„Und setzet eure Worte nicht auf Schrauben”︁ Medizinische Semiotik vom Ende des 18. bis zum Beginn des 20. Jahrhunderts - Gegenstand und Forschung

There is no doubt that medical semiotics are having a revival at the moment. Different aspects of yesterday's and today's interest in semiotics and in the historical interpretation of signs of disease in the context of theory and history of medicine can be illuminated: their deciphering as the history of the sign in medicine by historic science, their overestimation by philosophy during the Age of Enlightenment, their reduction to a phenomenology of medicine and natural science during the first half of the 19th century and their transformation to medical diagnostics since the middle of the 19th century and recently even their functionalization as methodical instrument within the history of science. The following will show the change in meaning of medical semiotics. Modern development and especially the transition to medicine, based on natural science, will be emphasized.     

Der medizinische Wissensaustausch zwischen Siebenbürgen und anderen europäischen Ländern im Spiegel des Auslandsstudiums und der ärztlichen Ausbildung der Siebenbürger vor der Gründung der Klausenburger Universität (1872)

The first perpetual university in Transylvania was founded rather late compared to European standards, namely only in 1872 in Klausenburg (Cluj, Kolozsvár). Through the centuries, the social request for physicians was satisfied by the education of Transylvanian students at foreign universities and by the immigration of physicians from abroad. Concerning the period from 1180 to 1849, we know about 7145 Transylvanian students at more than 80 different universities of the Occident. Thereof, 412 physicians and 219 surgeons can be documented by their names. The ranking list of the most frequented medical faculties (Vienna, Padova, Leyden, Utrecht, Jena, Lipsia, Erlangen, Frankfort‐on‐Oder, Goettingen, Basel etc.) proves that all of these medical men received their professional education (being sponsored socially) from the then most excellent foreign universities. Thus, studies abroad guaranteed continual transfer of knowledge from Western to Eastern Europe. This situation seems to partially have compensated the disadvantages of lacking own Transylvanian universities ‐ at least from the quality point of view, so that the professional standard of the education of doctors working in Transylvania used to correspond to the highest level of European medicine.     

Die Entdeckung des Unbewußten um 1900: Wissenschaftshistorische Anmerkungen zu Sigmund Freud

The Discovery of the Unconscious by Henri F. Ellenberger has become a common topic in the historiography of (dynamic) psychiatry. But many users of this term have still the opinion that Sigmund Freud was the unique discoverer. In reality there was a scientific context at the fin de siècle, which corresponded intensively with Freud's original concepts and formed their implications (e.g. Darwinism, Neurophysiology). Besides well-documented synchronic analogies Freud implanted diachronic traditions within his psychoanalytic theory. Especially, his main work The Interpretation of Dreams implies Greek mythology as well as natural philosophy of romanticism. Freuds special concepts like ‘transfer’ and ‘resistance’ have to be analysed as historical metaphors.     

Eine handgreifliche Geschichtslüge. Wie Martin Luther zum Gegner des copernicanischen Weltsystems gemacht wurde.

Martin Luther has been severely criticized for an offhand remark about Copernicus. In the most frequently cited version of this statement, Luther is alledged to have branded Copernicus as a fool who will turn the whole science of astronomy upside down. This disparaging judgment on Luther prevails in many publications by respected historians of science of the 20th century, although since the early thirties, it has been convincingly demonstrated that the famous citation from Luther's table talk is next to worthless as an historical source, that Luther never referred to Copernicus or to the heliocentric world system in all of his voluminous writings, and that there is no indication that Luther ever suppressed the Copernican viewpoint. His attitude towards Copernicus was indifference or ignorance, but not hostility. In this paper, it is shown that the story of Luther's anti‐Copernicanism emerged in the second half of the 19th century. It was invented by Franz Beckmann and Franz Hipler, two Prussian Catholic historians who were engaged in the conflict between the German government under Bismarck and the Catholic Church (Kulturkampf), and it was disseminated by influential German and American historians like Leopold Prowe, Ernst Zinner, and Andrew D. White. In the second half of the 20th century, many historians of science relied on the authority of these authors, rather than studying the sources or the secondary literature in which it has been proved that Luther's anti‐Copernicanism is an outright falsification of history.     

Von der „Natur der Sache”︁ zur Geschichte der Sprache Der Übergang von der Sprachforschung zur Sprachwissenschaft zu Beginn des 19. Jahrhunderts

From the “nature of things” to the history of language: The transition from the study of language to historico-comparative linguistics. This brief essay deals with a somewhat problematic phase in the history of linguistics and tries to investigate the process by which language could be understood as a historical phenomenon with a history of its own. This new understanding of language turned out to be the starting condition for a new and very prolific way in the study of language. The conjecture is that this is due to certain alterations in the semantic field of some important notions relating to language and its study. The process of alteration began by the end of the eighteenth century with conceptual achievements which could adequately be termed as temporalization of aspects of language and the notions related to these aspects. In connection with the so called discovery of the Sanskrit language and the gradual reception of its grammatical structure, looking upon language as an organic entity with autonomous and internal structures of developpement became possible after the German romantic language philosophy had developped a strictly abstract concept of language as a notion of form. This essentially metaphorical mode of speaking nevertheless inaugurated that languages were concieved of as having their own history totally independent of their speakers. With language as an autonomous object the study of language rapidly became the science of language.     

