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Article

Empiricists  

Marquis Berrey

Empiricists were a self-identified medical sect of the Hellenistic and Imperial periods who shared a common experiential methodology about the purpose and practice of medicine. Denigrating unobservable causes and experimental medicine, they espoused a sceptical, passive approach to accumulated observations about the body and the natural world. Since few Empiricist texts survive, historical knowledge depends largely on the medical doxographies of later ancient physicians who were not Empiricists. Doxographies report that Empiricists practiced a controlled experiential medicine based on personal observation, written reports from previous physicians, and analogical reasoning from known to unfamiliar conditions. The importance of chance and memory to their medical practice along with a willingness to compare themselves to tradesmen of lesser status distinguished their philosophical medicine from other ancient medical sects.Empiricists (Gk. empirikoi, Lat. empirici) were a self-identified sect or school (hairesis) of physicians from the Hellenistic and Imperial periods who shared a common experiential methodology about the purpose and practice of medicine. Empiricists practiced a controlled experiential medicine for individual therapeutic success based on personal observation, written reports from previous physicians, and analogical reasoning from known to unfamiliar conditions. Twenty-one named Empiricists are known to have practiced. The prosopographic record of the sect begins from Philinus of Cos, a renegade student of .

Article

Methodists  

Marquis Berrey

Methodists were a self-identified medical sect of the 1st century bce, Imperial period, and late antiquity who shared a common method of observation and causal inference about the practice of medicine. Methodists took their name from the “method” (Gk. methodos), an observable path or evidence-based medicine which the physician undertook to gain secure therapeutic knowledge. The path was supposed to reveal the general similarity between patients’ ostensibly differing conditions. Three similarities, or “commonalities,” as they were called, were possible: fluid, constricted, or a mixture of the two. Opponents pilloried Methodists for the loose logic of their methodological revolution and socially disruptive claims to teach medicine within six months. Primarily a Roman phenomenon, the popularity of Methodism seems to have been due to a ready supply of practitioners and its focus on certain, fast therapy. Methodists wrote chiefly on internal medicine, surgery, and medical history.Methodists (Gk. methodikoi, Lat. methodici.

Article

Tiçiyotl and Titiçih: Late Postclassic and Early Colonial Nahua Healing, Diagnosis, and Prognosis  

Edward Polanco

Nahua peoples in central Mexico in the late postclassic period (1200–1521) and the early colonial period (1521–1650) had a sophisticated and complex system of healing known as tiçiyotl. Titiçih, the practitioners of tiçiyotl, were men and women that had specialized knowledge of rocks, plants, minerals, and animals. They used these materials to treat diseases and injuries. Furthermore, titiçih used tlapohualiztli (the interpretation of objects to obtain information from nonhuman forces) to ascertain the source of a person’s ailment. For this purpose, male and female titiçih interpreted cords, water, tossed corn kernels, and they measured body parts. Titiçih could also ingest entheogenic substances (materials that released the divinity within itself) to communicate with nonhuman forces and thus diagnose and prognosticate a patient’s condition. Once a tiçitl obtained the necessary information to understand his or her patient’s affliction, he or she created and provided the necessary pahtli (a concoction used to treat an injury, illness, or condition) for the infirm person. Finally, titiçih performed important ritual offerings before, during, and after healing that insured the compliance of nonhuman forces to restore and maintain their patients’ health.

Article

Islamic Bioethics: Secular Bioethics in Muslim Countries  

Anke Iman Bouzenita

Bioethical discourse in Western and Islamic societies needs to be viewed against the background of their different historical perspectives and the role secularism has played in their respective development. While the Islamic experience generally saw science and technology evolving out of the Islamic way of life with medical ethics embedded in, and not hindered by, the injunctions of Islamic law, the Western (European) experience emphasizes the a priori need for secularization so as to initiate scientific development. Secularism therefore seems ingrained in Western approaches to science. Against this background, Western bioethics tends to insist on a secular imprint on bioethics. Bioethicists in Muslim-majority countries and in Muslim-minority communities elsewhere work with different historical and cultural experiences. Islam and its sources are still considered to be an important reference framework in Muslim countries and among Muslim populations. The communication of bioethical standards to various recipients therefore requires Islamic justification for legitimacy and acceptance.

