ABSTRACT
Resumo O ensaio avalia o impacto da Reforma Cabanis na configuração do modelo de formação em saúde que se tornou hegemônico no Brasil. Primeiro, discute o processo de construção social, ideológica e institucional do modelo de assistência à saúde da França pós-revolucionária. Em seguida, introduz os principais elementos da Reforma Cabanis, analisando aspectos curriculares e pedagógicos da nova proposta de ensino médico baseado em profissionalismo, disciplinaridade e especialização que resultou num sistema de ensino superior sem universidades. Depois avalia o processo histórico que resultou no "afrancesamento" do sistema educacional brasileiro, resultando num modelo de formação em saúde baseado em faculdades, hospitais, aulas, disciplinas, especialidades e diplomas.
Abstract This text assesses the impact of the Cabanis reform on the formation of the health training model which became hegemonic in Brazil. First, we shall briefly discuss the process of constructing the social, ideological, and institutional framework for healthcare in post-revolutionary France. Next the main elements of the Cabanis reform are introduced, analyzing curricular and pedagogical aspects of the new plan for medical education based on professionalism, disciplines, and expertise that resulted in a system of higher education without universities. This is followed by assessment of the historical process which resulted in the "Francization" of the Brazilian educational system, particularly in higher education and more specifically medical education, producing a model of health training based on colleges, hospitals, classrooms, disciplines, skills, and diplomas.
Subject(s)
History, 18th Century , History, 19th Century , History, 20th Century , Health Care Reform/history , Education, Medical/history , Schools, Medical/history , Universities/history , Brazil , Curriculum , Education, Professional/history , FranceABSTRACT
RESUMEN En este ensayo, proponemos evaluar el impacto de la reforma Cabanis en la configuración del modelo de formación en salud que se hizo hegemónico en Argentina. Primero, analizamos la reestructuración del sistema educacional francés desencadenada por la revolución de 1789, principalmente en sus dimensiones político-institucionales. Segundo, discutimos brevemente el proceso de reconstrucción social, ideológica e institucional del sistema de salud en la Francia postrevolucionaria. Tercero, introducimos la reforma Cabanis, propuesta de enseñanza médica basada en profesionalismo, disciplinariedad y especialización que resultó en un sistema de enseñanza superior sin universidades, e indagamos en torno a sus principales aspectos curriculares y pedagógicos. Finalmente evaluamos la secuencia de eventos y procesos que, durante todo el siglo XIX, con fuerte gravitación cabanisiana a través de la Idéologie, conformaron los rasgos principales tanto de la enseñanza de la salud y de la medicina como del modelo de educación superior basado en facultades que actualmente predomina en la República Argentina.
ABSTRACT In this essay, we seek to evaluate the impact of the Cabanis reform on the configuration of the health education model that became hegemonic in Argentina. First, we analyze the restructuring of the French educational system triggered by the revolution of 1789, primarily in its political and institutional dimensions. Second, we briefly discuss the process of the social, ideological and institutional reconstruction of the health system in post-revolutionary France. Third, we introduce the Cabanis reform, a proposal for medical education based on professionalism, disciplinarity and specialization that resulted in a higher education system without universities, looking into its main curricular and pedagogical aspects. Finally, we evaluate the sequence of events and processes that, throughout the 19th century, with strong Cabanisian influence through the Idéologie, shaped both the principal features of teaching health and medicine and the higher education model based on faculties currently predominant in the Argentine Republic.
