A Plurality of Practices: The Classification of Disease in Holyoke and Northampton, Massachusetts, 1830-1910.

Autor: LEONARD, SUSAN HAUTANIEMI, SWEDLUND, ALAN C., RuDZIK, ALANNA E. F.
Zdroj: Historical Journal of Massachusetts; Winter2024, Vol. 52 Issue 1, p112-141, 30p
Abstrakt: This article examines the coexistence of multiple medical systems in Holyoke and Northampton, Massachusetts, from 1830 to 1910. Despite efforts to establish a single "regular" system of medicine, various medical practices continued to exist. The authors analyze statistical data on causes of death to illustrate the different types of medical practice in the two towns. The article raises questions about the factors influencing the variety of medical practices and the differences between male and female doctors, challenging the traditional narrative of medical progress in the 19th century. The study also explores the evolution of cause-of-death classification systems and the adoption of a systematic nosology in Massachusetts. It discusses the development and evolution of disease classification in the 19th century, focusing on the nosology developed by Farr and its adoption by Massachusetts. The text also examines the relationship between the official classification of diseases and the actual practices of local physicians in Holyoke and Northampton, highlighting the introduction of novel causes of death that were not included in the official nosology. The article further discusses the medical practices and training of physicians in Holyoke and Northampton during the 19th century, noting the diversity of medical training and the presence of various medical systems alongside allopathic medicine. It also mentions the influence of the water cure movement on medical practices in the area. The article concludes that a plurality of medical perspectives and practices persisted in these cities into the 20th century. [Extracted from the article]
Databáze: Supplemental Index