“… daß der Liebhaber etwas Erfreuliches und Nützliches zu leisten im Stande ist.” Goethe,Soemmerring und das Os intermaxillare beim Menschen

Goethe's theoretical comments on the acknowledgement of the natural sciences dilettante differ considerably from his own experiences in this role (Farbenlehre, Zwischenkieferknochen) of dilettante. Therefore, it seems necessary to raise general questions on the concept: dilettante of natural sciences during Goethe's time, furthermore, on the characterization and labeling of such a dilettante in an historical-scientific context. This is especially important since up to the present time this particular problem has hardly ever been examined. In addition, there is a summary of an historical case study, the discovery of the human intermaxillary bone by Goethe and of the specialists' reactions on this discovery, especially that of Soemmerring.     

„Fremde Körperwelten”︁. Russische Anthropologie und Medizin im kolonialen Diskurs des ausgehenden Zarenreiches

?Exotic Bodies”?: Russian Anthropology and Medicine in the Colonial Discours of Late Imperial Russia. In the nineteenth century Russian anthropologists adopted Western theories on the biological superiority of the white man in order to justify Russian colonization at the Asiatic periphery. After the Great Reforms the imperial process of acculturation was discussed in the context of modernization that also touched the institutionalization of colonial medicine. Whereas Russian armchair anthropologists were operating with racial idioms, physicians as practitioners on the colonial spot were not receptive to the ideology of “white man's burden”. From experience with the socioeconomic backwardness of Russia's Asiatic periphery physicians stood up for the vital rights of the indigenous population in the colonial Public Health. With deep respect for indigenous medicine Russian physicians were not advocates of Russian colonial expansion and racial discrimination that made them different to their Western colleagues. On the basis of Russian nineteenth century medical literature and Siberian archival sources this paper outlines the critical reflections of Russian physicians on Tsarist colonialism     

Georges Canguilhem als Medizinhistoriker

The work of the French philosopher Georges Canguilhem is introduced here. Medical historiography is not the ultimate aim of Canguilhems work, but rather a tool for the analysis ef epistemological questions. These questions are to be investigated, as well as the art of medical history that Canguilhem considers to be helpful for such investigations. French ?epistemology”?, a direction of philosophy of science to which Canguilhem belongs, is discussed first. Canguilhem's epistomology does not aim at a rational reconstruction of decontextualized scientific results, but at an historical reconstruction of science. It analyses the functioning of scientific concepts in relation of their historical context. The main themes of Canguilhems work (biological normality, scientific ideology and history of physiology) are summarized in a second part of this study. Finally we investigate the importance of Canguilhem for modern research in history of medicine.     

Der kundige Laie und das naturkundliche illustrierte Flugblatt der frühen Neuzeit

The aim of this paper is to demonstrate how German and Latin illustrated broadsheets of the sixteenth and seventeenth centuries can serve as documents of the history of sciences and the dissemination of scientific knowledge. It shows how broadsheets were used as a means of conveying scientific observations and conclusions not only among scholars versed in Latin but, through the medium of the vernacular, between scholars and laymen, too. In the fields of medicine, astronomy, zoology and botany in particular, the illustrated broadsheet facilitated the rapid circulation of case histories and accounts of various scientific phenomena. Furthermore, it played an important role in breaking down the barriers that separated the scholar from the layman, who was otherwise far removed from the world of books.     

“Die wissenschaftliche Ausbildung des Arztes ist eine Culturfrage …”. Über das Verhältnis von Wissenschaftsanspruch,Bildungsprogramm und Praxis der Medizin

The article shows that the elite, nationalistic and imperial mentality of German medicine in the second half of the nineteenth century was closely connected to its aim to be understodd as a natural science. With this in view leading representatives of German medicine propagated a scientific approach to man and nature instead of the traditional values of humanistic education (“Bildung”). One of the most important consequences of the new scientific ideal in medicine — integration in governmental planning, the change in professionel status of doctors, the increasing tendeny to recognize biologistic ideologies — was the loss of the medical ideal of the ars medica, a subject which has not received sufficient thematic attention. This theme is explored in the third part of the article.     

