8_Tyranny of Diagnosis - Charles Rosenberg

8_Tyranny of Diagnosis - Charles Rosenberg - The Tyranny f...

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The Tyranny of Diagnosis the first doctor's disease-not only named for a physician in the 1820s but also understood and configured in terms of chemical pathology (al- bumen appearing in heated urine) and postmortem findings (the visual appearance of abnormal kidneys) as much as with the patient's felt ex- perience and verbal narrative.1 Thus a shift in ideas of pathology was already under way by the mid-19th century. Now disease was equated with specificity and specificity with mechanism, all the while decoupling this increasingly ontological conception from idiosyncrasies of place and person. In this sense, the several versions of the idea, articulated in the 1860s and 1870s, that wound infection and communicable disease were caused by living organisms what has come in retrospect to be called the germ theory-only intensified and documented a way of thinking about disease already widely assimilated (if not consistently applied).
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