de Barros P M
Centro de Historia da Ciencia e da Techologia, Universidade de Sao Paulo, Spain.
Hist Cienc Saude Manguinhos. 1997;4(3):411-59. doi: 10.1590/s0104-59701997000300002.
Medicine in 19th-century Brazil was a scientific field where traditional knowledge, academic teaching, and clinical care found themselves clashing with new theories of illness and medical care underpinned by pioneer disciplines like parasitology, bacteriology, and anatomopathology and an experimental clinical practice focused on tropical diseases which afflict the poor. This new set of theoretical and social references which affected public health-care policy saw its decadence when it was appropriated by an ideology that argued that the Afro-Brazilian population was racially and culturally inferior. Two new disciplines--criminal physical anthropology and legal medicine--contributed to the development of specialized knowledge within intellectual circles. At the same time, they were placed at the service of the ruling order, reinforcing principles and devices that the elite utilized to keep itself in power. This hybrid structure constitutes the legacy of barbarianism which is sundering today's civilization.
19世纪巴西的医学是一个科学领域,在这个领域中,传统知识、学术教学和临床护理与由寄生虫学、细菌学和解剖病理学等前沿学科支撑的新疾病理论及医疗护理相互冲突,同时还有专注于困扰穷人的热带疾病的实验性临床实践。这套影响公共卫生保健政策的新理论和社会参照体系,在被一种认为非裔巴西人群在种族和文化上低人一等的意识形态所采纳时走向了衰落。两门新学科——犯罪体质人类学和法医学——推动了知识界专门知识的发展。与此同时,它们被用于为统治秩序服务,强化了精英阶层用以维持自身权力的原则和手段。这种混合结构构成了正在割裂当今文明的野蛮主义遗产。