Britische Politiker als Liebhaber der Wissenschaft (ca. 1850–1914) — Zur Ideologie des Amateurismus

The various scholarly and scientific endeavours — comprising both arts and sciences —, which British statesmen persued in their leisure time, transcend the mere biographical aspect. In the light of the slow, yet steady professionalisation of educational and political institutions, many of them modernised or newly created in order to achieve what came to be called “National Efficiency”, the literary and scientific pastimes of men, like Gladstone, Morley, Salisbury, Balfour or Haldane, seemed soon to become somewhat obsolete. Yet, it is argued, that the often professedly amateurish activities did not merely display the traditional hobby attitude to the sciences, so characteristic of the wealthy aristocrat, but in some cases revealed a good understanding of the scientific and educational needs of society, leading up to their active advancement. The British amateurs, it would seem, were pleading for providing a balanced higher education and training, rather than going for the technical excellence of the political rival Imperial Germany, which dazzled and, at the same time, intimidated some of them.     

Pest,Stadt, Wissenschaft — Wechselwirkungen in oberitalienischen Städten vom 14. bis 17. Jahrhundert

After the Black Death of 1348 the Plague was not only the cause of personal disasters and individual despair, but was also of political and social significance. Each outbreak of the epidemic implied a crisis for the community with crucial consequences for trade, jurisdiction, administration, executive powers and for food supply. The faith in authority by the leading university medics was tragic, as they subscribed to the hippocratic-galenical humoral pathology and to the miasmatic theory. On the other hand, municipal authorities, from the 14th century onwards responded to the epidemic in a pragmatic manner, isolating the sick, carrying out checks, imposing trade embargos and special epidemic laws. From the 15th century onwards people were also put under quarantine. The medics' role, their relationship with the government and their tendency to play down the diagnosis will be discussed at length, together with the questionable tradition of the Regimina pestis.     

Zur Pluralisierung im Luthertum des 17. Jahrhunderts und ihrer Bedeutung für die Deutungen von ‚Natur’︁

Building on methodological considerations in cultural history and historical anthropology, the following contribution proceeds from the concept of ?nature’? rather than from ?natural science’?, with the former understood here as the object of culturally determined projections, values and practices. This ?constructive’?, practice‐oriented concept of nature exposes perceptions of and attitudes towards nature that, owing to the usual reduction of nature to natural science, would otherwise have remained hidden, but which may well be essential to its constitution. To a certain extent, the term ?nature’? continues the terminological extension from ?natural science’? to ?natural philosophy’?, but as a heuristic device it more strongly implies the significance of culturally mediated practices and dynamics. The essay raises the following questions: Which religious conceptions entered into which attitudes towards nature and which religious expectations and interpretive matrices were the motivating forces behind which studies of nature? The figures within seventeenth‐century Lutheranism who shaped and promoted nature‐oriented attitudes and practices were not the ?orthodox’? scholars more strongly tied to academic and controversialist theology, but rather reform‐oriented theologians critical of the church. In the context of the inner differentiation and pluralization of seventeenth‐century Lutheranism, these reform‐oriented groups not only inspired innovate theological projects but also assumed a leading role, along with liked‐minded Christian laypersons, in interpreting and studying ?nature’?.     

Arbeit und Zeit,Körper und Uhr: Die Konstruktion von ‚effektiver’︁ Arbeit im ‚Scientific Management’︁ des frühen 20. Jahrhunderts

The concept ‚Scientific Management’︁ was invented in 1910 for what was then called the ‚Taylor‐system’︁ of shop management. Frederick W. Taylor had developed his system to eliminate the “waste of human effort” mainly by “time study”, the analysis of the work of “first‐class workman” with a stop‐watch and the synthesis of standard times for given tasks which make the “waste” of effort visible and measurable. A reading of Karl Marx's work shows the “paradigm of productivity” governing mid‐century discussion of the value of labor. Time is a central element in the valuation of industrial labour, but only with Taylor the precision of the stop‐watch is introduced to observe and control the productivity of the body of the worker. As disciples of Taylor Frank and Lillian Gilbreth introduced motion studies and micromotion studies into Scientific Management. Their analysis of the motion of workers, technically assisted by high‐speed watches and cameras, goes beyond the surface‐observation of the first‐class workman to enable the design of efficient motion. The body of the worker is represented in lines of light and tables of data. The objects of desire are the time‐lines of efficiency and productivity. In both cases, Taylor and the Gilbreths, various observations further lead to the conclusion that science and schooling are an important historical background to the rise of Scientific Management that deserves closer inspection.     

