Matching Items (2)
Filtering by
- Creators: Brewis Slade, Alexandra
Description
Medical practice surrounding tuberculosis (TB) treatment in two nineteenth-century Scottish charitable hospitals reveals that in developing empirically-positioned constructs of this and related diseases, medical practitioners drew upon social assumptions about women and the working classes, thus reinforcing rather than shedding cultural notions of who becomes ill and why. TB is a social disease, its distribution determined by relationships among human groups; primary among these is the patient-practitioner relationship, owing to the social role of medical treatment in restoring the ill to both health and society. To clarify the influence of cultural context upon the evolution of medical constructs of TB, I examined Glasgow Royal Infirmary (GRI) and Royal Infirmary of Edinburgh (RIE) ward journals, admissions registers, and institution management records from 1794 through 1905. Medical practice at the turn of the nineteenth century was dominated by observation and questioning of the patient, concordant with conceptions of physicians' labor as mental rather than physical. This changed with the introduction of the stethoscope in the 1820s, which together with the dissection of the poor allowed by the 1832 Anatomy Act ushered in disease concepts emphasizing pathological anatomy. Relationships between patient and practitioner also altered at this time, exhibiting distrust and medical dominance. The mid-Victorian era was notable for clinicians' increasing interest in immorality's contributions to ill health, absent in earlier practice and linked to conceptions of women and the working classes as inherently pathological. In 1882, discovery of the tubercle bacillus challenged existing nutritional, hereditary, and environmental explanations for TB. Although practitioners utilized bacteriological methods, this discovery did not revolutionize diagnosis or treatment. Rather, these older models were incorporated with perceived behavioral, environmental, and biological degradation of the working classes, rendering marginalized groups "soil" prepared for the "seeds" of disease -- at risk, but also to blame. This framework, in which marginalized groups contribute to their increased risk for disease through refusal to accord with hegemonically-established "healthy" behavior, persists. As a result, meaningful change in TB rates will need to address these longstanding contributions of social inequality to Western medical treatment.
ContributorsFarnbach Pearson, Amy Walker (Author) / Buikstra, Jane E. (Thesis advisor) / Fuchs, Rachel G (Committee member) / Brewis Slade, Alexandra (Committee member) / Roberts, Charlotte A. (Committee member) / Arizona State University (Publisher)
Created2013
Description
Despite the reactionary Habsburg regime under Emperor Franz Joseph, forces within the government and leading intelligentsia proposed various reforms to solve the issue of ethnic discrimination across the Austro-Hungarian Empire, attempting to resolve the tensions that the Ausgleich of 1867 had further aggravated by the inclusion of Hungarians as a privileged class to the detriment of the remaining minorities. This paper will look at the Austro-Marxist and Federalist reformers and the ways in which their concepts, if implemented, could have saved the Empire from its downfall in 1918. Ultimately, neither the Austro-Marxist concept of a centralized system of universal rights across the borders of all nations within the existing empire nor the Federalist idea of a national territorial sovereignty allowing for a certain degree of individual autonomy managed to be adopted by the Allied victors of World War I. The myopic focus of the ‘Big Four’ on the German Empire blinded them to the intricate economic and political balance needed for peace in the Balkans. While France, Britain, and Italy exhibited a general lack of concern to the outcome in the Balkans, Wilson’s ‘self-determination’ doctrine is most responsible for creating the unsustainable, irredentist-driven states that the reform-minded intellectuals—Austro-Marxist or Federalist—most had sought to avoid. In addition to a discussion of the reform movements in the Austro-Hungarian Empire, this paper will explore the reforms’ strong similarities to the present struggles within the European Union, particularly the divide between Euro-federalists and Euro-sceptics. The crisis situation and reform efforts of the Austrian Empire from 1867 to 1914 reveal significant policy lessons applicable to the European Union as it navigates the current crossroads between further federal integration or a return to medieval disintegration.
ContributorsAppel, Michael Edwin (Author) / Niebuhr, Robert (Thesis director) / Carrese, Paul (Committee member) / Historical, Philosophical & Religious Studies (Contributor) / School of Politics and Global Studies (Contributor, Contributor) / Sandra Day O'Connor College of Law (Contributor) / School of Civic & Economic Thought and Leadership (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05