Brenna Connor T A
Department of Anesthesiology & Pain Medicine, University of Toronto, Toronto, Ontario, Canada.
Anat Rec (Hoboken). 2022 Apr;305(4):788-802. doi: 10.1002/ar.24764. Epub 2021 Sep 22.
Over the last four millennia, the discipline of anatomy and its relationships with medicine and society have evolved dramatically. Human dissection, the perennial tool for anatomical discovery and education, has both guided this evolution and matured alongside it. Soon after the first cadaveric dissections recorded in ancient Greece, China, India, and Persia, clear endorsements of its practice fell largely silent in the anatomical record for 1,500 years before reappearing in Europe at the dawn of the Renaissance. Between the 13th and 18th centuries CE, the performance of anatomical dissection became a popular form of education and public entertainment, and the demand for human cadavers steadily increased among European anatomical schools while supply remained limited by legal statute. This gave rise to an informal group of amateur and professional body snatchers called the Resurrectionists and, later, inspired the Anatomy Act of 1832 CE. In the 20th and 21st centuries CE, voluntary body bequeathal programs have enabled the practice of human dissection to continue in academic centers as a cornerstone of anatomical education, now with a newfound focus on the development of affective skills. This article provides an abridged account of anatomy's development, highlighting key moments in its growth, the valuable contributions of many different societies to the discipline, and the important roles of several luminary anatomists of antiquity. Within the broader context of this history, it offers an overview of anatomical dissection's evocative past, spanning from its inception to its present-day practice.
在过去的四千年里,解剖学学科及其与医学和社会的关系发生了巨大的演变。人体解剖作为解剖学发现和教育的长期工具,既引领了这一演变,又与之共同发展成熟。在古希腊、中国、印度和波斯首次记录尸体解剖后不久,对其做法的明确认可在解剖学记录中大体沉寂了1500年,直到文艺复兴初期在欧洲再次出现。在公元13世纪至18世纪之间,解剖表演成为一种流行的教育和公众娱乐形式,欧洲解剖学校对人体尸体的需求稳步增加,而供应却因法律规定而受限。这催生了一个由业余和专业盗墓者组成的非正式群体,即“复活者”,后来还促成了公元1832年的《解剖法案》。在公元20世纪和21世纪,自愿遗体捐赠项目使人体解剖实践在学术中心得以继续,成为解剖学教育的基石,如今又重新聚焦于情感技能的培养。本文简要介绍了解剖学的发展历程,突出了其发展过程中的关键时刻、许多不同社会对该学科的宝贵贡献以及古代几位杰出解剖学家的重要作用。在这段历史的更广泛背景下,它概述了解剖学解剖从起源到当今实践的引人深思的过去。