Article

Women and Reproduction in the United States during the 19th Century  

Shannon K. Withycombe

Throughout the 19th century, American women experienced vast changes regarding possibilities for childbirth and for enhancing or restricting fertility control. At the beginning of the century, issues involving reproduction were discussed primarily in domestic, private settings among women’s networks that included family members, neighbors, or midwives. In the face of massive social and economic changes due to industrialization, urbanization, and immigration, many working-class women became separated from these traditional networks and knowledge and found themselves reliant upon emerging medical systems for care and advice during pregnancy and childbirth. At the same time, upper-class women sought out men in the emerging profession of obstetrics to deliver their babies in hopes of beating the frightening odds against maternal and infant health and even survival. Nineteenth-century reproduction was altered drastically with the printing and commercial boom of the middle of the century. Families could now access contraception and abortion methods and information, which was available earlier in the century albeit in a more private and limited manner, through newspapers, popular books, stores, and from door-to-door salesmen. As fertility control entered these public spaces, many policy makers became concerned about the impacts of such practices on the character and future of the nation. By the 1880s, contraception and abortion came under legal restrictions, just as women and their partners gained access to safer and more effective products than ever before. When the 19th century closed, legislatures and the medical profession raised obstacles that hindered the ability of most women to limit the size of their families as the national fertility rate reached an all-time low. Clearly, American families eagerly seized opportunities to exercise control over their reproductive destinies and their lives.

Article

Cannabis and Tobacco in Precolonial and Colonial Africa  

Chris S. Duvall

Cannabis and tobacco have longstanding roles in African societies. Despite botanical and pharmacological dissimilarities, it is worthwhile to consider tobacco and cannabis together because they have been for centuries the most commonly and widely smoked drug plants. Cannabis, the source of marijuana and hashish, was introduced to eastern Africa from southern Asia, and dispersed widely within Africa mostly after 1500. In sub-Saharan Africa, cannabis was taken into ethnobotanies that included pipe smoking, a practice invented in Africa; in Asia, it had been consumed orally. Smoking significantly changes the drug pharmacologically, and the African innovation of smoking cannabis initiated the now-global practice. Africans developed diverse cultures of cannabis use, including Central African practices that circulated widely in the Atlantic world via slave trading. Tobacco was introduced to Africa from the Americas in the late 1500s. It gained rapid, widespread popularity, and Africans developed distinctive modes of tobacco production and use. Primary sources on these plants are predominantly from European observers, which limits historical knowledge because Europeans strongly favored tobacco and were mostly ignorant or disdainful of African cannabis uses. Both plants have for centuries been important subsistence crops. Tobacco was traded across the continent beginning in the 1600s; cannabis was less valuable but widely exchanged by the same century, and probably earlier. Both plants became cash crops under colonial regimes. Tobacco helped sustain mercantilist and slave-trade economies, became a focus of colonial and postcolonial economic development efforts, and remains economically important. Cannabis was outlawed across most of the continent by 1920. Africans resisted its prohibition, and cannabis production remains economically significant despite its continued illegality.

Article

pain  

Candida R. Moss

Although it was and continues to be an essential experience of the human condition, pain was understood polysemically in antiquity. Competing medical and philosophical theories of pain coexisted alongside one another and generated a variety of different ways of understanding the nature of pain. So, too, was the experience of pain evaluated either positively or negatively based on the particular.In antiquity, pain was many things: an experience that one might wish to avoid, a punishment meted out by an angry deity, a symptom that might aid a physician in identifying an internal imbalance, or a weapon one might use to discipline or test those less powerful than oneself. Moreover, it was both ubiquitous and endemic to the human condition. Archaeology and palaeopathology reveal that the majority of ancient people navigated the world through a veil of bodily discomfort and pain. In extreme forms, physical pain was understood to be psychically destructive; it could fragment the person and even drive them to suicide (Pliny, .

