Medical Professionals and Charlatans. the Co Mite De Salubrite Enquete of 1790-91 *
Medical Professionals and Charlatans. The Co mite de Salubrite enquete of 1790-91 * by Toby GELFAND** Much has been written about medical charlatans, but seldom has the phenomenon of charlatanism been analysed in systematic fashion. Unlike its supposed antithesis, professionalism, the world of those who practiced medicine without academic or guild credentials, either outside the law or in its often-wide interstices, remains a shadowy realm, a subject for impressionistic study and colorful anecdote. This is unfortunate, for the two species of practitioner, whatever their differences, usually shared common objects and objectives - the sick person and his care and cure. Better knowledge of the charlatan would illuminate his professional coun terpart and the society in which both functioned. Reasons for an underdeveloped social history of charlatanism are not far to seek. On methodological and substantive grounds, they stem from some of the distinctions usually drawn between charlatans and pro fessionals. The medical professional in the 18th century, as now, could be defined in terms of his technical training, legal certification, and subse quent membership in an organized community of fellow practitioners. Charlatans escaped such institutional categories. They apparently neither completed a formal period of training, nor practiced legally, and they lacked internal organization. In short, other than in negative terms charla tans appear notoriously difficult to define as a group. The difficulty is compounded by a contrast between professional and non-professional discourse. The former includes theoretical elements: ra tional explanations of physiological and pathological events, as well as other ideological and programmatic statements on such matters as ethics, education, and public health.
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