Socio-history of Cerebrovascular Disease and the Development of Modern Stroke Medicine. A Foucauldian Analysis

Author: Daneski, Katharine
This book examines historiographical accounts of the cerebrovascular condition using a socio-historical approach influenced by the writings of Michel Foucault in an attempt to understand how stroke medicine has emerged in its current form.


“A powerful feature of this book is that it is not just an historical account of earlier attempts by doctors to get to grips with stroke, it is also interested in how stroke medicine has had to adapt to a changing professional world where doctors have to play a role alongside other occupational groups, evidence based medicine and new forms of regulation.” – Prof. Paul Higgs, University College London

“. . . [the author’s] fascinating and lucid account opens up a space that will both enrich medical sociology and our understanding of how modern medical practice evolves." - Prof. Ian Rees Jones, Bangor University School of Social Sciences

Table of Contents

List of illustrations
Foreword : Professor Ian Rees Jones
Chapter 1
Chapter 2 Stroke and Apoplexy: explorations of the history of medicine
Current recommendations for stroke
The ‘past’ and ‘history’: fact or interpretation?
The crisis for history in the 21st century
The history of science
Medical historians
Traditional historiographs of apoplexy: from the dis-eased patient to the diseased body
Overview 7
Chapter 3 Socio-historical approaches to the study of health and illness
What is ‘historical’ sociology?
Foucault’s histories of knowledge and power
Following Foucault: the social construction of disease
Foucauldian accounts of emergent medical fields
The ‘new public health’ and the emergence of ‘surveillance medicine
Critiques of Foucault’s model of social power
Chapter 4 Methodology: interpreting and applying Foucault’s methods
Texts, receptacles and content
Sources of data
Data management
Rigour and quality
? Chapter 5 Epidemics and Nosologies
The epidemic constitution of apoplexy
Apoplexy and informal care
Nosologies, obstruction and excitement: searching for the cause of apoplexy
Apoplexies and autopsies
The ‘layering’ of medical discourses
Predisposition: the ‘apoplectic habitus’ and old age
Treatment of apoplexy: restoring the balance
Prevention of apoplexy: the regimen
Chapter 6 Apoplexy and Official Statistics: the rise of regulation
Death certification and statistical nosologies
Official disease categories and physicians’ autonomy
From apoplexy to cerebro-vascular disease: the tertiary spatialisation of stroke
Official statistics: their role in state and medical regulation
Chapter 7 New Medical Technologies: regulation and the emergence of ‘stroke medicine’
The tertiary spatialisation of stroke: new epistemologies and old practices
Health care settings and the stroke patient
Rehabilitation in geriatric medicine and the multi-disciplinary team
The history of rehabilitation in apoplexy and stroke
National clinical guidelines for stroke: a new medical technology
Chapter 8 Technologies of the self in apoplexy and stroke: risk or consequence?
Stroke prevention: from the individual to the population
Disciplining old age: a historical perspective Overview