Medical Discourse

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Introduction 28 sng an ec spel purposes M aie ‘Zwart (es), Reflections on language and one a ine jlese: studi recenti e prospettive ee ee Lelia ica Teorica e Applicata, 37 (1). PP- a) “Media Englishes «rescc nd Grego K.foeoming Mean & Keg (es), Pers EST nrc arty Bom cet mange Spain Duc, PtH 2% San Saget (i) 2006 a Mancha, ec ang Be een me cacian & rego (68) fh rgish Pome Monza ; en C eral, 2003, “Understanding commanicatin ns PENGST identification f edad Education, 37. pP-192-2 istes™, Medical Education, 37, pP-192-20 ‘of components of communica Some! $ & C. Roberts (24s) 1999, Ta, Work and Wnts Order: Discourse fork and Institutional ry (eds) t 7 . in Medical. rs, Mouton de Gruyter, Berlin jourse as professional iss sing, Perspectives on Medical “\ediation and Management Setins ‘Anna Loiacono, Giovanni lamartino and Kim 8. Grego (eds), Teaching Medical English: Methods and Models, 29-55 ©2011 Polimeirica Intemational Scientific Publisher Monzaltaly Insights into medical discourse in oral and written contexts! Maurizio Gotti (Universita di Bergamo) 1. Introduction Medicine, as it is practised nowadays, developed largely in the 17th, 18th and 19th centuries. Scientific medicine (so called in opposition to complementary/altemative medicine referred to as “unscientifi ‘or unorthodox) was based on testable and replicable results published in research papers, review articles and meta-analyses, Evidence- based medicine replaced the early medical traditions which were mainly based on the scholastic approach according te which the claims of prominent personalities were not to be discussed; they were, on the contrary, adopted as absolute truth (cf. Taavitsainen & Pahta 2004), Before the 17th century the doctrines of the ancient world dominated the theory and practice of Western medicine Galenism, for example, taught that diseases resulted from an imbalance in the ‘four humours’, and that treatment with bloodletting and purging would re-establish equilibrium. This period was very important for the development of English medical discourse, as these centuries marked a remarkable increase in the use of the vernacular for medical and scientiic writing, Indeed, at the beginning of this period Latin still had a dominant role. At the end of this period English prevailed, and the process of vernacularization can be described as largely completed by 1700, when we can find a full range of sophisticated university treatises on medicine in English where Latin played little or no role. Indeed, of the 238 medical books published in the years 1640-1660, 207 were in English (Webster 1974: 267). ' ‘The research on which this paper is based contributes to the National Research Programme “Tension and Change in Domain-specifie Genres” funded by the Italian Ministry of University (COFIN Grant No, 2007JCY9Y9), —EEEE | Maurizio Gott istemological and methodological developmen's place in that period, both in medicine and svar old schol Making began to be Feplaced by new patterns of thought and new rnathodologies based on observation and interpresticy of physical phenomena (cf. Vickers 1987; Hunter 1989; Jardine 1999; Shapiro B}00), These developments determined the need for corresponding zhanges both in the ways of communicating the net discoveries

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