13 August 2014

The Neurologists: A history of a medical specialty in modern Britain, c 1789-2000

“An important contribution to our understanding of specialization in medicine. Casper's carefully researched and lucidly argued study presents an illuminating picture of the way in which British neurology developed an intellectual and ultimately institutional identity separate from that of elite medicine generally. It is a complex and nuanced story that cannot be explained by technological innovation or market incentives alone.”
 
Charles Rosenberg, Harvard University

“A most substantial and illuminating contribution, not only to the history of neurology, but also to our understanding of scientific-medical disciplines and the relationship of science to its broader context. Casper uses the confusing and often contradictory usages of the words "neurology" and "neurologist" by historical actors in the nineteenth and twentieth centuries as points of departure for a convincing and richly contextualized historical account of neurology and the dynamics of specialization.”

Professor Daniel Todes, Johns Hopkins University


The last twenty years in the English speaking world have seen the rise of a new cultural discourse derived from neurology and neuroscience. Found everywhere in this contemporary moment are cultural products that celebrate these fields: fMRI brain scans, case studies of neurological patients, works of science fiction focusing on cybernetic creatures, films about amnesia, hallucinations, and multiple personality disorders, popular science books, and, not least, an overwhelming imagery of brains, spines and nerves. How we arrived at this moment deserves consideration and contemplation. What is it about neurology and neuroscience that makes such perceptions self-evident? Telling this story requires a history devoted to analyzing the rise of medical and scientific neurology. The Neurologists is that book.
 
When I set out to write my book, I wanted to give my readers an opportunity to answer those questions. At the same time, no comparable book on neurology existed. In beginning my research, I felt very much at sea. What historically had been the differences between neurology and psychiatry? Was neurology synonymous with neuroscience before the advent of neuroscience? How did physiology and pathology fit into the story? Could Freud really be called a neurologist? Such questions were not, and are not, easy to answer. I hope, however, that The Neurologists provides readers with a place to start. Although I realize that many may disagree with my interpretation about the reasons underpinning the specialization of neurology into a branch of medicine, I suspect many new scholars interested in these topics will find it a useful place to begin.
 



The Neurologists focuses chiefly on Britain. It describes the ways Victorian physicians located in a medical culture that privileged wide knowledge over narrow specialism came to be transformed into the specialized physicians we now call neurologists. As the subtitle of my book, The Neurologists, emphasizes, physicians with interests in the nervous system often worked and practiced as either consultant physicians without a specialty or as general practitioners. While their interests in the various sciences and medicines of the nerves – pathology, physiology, psychiatry, alienism, and neurology - might well suggest a specialist identity to us now, these physicians did not understand their work and interests in so sharp a fashion. Indeed, I argue in my book that the normative limits placed upon their professional identity by work and culture often prevented them from moving in such a narrow direction.

The outcome of such limits was that British physicians became neurologists by adopting a professional self-identity that was so wide that it encompassed far more intellectually – in scientific and clinical senses – than the delimited terms of mere specialist could denote. They cast themselves as Renaissance men (there were initially no women) of science, medicine, and culture. These physicians fashioned themselves, as one editorial put it, as “savants in the right sense of the word.” It was this broad outlook, integrative mindset, and seeming knowledge of everything that defined the limits of neurology. And for this reason, to our modern eyes the neurologist of the past becomes anyone who embodied those characteristics – whether a man of science, clinician, both, or something else entirely. It was this wide professional identity that culturally situated neurology (and subsequently neuroscience) as bodies of knowledge capable of informing not merely about the nervous system but also about its social and cultural products – the law, religion, philosophy, ethics, economics, and history.

The Neurologists is a social, cultural, and institutional history of neurology in Britain in the modern period. But it can also be described as a history of neurology for neurologists.

48 comments:

  1. With some possible concerning values it has even helped students around different areas of interest to bring around more of such values to their projects.

    ReplyDelete
  2. Inquire as to whether the medicine is accessible in both non specific and brand name, ask the drug specialist the distinction between the two and choose in light of that data. In many occurrences is more gainful to ask for the bland name versus the brand name. https://stdauthority.com/pearland-texas-std-testing

    ReplyDelete
  3. This is a great inspiring article.I am pretty much pleased with your good work.You put really very helpful information. Keep it up. Keep blogging. Looking to reading your next post. certified organic skincare

    ReplyDelete
  4. I found your this post while searching for information about blog-related research ... It's a good post .. keep posting and updating information. www.iphysio.sg

    ReplyDelete
  5. This comment has been removed by the author.

    ReplyDelete
  6. For example, if a nurse administers a different medication to a patient than the one prescribed by the doctor, that action differs from what most nurses would have done.Generic Drug Pharma Drop Shipper

    ReplyDelete
  7. Medical Assistants execute varied administrative, laboratory and clinical tasks in different health care institutions. anchor

    ReplyDelete
  8. If you have ever visited a dentist then you might have come across the various kinds of tools that are usually present in the office of these dental experts.  Dental ultrasonic cleaner

    ReplyDelete
  9. This is really a nice and informative, containing all information and also has a great impact on the new technology. Thanks for sharing it, Dental curing light

    ReplyDelete
  10. This comment has been removed by a blog administrator.

