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Doc or Quack: Science and Anti-Science in Modern Medicine de Sander L. Gilman

Doc or Quack: Science and Anti-Science in Modern Medicine

Autor Sander L. Gilman
en Limba Engleză Hardback – 23 iun 2025

Structura lucrării Doc or Quack este riguros organizată pe axa evoluției istorice a autorității medicale, examinând mecanismele prin care anumite practici sunt incluse sau excluse din sfera „științifică”. Autorul nu se limitează la o istorie liniară, ci propune o analiză clinică a modului în care granița dintre medicina oficială și șarlatanie s-a deplasat constant din secolul al XIX-lea până în era modernă. Notăm cu interes utilizarea unor studii de caz punctuale — precum tratamentul ulcerului stomacal sau integrarea acupuncturii — pentru a ilustra cum dovezi considerate anterior pseudo-științifice pot deveni protocol standard și invers.

Remarcăm o atenție deosebită acordată influenței economice a marilor companii farmaceutice în validarea „științei”, precum și impactul specializării excesive asupra percepției publice a medicului. În comparație cu Quack Medicine de Eric W. Boyle, care se concentrează pe eșecul reglementărilor în America, lucrarea lui Sander L. Gilman oferă o perspectivă comparativă mai largă, incluzând sistemele de sănătate din Germania și Marea Britanie. Aceasta reprezintă o alternativă la Orthodox and Alternative Medicine pentru rezidenți și istorici, având avantajul unei analize critice asupra conceptului de „rasă” în medicina științifică.

Poziționată în contextul operei vaste a lui Sander L. Gilman, cartea continuă preocuparea acestuia pentru istoria culturală a medicinei și prejudecățile sistemice, teme explorate anterior și în ‘I Know Who Caused COVID-19’. Dacă în lucrări precum Jewish Musical Modernism, Old and New autorul analiza identitatea prin prisma culturii, aici el deconstruiește identitatea medicului în raport cu „șarlatanul”, oferind o resursă esențială pentru înțelegerea politicii sănătății moderne.

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Specificații

ISBN-13: 9781836390152
ISBN-10: 1836390157
Pagini: 320
Ilustrații: 24 halftones
Dimensiuni: 156 x 234 x 38 mm
Greutate: 0.71 kg
Editura: REAKTION BOOKS
Colecția Reaktion Books

De ce să citești această carte

Recomandăm această carte profesioniștilor din domeniul sănătății și istoricilor care doresc să înțeleagă cum se construiește legitimitatea medicală. Cititorul câștigă o perspectivă critică asupra modului în care interesele comerciale și contextul social definesc ceea ce numim astăzi „medicină bazată pe dovezi”. Este un instrument util pentru a naviga complexitatea eticii medicale contemporane și a relației dintre sistemul oficial și terapiile alternative.

Despre autor

Sander L. Gilman este profesor de studii umaniste la Cornell University și un renumit istoric cultural, autor a peste 30 de volume care explorează intersecția dintre literatură, istoria medicinei și identitate. Expertiza sa vastă în istoria ideilor îi permite să abordeze subiecte medicale complexe dintr-o perspectivă multidisciplinară. De la analiza operei lui Freud la studiul xenofobiei în timpul pandemiilor, Gilman s-a impus ca o voce autoritară în deconstruirea modului în care societatea definește normalitatea și boala, transformând cercetarea academică într-o analiză pertinentă a provocărilor moderne.

Descriere scurtă

From pharmaceutical companies to acupuncture, an essential investigation of the constantly evolving relationship between mainstream Western medicine and quackery.
 
Reaching from the beginnings of scientific medicine in the nineteenth century through to the present, Sander L. Gilman examines the ever-shifting boundary between scientific medicine and quackery, asking if such a fixed boundary can actually exist within mainstream medical practice. Through detailed case studies—of stomach ulcers, eye disease, and acupuncture—Doc or Quack reveals the influence of pharmaceutical companies in determining the science of medical practice, the pros and cons of the increasing specialization in medical practice, and the murky issue of “race” in scientific medicine. This readable account covers medical practice from the Enlightenment to the present, offering a realistic view of health politics in the United States, Germany, and the United Kingdom. It’s an essential read for anyone interested in the history and politics of Western medicine.

