Abstract
This research explores how social actors adjudicate knowledge claims within intellectual environments where epistemic standards are contested. Through the case study of 19th century debates over cholera in the United States, I examine the strategies deployed by orthodox and homeopathic physicians in the struggle over medical knowledge during this “epistemic contest.” The 1832 cholera epidemic ushered in a crisis for orthodox medicine, as epistemological standards for adjudicating medical knowledge claims became challenged and ill-defined. Failing to muster an effective cultural response to homeopathy, orthodoxy adopted an organizational strategy, forming the American Medical Association and offering professional membership as a proxy indicator of legitimate knowledge. The AMA created an organizational/intellectual space insulated from homeopathy, which translated into a concerted campaign to exclude homeopaths from government institutions and affected the nature of orthodox knowledge on cholera. This case reveals that epistemic contests are not waged by cultural means only; organizational practices form an integral part of actors’ repertoires in adjudicating epistemological claims in practice.
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Abend, G. (2006). Styles of sociological thought: Sociologies, epistemologies, and the Mexican and U.S. quests for truth. Sociological Theory, 24, 1–41.
Ackernecht, E. H. (1967). Medicine at the Paris hospital, 1794–1848. Baltimore: Johns Hopkins University Press.
Adams, G. W. (1996). Doctors in blue: The medical history of the Union Army in the Civil War. Baton Rouge: Louisiana State University Press.
Allen, P. (1947). Etiological theory in America prior to the Civil War. Journal of the History and Medicine, 2, 484–520.
American Medical Association. (1847). Proceedings of the National Medical Convention, held in the City of New York in May, 1846. Philadelphia: Collins.
American Medical Association. (1851). Code of medical ethics of the American Medical Association. Chicago: American Medical Association.
American Medical Association. (1854). Transactions of the american medical association (Vol. 7). New York: Norton.
American Medical Association. (1878). Transactions of the American medical association (Vol. 29). Philadelphia, PA: Collins.
American Medical Times. (1863). The week. American Medical Times, 6, 56.
Bartlett, E. (1844). An essay on the philosophy of medical science. Philadelphia: Lea & Blanchard.
Bissell, D. P. (1866). Annual address. Transactions of the medical society of the State of New York (pp. 3–23). Van Benthuysen: Albany.
Brinsmade, T. C. (1859). Annual address before the Medical Society and members of the legislature. Transactions of the Medical Society of the State of New York, 1859 (pp. 5–30). Albany: van Benthuysen.
Butler, S. W., Levis, R. J., & Butler, L. C. (1861). Mr. Fergusson holding the professional intercourse with homeopaths. Medical and Surgical Reporter, 6, 496–497.
Carruthers, B., & Espeland, W. (1991). Accounting for rationality—double-entry bookkeeping and the rhetoric of economic rationality. The American Journal of Sociology, 97, 31–69.
Cassedy, J. H. (1984). American medicine and statistical thinking, 1800–1860. Cambridge: Harvard University Press.
Chapman, N. (1848). Transactions of the American medical association (Vol. 1). Philadelphia: Collins.
Clark, A. (1854). Annual address delivered before New York State Medical Society and members of the legislature. Transactions of the Medical Society of the State of New York, 1853, 1854 (pp. 271–295). Albany: van Benthuysen.
Cook, S. A. (1846). Address delivered before the Medical Society of the County of Rensselaer. Transactions of the New York Medical Society (Vol. 6, pp. 104–132). Munsell: Albany.
Coulter, H. L. (1969). Political and social aspects of nineteenth-century medicine in the United States. Unpublished doctoral dissertation.
Coulter, H. L. (1973). Divided legacy: A history of the schism in medical thought. Washington: McGrath.
Daston, L. (1992). Objectivity and the escape from perspective. Social Studies of Science, 22, 567–618.
Davidson, A. I. (2001). The emergence of sexuality: Historical epistemology and the formation of concepts. Cambridge: Harvard University Press.
Dear, P. (1992). From truth to disinterestedness in the seventeenth century. Social Studies of Science, 22, 619–631.
Dickson, S. H. (1849). On the progress of Asiatic cholera during the years, 1844-46-47-48. New York Journal of Medicine, 2, 9–20.
Duffy, J. (1993). From humors to medical science: A history of American medicine. Urbana: University of Illinois Press.
Duffy, J. (1990). The sanitarians: A history of American public health. Urbana: University of Illinois Press.
Epstein, S. (1996). Impure science: AIDS, activism, and the politics of knowledge. Berkeley: University of California Press.
Fishbein, M. (1947). A history of the American Medical Association, 1847 to 1947. Philadelphia: Saunders.
Fleck, L. (1979). Genesis and development of a scientific fact. Chicago: University of Chicago Press.
