In our contemporary Western society, the essential role of the physician is generally considered to be one of healer of the sick. Therefore the education and training of the future physician is primarily directed towards the goal of curing the physically or mentally diseased person and returning the same to a healthy state. It has, however, been more and more accepted that to avoid such physical and mental dysfunction, preventive measures must be taken which also must include attention to social factors. This was recognized by the World Health Organization, which defined health as “not only the absence of disease, but the complete state of physical, mental, and social well-being.” Critics say that with this definition the physician would assume a dominant role in all aspects of human life and behavior and would become, so to speak, the high priest of society. And indeed, in antiquity and frequently in the Middle Ages, the healers were also the priests and chieftains. How then, through the centuries, has the question of the physician's responsibility and competence for dealing not only with physical and mental diseases, but also with the underlying social causes, been answered?
In ancient Greece, the god of health, Asklepios, had two competing and quarreling daughters, Hygeia and Panakeia. Hygeia was given the role of maintaining health through sound living and “prophylaxis” (hygiene, preventive medicine) while Panakeia was responsible for healing and curing illness (panaceas, curative medicine).1 Originally meant to be equals, visits to her temple, sacrifices for and prayers to Panakeia appear much more frequently in our sources than those for Hygeia, indicating a greater demand by the people for assistance in healing their illnesses than willingness to change their lifestyles or social behavior aimed at avoiding the same. As described by Rosen2: “Health problems have always been intimately related to the political, economic and social conditions of particular groups of people; but in earlier periods these relationships were not the subject of systematic investigation. … Nonetheless, sporadic observations linking social and cultural factors or situations with the health of the members of a community were recorded in antiquity and in medieval times.” However, the imbalance between preventive and curative care persisted, and the healing of illness remained at the center of the physician's activity.
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References
Smith D.R. (1994) “Porches, Politics and Publish Health.” American Journal of Public Health 84 (5): 725–726. See also the chapter by Primavesi in this volume.
Rosen G. (1972) “The Evolution of Social Medicine,” in H.E. Freeman, S. Levine, L.G. Reeder (eds.) Handbook of Medical Sociology, pp. 30–60. Englewood, NJ: Prentice Hall.
Frank J.P. (1948) “Biography of Dr. Johann Peter Frank.” (Written by himself and translated from the German). Journal of the History of Medicine 3: 279–314.
Frank J.P. (1941) “The People's Misery: Mother of Disease.” (Lecture given in 1790 and translated from Latin). Bulletin of the History of Medicine 9: 81–100.
Rosen G. (1957) “The Fate of the Concept of Medical Policy.” Centaurus 5: 97–113.
Rosen G. (1956) “Hospitals, Medical Care and Social Policy in the French Revolution.” Bulletin of the History of Medicine 30: 124–149.
Baudelaire C. (1951) “L'Art Romantique … ”. Oeuvres, Pleiades (cited by Evans D.O. “Social Romanticism in France: 1830–1848”). Oxford: Clarendon Press.
Villerme L.R. (1830) “De la Mortalite dans les divers quartiers de la ville de Paris.” Annales de hygiene publique 3: 294–341 (cited by Rosen G., ref. 2, p. 36).
Guerain J. (1848) “Medecine sociale: Au corps medicale de France.” Gazette Medicale de Paris, March 18, p. 203 (cited by Rosen G. ref. 2, p. 38).
Virchow R. (1851) “Die Epidemien von 1848.” Archiv fuer pathologische Anatomie und Physiologie und fuer klinische Medicin 3: 3–12.
Virchow R. (1849) “Die Einheitsbestrebungen in der wissenschaftlichen Medicin.” Berlin: G. Reimer.
Carver T. (1981) “Engels.” New York: Hill&Wang..
Brown T.M., Fee E. (2003) “Friedrich Engels: Businessman and Revolutionary.” American Journal of Public Health 93 (8): 1248–1249.
Engels F. (1886) “The Condition of the Working Class in England.” Excerpt republished (2003), in American Journal of Public Health 93 (8): 1248–1249.
Behring E. (1893) “Gesammelte Abhandlungen zur Aetiologischen Therapie von Ansteckenden Krankheiten.” Stuttgart: Georg Thieme Verlag.
Hueppe F. (1899) “Handbuch der Hygiene.” Berlin: Hirschwald Verlag.
Duclaux E. (1902) “L'Hygiene Sociale.” Paris: Felix Alcau (cited by Rosen G., ref. 2, p. 45).
Grotjahn A. (1915) “Soziale Pathologie.” Berlin: Hirschwald Verlag.
Ryle J.A. (1943) “Social Medicine: Its Meaning and Its Scope.” British Medical Journal 2: 633–636.
Ackerknecht E.H. (1948) “Hygiene in France.” Bulletin of the History of Medizin 22: 117–155.
Parsons T. (1951) “Illness and the Role of the Physician: A Sociological Perspective.” American Journal of Orthopsychiatry 21: 452–460.
Suchman E.A. (1965) “Social Pattern of Illness and Medical Care.” Journal of Health and Human Behavior 6: 202–216.
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Koch-Weser, D. (2009). The Historical Development of Social Medicine as a Responsibility of the Physician. In: Elm, S., Willich, S.N. (eds) Quo Vadis Medical Healing. International Library of Ethics, Law, and the New Medicine, vol 44. Springer, Dordrecht. https://doi.org/10.1007/978-1-4020-8942-8_9
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