Osborne T
Department of Human Sciences, Brunel University, Uxbridge, Middlesex, England.
Soc Sci Med. 1994 Jan;38(2):317-26. doi: 10.1016/0277-9536(94)90401-4.
This paper focuses upon the research investigations of the College of General Practitioners in Britain in the 1950s. Beginning with a discussion of Michel Foucault's concept of 'pastoral power', the paper proceeds to analyse the ways in which the College attempted to set up an epidemiological scrutiny of general practices across Britain; from practice by practice observational studies to the first National Morbidity Study. The paper concludes by arguing that the epidemiological paradigm in general practice was beset by particular internal 'limits', and was replaced increasingly from the 1960s by an emphasis upon psychotherapeutic approaches.
本文聚焦于20世纪50年代英国全科医生学院的研究调查。文章首先讨论了米歇尔·福柯的“牧领权力”概念，接着分析了该学院试图对英国各地的全科医疗进行流行病学审查的方式；从逐个实践的观察性研究到首次全国发病率研究。文章最后指出，全科医疗中的流行病学范式受到了特定内部“局限”的困扰，从20世纪60年代起越来越多地被强调心理治疗方法所取代。
