the patient's view meets the clinical gaze

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1、SocialHistoryofMedicineVol.20,No.3pp.525540ThePatient’sViewMeetstheClinicalGazeFlurinCondrau*Summary.RoyPorters1985articleonThePatientsViewisthestartingpointforamethodologicalandhistoricalreflectiononthepatientinmedicalhistory.Thisarticlegainsitsinspirat

2、ionfromthefactthattothepresentday,thehistoryofpatientsasanintellectualprojecthasnotfoundmuchreflec-tion.Oldcategories,suchaspatient,knowledgeanddisease,allneedtoberevisitedandrethought.Itsketchesoutseveralarenaswherethisdebatewillhavetotakeplaceandcontra

3、stsPorterspatientsviewwithDavidArmstrongswritingsontheconstructedpatient.ItgoesontodiscusstheprojectofsocialhistoryofmedicinetobegintoplacePorterinthecontextofthedisciplineandcloseswithsomecommentsonthepoliticalcontextofpatientshistoryinthe1980swhichcoi

4、ncidedwiththestartofgovernmentalreformsintheNHSintendedtostrengthenthepatientsrole.Keywords:patients;disease;knowledge;Foucault;Porter;intellectualhistory;power;politicsIntroductionIn1985,RoyPorter,thedoyenofthesocialhistoryofmedicine,publishedhissemina

5、l1articleentitledThePatientsView:DoingMedicalHistoryfromBelow.ThiswasnotthefirsttimePorterhadwrittenaboutthepatient,butinthismanuscripthisideasonpatientsandtheirhistorycamethroughintheclearestway.Hecalledforachangeofper-spectiveinordertorewritefundamenta

6、llythehistoryofmedicinefromthepatientsview.Mosthistoryofmedicine,heargued,hadbeenwrittenasstoriesofscientificpro-gress,knowledgeandcountlessbreakthroughs.Buthefeltthatpatientswereequally2importantforittakestwotomakeamedicalencounter.SurelyPortersarticleh

7、asbecomeamoderndayclassicinthefieldandvirtuallyeverychapter,articleormonograph3onmedicalpracticepublishedsince1985seemstoreferbacktoit.Atthetime,severalsubsequentstudiesrespondedtothegeneralcalltoarmsbyPorterwithwell-researchedempiricalanalysesincorporat

8、ingaspectsofthehistoryofthe4patient.Withtheincreasedavailabilityofcomputertechnologyandthediscoveryofpatientnotes,itseemedatthetimethatempiricalprojectswouldsoonrevealmuch5moreaboutthepatient.However,itisclearthatweknowagreatdeal