Buklijas Tatjana
Department of History and Philosophy of Science, University of Cambridge, Free School Lane, Cambridge CB2 3RH, UK.
Stud Hist Philos Biol Biomed Sci. 2007 Dec;38(4):756-74. doi: 10.1016/j.shpsc.2007.09.003. Epub 2007 Nov 19.
For historians of medicine, the professor Theodor Billroth of the University of Vienna was the leading European surgeon of the late nineteenth century and the personification of intervention by organ or body part removal. For social and political historians, he was a German nationalist whose book on medical education heralded the rise of anti-Semitism in the Austrian public sphere. This article brings together and critically reassesses these two hitherto separate accounts to show how, in a period of dramatic social and political change, Viennese surgery split into two camps. One, headed by Billroth, was characterized by an alliance with the German educational model, German nationalism leading to racial anti-Semitism and an experimental approach to the construction of surgical procedure, which heavily relied on the methods of pathological physiology. The other, which followed a long Austrian tradition, stood for a clinically oriented and strictly organized medical education that catered to an ethnically and socially diverse population and, simultaneously, for an anatomically oriented surgery, largely of the locomotor apparatus. This study shows how, in a major centre of medical education and capital of a multiethnic empire, surgical and national identities were forged together.
对于医学史学家而言,维也纳大学的西奥多·比尔罗特教授是19世纪后期欧洲顶尖的外科医生,也是通过切除器官或身体部位进行干预治疗的代表人物。对于社会和政治史学家来说,他是一名德国民族主义者,其关于医学教育的著作预示了奥地利公共领域反犹主义的兴起。本文将这两种迄今为止相互独立的描述汇集起来并进行批判性重新评估,以展示在一个社会和政治发生巨大变革的时期,维也纳的外科手术如何分裂为两个阵营。其中一个阵营由比尔罗特领导,其特点是与德国教育模式结盟,德国民族主义导致种族反犹主义,以及一种构建外科手术程序的实验性方法,这种方法严重依赖病理生理学方法。另一个阵营沿袭奥地利的悠久传统,代表以临床为导向且组织严格的医学教育,这种教育面向不同种族和社会背景的人群,同时也代表以解剖学为导向的外科手术,主要针对运动器官。这项研究表明,在一个医学教育的主要中心和一个多民族帝国的首都,外科身份与民族身份是如何共同塑造的。