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[老年医学——老年学——老年病学。一门现代医学学科的命名]

[Gerocomy -- gerontology -- geriatrics. The naming of a modern medical discipline].

作者信息

Schäfer D, Moog F P

机构信息

Institut für Geschichte und Ethik der Medizin, Universität zu Köln.

出版信息

Dtsch Med Wochenschr. 2005 Nov 25;130(47):2719-22. doi: 10.1055/s-2005-922062.

DOI:10.1055/s-2005-922062
PMID:16294289
Abstract

300 years ago, the lawyer Theodosius Schöpffer coined the notion gerontology. On this occasion, this paper offers terms and corresponding concepts of gerontology which arose in the western tradition: 1. From the Graeco-Roman antiquity until 1750, gerocomy (the care for the elderly) was defined as a branch of medicine, but in practice almost did not exist. Basically, it provided instructions for a way of life in conformity with the physiological circumstances of elderly people. Its implementation was left to the patient. Furthermore, in the early modern times medical treatises dealt more frequently with diseases of the elderly and their therapy. The gerokomia succeeded in evolving a specific technical literature. Yet it failed to get institutionalized. 2. At the beginning of the 20th century, Ignaz Nascher interpreted geriatrics as a counterpart to pediatrics and opposed it to a clinical-pathological consideration of old age before 1900. He aimed at the exploration and treatment of old age as an autonomous physiological entity. Under the influence of the demographic transformation the institutionalization of geriatrics as a interdisciplinary branch within medicine could be realized relatively soon. 3. Around 1930, we experience the recreation of the notion gerontology, initially restricted to medical gerontology. However, with the integration of the non-medical sciences of old age the spectrum and the objectives changed. Today gerontology signifies on a international level a generic term or independent scientific discipline beside medicine. This evolution corresponds with the intentions pursued 300 years ago.

摘要

300年前,律师西奥多修斯·朔普费尔提出了老年学这一概念。值此之际,本文提供了西方传统中出现的老年学的术语及相应概念:1. 从古希腊罗马时期到1750年,老年保健学(对老年人的照料)被定义为医学的一个分支,但在实践中几乎不存在。基本上,它提供了符合老年人生理状况的生活方式指南。其实施由患者自行负责。此外,在近代早期,医学论文更频繁地探讨老年人的疾病及其治疗方法。老年保健学成功地发展出了特定的技术文献。然而,它未能实现制度化。2. 20世纪初,伊格纳兹·纳舍尔将老年医学解释为儿科学的对应学科,并反对1900年以前对老年的临床病理考量。他旨在将老年作为一个自主的生理实体进行探索和治疗。在人口结构转变的影响下,老年医学作为医学内部的一个跨学科分支的制度化相对较快地得以实现。3. 大约在1930年,我们见证了老年学概念的重新兴起,最初仅限于医学老年学。然而,随着老年非医学科学的融入,其范围和目标发生了变化。如今,在国际层面上,老年学除医学外还意味着一个通用术语或独立的科学学科。这一演变与300年前所追求的目标相一致。

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