Before the 18th century and Pasteur’s discovery of the germ, illness was seen as an imbalance of the body, mind and environment of the patient. In this time, diagnosis was purely speculative through discussion between the patient and the practitioner, and postmortem autopsies were not often practiced, at least to the public eye.
In the early decades of the 19th century, medicine took a shift away from patient imbalance, and became focal to organ and tissue lesions. This was to a large extent due to the practice by Parisian hospital schools where postmortem analysis grew to become a common mode of education for their students. Medical training took a change to include dissections for hands on experience of the body, and disease causation became the centre of interest rather than patient therapy.
An Illustration of experiments with executed corpses http://www.executedtoday.com/tag/murder-act-1751/ |
Although the Act was successful in putting an end to resurrectionists, there is no avoiding that the incident induced public fear and may have kick-started the rise of public mistrust in medical systems prior to the Alder Hey scandal. The scandal was justified in the eyes of medical professionals as bodies and organ retention was done with good intention. Van Velzen, the main pathologist accused responsible for the scandal, claims it was in the best intention of the family of the child, to investigate the cause of death, and was done so with parental consent whether or not they were aware that it entailed removal of all organs. [2]
The fear induced by this scandal set the creation of the Human Tissue Act 2004, to which informed consent for any removal, storage and use of human organs became necessary under the law. [3] The Act also assured the public that all activities involving cadavers were carried out with respect to the cadaver and their families. The historical lead up to what post mortems are today was essential in having the knowledge and respect for bodies, but is deeply traumatic and has skewed public conceptions of medical systems.
1. P. Mitchell, et al. “The Study of Anatomy in England from 1700 to the Early 20th Century.” Journal of Anatomy 219(2) (2011): 91–99
2. "Van Velzen interview in full" BBC News. February 5, 2001. http://news.bbc.co.uk/2/hi/health/1154181.stm
3. "Human Tissue Act 2004" Legislation.gov.uk. http://news.bbc.co.uk/2/hi/health/1154181.stm
The fear induced by this scandal set the creation of the Human Tissue Act 2004, to which informed consent for any removal, storage and use of human organs became necessary under the law. [3] The Act also assured the public that all activities involving cadavers were carried out with respect to the cadaver and their families. The historical lead up to what post mortems are today was essential in having the knowledge and respect for bodies, but is deeply traumatic and has skewed public conceptions of medical systems.
1. P. Mitchell, et al. “The Study of Anatomy in England from 1700 to the Early 20th Century.” Journal of Anatomy 219(2) (2011): 91–99
2. "Van Velzen interview in full" BBC News. February 5, 2001. http://news.bbc.co.uk/2/hi/health/1154181.stm
3. "Human Tissue Act 2004" Legislation.gov.uk. http://news.bbc.co.uk/2/hi/health/1154181.stm