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2018_Kinzelbach_Dissecting_Pain_Intro_In_Pathology_Practice.pdf

2018, Dissecting Pain Patients, Families and Medical Expertise in Early Modern Germany

My analysis of wide-ranging sources from late sixteenth- to early eighteenth-century imperial cities reveals that families and individuals with a diverse social background routinely requested post-mortems. Their active role was omitted in accounts of the dissections by physicians writing for their peers; and because historians have usually based their interpretation on this kind of source, families’ involvement has been overlooked. I have shown that physicians applied different criteria of selection to the notes they took in their practice when they published their work and how these criteria depended on their intended audience. Once we broaden our sources, a different picture emerges and my work calls for a revision of the received view that in northern European countries people tended to be hostile to dissection. Administrative and legal records, manuscript notes of daily medical practice and observations of ordinary town surgeons or town physicians provide evidence for the long history of the initiative taken by families and individuals. The attitude that Katharine Park has found among noble families and members of the church in medieval Italy was not unique or linked to a Catholic approach to death. In early modern Lutheran and mixed-confessional urban republics even poorer members of society and those who embraced Pietism requested post-mortems. Autopsies had become a means to achieving wide-ranging goals. Families could draw on the findings of a post-mortem to demand compensation, identify malpractice and express their concern for the broader welfare of their community. They also wanted to gain insight into what pathological changes had caused the suffering of a loved one and combined such aim with the celebration of God’s creation. For many men and women knowledge of the causes helped to come to terms with suffering. In Lutheran and mixed-confessional communities the overlap between knowledge and religion went further than in the Italian context. While there dissections may reveal sanctity, here they were also a means to exposing the devil’s action and how black magic may have caused harm. Moreover, for families and individuals who had embraced Pietism, autopsies could be an integral part of the funeral ceremony and of the all-important act of commemorating the dead.

Chapter 10 in: Pathology in Practice, Diseases and Dissections in Early Modern Europe, ed. by Sylvia De Renzi, Marco Bresadola and Maria Conforti. London: Routledge 2018, pp. 170-187 (introduction). Dissecting Pain Patients, Families and Medical Expertise in Early Modern Germany by Annemarie Kinzelbach Families had post-mortems of their beloved-ones performed because they pursued specific goals. Katharine Park provided this insight for the elite in mediaeval Italian cities concerning generative problems, female health issues and in cases of malpractice.1 A number of historians state that this was different in Northern Europe: Park assumes differing attitudes prevailing in Catholic and Protestant societies.2 Medical historians providing a general view postpone an interest of German families in autopsies to the second half of the eighteenth or the beginning nineteenth century.3 Social historians underline the aversion of families against (public) dissections.4 This article suggests an alternate view. Based on an analysis of sources from Imperial cities I will show that social uses of dissections can be found in the Holy Roman Empire between the sixteenth century and the first half of the eighteenth century. Moreover, dissection-practices occurred in every-day life of citizens representing a broad layer of society, and they reveal the relevance of knowledge of the body and of pathology in these Katharine Park, “The Criminal and the Saintly Body: Autopsy and Dissection in Renaissance Italy”, Renaissance Quarterly 47 (1994): 1–33, 8-13. 2 Katharine Park, “The Life of the Corpse: Division and Dissection in Late Medieval Europe”, Journal of the History of Medicine and Allied Sciences 50 (1995): 111–132, 126. 3 Heinz Schott, “Der Leichnam in medizinhistorischer Sicht”, in Dominik Groß, Andrea Esser, Knoblauch Hubert and Brigitte Tag, eds., Tod und toter Körper: Der Umgang mit dem Tod und der menschlichen Leiche am Beispiel der klinischen Obduktion (Kassel: Univ. Press, 2007), 45–58, 48-50. 4 Karin Stukenbrock, “Unter dem Primat der Ökonomie? Soziale und wirtschaftliche Aspekte der Leichenbeschaffung für die Anatomie”, in Jürgen Helm and Stukenbrock, Anatomie (Stuttgart: Steiner 2003), 227–240, 230-34. Katharine Park, The Secrets of Women: Gender, Generation, and the Origins of Human Dissection (New York: Zone Books, 2006), Chapter 5, underlined increasing resistance against public sections during the early sixteenth century in Italy, also. 1 families. The study of practice and perceptions is based on a combination of handwritten administrative, legal and personal documents with texts written and published by medical doctors in public office. This combination allows a particular focus on the intersection of ‘private’ needs and ‘public’ aims as represented, for example, by political order and religious orientation. As recent studies underline – up until the late eighteenth century medicalscientific purposes were closely intertwined with the religious dimension of opening up bodies. 5 The results of my research will go beyond these findings. They unite public and private issues in a discussion of dissections in family-homes as a deathbed ceremony performed in Lutheran cities from the seventeenth to the eighteenth century.6 5 Andrew Cunningham, The anatomist anatomis'd: An experimental discipline in Enlightenment Europe (Farnham, Surrey: Ashgate, 2010), 17-82, Cunningham even identifies the dissection in an anatomical theatre as a “sacred ritual” which prevailed to the late eighteenth century, 386-387. 6 I see similarity, where Park, Corpse, 1995, 127-131, suggested differences between (Catholic) Italy and (Protestant) Northern Europe.