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Transitional Period - Medieval
The 5th century
Fall of the Roman empire (476 CE) → much ancient medical knowledge lost in Europe
Superstition, religious authority, and magic fills in the gap
Greek & Roman texts survive in only fragments
Ancient Body
Part of nature, governed by universal principles (humours, four causes)
Illness = imbalance of material substances, not punishment or mortality
Anatomy and philosophical inquiry encouraged
Body idealized in art & science
Heal the body by restoring balance
Medieval Body
Vessel for the soul (immortal), inherently sinful or corrupt
Body seen as mortal, and can die
Illness = punishment, sin, demonic forces
Theology first: soul’s primacy over flesh
Body as a site of spiritual and moral drama
Heal the soul as much as the body
The Grotesque Body
Not ugly or disturbing
Way of imagining the body (seeing the body as things that go in and out, seen as permeable)
Body seen as open → open to spiritual and social forces
Open, bulging, leaking
Spills into the world, animals, and other bodies
Mouth, belly, bowels front and centre
Always becoming: Eating, birthing, dying
Collective, excessive, earthly
Environmental Porosity
Humours rise and fall w food, air, weather, and the stars
Skin as a net: Open to bad air and toxins
Treatment = rebalance the humours by controlling what enters and leaves the body: Sweating, bloodletting (nicking a vein), and purging (forcing ppl to vomit)
Spiritual Porosity
Body, soul, and world: Permeable boundaries
Spirits, demons, and divine forces could enter or influence the body
Intense emotion or sin could make you sick
Rituals, relics, and holy places protect and purify the body
Vulnerable, but also in communion
Health = Constant movement within and between self, others, and world
Monist
Mono = one
Universe cannot consist of more than one thing
Rabelais (1483 - 1494 - 1553)
French late medieval / early Renaissance writer and physician
Known for vivid, comic depictions of the “grotesque” body → wrote comedy books
Humour as therapeutic
Double entendre → Fluids of body + laughing
Grotesque body in Rabelais
Openness + focus on the “lower stratum” → “dirty parts of the body”: Mouths, bellies, genitals
Ties us to the material world: Eating, drinking, defacating, giving birth, sex
Always becoming (bulging, devouring, excreting, transforming) → physical & social renewal
Unfinished, excessive, porous: Constantly exchanging with the world and other bodies
Classical Body
Closed, smooth, finished
Body ends at the skin
Open hole hidden; head & torso on display
Still, balanced, timeless
Individual and ideal
Bosh
Islamic Golden Age (8th - 13th c.)
Persian scholars preserved and extended the Greek medicine Europe had lost
Translated, synthesized, and advanced Hippocrates, Aristotle, and Galen
Greek knowledge arrived through direct contact and wider exchange
Greek, Italian, and Persian scholars worked together.
Avicenna / Ibn Sina (980 - 1037 c.)
Cannon of Medicine: Hippocratic clinical methods + Aristotleian philosophy + Galen’s humours, plus original insight
Observation and logic → Careful clinical practice and the search for causes of illness (etiology)
Translated into Latin → Foundational in Renaissance European medicine
Bridge from Ancients to Renaissance
Human Anatomy
Andreas Vesalius, De Humani Corporis Fabrica (1543) → “On the fabric of the human body”
Beginning of modern Western medicine and medical imaging of the body
New technology for “seeing” the body: reproducible woodcuts
Vesalius (1514-1564)
Pioneering Flemish anatomist and physician
Dissected human cadavers (Galen mostly dissected animals) → corrected Galen’s errors
Detailed illustrations of unprecedented accuracy
Transformed medicine and how we understand the body
The Clinical or Medical Gaze
Michael Foucault (1926-1984), philosopher and historian of medicine
The birth of the clinic: Late 18th c. medicine reorganizes knowledge “in-depth” → gaze penetrates physical truth
Separates the patient’s body from the patient’s person (identity) → dehumanizing