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Paper edition, with a new preface, of a 1972 work. The author, a sociologist, explains how ...19th-century medicine did not disappear; it evolved into modern medicine...; and he discusses such topics as active versus conservative intervention, reciprocity between physicians and the public in adopt
In the late nineteenth century, as Americans debated the "woman question," a battle over the meaning of biology arose in the medical profession. Some medical men claimed that women were naturally weak, that education would make them physically ill, and th
After the American Revolution, the new republic's most prominent physicians envisioned a society in which doctors, lawyers, and the state might work together to ensure public well-being and a high standard of justice. But as James C. Mohr reveals in Doctors and the Law, what appeared to be fertile ground for cooperative civic service soon became a battlefield, as the relationship between doctors and the legal system became increasingly adversarial. Mohr provides a graceful and lucid account of this prfound shift from civic republicanism to marketplace professionalism. He shows how, by 1900, doctors and lawyers were at each other's throats, medical jurisprudence had disappeared as a serious field of study for American physicians, the subject of insanity had become a legal nightmare, expert medical witnesses had become costly and often counterproductive, and an ever-increasing number of malpractice suits had intensified physicians' aversion to the courts. In short, the system we have taken largely for granted throughout the twentieth century had been established. Doctors and the Law is a penetrating look at the origins of our inherited medico-legal system.
Offering a new perspective on medical progress in the nineteenth century, Steven M. Stowe provides an in-depth study of the midcentury culture of everyday medicine in the South. Reading deeply in the personal letters, daybooks, diaries, bedside notes, and published writings of doctors, Stowe illuminates an entire world of sickness and remedy, suffering and hope, and the deep ties between medicine and regional culture. In a distinct American region where climate, race and slavery, and assumptions about "southernness" profoundly shaped illness and healing in the lives of ordinary people, Stowe argues that southern doctors inhabited a world of skills, medicines, and ideas about sickness that allowed them to play moral, as well as practical, roles in their communities. Looking closely at medical education, bedside encounters, and medicine's larger social aims, he describes a "country orthodoxy" of local, social medical practice that highly valued the "art" of medicine. While not modern in the sense of laboratory science a century later, this country orthodoxy was in its own way modern, Stowe argues, providing a style of caregiving deeply rooted in individual experience, moral values, and a consciousness of place and time.
It was in the 1840s that Americans first began to sue physicians on a wide scale. The unprecedented wave of litigation that began in this decade disrupted professional relations, injured individual reputations, and burdened physicians with legal fees and damage awards. De Ville's account discusses this outbreak of malpractice litigation with the use of anecdotes.
Prior to the nineteenth century, the practice of medicine in the Western world was as much art as science. But, argues W. F. Bynum, 'modern' medicine as practiced today is built upon foundations that were firmly established between 1800 and the beginning of World War I. He demonstrates this in terms of concepts, institutions, and professional structures that evolved during this crucial period, applying both a more traditional intellectual approach to the subject and the newer social perspectives developed by recent historians of science and medicine. In a wide-ranging survey, Bynum examines the parallel development of biomedical sciences such as physiology, pathology, bacteriology, and immunology, and of clinical practice and preventive medicine in nineteenth-century Europe and North America. Focusing on medicine in the hospitals, the community, and the laboratory, Bynum contends that the impact of science was more striking on the public face of medicine and the diagnostic skills of doctors than it was on their actual therapeutic capacities.
"Female Physicians in American Literature traces the woman physician character throughout her varying depictions in 19th-century literature, from her appearance in sensational fiction as an evil abortionist to her more well-known idyllic, feminine presence in novels of realism and regionalism. "Murderess," "hag," "She-Devil," "the instrument of the very vilest crime known in the annals of hell"-these are just a few descriptions of women abortionists in popular 19th-century sensation fiction. In novels of regionalism, however, she is often depicted as moral, feminine, and self-sacrificing. This dichotomy, Jessee argues, reveals two opposing literary approaches to registering the national fears of all that both women and abortion evoke: the terrifying threats to white, masculine, Anglo-American male supremacy"--
In this wide-ranging exploration of American medical culture, John Harley Warner offers the first in-depth study of a powerful intellectual and social influence: the radical empiricism of the Paris Clinical School. After the French Revolution, Paris emerged as the most vibrant center of Western medicine, bringing fundamental changes in understanding disease and attitudes toward the human body as an object of scientific knowledge. Between the 1810s and the 1860s, hundreds of Americans studied in Parisian hospitals and dissection rooms, and then applied their new knowledge to advance their careers at home and reform American medicine. By reconstructing their experiences and interpretations, by comparing American with English depictions of French medicine, and by showing how American memories of Paris shaped the later reception of German ideals of scientific medicine, Warner reveals that the French impulse was a key ingredient in creating the modern medicine American doctors and patients live with today. Impressed by the opportunity to learn through direct hands-on physical examination and dissection, many American students in Paris began to decry the elaborate theoretical schemes they held responsible for the degraded state of American medicine. These reformers launched an empiricist crusade "against the spirit of system," which promised social, economic, and intellectual uplift for their profession. Using private diaries, family letters, and student notebooks, and exploring regionalism, gender, and class, Warner draws readers into the world of medical Americans while investigating tensions between the physician's identity as scientist and as healer.
This new paperback edition makes available John Harley Warner's highly influential, revisionary history of nineteenth-century American medicine. Deftly integrating social and intellectual perspectives, Warner explores a crucial shift in medical history, when physicians no longer took for granted such established therapies as bloodletting, alcohol, and opium and began to question the sources and character of their therapeutic knowledge. He examines what this transformation meant in terms of patient care and assesses the impact of clinical research, educational reform, unorthodox medical movements, newly imported European method, and the products of laboratory science on medical ideology and action. Originally published in 1997. The Princeton Legacy Library uses the latest print-on-demand technology to again make available previously out-of-print books from the distinguished backlist of Princeton University Press. These editions preserve the original texts of these important books while presenting them in durable paperback and hardcover editions. The goal of the Princeton Legacy Library is to vastly increase access to the rich scholarly heritage found in the thousands of books published by Princeton University Press since its founding in 1905.
Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review