Subject(s)
Humans , History, 18th Century , History, 19th Century , Schools, Medical/history , French Revolution , Education, Medical/history , Argentina , Education, Medical/methods , FranceABSTRACT
El período comprendido entre junio de 1793 y julio de 1794 fue conocido en Francia como ¨El reinado del terror¨ o simplemente ¨El Terror¨. El levantamiento que ocurrió con el destronamiento de la monarquía, la preocupación de una invasión por parte de poderes monarquistas foráneos y el temor de una contrarrevolución por parte de los partidos pro monárquicos, todos combinados, condujeron a la nación al caos y al gobierno a un frenesí de locura. La mayoría de las reformas democráticas introducidas por la revolución fueron suspendidas y ejecuciones al mayor fueron llevadas a cabo mediante la guillotina, instrumento introducido por el Dr. Joseph Guillotin para proveer de una muerte efectiva y rápida. El tribunal revolucionario sentenció entre quince y cuarenta mil personas incluyendo a nobles, ciudadanos de a pie, intelectuales, políticos y prostitutas sin o con pocos motivos. La sospecha de ¨crímenes contra la libertad¨ fue suficiente para ganarse una cita con ¨Madame Guillotine¨. Algunos arguyeron que el instrumento lejos de ser rápido e indoloro, producía la más profunda y horrible tortura: el saber que se sería guillotinado y algunos estaban convencidos que existía una ventana de unos 25 segundos durante los cuales la cabeza decapitada respondía parpadeando o moviendo los ojos al llamado y retenía el reflejo corneal hasta por dos minutos
The period from June 1793 to July 1794 in France was known as the ¨Reign of Terror¨ or simply ¨the Terror¨. The upheaval following the overthrow of the monarchy, fear of invasion by foreign monarchist powers and the fear of counterrevolution from pro-monarchy parties within France all combined to throw the nation into chaos and the government into frenzied paranoia. Most of the democratic reforms of the revolution were suspended and wholesale executions by guillotine, the instrument introduced by Dr. Joseph Guillotine to provide a swift a death. The Revolutionary Tribunal sentenced between 15 000 and 40 000 of nobles, commoners, intellectuals, politicians and prostitutes on little or no grounds. Suspicion of ¨crimes against liberty¨ was enough to earn one an appointment with ¨Madame Guillotine¨. Some felt the guillotine, far from being quick and painless, was an instrument of the most profound and horrible torture: to be aware of having been beheaded, and some felt that there was window of awareness of some of twenty five seconds in which the decapitated head blink and move the eyes on command, and retain corneal reflex a two minutes span
Subject(s)
Humans , Male , Female , Decapitation/history , Blinking/physiology , Terrorism/history , Conscience , French Revolution , TortureABSTRACT
Physician, scientist and revolutionary are the biographical aspects that had better summarize the life of Jean-Paul Marat (1743-1793). Due to the role that he played during the French Revolution, his work as a physician and scientist, prior to the events of l789, was forgotten. Marat made important contributions in the area of optics and electricity reflected in numerous publications, as well as translating Newton's Opticks (1787). Well known for his radical and aggressive ideas, his political vocation led him to embrace the revolutionary cause after the events of the Bastille. His figure was not indifferent to his contemporaries; although considered a hero by the poorest citizens, aristocrats and bourgeois considered him a cruel extremist. During the last years of his life, he suffered a cutaneous disease, the diagnosis of which is still a matter of controversy. Proposed diagnoses include eczema, seborrheic dermatitis, scabies and dermatitis herpetica, among others. Marat was assassinated by Charlotte Corday in 1793, becoming a martyr for some segments of the society that worshiped his memory. He was a man with a complex and curious personality whose figure and legacy are still a matter of discussion.
Subject(s)
History, 18th Century , Humans , French Revolution , Optometry/history , Skin Diseases/history , France , Homicide/historyABSTRACT
From the perspective of research methodology, it may be said to exist two kinds of different historical approaches with regards to the formation of modern clinical medicine at the turn of the nineteenth century. One is to explain this in terms of the agency or structure that is associated with research topic. This historical view assumes that the Western scientific rationalism is characterized by the unity of Western tradition and its evolution as continuity. Its main foucs is given either on how French revolution and war affected the growth of clinical medicine and the hospital reform movement or on how Paris Clinical School contributed to the birth of modern clinical medicine. The other is, according to Michel Foucault, to analyze how medical discourses are related to social(institutional) practices. Following Canguilhem's history of concepts, Foucault traces the historical development of the concept of disease. Elizabeth A. Williams, another proponent of this method, conceptualizes the eighteenth-century medicine as three different medical discourses - anthropology, physiology and philosophical medicine, and analyzes how their structural fragmentation were transformed into the modern establishment of clinical medicine in the nineteenth century. In conclusion, first, the historical research may be compatible with epistemological investigation of modern clinical medicine. Second, the modernity of Western medicine can not be fully clarified without understanding the reciprocal relationships between hygienic medicine and clinical medicine.