3_Tyranny of Diagnosis - Charles Rosenberg

3_Tyranny of Diagnosis - Charles Rosenberg - 238 CharlesE...

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Charles E. Rosenberg the cultural impact of modern assumptions about the specific nature of disease with the effects of the Newtonian, Darwinian, or Freudian revolutions, "events" that have been long assimilated into the accepted canon of cultural visibility and the subject matter of history textbooks. Certainly this cultural impact is comparable to those conceptual shifts in terms of the ways in which ordinary men and women think about themselves and others. Everywhere we see specific disease concepts be- ing used to manage deviance, rationalize health policies, plan health care, and structure specialty relationships within the medical profession. And I have not even mentioned the countless instances in which clinical interventions and expectations have altered the trajectory of individual lives. My interest in the history-and historicity-of disease categories be- gan more than a quarter century ago with two incidents fortuitously linked in time. One was my serving as a consultant to a
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