Iniesta I
Department of Neurology, The Walton Centre for Neurology and Neurosurgery NHS Trust, Liverpool, United Kingdom.
Neurologia. 2010 Oct;25(8):507-14.
Literature complements medical literature in the academic and clinical development of neurologists. The present article explores the contributions of writers of fiction on neurology.
Literary works of fiction with particular reference to neurology.
A symbiosis between writers of fiction and doctors has been well recognised. From Shakespeare to Cervantes by way of Dickens and Cela to writer - physicians such as Anton Chekhov or António Lobo Antunes have contributed through their medically informed literature to the better understanding of neurology. Some writers like Dostoevsky, Machado de Assis and Margiad Evans have written about their own experiences with disease thus bringing new insights to medicine. Furthermore, some neurological disorders have been largely based on literary descriptions. For instance, Dostoevsky's epilepsy has been retrospectively analysed by famous neurologists including Freud, Alajouanine or Gastaut, whilst his writings and biography have prompted others like Waxman and Geschwind to describe typical behavioural changes in temporal lobe epilepsy, finding their source of inspiration in Dostoevsky. Likewise, Cirignotta et al have named an unusual type of seizure after the Russian novelist. Inspired by Lewis Carroll, Todd introduced the term Alice in Wonderland Syndrome to refer to visual distortions generally associated with migraine.
Writers of fiction offer a humanised perception of disease by contributing new insights into the clinical history, informing about the subjective experience of the illness and helping to eradicate the stigma associated to neurological disorders.
文学在神经科医生的学术和临床发展中对医学文献起到补充作用。本文探讨了小说作家对神经学的贡献。
特别提及神经学的小说文学作品。
小说作家与医生之间的共生关系已得到充分认可。从莎士比亚到塞万提斯,再到狄更斯和塞拉,以及像安东·契诃夫或安东尼奥·洛博·安图内斯这样的作家兼医生,他们通过具有医学知识的文学作品,为更好地理解神经学做出了贡献。一些作家,如陀思妥耶夫斯基、马查多·德·阿西斯和玛吉亚德·埃文斯,写下了他们自己的患病经历,从而为医学带来了新的见解。此外,一些神经系统疾病在很大程度上基于文学描述。例如,包括弗洛伊德、阿拉若阿宁或加斯陶在内的著名神经学家对陀思妥耶夫斯基的癫痫进行了回顾性分析,而他的作品和传记促使像韦克斯曼和盖什温这样的人描述颞叶癫痫的典型行为变化,他们从陀思妥耶夫斯基身上找到了灵感来源。同样,西里尼奥塔等人以这位俄罗斯小说家的名字命名了一种不寻常的癫痫发作类型。受刘易斯·卡罗尔的启发,托德引入了“爱丽丝梦游仙境综合征”一词,来指代通常与偏头痛相关的视觉扭曲。
小说作家通过对临床病史提供新的见解、告知疾病的主观体验以及帮助消除与神经系统疾病相关的污名,提供了对疾病的人性化认知。