    ReplyDelete
  11. This comment has been removed by a blog administrator.

    ReplyDelete
  12. This comment has been removed by a blog administrator.

    ReplyDelete
  13. This comment has been removed by a blog administrator.

    ReplyDelete
  14. This comment has been removed by a blog administrator.

    ReplyDelete
  15. I even have been getting a lot of helpful and informative material in your web site.
    ayahuasca microdose

    ReplyDelete
  16. This is really a nice and informative, containing all information and also has a great impact on the new technology. Thanks for sharing it, health

    ReplyDelete
  17. I really loved reading your blog. Unlike additional blogs I have read which are really not tht good. I also found your posts very interesting.
    medical data security

    ReplyDelete
  18. Thanks for taking the time to discuss that, I feel strongly about this and so really like getting to know more on this kind of field. Do you mind updating your blog post with additional insight? It should be really useful for all of us. orthopedic leg braces

    ReplyDelete
  19. This comment has been removed by the author.

    ReplyDelete
  20. Hey to everyone, it’s my first visit of the blog site; this blog includes awesome and actually best info for the visitors.
    page

    ReplyDelete
  21. Only aspire to mention ones content can be as incredible. This clarity with your post is superb and that i may think you’re a guru for this issue. High-quality along with your concur permit me to to seize your current give to keep modified by using approaching blog post. Thanks a lot hundreds of along with you should go on the pleasurable get the job done. best cannabidiol

    ReplyDelete
  22. Great post, thank you for the useful information. Keep up the good work! FYI, check this out: Smile Direct Club Review

    ReplyDelete
  23. The next time I just read a weblog, I really hope which it doesnt disappoint me up to this one. Get real, Yes, it was my choice to read, but I personally thought youd have something interesting to convey. All I hear can be a handful of whining about something you could fix in the event you werent too busy trying to find attention. https://www.iphysio.sg

    ReplyDelete
  24. Forgetful nature: One of the main reasons why many senior citizens forget to take their medicines and miss their checkups or other medical tests is simple: they forget. The aging process reduces the ability of the person to remember things.Joint health ingredient

    ReplyDelete
  25. I would like to thank the author for publishing this great information here. Your article is very informative. I was looking for something exactly like this since last week. free online dicom viewer

    ReplyDelete
  26. This comment has been removed by the author.

    ReplyDelete
  27. They also need to be familiar with searching medical literature, understanding and presenting research data, the document review process, and editing and publishing requirements. Medical billing payment posting

    ReplyDelete
  28. Alongside expanding the effectiveness of the workplace a Medical Billing Service additionally disposes of numerous patient calls in regards to their records.Venipuncture cpt code

    ReplyDelete
  29. Great things you’ve always shared with us. Just keep writing this kind of posts.The time which was wasted in traveling for tuition now it can be used for studies.Thanks Buy CBD Edibles Online

    ReplyDelete
  30. This can cause pain, prevent normal chewing or speaking and adequate oral hygiene. When the mandible is unable to have normal range of motion it can lead to headaches, neck pain etc. locked jaw

    ReplyDelete
  31. I would like to thank the author for publishing this great information here. Your article is very informative. I was looking for something exactly like this. dicom viewer online

    ReplyDelete
  32. For the federally subsidized medical institution, each provider is compelled by Federal statute to provide emergency medical treatment to all patients, irregardless of the patient's ability to pay. ME

    ReplyDelete
  33. Hai…you have posted the great article, it was really helpful to us. I will refer this page to my friends; I hope you will like to read -
    scientific research paper writing service

    ReplyDelete
  34. Awesome review, I am a major devotee to remarking on web journals to educate the web journal scholars realize that they've added something beneficial to the internet!..  MBBS Colleges

    ReplyDelete
  35. Their obligation is to pick up the telephone, check the rundown of planned patients, plan arrangements, oversee medical records, and manage insurance organizations.squamous-cell-carcinoma

    ReplyDelete
  36. Great job for publishing such a beneficial web site. Your web log isn’t only useful but it is additionally really creative too. There tend to be not many people who can certainly write not so simple posts that artistically. Continue the nice writing Essex Medical Training

    ReplyDelete
  37. This comment has been removed by the author.

    ReplyDelete
  38. I am happy to find your perceived technique for forming the post. Directly you make it basic for me to grasp and complete the thought. Thankful to you for the post. medical devices

    ReplyDelete
  39. Magnificent and extremely energizing site. Love to watch. Continue Rocking.
    physicals

    ReplyDelete
  40. These things are very important, good think so - I think so too... generic anchor text

    ReplyDelete
  41. I really enjoy simply reading all of your weblogs. Simply wanted to inform you that you have people like me who appreciate your work. Definitely a great post. Hats off to you! The information that you have provided is very helpful. Aumentar o número de pacientes na sua clínica

    ReplyDelete
  42. I really enjoy simply reading all of your weblogs. Simply wanted to inform you that you have people like me who appreciate your work. Definitely a great post. Hats off to you! The information that you have provided is very helpful. Consultoria de Marketing Médico

    ReplyDelete
  43. Extraordinary article! I advance your blog other informal organizations; your blog is engaging and exceptional difficult work. A debt of gratitude is in order for giving out this tattle. Easternoklahomadentalcare.com

    ReplyDelete