Personal and sensational vs. impersonal and objective: A historical overview of patient presentation in medical case reports

• Authors: Magdalena Murawska

Title variants

PL

Subiektywny/niesamowity oraz obiektywny/bezosobowy – obraz pacjenta w medycznym opisie przypadku w ujęciu historycznym

DE

Persönlich und sensationell vs. unpersönlich und objektiv – ein historischer Überblick über die Patientendarstellung in medizinischen Fallberichten

• Languages of publication: EN

Abstracts

EN

This paper reviews and discusses the literature regarding the evolution of medical case reports with particular emphasis on patient presentation. It demonstrates how developments in medicine, i.e. increasingly sophisticated diagnostic and treatment procedures, affected both the structure and content of the genre, which is reflected in Bazerman’s (1988) claim that scientific discourses are shaped and constantly modified by particular disciplines. The paper commences with the originsof case reports, touches upon the revolutionary changes in medicine of the nineteenth century, progresses to the twentieth and twenty-first centuries and finishes with a description of contemporary case reports. It argues that as technological advancement progressed, case reports changed from subjective stories about the extraordinary to impersonal medical accounts. Therefore, by demonstrating how scientific discoveries and intellectual trends in medicine shaped the modes of patient presentation, the patient’s perspective will be adopted, which is in line with recent patient-centred trends in medical practice.

DE

Diese Arbeit gibt einen Überblick über die Fachliteratur zur Evolution des medizinischen Fallberichts als einer Textsorte, mit besonderer Berücksichtigung der Patientendarstellung. Die Arbeit präsentiert, wie die medizinische Entwicklung, d. h. wie die weiter fortgeschreitenden Diagnostik- und Behandlungsprozeduren die Struktur und den Inhalt dieser Textsorte beeinflussen. Den Ausgangspunkt bildet die Annahm von Bazermans (1988), dass der wissenschaftliche Diskurs ununterbrochen von bestimmten Disziplinen gestaltet und modifiziert wird. Die Arbeit beginnt mit der Geschichte des Fallberichts, bespricht die revolutionären Änderungen der Medizin des 19. Jahrhunderts, geht weiter ins 20. und 21. Jahrhundert und endet mit einer Darstellung von aktuellen Fallberichten. Der Aufsatz strebt außerdem an, nachzuweisen, dass mit dem technologischen Fortschritt die Fallberichte ihren Charakter von subjektiven außergewöhnlichen Geschichten zu unpersönlichen medizinischen Berichten geändert haben, was auch einen Einfluss auf das Bild des Patienten hatte.

PL

Niniejszy artykuł prezentuje przegląd i dyskusję literatury dotyczącej ewolucji medycznego opisu przypadku jako gatunku z uwzględnieniem sposobu zobrazowania w nim pacjenta. Zostanie pokazane jak rozwój medycyny, tj. coraz bardziej zaawansowane procedury diagnozowania i leczenia, wpłynęły zarówno na strukturę jak i treść gatunku, przyjmując twierdzenie Bazermana (1988), iż dyskursy naukowe są kształtowane i stale modyfikowane przez poszczególne dyscypliny. Artykuł rozpoczyna się od opisu początków gatunku, wymienia rewolucyjne zmiany w medycynie w XIX w., omawia wiek XX i XXI, aby zakończyć się charakterystyką współczesnych opisów przypadku. Zostanie również pokazane, jak wraz z postępem technologicznym, opisy przypadku zmieniły się z subiektywnych niesamowitych opowieści w bezosobowe opisy medyczne, co miało także wpływ na obraz pacjenta.

Keywords

EN

medical case reports; patient presentation; text analysis

PL

obraz pacjenta; analiza tekstu; medyczny opis przypadku

• Publisher: Instytut Germanistyki Uniwersytetu Warszawskiego oraz Instytut Filologii Germańskiej Uniwersytetu Rzeszowskiego
• Journal: tekst i dyskurs - text und diskurs
• Year: 2013
• Issue: 6
• Pages: 185-202