Foucault, M. (1994). The birth of the clinic: An archaeology of medical perception. New York: Vintage Books.
Foucault, M. (1973). The order of things: An Archaeology of the Human Sciences. New York: Vintage Books.
Fourcade-Gourinchas, M. (2001). Politics, institutional structures, and the rise of economics: A comparative study. Theory and Society, 30, 397–447.
Freidson, E. (1988). Profession of medicine: A study of the sociology of applied knowledge. Chicago: University of Chicago Press.
Frickel, S. (2004). Chemical consequences: Environmental mutagens, scientist activism, and the rise of genetic toxicology. New Brunswick: Rutgers University Press.
Frickel, S., & Gross, N. (2005). A general theory of scientific and intellectual movements. American Sociological Review, 70, 204–232.
Frickel, S., & Moore, K. (2006). The new political sociology of knowledge. Madison, WI: University of Wisconsin Press.
Fuller, S. (1988). Social epistemology. Bloomington: Indiana University Press.
Gieryn, T. F. (1999). Cultural boundaries of science: Credibility on the line. Chicago: University of Chicago Press.
Guston, D. (1999). Stabilizing the boundary between U.S. politics and science: The role of the Office Technology Transfer as a boundary organization. Social Studies of Science, 29, 87–111.
Hacking, I. (1985). Styles of scientific reasoning. In. J. Rajchman & C. West (Eds.), Post-analytic philosophy (pp.145–164). New York: Columbia University Press.
Haller, J. S. (1981). American medicine in transition, 1840–1910. Urbana: University of Illinois Press.
Haller, J. S. (2000). The people’s doctors: Samuel Thomson and the American Botanical Movement, 1790–1860. Carbondale: Southern Illinois University Press.
Haller, J. S. (2005). The history of American homeopathy: The academic years, 1820–1935. New York: Pharmaceutical Products Press.
Hess, D. J. (2004). Medical modernisation, scientific research fields and the epistemic politics of health social movements. Sociology of Health & Illness, 26, 695–709.
Hiller, F. (1867). Medical truth and light for the million. Virginia: Territorial Enterprise Book and Job Printing.
Hooker, W. (1852). Homeopathy: An examination of its doctrines and evidences. New York: Scribner.
Hooker, W. (1849). Physician and patient. New York: Arno Press.
Hutchinson, J. C. (1867). Annual address. Transactions of the Medical Society of the State of New York, 1867 (pp. 53–69). Van Benthuysen: Albany.
Jardine, N. (1992). The laboratory revolution in medicine as rhetorical and aesthetic accomplishment. In A. Cunningham & P. Williams (Eds.), The laboratory revolution in medicine (pp. 304–323). New York: Cambridge University Press.
Jones, R. M. (1970). American doctors in Paris, 1820–1861: A statistical profile. Journal of the History of Medicine and Allies Services, 143-157.
Kaufman, M. (1988). Homeopathy in America: The rise and fall and persistence of a medical heresy. In N. Gevitz (Ed.), Other healers: Unorthodox medicine in America (pp. 99–123). Baltimore: Hopkins.
Kleinman, D. L., & Kinchy, A. (2003). Boundaries in science policy making: Bovine growth hormone in the European Union. Sociological Quarterly, 44, 577–585.
Knorr-Cetina, K. (1999). Epistemic cultures: How the sciences make knowledge. Cambridge: Harvard University Press.
Kurzman, C. (1994). Epistemology and the sociology of knowledge. Philosophy of the Social Sciences, 24(3), 267–290.
Latour, B., & Woolgar, S. (1986). Laboratory life: The construction of scientific facts. Princeton: Princeton University Press.
Lippe, A. (1865). Who is a homeopathician? Philadelphia: King and Baird.
Longino, H. (2002). The fate of knowledge. Princeton: Princeton University Press.
Macneven, W. H. (1849). Remarks on the mode by which cholera is propagated. New York Journal of Medicine, 2(2), 186–209.
Mannheim, K. (1955). Ideology and utopia. New York: Harvest Books.
Marks, G., & Beatty, W. K. (1973). The story of medicine in America. New York: Scribners.
Meckel, R. A. (1998). Save the babies: American public health reform and the prevention of infant mortality, 1850–1929. Ann Arbor: University of Michigan Press.
Metcalf, J. (1869). Discussion on epidemic cholera. Bulletin of the New York Academy of Medicine, 3, 1–25.
Moore, K. (1996). Organizing integrity: American science and the creation of public interest organizations, 1955–1975. The American Journal of Sociology, 101, 1592–1627.
New York Academy of Medicine. (1862). Report of a Special Committee upon the communications remonstrating against homeopathy, from the Oneida County Medical Society and the New York Academy of Medicine. Transactions of the Medical Society of the State of New York, 1862, vol. 15 (pp. 433–438). Albany: van Benthuysen.
