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主要的病灶所在:第一次世界大战中的士兵心脏问题

The chief seat of mischief: soldier's heart in the First World War.

作者信息

Dyde Sean

机构信息

Unit for the History and Philosophy of Science, University of Sydney, New South Wales, Australia.

出版信息

J Hist Med Allied Sci. 2011 Apr;66(2):216-48. doi: 10.1093/jhmas/jrq026. Epub 2010 May 17.

Abstract

Soldier's heart was a medico-psychiatric condition that was first documented during the American Civil War. This condition affected British and American soldiers during the late-nineteenth and early-twentieth centuries; doctors recorded patients experiencing palpitations, breathlessness, headaches, and praecordial pain among other symptoms. While the number of cases of this disorder reached its peak in the First World War, it disappeared shortly afterwards. Based on an analysis of experimental results published in generalist and specialized medical journals as well as the correspondence between physicians and researchers that these journals maintained, this study challenges the view that soldier's heart disappeared because doctors realized that the disorder was, in fact, psychosomatic. Instead, this article shows that this notion was an unintentional by-product of the research conducted into the condition, the results of which opposed the somaticist philosophy that many of the researchers had tried to uphold.

摘要

士兵之心是一种医学-精神疾病,最早是在美国内战期间被记录下来的。这种疾病在19世纪末和20世纪初影响了英美士兵;医生记录到患者出现心悸、呼吸急促、头痛和心前区疼痛等症状。虽然这种疾病的病例数在第一次世界大战时达到顶峰,但随后不久就消失了。基于对发表在综合医学期刊和专业医学期刊上的实验结果以及这些期刊所保留的医生与研究人员之间通信的分析,本研究对“士兵之心消失是因为医生意识到这种疾病实际上是心身疾病”这一观点提出了质疑。相反,本文表明,这一观念是对该疾病进行研究的无意副产品,研究结果与许多研究人员试图坚持的躯体论哲学相悖。

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