Dates

published

2013

Contributors

author

Magdalena Murawska

• Uniwersytet im. Adama Mickiewicza w Poznaniu

References

• Armstrong, David (2002): A new history of identity. A sociology of medical knowledge. Basingstoke.
• Arney, William Ray/ Bernard J. Bergen (1983): The anomaly, the chronic patient and the play of medical power. In: Sociology of Health and Illness 5:1, 1-25.
• Ashcroft, Richard E. (2000): Teaching for patient-centred ethics. In: Medicine, Health Care and Philosophy 3, 287-295.
• Atkinson, Dwight (1992): The evolution of medical research writing from 1735 to 1985: The case of the Edinburgh Medical Journal. In: Applied Linguistics 13, 337-374.
• Atkinson, Paul (1997): The clinical experience. Aldershot.
• Bayle, Antoine-Laurent Jesse (1825): Nouvelle doctrine des maladies mentales. Paris.
• Bazerman, Charles (1988): Shaping written knowledge. The genre and activity of the experimental article in science. Madison.
• Beagan, Brenda L. (2000): Neutralising differences: Producing neutral doctors for (almost) neutral patients. In: Social Science and Medicine 51, 1253-1265.
• Bichat, Xavier (1822): General anatomy, applied to physiology and medicine. Boston.
• Blois, Marsden S. (1984): Information and medicine. Berkeley.
• Capra, Fritjof (1985): The turning point. Science, society and the rising culture. London.
• Cartwright, Frederick F. (1977): A social history of medicine. London.
• Condrau, Frederick (2007): The patient’s view meets the clinical gaze. In: Social History of Medicine 20, 525-540.
• Crites, Stephen (1966): Religion as story: Angels we have heard. In: Scholes, Robert/ Kellogg, Robert (eds.): The nature of narrative. Oxford, p. 23-63.
• Dubertret, Louis (2006): Patient-based medicine. In: Journal of European Academy of Dermatology and Venerology 20, 73-76.
• Fairclough, Norman/ Wodak, Ruth (1997): Critical discourse analysis. In: Van Dijk, Teun A. (ed.): Discourse as social interaction. Vol. 1. London, 258-284.
• Fleischman, Susanne (2001): Language and medicine. In: Schiffrin, Deborah/ Tannen, Deborah/ Hamilton, Heidi E. (eds.): The handbook of discourse analysis. Oxford, 470-502.
• Foucault, Michel (2003 [1963]): The birth of the clinic. An archaeology of medical perception. London.
• French, Roger (2003): Medicine before science. Cambridge.
• Gotti, Maurizio/ Salager-Meyer, Françoise (eds.)(2006): Advances in medical discourse analysis–oral and written contexts. Bern.
• Grice, Francis/ Kramer-Dahl, Annelise (1992): Grammaticalising the medical case history. In: Toolan, Michael (ed.): Language, text and context: Essays in stylistics. London, p. 56-90.
• Gunnarsson, Britt-Louise (2009): Professional discourse. London.
• Hoekje, Barbara J. (2007): Medical discourse and ESP courses for international medical graduates (IMGs). In: English for Special Purposes 26, 327-343.
• Hunter, Kathryn Montgomery (1991): Doctors' stories. The narrative structure of medical knowledge. Princeton.
• Hurwitz, Brian (2006): Form and representation in clinical case reports. In: Literature and Medicine 25:2, 216-240.
• Kenny, Nuala P./ Beagan, Brenda L. (2004): The patient as text–a challenge for problem-based learning. In: Medical Education 38, 1071-1079.
• Kyper, Albert (1654): Institutes of medicine. Amsterdam.
• Macnaughton, Jane R./ Evans, Martyn H. (2004): Medical humanities and medical informatics: An unlikely alliance? Is there a role for patients’voices in the modern case record? In: Medical Humanities 30:2, 57-58.
• Margotta, Roberto (1996): History of medicine. London.
• Mead, Nicola/ Bower, Peter (2000): Patient-centredness: A conceptual framework and review of the empirical literature. In: Social Science & Medicine 51, 1087-1110.
• Naerssen van, Margaret M. (1985): Medical records: One variation of physicians’language. In: International Journal of the Sociology of Language 5, 43-73.
• Newman, Charles (1957): The evolution of medical education in the nineteenth century. London.
• Nowell-Smith, Harriet (1995): Nineteenth-century narrative case histories: An inquiry into stylistics and history. In: CBMH/BCHM 12, 47-67.
• Peile, Ed (2003): Commentary: More to be learnt from the discussion than the diagnosis. In: The British Medical Journal 326, 1136.
• Phillips, Nelson/ Hardy, Cynthia (2002): Discourse analysis. Investigating processes of social construction. London.
• Pigeaud, Jackie (1988): Literary style as a constituent element of medicine. Paper presented at McGill University, March 1988.
• Pomme, Pierre (1796): Traite des affections vaporeuses des deux sexes. Vol. 1. Lyons.
• Porter, Roy (2003): Blood and guts. A short history of medicine. London.
• Rawlison, Mary C. (1982): Medicine's discourse and the practice of medicine. In: Kestenbaum, Victor (ed.): The humanity of the ill. Knoxville, 68-85.
• Reiser, Stanley Joe (1991): The clinical method in medicine part 1: Learning from cases. In: Annals of Internal Medicine 114:10, 902-907.
• Scambler, Graham (2003): Sociology as applied to medicine. Edinburgh: Saunders.
• Siota, A. K./ A. Chaudhuri/ S. I. Muzulu/ D. Harling/ R. Muthusamy (2005): Postoperative hypoxia in a woman with Down’s syndrome: Case outcome. In: The British Medical Journal 330, 1068.
• Smith, Richard (2008a): Why do we need Cases Journal. In: Cases Journal 1, 1: http://www.casesjournal.com/content/1/1/1 (13.6.2012).
• Taavitsainen, Irma/ Pahta, Päivi (1998): Vernacularisation of medical writing in English: A corpus-based study of scholasticism. In: Early Science and Medicine 3, 157-185.
• Taavitsainen, Irma/ Pahta, Päivi (2000): Conventions of professional writing: The medical case report in a historical perspective. In: Journal of English Linguistics 28:1, 60-76.
• Taavitsainen, Irma/ Pahta, Päivi/ Leskinen, Noora/ Ratia, Maura/ Suhr, Carla (2002): Analysing scientific thought-styles: What can linguistic research reveal about the history of science? In: Raumolin-Brunberg, Helena/ Nevala, Minna/ Nurmi, Arja/ Rissanen, Matti (eds.): Variation past and present: VARIENG studies on English for Terttu Nevalainen. Helsinki, p. 251-270.
• Vandenbroucke, Jan P. (2001): In defence of case reports and case series. In: Annals of Internal Medicine 134:4, 330-334.
• Wade, Derick T./ Halligan, Peter W. (2004): Do biomedical models of illness make for good healthcare systems? In: British Medical Journal 329, 1398-401.
• Walsh, Stephen H. (2004): The clinician’s perspective on electronic health records and how they can affect patient care. In: The British Medical Journal 328, 1184-1187.
• Warter, John Southey (1865): Observation in medicine, or the art of case taking. London.

Identifiers

ISSN

1899-0983