Considered on an over-all basis, the clinic appears -in terms of the doctor's experience- as a new outline of the perceptible and statable: a new distribution of the discrete elements of corporal space (for example, the isolation of tissue -a fuctional, two-dimens- ional area- incontrast with the functioning mass of the organ, constituting the paradox of an 'internal surface') a recognization of the elements that make up the pathological phenomenon (a grammar of signs has replaced a botany of symptoms), a definition of the linear series of morbid events (as opposed to the table of nosological species), a welding of the disease onto the organism (the disappearance of the genereal morbid entities that grouped symptoms together in a single logical figure, and their repalce- ment by a local status that situates the being of the disease with its causes and effects in a three-dimensional space).
Michel Foucault, The Birth of the Clinic : An Archaeology of Medical Preception, NY:Vintage Books Edition, 1994, page xviii. |