Article

Cannon, Mary Antoinette  

Jean K. Quam

Mary Antoinette Cannon (1884–1962) was a social worker and educator who helped develop medical social work. She created courses in psychiatry and medicine in schools of social work and helped establish the Social Services Employees Union.

Article

Buddhism and Healing in China  

Natalie Köhle

The history of Buddhism in China is deeply connected with healing. Some of the scriptures that were translated into Chinese discuss Indic conceptions of the body as an amalgamation of elements, and causes of illness in the tridoṣa, that is pathogenic body fluids and internal winds. Others discuss materia medica, and monastic rules on healing and hygiene in the monastery. Yet others set forth the ritual worship of the Medicine Buddha (Skt. Bhaiṣajyaguru; Ch. Yaoshi fo 藥師佛), the Bodhisattva Avalokiteśvara (Guanyin pusa 觀音菩薩), and other deities that promise healing. Apart from the translated scriptures, there is a huge body of indigenous works that synthesized the wealth of information on Indic healing which arrived in China between the 2nd and 10th centuries ce. Foremost among those are Yijing’s 義淨 (635–713) account of Indian monastic practices, Daoxuan’s 道宣 (596–667) vinaya commentary, and Daoshi’s 道世 (?–683) encyclopedia chapter on illness. Chinese compositions, such as Zhiyi’s 智顗 (538–597) treatises on meditation, and Huizhao’s 慧皎 (497–554) hagiographies bear witness to the hybridity to which the reception of Indic ideas in China gave rise. With the widening reach of Buddhism into every layer of Chinese society during the Sui and Tang dynasties, eminent Chinese physicians, such as Tao Hongjing 陶弘景 (452–536), Chao Yuanfang 巢元方 (550–630), Wang Tao 王焘 (670–755), and Sun Simiao 孫思邈 (581–682) also began to incorporate Buddhist ideas into their medical treatises. Chinese Buddhist monasteries introduced hospital services to China, and certain lineages of monks continued to provide medical care to the laity in late imperial China. Their healing was based on Chinese medical theories, however, and there is no evidence that they persisted in applying Indic medical ideas.

Article

Women and Medicine in Early America  

Rebecca Tannenbaum

Women from all cultural groups in British North America—European, African, and Indigenous American—played a central role in medicine in early America. They acted as midwives, healers, and apothecaries and drew on a variety of cultural traditions in doing so, even as they shared many beliefs about the workings of the human body. Healing gave women a route to authority and autonomy within their social groups. As the 18th century opened, women healers were able to enter the expanding world of capitalist commerce. Anglo-American women parlayed their knowledge of herbal medicine into successful businesses, and even enslaved midwives were sometimes able to be paid in cash for their skills. However, as academic medicine took more of an interest in topics such as childbirth, women practitioners faced increasingly bitter competition from professionalizing male physicians.

Article

Cornelius Celsus, Aulus  

Rebecca Flemming

Celsus was a Latin encyclopaedist of the early Roman Empire. Only the eight medical books of his Artes survive, but agriculture, rhetoric, and military matters were also encompassed in his work. The overall enterprise was aimed at synthesising and ordering bodies of useful technical knowledge for a Roman elite audience, knowledge often with Greek origins. Celsus selected, adapted, and reorganised this learning, rendering it into Latin. The extant books follow the tradition division of the medical art into regimen, drugs, and surgery, and are prefaced by an important critical history of ancient medicine.

