Buklijas Tatjana
Department of History and Philosophy of Science, University of Cambridge, Free School Lane, Cambridge CB2 3RH , UK.
Bull Hist Med. 2008 Fall;82(3):570-607. doi: 10.1353/bhm.0.0086.
Nineteenth-century Vienna is well known to medical historians as a leading center of medical research and education, offering easy access to patients and corpses to students from all over the world. The author seeks to explain how this enviable supply of cadavers was achieved, why it provoked so little opposition at a time when Britain and the United States saw widespread protests against dissection, and how it was threatened from mid-century onward. To understand permissive Viennese attitudes, we need to place them in a longue durée history of death and dissection and to pay close attention to the city's political geography as it was transformed into a major imperial capital. The tolerant stance of the Roman Catholic Church, strong links to Southern Europe, and the weak position of individuals in the absolutist state all contributed to an idiosyncratic anatomical culture. But as the fame of the Vienna medical school peaked in the later 1800s, the increased demand created by rising numbers of students combined with intensified interdisciplinary competition to produce a shortfall that professors found increasingly difficult to meet. Around 1900, new religious groups and mass political parties challenged long-standing anatomical practice by refusing to supply cadavers and making dissection into an instrument of political struggle. This study of the material preconditions for anatomy at one of Europe's most influential medical schools provides a contrast to the dominant Anglo-American histories of death and dissection.
19世纪的维也纳作为医学研究与教育的主要中心,为医学史学家所熟知,它为来自世界各地的学生提供了接触患者和尸体的便利条件。作者试图解释这种令人羡慕的尸体供应是如何实现的,为什么在英国和美国出现广泛的解剖抗议活动的时期,维也纳却几乎没有引发反对,以及从19世纪中叶起它是如何受到威胁的。为了理解维也纳宽容的态度,我们需要将其置于死亡与解剖的长期历史中,并密切关注这座城市在转变为主要帝国首都过程中的政治地理情况。罗马天主教会的宽容立场、与南欧的紧密联系以及个人在专制国家中的弱势地位,都促成了一种独特的解剖文化。但随着维也纳医学院在19世纪后期声誉达到顶峰,学生人数增加带来的需求增长,加上跨学科竞争加剧,导致出现了教授们越来越难以满足的短缺。1900年左右,新的宗教团体和大众政党通过拒绝提供尸体并将解剖作为政治斗争的工具,对长期以来的解剖实践提出了挑战。这项对欧洲最具影响力的医学院之一解剖学物质前提条件的研究,与英美主导的死亡与解剖历史形成了对比。