Ponce Rachel N
Committee on Conceptual and Historical Studies of Science and Department of History, University of Chicago, 1126 East 59th Street, Chicago, IL 60637, USA.
J Hist Med Allied Sci. 2013 Jul;68(3):331-76. doi: 10.1093/jhmas/jrr074. Epub 2012 Feb 14.
This paper investigates the origins of the practice of dissection in American medical education in order to both understand the function of dissection in medical education and challenge conventional wisdom about that function. In the late eighteenth and early nineteenth centuries, American medical schools increasingly made human dissection a crucial part of their curricula, privileging use of the human cadaver over any other anatomical model. In this paper, I break apart the claims that American physicians made at that time regarding the unique pedagogic usefulness of the cadaver, and I juxtapose those claims against the realities of the dissection process. In doing so, I show how the realities of dissection differed sharply from the depictions given by physicians. In the conclusion, I argue that the cadaver still remained epistemologically and ontologically useful to the medical profession, although not necessarily for the reasons physicians explicitly stated.
本文探讨了美国医学教育中解剖实践的起源,目的是既理解解剖在医学教育中的作用,又挑战关于该作用的传统观念。在18世纪末和19世纪初,美国医学院校越来越将人体解剖作为其课程的关键部分,优先使用人体尸体而非任何其他解剖模型。在本文中,我剖析了当时美国医生关于尸体独特教学用途的说法,并将这些说法与解剖过程的实际情况并列。通过这样做,我展示了解剖的实际情况与医生所描述的有多么大的差异。在结论中,我认为尸体在认识论和本体论上对医学专业仍然有用,尽管不一定是出于医生明确阐述的原因。