Metzger Nadine
Lehrstuhl für Geschichte der Medizin, Friedrich-Alexander-Universität Erlangen-Nürnberg, Glückstr. 10, 91054, Erlangen, Deutschland.
NTM. 2020 Mar;28(1):35-68. doi: 10.1007/s00048-020-00240-0.
At the center of this work stands the anthropometric research program during World War I for studying constitutional medicine and the connected series of investigations by the medical internists Theodor Brugsch, Hermann Rautmann and Max Berliner, their advances in the statistics of variability as well as the subsequent debate in constitutional medicine and pathology on the definition of the physical norm.In order to create a data basis for the "normal" body in the study of constitutional medicine, a series of young German internists undertook comprehensive anthropometric studies in the context of World War I, thereby taking advantage of the opportunity offered them by war to conduct a series of examinations of soldiers, but without having first reflected on methods of measurement, comparison, and evaluation. At the same time, the concept of the "normal" body, then only vaguely formed, still needed to be critically expounded. However, this changed during the subsequent period and led not only to a stronger emphasis on methodology, rather also to greater competency in mathematical statistics and philosophical cogitation on the meaning of the "norm". In this way, constitutional medicine originated the potent medical norm debate of the early 1920s which still resonates in medical theory today. By this means the few years following the end of World War I not only represented a turning point for constitutional medicine regarding the reflective use of methodology, but also introduced a new orientation of their research questions: away from the "normal" body to individuality.
这项工作的核心是第一次世界大战期间用于研究体质医学的人体测量研究项目,以及内科医生西奥多·布鲁施、赫尔曼·劳特曼和马克斯·柏林纳开展的一系列相关调查,他们在变异性统计方面取得的进展,以及随后体质医学和病理学领域关于身体标准定义的争论。为了在体质医学研究中为“正常”身体创建一个数据基础,第一次世界大战期间,一系列年轻的德国内科医生利用战争给他们提供的机会,对士兵进行了一系列检查,开展了全面的人体测量研究,但他们事先并未思考测量、比较和评估方法。与此同时,当时仅模糊形成的“正常”身体概念仍需批判性地阐述。然而,在随后的时期里,这种情况发生了变化,不仅更加注重方法,而且在数理统计方面更有能力,并对“标准”的意义进行了更深入的哲学思考。这样,体质医学引发了20世纪20年代初激烈的医学标准辩论,这场辩论至今仍在医学理论中回响。通过这种方式,第一次世界大战结束后的几年不仅代表了体质医学在方法反思运用方面的一个转折点,而且还引入了其研究问题的一个新方向:从“正常”身体转向个体性。