Articles Volume 17 (1997)

Population History, Medical and Health History. Fifty Years of Shared Experiences (Article in French).
Patrice Bourdelais


The Fear of (One's Own) History. On the Relations Between Medical Anthropology, Medicine and History.
Josep M. Comelles


Health and the Mass Media (Article in Italian).
Massimo Bucchi
 

Diseases of the Pericardium Kitab al-Taysir (c. 1095-1162) de Avenzoar  (Article in Spanish)
Carmen Peña; Fernando Girón; Rosa María Moreno


The Golden Panacea. Alchemy and Distillation in the Court of Philip II (1527-1598) (Article in Spanish)
F. Javier Puerto Sarmiento
 

Physicians and Surgeons in Saragossa During the Modern Age. Number, Social and Family Structure (Article in Spanish)
Asunción Fernández Doctor


The Problem of Knowledge among Enlightened Landowners and Merchants in the Province of Caracas, Venezuela (1793-1810) (Article in Spanish)
Yajaira Freites
 


Nature and Deliberate Health. Coping with Health in German Autobiographies from the 18th and 19th Centuries
Gunnar Stollberg


Matter and Spirit: The Unconscious in Carl Gustav Carus's Psychology (1779-1868) (Article in Spanish)
Luis Montiel


Scientific Agriculture in the Nineteenth Century Murcian Press as Seen by Local Authors (Article in Spanish)
Carlos López Fernández; Pedro Marset Campos


The Neurologica! and Embryologica! Studies of Santiago Ramón y Cajal (Article in Spanish)
Luis Alfredo Baratas Díaz


Six Seconds Per Eyelid: The Medical Inspection of Inmigrants at Ellis Island, 1892-1914
Anne-Emanuelle Birn
 

Internationalism and Science. Social and Scientific Bases of the European Information Science Movement (Article in Spanish)
Guillermo Olagüe de Ros, Alfredo Menéndez Navarro, Rosa Mª Medina Doménech, Mikel Astrain Gallart
 

Venereal Disease, Public Health and Social Control: The Scottish Experience in a Comparative Perspective
Roger Davidson


Population History, Medical and Health History. Fifty Years of Shared Experiences (Article in French).

Patrice Bourdelais

Summary

1.-Toward the sixties revision. 2.-The central position of research on the nineteenth century. 3.-Current research topics and avenues for the future.

Abstract

The history of epidemics and health has been completely revised in France as a result of studies done by the Annales School and on the basis of the results of historical demographic research of the nineteen fifties and nineteen sixties. The discovery of peaks in mortality in long-term death rates and the construction of a model for the «mortality crisis of the Ancien régime» have led to the study of past epidemics and their relation with malnutrition. Effects related with the development of historic~l anthropology and the publications of Michel Foucault have also had an influence. This article notes the important place of the history of the eighteenth and nineteenth centuries in efforts to understand the marked decrease in mortality in developed countries. the disappearance of large epidemics. and the increase in endemics. Methods developed by population historians have made it possible to refine the analyses of this decrease despite variations in nosology . In addition, this article suggests especially promising avenues for future research.

The Fear of (One's Own) History. On the Relations Between Medical Anthropology, Medicine and History.

Josep M. Comelles

Summary

1.-Clinical and Ethnographic Writing. 2.-The Role of Ethnographic Writing in 20th Century's Medicine and Anthropology. 3.-Medical Heterodoxies. 4.-Anthropological Heterodoxies. 5.-Orthodoxies. 6.-The Reinvention of Anthropological Medicine?

Abstract

Even though for most of medical anthropologists history of medicine is far from their professional interest, that is not the case in South European and in Latin American medical anthropology. There, history of medicine is a seminal point of academic discussion in the last two decades particularly among those anthropologists who work on the processes of health/disease/care linked to medicalization. Among others interesting consequences, common areas of interest develop. This article aims to explore a main obstacle to the fu11 conquest of interdisciplinarity, namely the persistence of subaltern discourses and practices related to medical history and to social sciences among the medical professions, which at the same time becomes also an artefact that led social scientists to misunderstand the image of medical history in medical practice.

Health and the Mass Media (Article in Italian).

Massimo Bucchi

Summary

1.-L'ambito problematico. 2.-La salute nei media. 3.-I limiti del modello tradizionale.

Abstract

Since the end of last century, due to the diffusion of certain -mostly contagious- diseases, the problem of communicating health issues to the: public has emerged as crucial within the context of health care and prevention. The development of mass communication technologies, together with the transformation occured in the sphere of health attitudes and behaviours, have made this problem even more urgent. The plurality of messages and communication agents present jn the diffferent media and more or less directly related to health has become so high as to discourage the adoption of simplified communication models -linear, unidirectional models- traditionally employed to understand such phenomenon.

