Prüll Cay-Rüdiger
Johannes-Gutenberg Universität Mainz, Institut für Geschichte, Theorie und Ethik der Medizin.
Medizinhist J. 2012;47(1):31-61.
This paper examines discussions of intimacy and sexuality between diabetes mellitus patients and their physicians in West Germany after 1945 and considers their effect on the patient-physician relationship. As shown in the Journal Der Diabetiker, founded in 1951 as the organ of the Deutsche Diabetikerbund (German Diabetics Association), diabetic patients not only claimed acceptance of their own needs and attitudes but also, as early as 1956, brought the taboo subject of sexuality out into the open. By this means patients took issue with their physicians' traditional eugenic ideas still prevailing after 1945. With their initiative, which was soon embraced by diabetologists, they changed both the treatment and the therapeutic concepts of the disease itself. In terms of the theories of sociologist Richard Münch this account demonstrates the early democratization of medicine in West Germany within the permanent cycle of criticism and innovation.
本文考察了1945年后西德糖尿病患者与其医生之间关于亲密关系和性的讨论，并探讨了这些讨论对医患关系的影响。正如1951年创立的《糖尿病患者》杂志（作为德国糖尿病协会的机关刊物）所显示的那样，糖尿病患者不仅要求医生接受他们自身的需求和态度，而且早在1956年就将性这个禁忌话题公开化。通过这种方式，患者对医生在1945年后仍然盛行的传统优生观念提出了质疑。由于他们的倡议很快得到了糖尿病专家的认可，他们改变了疾病的治疗方法和治疗理念。从社会学家理查德·明希的理论角度来看，这一情况表明了西德医学在批评与创新的持续循环中早期的民主化进程。