Aulus Cornelius Celsus was author, probably in the reign of the emperor Tiberius (14–37ce), of a Latin encyclopaedic work entitled Artes, comprising five books on agriculture, eight on medicine, seven on rhetoric, and an unknown number on military matters. He also wrote on philosophy, though whether this was within or beyond the borders of his encyclopaedic enterprise is uncertain. The sources are unclear and the fit of such texts into an overall project aimed at summarising useful bodies of knowledge for Roman gentlemen is debatable.

Article

baths and bathing  

Fikret Yegül

In Homer’s world, bathing in warm water was a reward reserved for heroes. Ordinary Greeks bathed at home or in public baths characterized by circular chambers with hip-baths and rudimentary heating systems. Public bathing as a daily habit, a hygienic, medicinal, recreational, and luxurious experience belonged to the Romans. The origins of Roman baths can be traced in the simpler Greek baths and the bathing facilities of the Greek gymnasium and palaestra, as well as the farm traditions of rural Italy. The earliest Roman baths (balneae), which show the mastery of floor and wall heating, and a planning system based on controlled and graded heating of spaces, emerged in Latium and Campania by the early 2nd century bce. There is little doubt that bathing as an ultimate luxurious experience was epitomized by the imperial thermae first developed in Rome and spread to the provinces. These grand bathing palaces combined exercise, bathing, recreation, and quasi-intellectual activities in vast, park-like precincts, as best exemplified by the Thermae of Caracalla in Rome. The tradition of public bathing and baths passed on to Early Christian, Byzantine, and Medieval Islamic societies across Asia Minor and the eastern Mediterranean.

Article

body  

Laurence Totelin and Helen King

The ancient body emerged as a topic of research in the 1980s, and the discipline has grown dramatically since then. It aims at studying the ways in which people in the ancient world experienced their bodies, and how those experiences might have differed from modern ones. The discipline examines constructions of sex and gender; concepts of beauty and ugliness; the constituent parts of the body, its fluids, its limits, and the role that clothing plays in setting those boundaries; and the senses. Specific attention is paid to bodies that do not conform to ancient ideals of beauty and wellness (such as disabled and ageing bodies) and to bodies that elicited fascination and concern in antiquity (such as non-binary and intersex bodies). In the ancient world, anxieties towards non-normative bodies were addressed by attempting to control the body from infancy onward. That control was exercised both at the level of the family and at that of the state, which established links between the body and political order.

Article

Health and Medicine in Modern China  

Jia-Chen Fu

Throughout much of the modern period (late imperial through the 20th century), healing activities have been pluralistic and diverse in nature. There were fluid boundaries between curative and health-promoting activities, and those providing health services came from a variety of backgrounds and trades. The Qing state (1644–1912) adopted a paternalistic though largely hands-off approach to matters of health and medicine until social and political crises of the late 19th century. With the arrival of Protestant medical missionaries and the increasingly strong conflation of Western medicine with modernization, health and medicine in modern China became inextricably tied to the question, “what purpose should health serve?” Chinese medicine too found itself swept up in these currents of defining modernity and modernization. Health and sovereignty in modern China were intertwined in such a fashion that equated a strong, autonomous nation with healthy, disciplined bodies. Individual health behaviors were linked to the status of the nation. Within this formulation, health, especially in the form of public health and modernized medicine, was both predicated on a powerful, centralized state and served as a means for state-building. State responsibility thus included preventing disease as well as minimizing ill health. To achieve these aims, the state needed tools and mechanisms to keep track of its citizens and how they acted. It needed to build a health infrastructure that could manage the health of public spaces and citizens’ bodies. And it needed to do so in ways that were meaningfully resonant to outside observers. These goals served as a kind of through line for much of the 20th century, even as it accommodated different interpretations and degrees of success by the subsequent political regimes, the Republican government (1912–1949), and the People’s Republic of China (1949 to present).

