History at the heart of medicine.

With a focus on the challenges of today and tomorrow in the critical medical humanities the role of history is often overlooked. Yet history and medicine are closely intertwined. Right now, with the surfacing of knotty problems such as changing demographics, chronic pain, loneliness and Long Covid - and the consequent necessity to change directions and policies - history seems more urgent than ever. However, historians of medicine have sometimes been reticent to play a role in medicine and policymaking. The recent and welcome development of the critical medical humanities has intervened in medicine in important ways, but often without clear engagement with the history of medicine. In this letter, we make a renewed case for coherence and collaboration between history of medicine, medicine, and medical humanities, emphasising the continuity and links between all three. The skills and focus of the historian of medicine bring crucial historical context to the table, enabling better understanding of medical collecting, new imaginative futures, profound critiques of key medical concepts, and understandings of the body through time. By emphasising what historians can do for medicine and medical humanities, we call for building historical work into how medicine, illness and health are understood now and in the future. We suggest three potential roles for historians: keepers of memories, conversation partners, and futurist thinkers.

'History at the Heart of Medicine' was originally conceived of at a workshop at the Groningen Centre for Health and Humanities in June 2023. The authors worked together to answer how the history of medicine and medical humanities could be more closely integrated with each other and with medicine. We identified that the two fields are typically perceived to have different levels of willingness to engage with policy and intervene directly in medical practices. Although medical history has tended towards greater discretion in these respects, we found that history is a vital part of both medicine and the medical humanities. We make a positive case for history not as prescriptive, but as generative of possible worlds and imagined futures.

Five pathways into one profession: Fifty years of debate on differentiated nursing practice.

The persistence of multiple educational pathways into the nursing profession continues to occupy scholars internationally. In the Netherlands, various groups within the Dutch healthcare sector have tried to differentiate nursing practice on the basis of educational backgrounds for over 50 years. Proponents argue that such reforms are needed to retain bachelor-trained nurses, improve quality of care and strengthen nurses' position in the sector. Opponents have actively resisted reforms because they would mainly benefit bachelor-trained nurses and neglect practical experience and technical skills. This historical case study aims to provide insight in this apparent stalemate. Our analysis of this debate is informed by literature on institutional work and current debates within the historiography of nursing. This study contributes to a better understanding of this contemporary debate by examining a broader timeframe than is usually studied, and by highlighting nurses' roles in complex processes of change. We argue that, rather than being stuck in their professional development, different groups of nurses have forged their own path forward in their professional development, albeit via different strategies.

The Analgesic Museum.

This manuscript uses the perspectives and insights that emerged from the Analgesic Museum conference held virtually on March 11, 2022 as a mechanism for considering the role museums and artists can play in the public health effort to reduce the burden of persistent pain. One hundred and fifty-seven individuals from 22 countries registered for the Analgesic Museum conference. The event explored the intersection of art and pain management practices with presentations centered on three domains of interest: exhibition development, arts experiences and practices, and research and creative scholarship.

What are the historical roots of the COVID-19 infodemic? Lessons from the past

This scoping review explores the history of the term infodemic and its usefulness as a tool for public health policy-making. It presents the information-related problems the term has encompassed; historical research on these problems, which predate the term itself; and in-depth analyses of their iterations in three historical outbreaks with long-term significance for public health policy: the 1918 influenza pandemic, the beginning of the HIV/AIDS pandemic in the 1980s, and the 2003 outbreak of severe acute respiratory syndrome. Particular attention is paid to the characteristics of scientific practice that inadvertently contributed to the generation of misinformation, as well as other factors that played a role: historical legacies, persistent inequalities and a growing distrust of scientific authority. Historical perspective helps balance contemporary analyses of infodemics that focus too narrowly on the role of new social media in disseminating misinformation and disinformation. Insights derived from the historical record can also be useful to contemporary infodemic management.

Public health heritage and policy: HIV and AIDS in museums and archives.

In the last five years there has been a resurgence of scholarly research and museum exhibitions on the history of HIV and AIDS. This work has called into question some of the conventions of archiving and interpreting the history of the pandemic. It is increasingly clear that a narrow range of materials have been saved. As historians and curators turn to these holdings for analysis and exhibition, they find they inadequately represent the impact of AIDS across diverse groups as well as the range of local, national, international responses. This essay considers some of the factors that shape collection of the material culture, particularly the heritage of public health, and the consequences for our understanding of lessons from the past.

Public health heritage and policy: HIV and AIDS in museums and archives / Herança e política de saúde pública: HIV e aids em museus e arquivos

Abstract In the last five years there has been a resurgence of scholarly research and museum exhibitions on the history of HIV and AIDS. This work has called into question some of the conventions of archiving and interpreting the history of the pandemic. It is increasingly clear that a narrow range of materials have been saved. As historians and curators turn to these holdings for analysis and exhibition, they find they inadequately represent the impact of AIDS across diverse groups as well as the range of local, national, international responses. This essay considers some of the factors that shape collection of the material culture, particularly the heritage of public health, and the consequences for our understanding of lessons from the past.

Resumo Nos últimos cinco anos, retomaram-se as pesquisas acadêmicas e exposições museológicas sobre a história do HIV e da aids. Este trabalho questiona algumas das convenções de arquivamento e interpretação da história da pandemia. Fica cada vez mais claro que foi preservada uma pequena amostra de materiais. À medida que historiadores e curadores recorrem a esse patrimônio para análise e exposição, descobrem que representam de maneira inadequada o impacto da aids em diversos grupos, bem como o escopo das respostas locais, nacionais e internacionais. Este artigo considera alguns dos fatores que influenciam a coleção de cultura material, em particular o legado da saúde pública e as consequências de nossa compreensão das lições do passado.

Listening to the Mind: Tracing the Auditory History of Mental Illness in Archives and Exhibitions.

With increasing interest in the representation of histories of mental health in museums, sound has played a key role as a tool to access a range of voices. This essay discusses how sound can be used to give voice to those previously silenced. The focus is on the use of sound recording in the history of mental health care, and the archival sources left behind for potential reuse. Exhibition strategies explored include the use of sound to interrogate established narratives, to interrupt associations visitors make when viewing the material culture of mental health, and to foster empathic listening among audiences.

"Pictures with a purpose": the birth control debate on the big screen.

In the first half of the twentieth century, birth control advocates used the mass media to reframe contraception from a private, secret matter to an acceptable part of life fit for public discussion. Although their campaign began in print, they quickly embraced the more far-reaching medium of film to deliver their message. This article argues that birth control advocates circumvented the Comstock Act in the early decades of the twentieth century by taking up this new medium as part of a long-running strategy to publicize the birth control movement. Their efforts shaped both the public debate on the topic and the development of motion picture censorship.

Jonathan Mann, HIV/AIDS, and human rights.

The early association of HIV/AIDS with marginal groups - homosexuals and IV drug users - structured social and political responses to the disease. Many countries began to enact restrictive travel policies and to contemplate compulsory testing or quarantine for those infected. In Africa, Jonathan Mann became convinced that the disease was heterosexually transmitted and had the potential to become a worldwide pandemic. He convinced Halfden Mahler, Director General of WHO, who appointed him director of the WHO's Global Programme on AIDS. In this position, and because of his eloquence and passion, Mann was able to mobilize ministers of health around the world. Mann argued that AIDS was a social disease, flourishing in conditions of poverty, oppression, urban migration, gender inequality, and violence. He advanced a new way of understanding AIDS and AIDS policies based on a human rights framework.