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言说的秘密:1934年至1960年可探索大脑时代的癫痫、神经外科手术与患者证词

Speaking Secrets: Epilepsy, Neurosurgery, and Patient Testimony in the Age of the Explorable Brain, 1934-1960.

作者信息

Elder Rachel

出版信息

Bull Hist Med. 2015 Winter;89(4):761-89. doi: 10.1353/bhm.2015.0113.

Abstract

This article examines the role of Wilder Penfield's patients in early neurosurgeries for epilepsy at the Montreal Neurological Institute from the 1930s to 1950s. Shifting the focus from scientific discoveries that emerged as a result of Penfield's unprecedented "exploration" of the brain, this piece considers how patients contributed to the creation of such knowledge through their spoken feedback, both within and beyond the operating room. Correspondingly, it examines the personal and social contexts under which patients elected for surgery. Tracing an underexplored social history of Penfield's patients through more than sixty clinical records, it suggests that making knowledge about the brain was a multidirectional process in which patients meaningfully participated, and in which their experiences of epilepsy and motivations for surgery were significant.

摘要

本文探讨了20世纪30年代至50年代在蒙特利尔神经病学研究所,怀尔德·彭菲尔德的患者在早期癫痫神经外科手术中所起的作用。本文将关注点从彭菲尔德对大脑前所未有的“探索”所产生的科学发现上转移开来,转而思考患者如何通过他们在手术室内外的口头反馈,为这类知识的创造做出贡献。相应地,本文审视了患者选择接受手术的个人和社会背景。通过六十多份临床记录追溯彭菲尔德患者未被充分探索的社会历史,本文表明,关于大脑的知识创造是一个多向过程,患者在其中有意义地参与其中,他们的癫痫经历和手术动机在这个过程中意义重大。

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