New York Assembly Select Committee on Petitions. (1843). Report of the Select Committee on Petitions, praying for the repeal of laws restricting medical practice. Documents of the Assembly of the State of New York, 3, 1–8.
New York Homeopathic Society. (1834). Homeopathic treatment of cholera: Comparative tables of cures in Russia and Austria. American Journal of Homeopathy, 1, 25–28.
New York Journal of Medicine. (1849). The progress of cholera in America. New York Journal of Medicine, 2, 97–99.
New York Senate Select Committee on Petitions. (1844). Report of the Select Committee on Petitions for the repeal of laws restricting medical practice. Documents of the Senate of the State of New York, 1, 1–4.
Numbers, R. L. (1985). The fall and rise of the American medical profession. In J. Leavitt & R. Numbers (Eds.), Sickness and health in America (2nd ed., pp. 185–196). Madison: University of Wisconsin Press.
Orme, F. H. (1868). Homeopathy—What is it? Detroit: Lodge.
Pickering, A. (1995). The mangle of practice: Time, agency, and science. Chicago: University of Chicago Press.
Polanyi, M. (1958). Personal knowledge: Towards a post-critical philosophy. Chicago: University of Chicago Press.
Poovey, M. (1998). A history of the modern fact: Problems of knowledge in the sciences of wealth and society. Chicago: University of Chicago Press.
Porter, T. M. (1986). The rise of statistical thinking, 1820–1900. Princeton: Princeton University Press.
Porter, R. (1998). The greatest benefit to mankind: A medical history of humanity. New York: Norton.
Quackenbush, J. V. (1869). Introductory remarks. Transactions of the Medical Society of the State of New York (pp. 4–5). Van Benthuysen: Albany.
Quine, W. V. O. (1969). Ontological relativity and other essays. New York: Columbia University Press.
Roosa, D. B. (1893). The high aims of the Academy. Transactions of the New York Academy of Medicine, 2, 52–66.
Rosenberg, C. E. (1987). The cholera years: The United States in 1832, 1849, and 1866. Chicago: University of Chicago Press.
Rosner, D. (1982). A once charitable enterprise: Hospitals and health care in Brooklyn and New York, 1885–1915. New York: Cambridge University Press.
Rothstein, W. G. (1992). American physicians in the 19th century: From sects to science. Baltimore: Johns Hopkins University Press.
Sayre, L. A. (1870). Minutes of the 63rd annual meeting. Transactions of the Medical Society of the State of New York, 1870. Van Benthuysen: Albany.
Schweber, L. (2006). Disciplining statistics: Demography and vital statistics in France and England, 1830–1885. Durham: Duke University Press.
Sewell, W. H. (2005). Logics of history: Social theory and social transformation. Chicago: University of Chicago Press.
Seymour, W. P. (1857). History of the cholera epidemic of 1854, at Troy, NY. Transactions of the Medical Society of the State of New York (pp. 175–202). Van Benthuysen: Albany.
Shapin, S. (1994). A social history of truth: Civility and science in seventeenth-century England. Chicago: University of Chicago Press.
Shapin, S. (2008). The scientific life: A moral history of a late modern vocation. Chicago: University of Chicago Press.
Shapin, S., & Schaffer, S. (1985). Leviathan and the air-pump: Hobbes, Boyle, and the experimental life. Princeton: Princeton University Press.
Starr, P. (1982). The social transformation of American medicine. New York: Basic Books, Inc.
Stevens, R. (1971). American medicine and the public interest. New Haven: Yale University Press.
Stow, T. D. (1864). Homeopathy in the army. Transactions of the Homeopathic Medical Society of the State of New York for the Year 1864, vol. 2 (pp. 246–260). Albany: Argus Co. Printers.
Toulmin, S. E. (1992). Cosmopolis: The hidden agenda of modernity. Chicago: University of Chicago Press.
Van Ingen, P. (1949). The New York Academy of Medicine: Its first hundred years. New York: Columbia University Press.
Warner, J. H. (1997). The therapeutic perspective: Medical practice, knowledge, and identity in America, 1820–1885. Princeton: Princeton University Press.
Warner, J. H. (1998). Against the spirit of system: The French impulse in nineteenth-century American medicine. Princeton: Princeton University Press.
Whooley, O. (2008). Objectivity and its discontents: Knowledge advocacy in the Sally Hemings controversy. Social Forces, 86, 1367–1390.
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Whooley, O. Organization Formation as Epistemic Practice: The Early Epistemological Function of the American Medical Association. Qual Sociol 33, 491–511 (2010). https://doi.org/10.1007/s11133-010-9172-y
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DOI: https://doi.org/10.1007/s11133-010-9172-y