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Book Review: Wisconsin medicine. Historical perspectives : NumbersRonald L. and LeavittJudith Walzer (editors), Wisconsin medicine. Historical perspectives, Madison and London, University of Wisconsin Press, 1981, 8vo, pp. xi, 212, illus., $18.50

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Book Reviews

enough to correctthe proofs andtoinscribepresentationcards for the author'scopieswhich he

instructed his publisherto send tohis friends,among whom I was alwaysproud tobecounted.

SollyZuckerman

RONALD L. NUMBERSand JUDITH WALZER LEAVITT (editors), Wisconsin medicine.

Historical perspectives, Madison and London, University of Wisconsin Press, 1981, 8vo, pp.

xi, 212, illus.,$18.50.

This is a collection of eleven papers delivered at a bicentennial symposium in 1976.

Wisconsin, a State only since 1848, deserved such a study because it was not only typical for the

Mid-west, but a medical pioneer in many respects. Early medicine was, of course, rural and dominated by malaria. Around 1900, the horse-and-buggy doctor began to be replaced by the telephone-and-automobile doctor. Progress in surgery made practice shift towards hospitals,

andgroup practice began in 1916. The health problems of the cities were overcomeby 1920. All this and the subjects of medical sects, societies, and education arediscussed in the eleven con-tributions. Thebook is very well produced: use of sources, style, editing, bibliographies, index,

and

illustrations. It isprimarily a social history of Wisconsin medicine. This is notsurprising, as

among the eleven authors is only one M.D. (six are graduate students); and impersonal social history ofmedicineisfashionable. As I wrote one of the firstmonographsin the social history ofmedicinefifty years ago, may I be allowed to plead for the rediscovery of the medical history

ofmedicine?Itexiststoo.

Erwin H.Ackerknecht Zurich

UFFE J. JENSEN and ROM HARRE (editors), The philosophy of evolution, Brighton,

Harvester Press, 1981, 8vo, pp. vii, 299,£22.50;.

Darwinism hasbeen with us for over 120 years, and other forms of evolutionism outstrip that

period. Eversince Darwin dispatched hisOrigin to John Murray, philosophershavespeculated about

the

rangeof phenomena which might be understood via anevolutionary perspective. Is

there some kind ofanalogue of Darwinian evolution by natural selection controlling social

change, for example? And, if so, then what are theanalogues ofmutation and selection? At a

moreabstract level, it istempting to suppose that changes over time in the corpus of scientific

knowledge (or belief) -changes like those involved in going from Copernicus to Kepler and from Newton to Einstein -constitute a definite evolution towards higher levels not of fitness,

but of truth. Staying closer to Darwin, thephilosopher sees that the basic model itself is not

unproblematical -that there are all sorts of difficulties surrounding the meaning of "natural

selection"and the questionof what are the very units of selection. In other words, evolution pre-sents

philosophical

issuesat a varietyof levels, and it is the merit of this book, based upon the

contributionstoanAarhussymposium, that it tackles all the levels.

The numberofessays(fifteen) and their diversity present a problem for the reviewer, but it is worth mentioning the essay by David Hull on the units of evolution, which is timely given

Gould'srecent reintroduction ofthe notion of species selection into evolutionary theory. Also

notable is Harr6'sessay on the evolutionary analogy in social explanation, wherein he argues

that the socialanalogues of genes are social rules. He concludes that despite the pitfalls facing anyone overlooking disanalogies between the social and the biological case, the use of the

mutation/selection modelis of valueinsofar as it allows the construction of explanations in the social sphere which do not entail a positive causality between the environment and practices

adaptedto it.

Forthe"pure"philosopher, the final section is the most exciting, comprising an essay by J. Mittelstrasse, followed by a debate between Laurens Laudan and Bill Newton-Smith on the

thornyissue ofwhether, and, if so, in whatway, scientific change may beregardedastaking us from a lesser to a greater truth. Laudan offers a"refutationofconvergent realism" intended to showthat itis better to seescience as progressing by maximizing itsproblem-solvingcapacity

476

available at https:/www.cambridge.org/core/terms. https://doi.org/10.1017/S0025727300042034

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