Brieger G H
The Johns Hopkins University, Baltimore, U.S.A.
Med Secoli. 1998;10(2):189-207.
What is the state of medical historiography in America? This discipline is now asking new questions, branching new directions and speaking to new audiences. The social and cultural contexts in which medicine moved and moves needs to be an effective integral part of approaching the historical studies. There is today, in the U.S.A., a new history of medicine more problem-oriented and interested in the culture of medicine and in the meaning of medicine to cultural history. This new interdisciplinary field of interest deals with the study of epidemics, seen as causative agents in historical developments and as a means of studying changing ideas; it deals also with the history of women, of their medical professionalization and of their diseases. American medical history, over the last thirty years, has reconstructed the medical practices of the past by using clinical records; between other fields of research, the history of psychiatry has become a particularly fertile field of scholarship, especially in its studies about hysteria and neurasthenia; finally, medical anthropology and the history of ancient and medieval medicine, has flourished and contribute today in a high significant way to the critical reconstruction of a cultural past of medicine, quite far away from the mere biographical historiographical researches.
美国医学史编纂的现状如何?这一学科如今正在提出新问题,拓展新方向,并面向新受众。医学过去和现在所处的社会与文化背景需要成为历史研究方法中一个有效的组成部分。如今在美国,有一种新的医学史,它更以问题为导向,关注医学文化以及医学对文化史的意义。这个新的跨学科研究领域涉及对流行病的研究,流行病被视为历史发展中的致病因素以及研究观念变化的一种手段;它还涉及女性史、女性的医学职业化以及她们所患疾病的历史。在过去三十年里,美国医学史通过使用临床记录重建了过去的医疗实践;在其他研究领域中,精神病学史已成为一个特别富有成果的学术领域,尤其是在其关于癔症和神经衰弱的研究方面;最后,医学人类学以及古代和中世纪医学史蓬勃发展,如今对医学文化史的批判性重建做出了非常重要的贡献,这与单纯的传记式史学研究相去甚远。