This paper suggests that the practice of anamnesis—the taking of a patient history in preparation for making a diagnosis, as well as the related form of investigation, historia—offers a way to understand the role of medical collections in generating medical knowledge. Anamnesis derives from ancient Greek “recollecting” or “opening of memory,” and “taking a history” from historia, an ancient and early modern epistemic practice of gathering empirical observations from the past and present. Doctors and medical researchers perform, this paper argues, (...) a form of anamnesis when they access collections—of pathological organs, experimental animals, diagnostic slides, samples, and data—and the collections may in turn be seen as constituting institutional and disciplinary memories. It moreover shows that doctors and medical researchers in their work with collections negotiate two ways of organizing observations that are also present in an anamnesis. One way clusters and classifies observations, while the other traces developments and requires significant past observations to understand the present. This double nature plays out in different ways in different historical collections. Last, the paper itself may also be seen as performing an anamnesis: looking for patterns and tracing a development in medical history. It “opens the memory” of medical collection practices, and shows that medicine is past-heavy and that the past plays a central role in modern biomedicine. Anamnesis is thus used as a historiographical stance that seeks to understand present practices of generating knowledge about diseases through an inquiry into the past. (shrink)

In recent decades, an increasing interest in the dynamics of collections has brought to view how objects circulate as parts of networks of knowledge and how collections can acquire new meanings. Introducing this special issue on Collections, Knowledge, and Time, we want to shift focus from geographical circulation towards the temporal dynamics of collections: the layering and interweaving of asynchronous temporalities as collections are preserved, frozen, reinterpreted, sampled, and destroyed over time, and how these temporalities constitute knowledge potentials. We treat (...) collections broadly across museums of history of medicine, history of science, and ethnography, and scientific institutions including biobanks, seed banks, and fly centres, to investigate the considerable overlap in collection practices, as well as how objects can move between cultural historical and scientific uses. We limit ourselves, however, to epistemic collections, mainly scientific ones, assembled with research as a main purpose. This introduction first explores apparently mundane collection practices such as preservation and care, as well as technologies such as freezers and boxes, to unravel them as temporal practices that make stored items transcend time. We then discuss historical practices across cultural and scientific collections to show how historical thinking plays a central part in scientific collection work and how new scientific methods shape investigations of the past. Finally, we outline the potentialities for future knowledge in collections. In conclusion, we sketch out a pluralist epistemology of collections focusing specifically on how the dynamics of time create multiple epistemic potentials for historical scholarship and scientific research in the present and future. (shrink)

In his treatises Hero of Alexandria describes a range of devices for producing spectacles and generating wonder that have frequently been treated as marginal by historians of technology and science. In this paper I shall show that these devices and Hero’s emphasis on wonder-making are of central importance to the image that Hero presents of mechanics. Hero uses the concept of wonder to add an intellectual component to the utility of mechanics, to strengthen the epistemological claims of mechanics and to (...) relate mechanical expertise to divine cunning. He is thereby able to present mechanics as a form of knowledge which is epistemically on a par with philosophy, but which still maintains powerful practical consequence.Author Keywords: Hero of Alexandria; Wonder; Automata; Ancient Mechanics; Ancient Science. (shrink)

Scientific and medical practice both relate to and differ from each other, as do discussions of how to handle decisions under uncertainty in the laboratory and clinic respectively. While studies of science have pointed out that scientific practice is more complex and messier than dominant conceptions suggest, medical practice has looked to the rigour of scientific and statistical methods to address clinical uncertainty. In this article, we turn to epistemological studies of the laboratory to highlight how clinical practice already has (...) strategies for dealing with messiness. We draw on Hans-Jo ̈rg Rheinberger’s Toward a History of Epistemic Things, in which he invokes the metaphor of a spider’s web to explain the role of tacit practices in experimental biochemistry for helping practitioners manage messiness. We argue that diagnostic practices in clinical medicine employ similar, albeit codified, procedures to evaluate epistemic significance, ensure sensitivity to the unforeseen, and allow focused grounds for action. We consider three practices: (a) the pre-set structure of medical records, ensuring broad coverage in initial anamnesis, (b) the use of lists of differential diagnoses and ongoing ‘anchoring and adjusting’ as inquiry progresses, and (c) shared decision-making as an occasion to synthesize empirical evidence and reopen inquiry for potential missed information. We end by suggesting that while philosophy of medicine may learn from laboratory epistemology, the sciences may learn something from medical practice. (shrink)

In this highly accessible book eight distinguished experts from a wide range of disciplines consider the nature and use of evidence in the modern world.

The astronomer Ole Rømer emphasized the mechanical nature of the practice of astronomy and this paper attempts to unravel what Rømer meant by the close association between mechanics and astronomy. The point of departure is Rømer's work with Tycho Brahe's observations and his stay at the Royal Academy of the Sciences in Paris. Analyses of Rømer's letters and treatises show that he not only focused on direct presentations of observations and instruments, but demanded an independence of his results that went (...) beyond the rhetoric of first-hand knowledge. Rømer wanted his observations and instruments to demonstrate the physical theories themselves, rather than asking for theories to be accepted on his authority. His invention of the meridian circle with its facility for cross-checking measurements is seen in connection with this drive to make what is observed ‘deserve credit in its own right rather than because of the observer.’. (shrink)