Zytoarchitektonik und Revolution ‐ Lenins Gehirn als Raum und Objekt

The investigation of Lenin's brain by the German neurobiologist Oskar Vogt from Berlin and his Russian collaborators in Moscow is one of the most exciting and simultaneously oddest chapters in the history of medicine. With the bizarre claim to be able to detect the material substrate of genius it provoked as much unrealistic expectations in the public as strong criticism by the scientific community of brain researchers. The present paper deals in a brief survey with the history of collecting and measuring the brains of famous persons in general and particularly with the historical, political and social circumstances of the performed investigation of Lenin's brain. In this connection the epistemological and technical prereqisites of architectonical brain research and its means of the topographical representation of complex histo‐anatomical and physiological differences in the brain cortex are shortly discussed. The opening of Russian archives after the socio‐economic turn of the year 1991 brought up new background facts in Lenin's pathobiography; together with the sources from German archives a rather extensive reconstruction of the historical events between Lenin's death in 1924 and the final report of the Moscow Brain Research Institute (Institute Mozga) to the Politburo of the Russian Communist Party (Bolsheviki) in 1936 is possible now.     

Romantische Naturkunde - Die Doppelsinnigkeit der Naturbildung des Bernhard Heinrich Blasche (1766-1832)

Naturbildung, written by B. H. Blasche in 1815, seems a typical philanthropic study about science education private organized. But it also demonstrates romantic philosophy influences, which led at least from describing natural history to biology. There was no success in Blasche's reformatory efforts: first reason because the idea of private education-institution was out of discussion. Second reason was, on the way to stateorganized schoolsystem in Germany classic philology dominated and repressed deeply science education.     

Ein gravierender Fehler in der Übersetzung und Interpretation der Akten des Galileischen Inquisitionsprozesses

Erroneous translation of a crucial document from the Inquisition file on the trial of Galileo Galilei: In 1616 Galileo was forbidden to propagate the doctrine that the earth revolves around the sun. This injunction, by order of the pope, was only to be implemented if Galileo actually refused when asked to abandon his stance. Galileo was asked and did refuse. This fact has remained hitherto unknown because of an error in translation. The words in question are “successive, ac incontinenti”, which must be rendered as “then (following the order of the pope) because Galileo did not agree”. The document makes sense if translated in this manner.     

Zur Geschichte des Kaiser-Wilhelm-Instituts für physikalische Chemie und Elektrochemie. Zur geplanten Veränderung des Instituts in eine Forschungs- und Entwicklungsstätte des Heeres für den Gaskampf und Gasschutz auch in Friedenszeiten 1916 und nach 1933

A Contribution to the History of the Kaiser Wilhelm Institute for Physical Chemistry and Electrochemistry: On Projected Changes of the Institute into a Research and Development Center of the Army for Chemical Warfare also in Times of Peace 1916 and after 1933. — The Kaiser Wilhelm Institute for Physics and Electrochemistry, today named after its first director Fritz-Haber-Institut, was in the first World War a place of research on chemical warfare. Evidences in the Archive for the History of the Max-Planck-Gesellschaft show that it was planned during the war to continue research in this area in peacetime. To realize this Fritz Haber proposed to found a special Kaiser Wilhelm Institute. As this could not be accomplished the war ministry founded 6 million marks to establish an extra department in the KWI of Physical Chemistry and Electrochemistry just before the end of the war. After Germany lost the war these were used for other research areas while work on chemical warfare was carried out elsewhere. When Fritz Haber resigned 1933 because of the race-laws of the nationalsocialists the war ministry in cooperation with the ministery for culture nominated an obliging scientist as director of the institute with the aim to take up again research in the area of chemical warfare despite of the opposition of the president of the Kaiser-Wilhelm-Gesellschaft and the ministery of the interior. After that time until the end of the second world war 1945 a good part of the work carried out in the institute was done for the war ministry.     

Die Französische Revolution im Spiegelbild. Die Reaktion der deutschen Ärzte auf die Revolution und das Revolutionieren

The German physicans and medical scientists reacted to the French Revolution in several ways, if you judge only from the medical literature:

• 1 At the beginning of the French Revolution, the scientist answered with still silence, whereas the young intellectual generation was filled with enthusiasm. But after the battle of Valmy (1792) this enthusiasm vanished and they resigned to execute an equal revolution in Germany.
• 2 When, in the middle of the 1790s, scientists gave commentaries on revolutionary acts, they despised the revolution itself. This could only destroy the old – and even better – order. They argued that you can have recourse to science to avoid the political and socially deranged situation.
• 3 This rejection against the political revolution was combined with a rejection against the influences of natural philosophy on medicine. Schelling's philosophy plays the role as an scientific revolution with all negative aspects like the political one. In this sense, the science in the old scientific manner has to be an accepted refuge.
• 4 But in this retreat they developed ideas of German national science to conteract on the French influences. The consciousness of nationalism was supported by the scientists of romantic movements.
• 5 The following degree is characterized by a mental leap. Now, they argued, it will never be necessary to revolutionize the medicine: in science all the ideals of French Revolution are realized – freedom, equality and fraternity.
• 6 Consequently, only in a formal sense did they respond to the French Revolution and so they avoided recognizing, that science is influenced politically and also science itself exercises on in a political way.