Moog Peter Ferdinand, Schäfer Daniel
Institute for the History of Medicine and Medical Ethics, University of Cologne, Cologne, Germany.
J Am Geriatr Soc. 2008 Feb;56(2):354-8. doi: 10.1111/j.1532-5415.2007.01555.x. Epub 2007 Dec 27.
Literary and medical writers have written about elderly people--their health, constitution, and treatment--since the dawn of history. The dramatic demographic changes that have taken place within industrial nations in recent times have certainly imparted this theme with a heretofore-unknown explosiveness. Joannes Stobaios' (5th c.) three chapters "On old age" have long been largely unappreciated in the history of gerontology and geriatrics. This late Ancient author collected numerous citations from other, earlier authors who lived between 800 BCE and 400 CE and brought them together thematically in an anthology of monumental scope. The work contains the only versions--albeit sometimes fragmentary--of many texts now otherwise lost. This is also true for the gerontological writings; Stobaios proved that, as early as the end of the Ancient period, an appreciable corpus of relevant texts existed, of which only very little--excepting Cicero's well-known text "On old age" (Cato maior de senectute)--survived into the modern period. These texts reveal that the question as to whether old age is a burden or a joy is ancient and evidently insoluble. This article presents the gerontological aspects of Stobaios' work and places them in their historical context. This will demonstrate that Stobaios was also a defender of seniority who made clear the value, as well as the tasks and ethical duties, of this phase of life. From the Ancients' perspective, this was not a medical but a moral obligation.
自历史之初,文学和医学作家就开始撰写关于老年人的文章——他们的健康、体质和治疗。近代以来,工业国家发生的巨大人口结构变化无疑赋予了这一主题前所未有的爆发力。约阿内斯·斯托拜奥斯(公元5世纪)的三章《论老年》在老年学和老年医学史上长期以来基本上未得到赏识。这位古代晚期的作者收集了许多公元前800年至公元400年间其他早期作者的引文,并将它们按主题汇集在一部篇幅宏大的文集中。这部作品包含了许多现已失传文本的唯一版本——尽管有时是片段的。老年学著作也是如此;斯托拜奥斯证明,早在古代晚期,就存在相当数量的相关文本,其中只有极少部分——除了西塞罗著名的《论老年》(《老加图论老年》)——留存到了现代。这些文本表明,老年是负担还是乐趣这个问题由来已久,显然无法解决。本文介绍了斯托拜奥斯作品中的老年学方面,并将其置于历史背景中。这将表明,斯托拜奥斯也是年长者的捍卫者,他阐明了人生这个阶段的价值、任务和道德义务。从古人的角度来看,这不是一项医学义务,而是一项道德义务。