IJE Advance Access originally published online on May 11, 2009
International Journal of Epidemiology 2009 38(3):639-642; doi:10.1093/ije/dyp183
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Published by Oxford University Press on behalf of the International Epidemiological Association © The Author 2009; all rights reserved.
Commentary: Nicholas Jewson and the disappearance of the sick man from medical cosmology, 1770–1870
Centre for the History of Medicine, University of Glasgow, Lilybank House, Glasgow, UK. E-mail: wellmn@arts.gla.ac.uk
Accepted 29 July 2008
| The first 150 words of the full text of this article appear below. |
The appearance of Jewson's paper The sick man, in 1976, was one of several significant markers of a great transformation that had recently occurred in the academic discourse surrounding medicine.1 Up until the 1960s, the history of medicine had been written almost entirely by doctors themselves, or by commentators who allied themselves closely with the values and interests of academic medicine.2,3 Medical sociology, such as it was, justified itself largely in terms of its supposed utility for the higher purposes of public health, epidemiology and health education.4 Its dominant theoretical schema, Parsonian functionalism, articulated a normative conception of the sick role, which urged upon the laity submission, cognitive as well as bodily, to the authority of the state-licensed physician.5,6 Together with the publication, in 1973, of the first English translation of Michel Foucault's The Birth of the Clinic, Jewson's work represented the emergence of a more radical engagement with medical
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