We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

The Therapeutic Perspective: Medical Practice, Knowledge, and Identity in America, 1820-1885

Gert H. Brieger, MD
JAMA. 1987;257(20):2832-2833. doi:10.1001/jama.1987.03390200172041.
Text Size: A A A
Published online


If therapy be acknowledged as one of the physician's central responsibilities, it is strange that so little has been written about its history. Here at last is a monograph of great distinction that addresses the history of the role of therapeutics in the medicine of 19th-century America. Professor Warner of Yale University has nicely used the rhetoric and the reality of therapeutic theory and actual practices culled from hospital records in Cincinnati and Boston to illuminate the transformation of American medicine.

He demonstrates, for instance, that in the records and writings of physicians, the word normal had replaced natural by the latter decades of the century. This, Warner rightly emphasizes, marked important conceptual shifts as well. The concept of normality denoted a growing quantification of clinical observations and an increasingly scientific approach to the study of diseases. Throughout the 19th century the physician's identity was closely linked to the therapeutic


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.