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精神病学的“他者”?对约1900年至1920年英国精神科护士的职业自我塑造的反思

Psychiatry's 'Others'? Rethinking the Professional Self-Fashioning of British Mental Nurses c. 1900-20.

作者信息

Neuendorf Mark

出版信息

Med Hist. 2019 Jul;63(3):291-313. doi: 10.1017/mdh.2019.28.

Abstract

Despite facing manifold social and educational barriers, British asylum nurses across the long nineteenth century articulated distinctive professional identities as a means of leveraging their position in the medical hierarchy. This article draws upon a corpus of previously unattributed contributions to the Asylum News (1897-1919) - one of the first journals produced for the edification of asylum workers - to illustrate the diversity of medical personae developed and disseminated by these employees in the Edwardian era. Through scientific and creative works, nurses engaged with the pressing social and medical debates of the day, in the process exposing a heterogeneous intellectual culture. Moreover, as their writings attest, for some ambitious nurses these pretensions to intellectual authority prompted claims for medical autonomy, driving agitation on the hospital wards. The article thus strengthens claims for the 'cultural agency' of asylum workers and offers new insights into the cultural antecedents of professionalisation and trade unionism.

摘要

尽管在漫长的19世纪面临着诸多社会和教育障碍,但在整个19世纪,英国的收容所护士们明确表达了独特的职业身份,以此作为提升他们在医疗等级制度中地位的一种手段。本文借鉴了一批此前未署名的投稿,这些投稿来自于《收容所新闻》(1897 - 1919)——最早为教化收容所工作人员而创办的期刊之一——以说明这些员工在爱德华时代所塑造和传播的医学角色的多样性。通过科学和创造性的作品,护士们参与了当时紧迫的社会和医学辩论,在此过程中展现出一种多元的知识文化。此外,正如他们的作品所证明的那样,对于一些有抱负的护士来说,这些对知识权威的追求引发了对医疗自主权的诉求,在医院病房引发了 agitation(此处原文可能有误,根据语境推测可能是“鼓动”之类的意思,需结合完整原文确认)。因此,本文强化了关于收容所工作人员“文化能动性”的主张,并为职业化和工会主义的文化前身提供了新的见解。

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Benevolent theory: moral treatment at the York Retreat.慈善理论:约克疗养院的道德治疗。
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Scientific personae in American psychology: three case studies.美国心理学界的科学人物:三个案例研究
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Ministering angels.护理天使。
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