Aronowitz R A
University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Camden.
Milbank Q. 1991;69(1):79-112.
American medical researchers who investigated Lyme disease in the 1970s conceived of the disorder as a categorically new entity. Other interpretations emphasizing the continuities between Lyme disease and its epidemiological antecedents, nevertheless, were possible. Clinicians, patients, and advocacy groups continue to contest the character, significance, and appropriate treatment of Lyme disease. Highly publicized discussions among the interested parties reflect American society's ongoing concern with new legitimating diagnoses, personal responsibility for acute and chronic disease, and the authority of science.
20世纪70年代研究莱姆病的美国医学研究人员将这种疾病视为一种全新的病症。然而,其他强调莱姆病与其流行病学先例之间连续性的解释也是有可能的。临床医生、患者和倡导团体仍在对莱姆病的特征、重要性及适当治疗方法存在争议。相关利益方之间备受关注的讨论反映出美国社会对新的权威诊断、急慢性病的个人责任以及科学权威的持续关注。