Notă biografică

Sander L. Gilman is distinguished professor emeritus of the liberal arts and sciences as well as emeritus professor of psychiatry at Emory University. A cultural and literary historian, he is the author or editor of more than one hundred books, including Stand Up Straight! A History of Posture, also published by Reaktion Books.

Recenzii

"Both quacks and a level of distrust in medical practices from the public have pervaded in medicine since its origins. As medical historian Gilman observes, several governments backed their COVID-19-related decisions with the phrase 'following the science.' But 'following science' makes more sense—because science is constantly developing. Gilman’s nuanced book, focused on stomachs, eyes and backs, concludes that 'the line between the quack and the doc is amorphous but always present.'"

"Spanning centuries, the list of wacky, ineffective, and sometimes dangerous remedies for illness is quite lengthy. In this standout history of scientific medicine from the mid-nineteenth century to the present, Gilman navigates 'the ever-shifting boundary between good medicine and quackery.' . . . A thoughtful study of historically 'good' and 'bad' medicine and the occasional blurring between the two."

“Gilman approaches the evolution of scientific research and discoveries originally dismissed as quackery as they have become accepted. He explains the importance of research and evidence-based medicine as concepts that are not value-neutral but can be politicized or affected by race and personal opinion. . . . This book is filled with fascinating historical asides, which makes it a pleasure to read for those interested in how medical decisions are made. Recommended.”

“This book offers rich insights into the limitations embedded within the professional and technological evolution of scientific medicine. While particularly suited to scholars of the medical humanities, it is also highly relevant to those working in STS, public health, and related fields. Thanks to Gilman’s thoughtful and accessible prose, it holds considerable value for general readers and clinicians alike.”

“Doc or Quack is the most comprehensive investigation to date of relations between mainstream, scientific doctoring and its imperishable Other—nonscientific, quack practice. Through a series of intricate case studies of how diseases gain medical recognition over significant periods of time, Gilman finds affiliation as well as antagonism in the divergent ways diseases come to be delineated and understood. In each chapter he poses the question: in responding to diseases, what does it mean for policy advisers and governments to ‘follow the science?’ His response is a profound interrogation of scientific and quack practices—the Ying and the Yang of medicine—which shows they are less polar and more interconnected than their differing philosophies, methods and remedies would suggest, with elements of each interwoven in the evidence base. In charting how medical knowledge develops, Gilman brings a powerful historical lens to the shifting and ambiguous meanings of evidence and science in medicine.”

"This book could not be timelier, coming at an inflection point in popular belief about health and disease, when waning trust in the medical profession throws conventional understandings of evidence-based science up for grabs. Employing erudition along with wit, Gilman’s opus takes the reader on a magisterial journey through centuries of radical changes in beliefs about and the practices of the healing arts."

"During the COVID-19 pandemic, the messiness of science and its relationship to medical practice burst into the open. Masks or no masks? Were the vaccines safe? Where were the lines between scientific facts, 'best' medical practices, and quackery? As experts’ views shifted, our lives hung in the balance. Now, one of our great historians, Gilman, takes up these matters, diving into questions of authority, what is lost in the 'translation' of science to medical practice, and the complex play of certainty and doubt that makes one caregiver trustworthy and another a danger."

"In his broad, compelling narrative, Gilman interrogates the shifting and often murky line between scientific medicine and quackery. He shows that what constitutes scientific medicine is contingent upon place, time and numerous other issues like education and licensure, research methods and type of evidence, and professional and public suspicion or trust. He illustrates how beliefs about racial and ethnic differences are entangled in defining scientific validity and physician authority. Gilman’s case studies span numerous locations, historical periods, medicinal treatments and healing modalities to bring these issues to light. In this impressive and timely history, the author demonstrates that claims of 'following the science' are frequently more complicated than they seem."