Mediate Auscultation, the Stethoscope, and the “Autopsy of the Living”: Medicine's Acoustic Culture

Mediate Auscultation, the Stethoscope, and the “Autopsy of the Living”: Medicine's Acoustic Culture
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中介听诊、听诊器和“活人尸检”:医学的声学文化

DOI:
10.1023/a:1009067628620
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发表时间:
2001
影响因子:
0.9
通讯作者:
J. Sterne
J. Sterne
中科院分区:
--
文献类型:
--
作者:
J. Sterne

文献摘要

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中介听诊实践——通过听诊器聆听身体的声音——是 19 世纪医学思想和实践新表述的核心。在那段时期,听诊器成为现代医学的标志。本文详细考察了 RTH Laennec 的工作以及其他有关听诊器的重要著作,以论证现代医学中听力的独特取向的核心地位。中介听诊的发展将医学和科学原理应用于聆听,就像聆听身体的特定实践成为医学日常功能不可或缺的一部分一样。因此,调解听诊是一种新的理性和感官方法的产物,一种基于科学思维和调解逻辑的方法。
The practice of mediate auscultation—listening to the body through a stethoscope—was at the center of new articulations of medical thought and practice in the 19th century. During that period, the stethoscope became the hallmark of medical modernity. This article offers a detailed examination of the work of RTH Laennec and other important writings on the stethoscope in order to argue for the centrality of a distinctive orientation toward listening in modern medicine. The development of mediate auscultation applied medical and scientific reason to listening, just as a particular practice of hearing the body became integral to everyday functioning of medicine. Mediate auscultation was thus an artifact of a new approach to reason and the senses, one based in a scientific mindset and a logic of mediation.