Article

Meteorology, Climate, and Health in the United States  

Elaine LaFay

Unraveling the connections between meteorology, climate, and health—all broadly defined—is an endeavor that cuts across an astonishing array of times, places, and peoples. How societies pursue and interpret these connections is deeply tied to sociocultural, environmental, and political context. In the United States, meteorological beliefs rested on shared assumptions rooted in ancient traditions that linked prevailing environmental and climatic conditions with human health. By the 17th century, the steadfast collection of meteorological phenomena in weather journals was tethered to medical knowledge as well as the pursuit of agricultural, business, and shipping ventures. Environmental conditions were routinely theorized as causes for epidemics and individual sickness (or cure). As meteorology changed from a practice of data collection to a science over the 18th and 19th centuries, its medical arm branched into the interlocking fields of medical meteorology, medical climatology, and medical topography. However, even with the rise of new meteorological technologies and methods, older ways of knowing the weather persisted alongside formal medical theories of health and place, and tacit, embodied knowledge was never fully supplanted by instrumental data collection. The science of meteorology also grew into being as a tool of empire. Imperial states established networks of meteorological stations to collect weather data to further colonial ambitions and foster politically charged geographic imaginaries of colonized places and peoples. But theorizing the relationship between climate and health was not restricted to white men of science. Black intellectuals and subaltern peoples held radically different cosmologies of climate and challenged prevailing essentialist theories of climate and health throughout the 19th and 20th centuries. In the 20th century, scientists situated changing climates as a key dimension for disease patterns and demographic transition more broadly. As historians make use of the increasingly sophisticated methods of historical climatology, past climate reconstruction has sparked new questions on how environmental conditions have both enabled and constrained human action during climate—and political, infrastructural—disasters. New interdisciplinary approaches to the climate crisis have further offered ways to bridge the disconnect between climate science and medical practice that emerged during the 20th century.

Article

African Populations and British Imperial Power, 1800–1970  

Karl Ittman

British views of African populations from 1800 to 1970 reflected the larger discourse about Africa in this period. These views shaped how the British state and private groups attempted to measure and influence African population trends. In the precolonial era, travelers painted a picture of an underpopulated continent ravaged by war and slavery. Malthus used these accounts in his depiction of African populations limited by insecurity, low productivity, and primitive customs. Malthus’s view would dominate British ideas of African population into the colonial era. Prior to that, missionary groups and antislavery activists invoked these ideas to justify efforts to change African customs through conversion and free labor. In the colonial era, the belief in underpopulation rationalized state interventions in African societies through forced labor and public health. Colonial regimes attempted to measure and classify their populations to facilitate taxation and administration. These early surveys failed to produce adequate results and estimates of African populations remained unreliable. Despite the absence of data, British officials and demographers continued to argue that lack of population represented a fundamental obstacle to development. Efforts to address this concern made little headway before the late 1930s, when the international criticism of empire forced British officials to embrace a more interventionist colonial state. Beginning in the late 1930s, British officials and demographers warned of signs of overpopulation, even though reliable census data remained elusive. As part of the postwar drive for development, officials used resettlement programs and agricultural schemes to improve productivity and to address presumed population pressure. In the late colonial era, the British allowed the creation of birth control clinics in African colonies. These private efforts became the basis of an international effort of population control focused on Africa that began in the late 1960s. Since the 1980s, scholars have created alternative explanations of African historical demography, relying on a variety of sources to challenge the existing paradigm.