Diseases of the Pericardium Kitab al-Taysir (c. 1095-1162) de Avenzoar  (Article in Spanish)

Carmen Peña; Fernando Girón; Rosa María Moreno

Summary

Introducción. 1.-Los estudios anatomofisiológicos como base de la patología. 1.1.-La fisiología y la medicina clásica. 1.2.-La función del pericardio. 2.- Avenzoar y la medicina andalusí. 3.-Las enfermedades del pericardio. 3.1.-La patogenia. 3.2.-Nosología pericárdica. 4.-El Kitab al-taysir fi l- mudawat wa-l-tadbir. 4.1.-Los orígenes del libro. 4.2.-Averroes y el Kitab al-taysir. 5.-La terapéutica de las enfermedades del pericardio. 5.1.-La terapéutica en el mundo islámico. 5.2.-La terapéutica de las enfermedades del pericardio en Avenzoar. 6.-Avenzoar y la descripción princeps de las inflamaciones del pericardio.

Abstract

Avenzoar has been credited as the author of the first description of inflammation of the pericardium in medical historicalliterature. Our study shows that although Avenzoar authored a study of diseases of the pericardium with emphasis on pathologies, his epistemological framework was similar to that used by Galen and Avicenna, authors who constituted the source of knowledge for Islamic medicine. We show that the approach used by Avenzoar appears to derive from the absence of anatomical and physiological information, and from a detailed description of the indications and treatments, which distinguish his work from earlier writings.

The Golden Panacea. Alchemy and Distillation in the Court of Philip II (1527-1598) (Article in Spanish)

F. Javier puerto sarmiento

Summary

1.-La Alquimia, los Austrias, la Iglesia, la Ciencia y el poder. 2.-El espejismo del oro alquímico. 3.-El espejismo de la panacea universal: La torre de la botica del Escorial y los destiladores reales. 4.-Destilación y paracelsismo. 5.-El charlatanismo y la Alquimia.

Abstract

This study analyzes the relationships between Philip II and the two main goals of Alchemy: obtaining or forging alchemical gold, and preparing chemical drugs, liquors and perfumes. The first part of the study shows that throughout his reign Philip II maintained contacts with alchemists of several nationalities (Flemish, German, Italian, English and Spanish) in the Low Countries and Spain who were determined to obtain gold and silver. Their activities were overseen by high-level bureaucrats. Despite the disapproval of the Church and intense repression by the Holy Office, the alchemists had no difficulties during his reign, although their situation changed markedly after his death. In relation with distillation, Philip II ordered stills to be installed in all his gardens in Madrid, Aranjuez and the Escorial. He hired a corps of Flemish distillers who worked at all three sites in the preparation of chemical drugs, liquors and perfumes for the royal household. Their activities, and records conserved at the library of the Escorial, bear witness to a new route for the introduction of Paracelsísm in Spain. Philip II organized the distillers' activities and brought them under the oversight of his apothecaries and protophysicians. The distillers' activities were later regulated by the by-laws of the Royal Apothecary, inaugurated in 1594.

Physicians and Surgeons in Saragossa During the Modern Age. Number, Social and Family Structure (Article in Spanish)

Asunción Fernández Doctor

Summary

1.-Introducción. 2.-Evolución numérica de los médicos y cirujanos de la ciudad de Zaragoza. 3.-Estructura sociofamiliar de los profesionales sanitarios. 4.-Conclusiones.

Abstract

Documentation at the College of Physicians and Surgeons of Saragossa, scattered throughout many archives, made it possible to trace the evolution of the number of physicians and surgeons in the city of Saragossa in the Modern Age with regard to the number of inhabitants of this city. Also studied are the possible causes of increases or decreases in their numbers, and the proportions of physicians and surgeons to inhabitants are compared with figures from other Spanish regions. By studying a 1723 census, the social and family structures of the different health professions in Saragossa are analyzed. Comparisons of these figures to the structures of other professions made it possible to determine the different social level of each structure. The social level of physicians was the same as that of apothecaries, whereas it was higher than that of surgeons and veterinarians and lower than that of legal professionals, notaries and jurists.

The Problem of Knowledge among Enlightened Landowners and Merchants in the Province of Caracas, Venezuela (1793-1810) (Article in Spanish)

Yajaira Freites

Summary

1.-Introducción. 2.-Las ideas de un Rector ilustrado. 3.-El peculiar Consulado de Caracas. 4.-Las demandas de conocimiento. 5.-«Cortas luces y facultades». 6.-El proyecto de la Academia de Matemáticas. 7.-Itinerario de un pleito entre criollos. 8.-Algo más que intrigas. 9.-Conclusión.

