahnemann's Köthen clientele, especially when it comes to the structure and milieu of the local clerical elite. Inspired by the interpretive methods of sequential textual analysis, form and content of the letters of the two clergymen and their relatives were also investigated as methodically structured lines of communication. The body of sources published here presents--embedded in the body-image (of sickness and health) prevalent at the time--the medical cultures of educated patients as well as the increasingly professionalized medical practices of Samuel Hahnemann in a flourishing urban doctor's surgery. The correspondence between the pastors Albert Wilhelm Gotthilf Nagel (1796-1835) and August Carl Ludwig Georg Mühlenbein (1797-1866), presented here in a standard edition, has been investigated at Fulda University as part of the project 'Homöopathisches Medicinieren zwischen alltäglicher Lebensführung und professioneller Praxis' ('Homeopathic medicine between everyday use and professional practice'). Of the altogether 78 transcribed documents, 53 are letters written by either of the two pastors, 16 are patient journals by Samuel Hahnemann, 9 letters by the pastors' wives and Mühlenbein's mother. The two series of letters, originally composed between 1831 and 1833 in old German cursive script, can now be used as sources for research into the history of homeopathy.

The dispute over low and high potencies is no longer current in today's homeopathy, but from the 1830s to the 1960s it played a major role in scientific discourse. The devotees of high potencies claimed to be the only true Hahnemannians, while their antagonists tried to practise a scientific, modernized homeopathy. The former ultimately triumphed in Britain, the U.S. and Germany, but this happened on quite different routes in each of these countries. As well as Hahnemann, other scholars, such as Constantin Hering, James T. Kent and Karl Koetschau, played important roles in the international disputes.

This contribution explores the advertisements for homeopathic products in magazines in the first half of the twentieth century, focusing on the period between 1933 and 1945 and based on the example of the pharmaceutical company Dr Willmar Schwabe. In the first half of the twentieth century, Schwabe Pharmaceuticals was market leader for homeopathic and other complementary medical products (phytotherapy, biochemicals). The example chosen as well as the time frame complement the existing research. We searched three German publications (the homeopathy journal Leipziger Populäre Zeitschrift für Homöopathie, the medical weekly Münchner Medizinische Wochenschrift and the pharma magazine Pharmazeutische Zeitung) and collected target-group-specific results for laypersons, physicians and pharmacists. Analysis of the images and texts in the selected advertisements often reflected the historical background and the respective health policies (wartime requirements, times of need, "Neue Deutsche Heilkunde"). The history of this traditional company was seen as an important point in advertising, as were the recognisability of the brand through the company logo, the emphasis on the high quality of their products and the reference to the company's own research activities. We furthermore found the kind of argumentation that is typical of natural medicine (naturalness, the power of the sun, prominent representatives). Schwabe met the expectations of its clients, who were interested in complementary medicine, whilst pursuing an approach to homeopathy that was compatible with natural science, and it presented itself as a modern, scientifically oriented enterprise. The company did not lose credibility as a result, but increased its clientele by expanding to include the whole naturopathic market.

Philo of Alexandria, Torah scholar and philosopher of religion, (c. 20 BC to 50 BCE) is the first Middle Platonic philosopher whom we know through his own works. His thinking was determined by the two antitheses of God and world, and virtue and vice. The Logos (divine reason) mediates between the transcendent God and the earthly world. His thoughts on health and illness and on the possibilities and limitations of medicine are testimony to his comprehensive philosophical education as well as to his belief in God as ruler of the world and of human life. He saw human health as the reward for self-control for which one was best prepared by the classical education programme. Self-control and physical exercise were therefore, in his view, possible guarantors of health, and a coach potentially more important than a physician. Illnesses, if they result from the loss of self-control, may point to the necessity for penitence. Philo therefore saw virtuousness as the safest precondition for a healthy and cheerful life. That the life forces increase during youth and diminish in old age is part of destiny. Similarly, illness can be brought about by strokes of fate. If illness occurred in this or any other way, medicine was there to help and its success or failure depended on divine providence. Like Jesus Sirach, the Jewish scholar who taught around a hundred years earlier, Philo did not think it sinful to use medical help if one was ill, seeing that God himself had made natural remedies available. He compared the importance of physicians for their patients to that other professionals have in people's lives. Philo did not provide a compendium on the work of the physician, but he gave indications, on nutrition for instance, or on the use of laxatives and fragrances, or that complaints can be necessary stages of recovery. Philo also asked himself whether physicians were always obliged to tell patients the truth. The only case of illness he described in sufficient detail was one of leprosy, which he diagnosed in accordance with Leviticus 13:2. Philo saw physicians as helpers of God, who was the Lord of life and who would therefore decide on the fate of the healthy and sick. Faith in God, Philo thought, was vital if one was to cope with life's ups and downs. Only the wicked had to fear death, however, while the souls of the righteous returned to heaven after death.

During World War I, Serbia and Montenegro were under Austro-Hungarian occupation between late 1915/early 1916 and 1918. This article explores the attitude of the occupiers towards prostitution and venereal disease, among the indigenous population as well as among their own soldiers, officers and female support staff. The measures taken were primarily guided by military considerations. For the military, the occupied areas were zones that served particular purposes, such as preserving peace and order behind the front, making use of manpower and resources, and serving as cordon sanitaire. In spite of this, pseudo-peace-like structures evolved in the capitals Belgrade and Cetinje that facilitated the spread of prostitution and venereal disease. In my article, I will look at the scale of the debate and of the proposed countermeasures. It is noticeable that women were usually branded as the perpetrators, while the soldiers were seen as the ones in need of protection. In spite of this, it is apparent how candidly the royal-imperial army dealt with the topic even though it went against the current ideas of morality. The social differentiation that was customary in the imperial and royal army applied here, too. Officers suffering from venereal disease had their own hospitals and brothels and were permitted leave more often (a fact that went against the purpose of these institutions). The topic also received publicity because the military physicians, who were in fact civilians mobilized by the army, chose to publish continuously on the topic. Based on the microcosm of occupied enemy territory, my contribution shows how ideas of morality changed during the war despite traditional gender stereotypes, and the role played by the military in these developments.

This study compares the various nursing schools in East and West Germany. In the 1980s and early 1990s the professionalization of nursing was still in its infancy there compared with Anglo-America. There were attempts to professionalize nursing that were meant to enhance the quality of nursing as well as lead to improved working conditions. As part of the political debates in the field after German reunification, the nursing schools in the former east were also affected by reform efforts. From the 1960s, diploma courses in nursing studies and in the teaching of medicine had been offered in the east and, up into the 1990s, these courses were repeatedly modified and adapted to educational requirements. The study also tries to establish the extent to which the academization of nursing in the reunified Germany was driven by the concurrence of the different training routes in West and East. It analyses above all the diverse study syllabi and lengths of training. What also emerged was that, despite all the positive impulses arising from the East German training models, the continuous changes in training in the GDR not only served to improve the nursing qualifications but also to promote identification with the socialist system and its political ideology. In addition, the teaching of theory was never prominent in East German nursing, while, in the west, theory was increasingly asked for and eventually also implemented. The possibility, in the former east, to study the teaching of medicine definitely made an impact on the nursing training in the west after the reunification and the subject is now offered at universities there, too. Despite all that, the concept of "professional nursing," which needs to be practised in a practical, patient-oriented way, and on a scientific basis, is again being discussed since the introduction of Bachelor and Master study courses. The process of professionalizing and academizing the nursing schools and further training courses clearly continues despite the impulses received from the former East Germany.