Article

Adherence and Communication  

Teresa L. Thompson and Kelly Haskard-Zolnierek

Patient adherence (sometimes referred to as patient compliance) is the extent to which a patient’s health behavior corresponds with the agreed-upon recommendations of the healthcare provider. The term patient compliance is generally synonymous with adherence but suggests that the patient played a more passive role in the healthcare professional’s prescription of treatment, whereas the term adherence suggests that the patient and healthcare professional have come to an agreement on the regimen through a collaborative, shared decision-making process. Another term related to the concept of adherence is persistence (i.e., taking a medication for the recommended duration). Some patients are purposefully or intentionally nonadherent, whereas others are unintentionally nonadherent due to forgetfulness or poor understanding of the regimen. Patients may be intentionally nonadherent because of a belief that the costs of the regimen outweigh the benefits, for example. Nonadherence behaviors in medication taking include never filling a prescription, taking too much or too little medication, or taking a medication at incorrect time intervals. Patient adherence is relevant not only in medication-taking behaviors, but also in health behaviors such as following a specific dietary regimen, maintaining an exercise program, attending follow-up appointments, getting recommended screenings or immunizations, and smoking cessation, among others. A number of factors predict patient adherence to treatment, but the relationship between provider-patient communication and adherence to treatment will be stressed. Focusing on recent research, the article examines the concept of patient adherence, describes how provider-patient communication can enhance patient adherence, explains what elements of communication are relevant for adherence, and illustrates how interventions to improve communication can improve adherence.

Article

Psychological Imagery in Sport and Performance  

Krista J. Munroe-Chandler and Michelle D. Guerrero

Imagery, which can be used by anyone, is appealing to performers because it is executed individually and can be performed at anytime and anywhere. The breadth of the application of imagery is far reaching. Briefly, imagery is creating or recreating experiences in one’s mind. From the early theories of imagery (e.g., psychoneuromuscular) to the more recent imagery models (e.g., PETTLEP), understanding the way in which imagery works is essential to furthering our knowledge and developing strong research and intervention programs aimed at enhanced performance. The measurement of imagery ability and frequency provides a way of monitoring the progression of imagery use and imagery ability. Despite the individual differences known to impact imagery use (e.g., type of task, imagery perspective, imagery speed), imagery remains a key psychological skill integral to a performer’s success.

Article

Islamic Bioethics: Bioethics in Egypt  

Baudouin Dupret and Zaynab El Bernoussi

Continuous technical developments in medicine prompt different actors to think about morality, biology, and the legitimacy of scientific progress in different societies. In Muslim-majority countries, religious institutions provide a trusted source of guidance on bioethical issues for believers. Meanwhile, in Egypt, the Napoleonic colonial legacy has granted more authority to the state in ruling over the individual’s body. There are increasing demands for pluralism within Muslim-majority countries and the notion of pan-Muslim events as important venues to discuss pressing bioethics issues, such as contraception, abortion, and population control.

Article

Science, Technology, and Religion in Chosŏn Korea  

Don Baker

During the 518 years of Korea’s Chosŏn dynasty (1392–1910), many things changed and many things stayed the same. After the Yi family established the Chosŏn dynasty, Confucianism became the dominant philosophy. Although Confucianism’s grip on Chosŏn weakened somewhat at the end of the 19th century, it nevertheless continued to provide the basic framework for how government officials and most of the educated elite conceptualized ethics, religion, nature, and technology. This changed when the Chosŏn dynasty was absorbed into the Japanese empire in 1910. Chosŏn-era science, technology, and religion operated within a Confucian framework. This affected astronomical, geographical, mathematical, and medicinal thought and practice. It also affected the role of technology in Chosŏn life and society. Moreover, when Buddhism, folk religion and, from the end of the 18th century even Christianity, were practiced in Korea, it was necessary to maneuver within constraints imposed by a Confucian state and society. Korea’s Confucianism was imported from China. Koreans, however “Koreanized” what they adopted from China to make it their own. When dealing with religion, Chosŏn-era Koreans adopted a much harsher attitude toward non-Confucian religions. When dealing with science and technology, Koreans sometimes made improvements on Chinese models. For example, in the 15th century, Koreans built astronomical instruments that were better than those they had learned about from Chinese astronomers. And, in the 17th century, Koreans produced the most comprehensive encyclopedia of traditional East Asian medicine of pre-modern times. However, none of those changes threatened the hegemony of Confucianism. Chosŏn Korea remained Confucian in its science, technology, and religiosity for over five centuries.