Abstract

Part of the native elite of the province of Caracas) consisting of landowners and merchants, were slow to become aware of the importance of knowledge and technique for the development of the colony. Awareness carne fr9m the moment when they began to participate in the government of the recently unified Tierra Firme provinces (currently Venezuela), through the operation of the Real Consulado de Caracas (1789) .A1though the consulate had mercantile court functions, it was also responsible for stimulating the development of agriculture and trade in the provinces. The Consuls were concemed with the lack of scientific knowledge and technical personnel needed to improve and increase agricultural productivity, and also with the colony's trade infrastructure. This was a powerful reason for the Consulate to sponsor the project of a Mathematics Academy in Caracas. However, this .ed to a conflict with another sector of the native elite: academicians at the university. Although influenced by Enlightment ideas, they did not understand the need to instruct young persons in mathematics as applied to the practical crafts.

Nature and deliberate health. Coping with health in German autobiographies from the 18th and 19th Centuries

Gunnar Stollberg

Summary

1.-Introduction. 2.-Natural health. 3.-Natural and deliberate health. 4.-Rational conduct. 5.-Health and intellectual work. 5.1.-Bodily aspects. 5.2.-Mental and intellectual aspects.

Abstract

Coping with illness is a topic well established in social psychology , and in other social sciences. In this essay I focus upon coping with health. I restrict myself to health as an individual activity. Starting with a differentiation between «natural» and «deliberate» health, which was made in the times of the Enlightenment, I look into alternative health accounts represented in German autobiographies.

Matter and Spirit: The Unconscious in Carl Gustav Carus's Psychology (1779-1868) (Article in Spanish)

Luis Montiel

Summary

1.-Introducción. 2.-Fisiología y Psicología. El marco metodológico de la Historia del desarrollo del alma. 3.-Prometeo y Epimeteo: Historicidad de la vida inconsciente. 4.-Espíritu encarnado: el inconsciente en la vida del cuerpo. 5.-Subversión de los valores antropológicos: la dignificación del inconsciente. 6.-Conclusiones.

Abstract

Carl Gustav Carus, one of the originators of a doctrine centered on the unconscious, is an interesting figure from current viewpoints. The doctrine he espoused was «psychological», but in addition, the author sought foundations for his thinking in the biological knowledge of his time. The «unconscious» that Carus postulated was simultaneously biological, material and psychological in nature. Thus the history of psychism -the «history of the soul»- was related with the individual's and the species's biological history. From this perspective the unconscious was recognized as an indispensable element of rational thought. This theory, which recalls in many aspects that of C.G. lung, made possible the «medical» study of psychic life and the revaluation of unconscious factors of psychism which were usually denigrated by modern anthropologists and moralists.

Scientific Agriculture in the Nineteenth Century Murcian Press as Seen by Local Authors (Article in Spanish)

Carlos López Fernández; Pedro Marset Campos

Summary

1.-Introducción. 2.-Objetivos, material y métodos. 3.-La temática científico-agrícola en la prensa. 3.1.-Los abonos químicos. 3.2.-El recurso a otras ciencias. 3.3.-Las industrias agrícolas. 4.-Conclusión general.

Abstract

This article studies the writings on agriculture published by local authors in the cultural and scientific press in the Region of Murcia during the second half of the nineteenth century. All magazines of the period were reviewed, and the most important information from ten of them, published between 1865 and 1898, was extracted. The articles in these magazines defended three main ideas: the use of chemical fertilizers, the recourse to other sciences (such as meteorology and electricity) within agriculture, and the need to renovate and improve traditional agricultural industries (silk and esparto) .But the measures proposed by local scientists did not have the desired impact on the landowning class.

The Neurologica! and Embryologica! Studies of Santiago Ramón y Cajal (Article in Spanish)

Luis Alfredo Baratas Díaz

Summary

1.-Introducción. 2.-Observaciones histológicas y embriológicas de Ramón y Cajal entre 1888 y 1893. 3.-Trabajos sobre regeneración nerviosa entre 1905 y 1908. 4.-Trabajos para la verificación de la hipótesis neurotrópica de 1910 a 1914. 5.-Otras interpretaciones sobre el desarrollo de las células nerviosas y evolución posterior de la concepción neurotrópica. 6.-Conclusiones.

