Swansea University, UK.
Health (London). 2011 Jul;15(4):369-84. doi: 10.1177/1363459310367439. Epub 2010 Dec 15.
This article examines the conditions under which epistemological shifts in medicine have shaped the history of apoplexy and stroke. Our intention is to understand how stroke medicine as a distinct branch of bio-medicine has emerged in its current form. In doing so, we draw on aspects of the work of Michel Foucault as they relate to fabrication of biomedical discourses. The past 300 years of the transformation of the condition is examined using Michel Foucault's analysis of medical history as instances of the changing spatialization of disease. While the adoption of this approach helped explain how medical practice was shaped by changing interpretations of the causes of apoplexy and stroke over the past few centuries, we also found that there were certain limitations to such an approach. Overall, however, we hope to show that an examination of the history of stroke medicine through a Foucauldian influenced lens can provide a useful understanding of its current circumstances as well as throw light on gaps in Foucauldian approaches themselves.
本文考察了认识论转变在医学中是如何塑造中风和卒中历史的。我们的目的是了解卒中医学作为生物医学的一个分支，是如何以目前的形式出现的。为此，我们借鉴了米歇尔·福柯（Michel Foucault）的部分作品，这些作品涉及生物医学话语的构建。本文利用米歇尔·福柯（Michel Foucault）对医学史的分析，通过疾病空间化的变化实例，考察了过去 300 年中风状况的转变。虽然这种方法有助于解释过去几个世纪以来，医学实践是如何受到对中风和卒中病因的不断变化的解释的影响，但我们也发现这种方法存在一定的局限性。然而，总的来说，我们希望通过福柯式影响的视角来考察中风医学的历史，可以为了解其当前情况提供有用的认识，同时也揭示福柯式方法本身的空白。
