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论医生与他们的歌剧:歌剧中的医学批判(与抒情)分析。

On Doctors and Their Operas: A Critical (and Lyrical) Analysis of Medicine in Opera.

机构信息

Instituto de Investigación, Hospital Universitario de la Princesa (IISP) Universidad Autónoma de Madrid, Madrid, Spain; and Scientific and methodological consultant of SEPAR www.separ.es.

出版信息

Chest. 2018 Aug;154(2):409-415. doi: 10.1016/j.chest.2018.03.015. Epub 2018 Mar 22.

Abstract

The goal of this research was to analyze the opera repertoire in terms of contents of physician roles. An additional goal was to pinpoint significant characters and passages that exemplify the changing role and perception of medicine in society over five centuries. A systematic search was performed. Musical characteristics and performing roles, and their determinants, were tabulated and formally analyzed. Of 493 operas listed, 53 (10.7%) were identified as having either a patient and/or doctor as characters. These operas span 239 years, from 1777 to 2016. Beyond unspecified Family Medicine and Generalists, some operas could be attributed to medical specialties, including 3 (5.7%) to Respiratory. Most interestingly, the 34 operas (6.9%) with physician roles are all represented by male characters, distributed by voice register mostly in the grave chords. Overall, the composer that appears with the highest interest in reporting disease is Giuseppe Verdi, with nine operas that include medical doctors. Finally, a trend can be observed regarding the evolving role of doctors, from mostly minor, buffal roles, either with magical or comical components in the 18th century, to a professional/technical physician more recently. Opera depicts a changing perception of the roles of doctors throughout history, with a blatant gender bias that still persists.

摘要

本研究旨在从医生角色的角度分析歌剧曲目。另一个目的是确定具有代表性的重要角色和段落,这些角色和段落体现了五个多世纪以来医学在社会中的角色和观念的变化。进行了系统的搜索。记录了音乐特点、表演角色及其决定因素,并进行了正式分析。在所列出的 493 部歌剧中,有 53 部(10.7%)被确定为有患者和/或医生角色。这些歌剧跨越了 239 年,从 1777 年到 2016 年。除了未指定的家庭医学和全科医生外,一些歌剧可以归因于医学专业,包括 3 部(5.7%)呼吸科。最有趣的是,有 34 部(6.9%)有医生角色的歌剧都是男性角色,按声部主要分布在重音区。总的来说,在报告疾病方面表现出最高兴趣的作曲家是朱塞佩·威尔第,他有九部歌剧都包含了医生角色。最后,可以观察到医生角色的演变趋势,从 18 世纪主要是次要的、滑稽的角色,要么具有魔法或滑稽的成分,到最近的专业/技术医生。歌剧描绘了历史上医生角色观念的变化,存在明显的性别偏见,这种偏见仍然存在。

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