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The role of neurasthenia in the formation of the physiotherapy profession

机译：神经衰弱在地理治疗职业形成中的作用

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Background: Neurasthenia was one of the most commonly diagnosed disorders in the later years of the 19(th) century. Its most widely used treatment, known as the Rest Cure, relied heavily on physical therapies, but little is known about the practitioners who administered the treatment. In this paper, I argue that the nurse-masseuses who delivered the massage and electricity so vital to the success of the Rest Cure, used the opportunity to develop approaches to treatment that would form the backbone of the physiotherapy profession in England after 1894. Methods: Extensive primary and secondary texts were drawn from a wide range of sources and critically reviewed. Findings: This study argues that the management of neurasthenic cases in the 1880s and 90s created the conditions necessary for the development of the profession's relationship with medicine and the establishment of new practice roles for women, and that these would play an important role in shaping the physiotherapy profession in Britain after 1894. Read through the critical sociological writings of Magali Sarfatti Larson and Anne Witz, I argue that the work of the nurse-masseuses can be seen as a complex gendered negotiation between the need to be deferential to the dominant male medical profession; distinct from emerging notions of the angelic, motherly nurse; obedient, technically competent and safe. The creation of a space in the clinic room for a third practitioner who could deliver a different form of care to the doctor or the nurse, established an approach to practice that physiotherapists would later adopt almost without amendment. Discussion: I argue that this approach owes much to the work done by nurse-massueses who established and tested its principles in treating cases of neurasthenia.
机译：背景：神经衰弱是19世纪晚期最常见的疾病之一。其最广泛使用的治疗方法称为休息疗法，严重依赖物理疗法，但对实施该疗法的从业者知之甚少。在这篇论文中，我认为，提供按摩和电能的按摩师对静息治疗的成功至关重要，他们利用这个机会开发了治疗方法，这将成为1894年后英国理疗专业的支柱。方法：广泛的小学和中学文本从广泛的来源和批判性审查。研究结果：本研究认为，19世纪80年代和90年代对神经衰弱病例的管理为该行业与医学的关系发展和女性新的实践角色的确立创造了必要的条件，这些将对1894年后英国理疗行业的形成起到重要作用。通过阅读马加里·萨法蒂·拉森（Magali Sarfatti Larson）和安妮·维茨（Anne Witz）的批判性社会学著作，我认为护士按摩师的工作可以被视为一种复杂的性别协商，需要尊重占主导地位的男性医疗职业；与新兴的天使般、慈母般的护士观念不同；顺从，技术熟练，安全。在诊室中为第三位医生创造了一个空间，他们可以为医生或护士提供不同形式的护理，从而确立了一种实践方法，物理治疗师后来几乎不经修改就采用了这种方法。讨论：我认为这种方法在很大程度上要归功于massueses护士所做的工作，他们在治疗神经衰弱的案例中建立并测试了其原理。

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