Abstract

The neurological and embryological work of Santiago Ramón y Cajal appeared in three stages: a) Between 1888 and 1893 observations on the development of neuron prolongations led to the observation of the growth cone and formulation of the neurotropic hypothesis. b) Between 1905 and 1908 the study of regenerative phenomena in nerves and nervous centers presented a large body of evidence consistent with the neurotropic hypothesis. c) Between 1910 and 1914 an experimental program was undertaken to test the neurotropic hypothesis; this program led to conclusions on the origin and chemical nature of the growth stimulating factor. These contributions initiated an important line of research that none of Ramón y Cajal's disciples could continue. In the nineteen fifties a group of researchers from three disciplines (biochemistry, embryology and neurohistology) discovered the existence of nerve gowth factor (NGF), thus initiating a fertile new field of knowledge in cell biology.

Six Seconds Per Eyelid: The Medical Inspection of Inmigrants at Ellis Island, 1892-1914

Anne-Emanuelle Birn

Summary

1.-Restriction and its Rationales. 2.-Snapshot Diagnosis. 3.-The Medical Inspectors. 4.-Mental Testing. 5.-Rejections, Confinement, Appeals. 6.-Funding. 7.-The European Inspection. 8.-The Medical Inspection's Vanishing Role. 9.-Conclusions.

Abstract

Beginning in 1892, immigrants to the United States were subject to a medical inspection, created to restrict the entry of persons with a «loathsome or dangerous contagious» disease or mental deficiency. Ellis Island, which received over l0 million newcomers between 1900 and 1914, served as the largest ever medical screening facility. Far from reflecting a unified policy, the medical inspection offered a complicated compromise amidst a swirl of competing interests. Many industrialists blamed the waves of Southern and Eastern European immigrants for urban joblessness, filth, unrest, overcrowding, and disease. In an era of depression, labor groups opposed immigrant competitors for scarce jobs. Nativists believed immigrants could not overcome their defects because these were genetical1y transmitted. Germ theory proponents recognized communication of microorganisms as the problem, with controlling the spread of infections as the solution. Many Progressive reformers held that the scientific screening of imh1igrants offered a systematic solution for the disorder. Dozens of immigrant aid societies struggled to attenuate the effects of the inspection, and as depression subsided after 1900, employers, too, favored the influx of immigrants. This paper examines the social and political basis for the inspection, its realization at El1is Island, and the reasons for its inability to debar large numbers of immigrants.

Internationalism and Science. Social and Scientific Bases of the European Information Science Movement (Article in Spanish)

Guillermo olagüe de ros, alfredo menéndez navarro, rosa m. Medina doménech, mikel astrain gallart

Summary

1.-Introducción: internacionalismo y ciencia. 2.- Normalización, lenguaje y documentación científicas. 3.-Los foros de consenso: los congresos internacionales y las asociaciones de científicos. 4.-Epílogo.

Abstract

As part of a continuing line of research on scientific documentation we propose in this article a novel approach to the study of the European information science movement at the end of the nineteenth and beginning of the twentieth centuries. We suggest that this movement took place within the context of increasing internationalism of scientific endeavours, a process which was paralleled by the standardization of units, weights and measures for the different sciences. We investigate problems arising from scientific communication in connection with other aspects apparently unrelated to Information Science. Specifically, we refer to conflicts between nationalism and colonialism; concordance and discord between science policy and the corporate interests of nonscientific associations; higher educational policy; the professionalization of sciences; and the economic interests at stake as a consequence of the use of different information models.

Venereal Disease, Public Health and Social Control: The Scottish Experience in a Comparative Perspective

Roger Davidson

Summary

1.-Introduction. 2.-Gender. 3.-Generation. 4.-Class and Race. 5.-Morality. 6.-The Quest for Compulsion. 7.-The Triumph of Voluntarism.

Abstract

During the first half of the twentieth century, VD became in many countries a metaphor for the forces of phisical and moral pollution that appeared to threaten social order and racial progress. By reference to some central aspects of the Scottish experience in a comparative perspective, this article seeks to identify the common denominator of anxieties and assumptions which fuelled public health initiatives towards VD and which defined the boundaries within which VD policy options were discussed. In particular, it will explore various dimensions of social control associated with the treatment and regulation of VD; the degree to which VD controls and procedures have targetted and stigmatised «sexually active,> women, their use to regulate the sexual behaviour of the young, and the way in which discourses shaping medical practice and policy towards VD have enshrined both class and racial stereotyping. The article also examines the powerful moral agenda which shaped the categories and content of treatment and the focus of epidemiology and public health debate. Finally, the institutional and cultural factors shaping the distinctively compulsionist stance of Scottish public health administration towards VD will be explored as a means of identifying some of the possible comparators needed for broader comparative analysis of VD policy in the twentieth century.