消失的歇斯底里烙印

作者資訊
陳嘉新
台北醫學大學,雙和醫院精神科
台北醫學大學醫學系醫學人文科

中文摘要

「烙印」(Stigmata)曾經在十九世紀的歇斯底里研究佔有重要的地位,當時著名的神經醫學家如Jean-Martin Charcot,認為烙印是歇斯底里症的重要身體症狀,跟歇斯底里痙攣的分期一樣,是讓這個多變的疾病得以被辨識的基礎且固定的特徵。然而此症狀卻隨著疾病分類、醫療技法、機構體制與治療關係的變遷,而逐漸在臨床表現中消失。追尋歇斯底里烙印消失的歷史,一方面有助於理解知識與身體的相互關係,另外一方面也點出這個關係的社會意義。

 Abstract

Stigmata were considered pivotal to studies on hysteria in nineteenth-century French neurology. Jean-Martin Charcot, a distinguished neurologist then, defined stigmata as major physical symptoms of hysteria. Just as the staging of hysterical fits, the presence of stigmata constituted a significant foundation upon which an elusive illness such as hysteria could be identified. However, the symptom disappeared clinically as medical taxonomy, clinical intervention, institutional condition, and therapeutic relationship changed over time. This history of hysterical stigmata aims to clarify the co-constructiveness of knowledge and body on the one hand, and to highlight social meanings of this relationship on the other.

引用: 
《科技、醫療與社會》,第13期,2011年10月出版