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Thomas Kuhn |
As Thomas Kuhn pointed out, from time to time there are shifts in the scientific paradigm that cause sharp deviations in the direction of research. These shifts can occur in any of the sciences. Here are some important historical examples:
Puerperal fever was for centuries the leading cause of death in women giving birth. In 1795, the Scottish obstetrician Alexander Gordon claimed that the disease was transmitted by doctors and midwives. In 1842, the English physician Thomas Watson, known for his description of the aortic pulse, recommended that doctors wash their hands with diluted lye before attending a birth. And in 1847, the Austrian physician Ignaz Semmelweis advised the same, based on data showing that the incidence of puerperal fever was higher in hospitals than in births taking place at home, and higher among women in labor attended by doctors than by midwives. Semmelweis' proposals were violently rejected by contemporary physicians, who were outraged by the idea of being blamed for infections caused by themselves, to the point that Semmelweis was committed to an asylum where he only survived two weeks. His death is believed to have been the result of a beating by the asylum guards when Semmelweis, who was 47 years old, tried to escape. His proposals were confirmed by the discovery of the germ theory of infectious diseases by Louis Pasteur, according to which diseases are caused by microorganisms, and not by miasmas transmitted by air, as previously believed. This caused an abrupt change in the scientific paradigm applied to medicine.