Andermann A A
Faculty of Medicine, McGill University, Montreal, Quebec, Canada.
Neurology. 1997 Feb;48(2):471-81. doi: 10.1212/wnl.48.2.471.
This paper examines the life and work of John Hughlings Jackson (1835-1911), with particular attention to his early years in London, the "thought collective" into which he was initiated, and the consequent social ties, professional interests, hospital affiliations, scientific pursuits, aims, and ambitions that defined his medical career spanning almost half a century. There exists an abundant body of literature on Jackson, although it is far less extensive and substantive than his own writings (about 350 in number) in understanding his position and attitude concerning the study of diseases of the nervous system. This elucidation of the nature Jackson's pursuits throughout his career draws upon primary sources of information-the elaborate writings of Jackson himself and of his Victorian mentors and confreres. The latter constituted Jackson's thought collective, who contributed to a unique and previously undescribed document: Testimonials of Dr. J. Hughlings Jackson, M.D. (London, 1863). These medical men also contributed to the Medical Times and Gazette and belonged to the London Pathological Society and the New Sydenham Society. Jackson's thought collective and their shared beliefs and pursuits were instrumental in shaping Jackson's career as reflected by his later works. Jackson's professional pursuits and extensive writings marked a lifetime dedicated to developing a "Science of the Nervous System" according to a Millian-Spencerian form of deductive reasoning, to ultimately establish a rational basis for the treatment of nervous disease. Jackson and his contemporaries initiated and developed a deductive ideology and methodology that continue to be widely employed by neurologists today, and thus form the basis of the current neurological paradigm.
本文考察了约翰·胡克林·杰克逊(1835 - 1911)的生平与著作,特别关注他在伦敦的早年经历、他所融入的“思想群体”,以及由此形成的社会关系、职业兴趣、医院附属关系、科学追求、目标和抱负,这些因素塑造了他长达近半个世纪的医学职业生涯。关于杰克逊的文献颇丰,然而在理解他对神经系统疾病研究的立场和态度方面,其广度和深度远不及他自己的著作(约350部)。对杰克逊整个职业生涯中追求本质的阐释,借鉴了第一手资料——杰克逊本人及其维多利亚时代的导师和同行的详尽著作。后者构成了杰克逊的思想群体,他们促成了一份独特且此前未被描述的文献:《医学博士J. 胡克林·杰克逊的推荐信》(伦敦,1863年)。这些医学人士还为《医学时报与公报》撰稿,并隶属于伦敦病理学会和新西德纳姆学会。杰克逊的思想群体及其共同的信念和追求,对塑造他后期作品所反映的职业生涯起到了重要作用。杰克逊的专业追求和大量著作标志着他一生致力于按照密尔 - 斯宾塞式的演绎推理形式发展一门“神经系统科学”,以最终为神经系统疾病的治疗建立合理依据。杰克逊及其同时代人开创并发展了一种演绎意识形态和方法,如今神经学家仍广泛采用,从而构成了当前神经学范式的基础。