Patient Function and Physician Function in the Hippocratic Cases.

Abstract

This chapter looks at the patient cases of the Epidemics as testimonies to the interaction between the physician and the patient. My corpus of reference is the patient cases in fifth- and early fourth-century medical texts, mostly the more elaborated examples offered by Epidemics 1 and 3. A patient case collects information from various sources: the patient's observable behavior and state; his or her account of her disease, its history and the patient's lifestyle; the contribution given by relatives and friends; and, of course, the physician with his judgment, his agenda, his terminology and didactic aims. What remains elusive and hidden is the viewpoint of the patient and his personal experience within, or under the authoritative report compiled by the physician. In this chapter, I survey key stylistic features of these reports, which I see as significant to the reconstruction of the point of view of the ill in his or her encounter with the doctor. My main aim is to extract from these texts as much as possible information about the experience of suffering and patienthood in antiquity. In my analysis I look at the text not only, and not primarily as a definitive pronouncement stemming from the physician's legislating mind, and from the material author's 'pen', nor observations from by-standers and helpers in the sick room, nor even as the plaintive cries from suffering patient, but as a composition in which all the principal actors in the drama of a sickness must contribute.