Chapter 10 is a comment on the book as a whole that addresses its central questions against the backdrop of the long history of history of medicine and its audiences, and with particular reference to the issue of ‘public history’. The author suggests that public history, designating the interface between academic history and all of its potential audiences, would be a promising field of study to further develop the themes of the book.

in Communicating the history of medicine
Historiographical and research political reflections

This chapter discusses the reception of recent historical work on eugenics and compulsory sterilization in Denmark. The contrast between the media’s view of this work as a criticism of eugenics and the author’s view of it as an attempt to study eugenics on its own historical terms is discussed as an example of a complicated case of ‘audiencing’. The chapter further attempts to historicize the notion of grand societal challenges in science. The fear of degeneration of the genetic quality of the population was one such grand challenge in the early twentieth century, when the effects of scientists’ perceived social responsibility in actively promoting eugenics had very undesirable results.

in Communicating the history of medicine
Perspectives on audiences and impact

Historians interact with a variety of audiences. In the history of medicine – our focus – audiences include government committees and commissions dealing with ethical issues in biomedicine; journalists asking for historical perspectives on new discoveries as well as abuses and controversies in medicine; curators and visitors at museums; sometimes even medical researchers utilizing historical material. A particularly prominent audience for historians of medicine is in health care, students as well as practitioners. An important aim of the book is to challenge the idea that communication between researchers and their audiences is unidirectional. This is achieved by employing a media theoretical perspective to discuss how historians create audiences for academic knowledge production (‘audiencing’). The theme is opportune not least because the measurement of ‘impact’ is rapidly becoming a policy tool. The book’s 10 chapters explore the history of medicine’s relationships with its audiences, from the early twentieth century to the present. Throughout the authors discuss how historians of medicine and others have interacted with and impacted audiences. Topics include medical education, policy-making, exhibitions and museums, film and television.

Teaching medical history to medical students

This chapter discusses a specific audience category for medical history: medical students. It explains the institutional context and the didactic choices made for the medical humanities course of the Utrecht medical curriculum, of which medical history is an integral part. By way of example, it elaborates on scientific literacy: a topic suggested by the academic reform movement Science in Transition. The chapter shows how the course tries to create reflexive citizen-physicians, defined as medical professionals with an awareness of the complex demands made by contemporary health care and society.

in Communicating the history of medicine
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Practice, institutionalization and disciplinary context of history of medicine in Germany

Medical school curricula have led to the institutionalization of the discipline of History, Theory and Ethics in Medicine in Germany. This has provided historians with access to medical audiences, but at the same time subjected them to assessment criteria that poorly reflect the quality of historical research. In adapting to this, historians of medicine have chosen strategies that serve the gathering of impact points at the cost of contributing to historical research.

in Communicating the history of medicine
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Audiences and stakeholders in the history of medicine

The introduction discusses history of medicine and its audiences from media-theoretical (‘audiencing’) and policy (‘impact’) perspectives. The chapters of the book are contextualized from these perspectives.

in Communicating the history of medicine
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Architecture, asylum and community in twentieth-century mental health care

This chapter explores the value and relevance of a combined academic and public engagement approach to the history of medicine. The authors consider a specific mental health project at the Bethlem Museum of the Mind, in the context of a longer tradition of service user involvement in mental health research and museology. It is argued that the project’s approach presented a unique opportunity for mental health education and the reduction of stigma. These elements of the project informed the historical focus, resulting in a more inclusive history than in many institutional histories of psychiatry, focusing on the importance of space, place and architecture in twentieth-century psychiatry. The chapter concludes that community engagement within a museum setting enriches the history of medicine as a discipline and vice versa.

in Communicating the history of medicine
A disrupted digression on productive disorder, disorderly pleasure, allegorical properties and scatter

This ‘chapter’ mixes up genres, registers and media – through essayistic reflection, polemic, hyperdiscourse, historical narrative, autobiography and cut-up. The foray into experimentation is justified, because the formulaic article and historical exhibition are imprisoned in a habitus that conditions us to feel discomfort with deviations. And that raises issues of practice and audience: what conditions produce the habitus; what current audiences are conditioned to expect; what new practices might raise new and different audiences and a new and different scholarship. Notwithstanding its intellectual achievements, current scholarship is often stale and undermining. This piece models an alternative by calling conventional forms into question. It implies that (a) historical consciousness is a necessary condition for the well functioning of a democratic society, and therefore (b) we need a culture of historical consciousness based on a pleasurable history-for-history’s sake, a practice that exceeds, or is unyoked from, any instrumental purpose. And therefore opposes the utilitarian economism that currently governs medical history and everything else.

in Communicating the history of medicine
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Physician-publics, citizen-audiences and a half-century of health-care debates in Canada

This chapter examines five decades of historical writing on, and myth-making about, the origins of Medicare, Canada’s public health-care system. It examines interpretations of the 1962 doctors’ strike in Saskatchewan, and its reception and uptake among physician and citizen audiences. Within the medical profession, academic and professional elites have vied to capture attention from Canadian citizen-audiences. A pro-Medicare consensus, emergent in the 1960s and 1970s, was replaced in the early 2000s by a newly polarized view, critical of public health care, which reinterprets the history of the strike action as a form of justified public protest.

in Communicating the history of medicine
Representations, address and assumptions about influence

Sex education films have historically raised much concern due to their combining a controversial subject with a medium believed to have a particularly great influence on its audiences. In this chapter, the role of medicine in the relationship between sex education films and their audiences is explored, using a number of Swedish films from different time periods as examples. The chapter demonstrates that a medical perspective was significant in this relationship, both regarding the context in which audiences viewed the films, and regarding representations and educational address. Reflections are also made concerning the audiences of historical research on sex education films today.

in Communicating the history of medicine