{"id":46725,"date":"2020-02-28T18:08:59","date_gmt":"2020-02-28T17:08:59","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=46725"},"modified":"2020-03-06T17:02:57","modified_gmt":"2020-03-06T16:02:57","slug":"jeffrey-aronson-when-i-use-a-word-more-about-anamnesis","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/28\/jeffrey-aronson-when-i-use-a-word-more-about-anamnesis\/","title":{"rendered":"Jeffrey Aronson: When I Use a Word . . . More about anamnesis"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/21\/jeffrey-aronson-when-i-use-a-word-anamnesis\"><span style=\"font-weight: 400\">Last week<\/span><\/a><span style=\"font-weight: 400\"> I discussed some meanings of anamnesis, starting with Plato, continuing with the patient\u2019s history, and ending with Aristotle. There are more. Some are medical. All relate to memory, from the Greek noun <\/span><span style=\"font-weight: 400\">\u1f00\u03bd\u03ac\u03bc\u03bd\u03b7\u03c3\u03b9\u03c2, remembrance. <\/span><span style=\"font-weight: 400\">But the entry in the <\/span><i><span style=\"font-weight: 400\">Oxford English Dictionary <\/span><\/i><span style=\"font-weight: 400\">(<\/span><i><span style=\"font-weight: 400\">OED<\/span><\/i><span style=\"font-weight: 400\">) gives only two definitions:<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u00a0 \u00a0 \u00a0a. the recalling of things past; recollection, reminiscence;<\/span><br \/>\n<span style=\"font-weight: 400\">\u00a0 \u00a0 \u00a0b. that part of the Eucharistic canon in which the sacrifice of Christ is recalled and pleaded.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The first definition, first published in January 1884, in the very first fascicle, titled A\u2013Ant, is illustrated by a 1656 quote from <\/span><i><span style=\"font-weight: 400\">The Mysterie of Rhetorique unvail&#8217;d <\/span><\/i><span style=\"font-weight: 400\">by John Smith (1622\u20131707): \u201cAnamnesis is a figure whereby the speaker calling to mind matters past, whether of sorrow, joy, &amp;c. doth make recital of them for his own advantage, or for the benefit of those that hear him \u2026\u201d (Figure 1). This is in essence the Aristotelian use of the word, as found in his <\/span><i><span style=\"font-weight: 400\">De Memoria<\/span><\/i><span style=\"font-weight: 400\">; in his <\/span><i><span style=\"font-weight: 400\">Universal Technological Dictionary<\/span><\/i><span style=\"font-weight: 400\"> (1823), George Crabb defined \u201canamnesis\u201d, with reference to Aristotle, as \u201c[in rhetoric] an enumeration of the things treated of before, a sort of recapitulation\u201d. This could deserve a separate entry.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-46740 alignnone\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again.jpg\" alt=\"\" width=\"696\" height=\"620\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again.jpg 696w, https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again-300x267.jpg 300w, https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again-640x570.jpg 640w\" sizes=\"auto, (max-width: 696px) 100vw, 696px\" \/><\/p>\n<p><span style=\"font-weight: 400\">In Plato, \u1f00\u03bd\u03ac\u03bc\u03bd\u03b7\u03c3\u03b9\u03c2 refers to the idea that knowledge is innate and is rediscovered during inquiry and learning. In perceiving beauty, Plato tells us in his dialogue <\/span><i><span style=\"font-weight: 400\">Phaedrus<\/span><\/i><span style=\"font-weight: 400\">, we induce anamnesis. Furthermore, the theory of anamnesis solves the paradox of learning: if we do not understand something, we cannot learn about it\u2014to begin to learn we need to understand and to begin to understand we need to learn; anamnesis lets us pick ourselves up by the bootstraps.<\/span><\/p>\n<p><span style=\"font-weight: 400\">By 1773 anamnesis had come to have a more specific meaning\u2014<a href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/21\/jeffrey-aronson-when-i-use-a-word-anamnesis\">the patient\u2019s history<\/a>: \u201cFrom what has been said the diagnosis, prognosis, and anamnesis of this disease are evident; nor is it difficult to perceive the method of cure\u201d (from an English translation of Herman Boerhaave\u2019s <\/span><i><span style=\"font-weight: 400\">Aphorismi de Cognoscendis et Curandis Morbis<\/span><\/i><span style=\"font-weight: 400\"> of 1709).<\/span><\/p>\n<p><span style=\"font-weight: 400\">Allied to this is the phrase \u201canamnestica signa\u201d, defined in <\/span><i><span style=\"font-weight: 400\">The Philadelphia Medical Dictionary<\/span><\/i><span style=\"font-weight: 400\"> (1808) as \u201ccommemorative signs evincing the preceding state of the body; signs from memory\u201d; for example, a hemiplegia because of a previous stroke or heart failure because of an old heart attack. This was also contracted to \u201canamnestic\u201d, and the <\/span><i><span style=\"font-weight: 400\">OED<\/span><\/i><span style=\"font-weight: 400\"> quotes <\/span><i><span style=\"font-weight: 400\">Chambers\u2019s Cyclopaedia of English Literature<\/span><\/i><span style=\"font-weight: 400\"> (1753), illustrating this: \u201cAnamnestics, in medicine, are used by some writers to denote those signs which help to discover the past state of a patient&#8217;s body.\u201d An earlier instance still, from the 6<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> edition of Edward Phillips&#8217;s <\/span><i><span style=\"font-weight: 400\">New World of English Words<\/span><\/i><span style=\"font-weight: 400\"> (1706), defines anamnestics as \u201cmedicines that serve to restore the Memory\u201d. I\u2019d love to know what 18<\/span><span style=\"font-weight: 400\">th<\/span><span style=\"font-weight: 400\"> century medicines they used.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The liturgical use of \u201canamnesis\u201d, first noted in Supplement A\u2013G to the<\/span><i><span style=\"font-weight: 400\"> OED <\/span><\/i><span style=\"font-weight: 400\">in 1972, describes the part of the Eucharistic canon in which the sacrifice of Christ is recalled and pleaded. The earliest quote is from 1894. However, there is a much earlier instance, from <\/span><i><span style=\"font-weight: 400\">The Unbloody Sacrifice and Altar, Unvail&#8217;d and Supported<\/span><\/i><span style=\"font-weight: 400\"> (2<\/span><span style=\"font-weight: 400\">nd<\/span><span style=\"font-weight: 400\"> edition, 1724) by John Johnson (Figure 2), in a section on the Eucharist: \u201cNow an Anamnesis of Food must either signifie an Acknowledgment of God\u2019s Goodness, in providing Meat and Drink for Mankind, which is what our Adversaries would have; or it must denote the Eucharistical Bread and Wine.\u201d<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-46739 size-full\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again2.jpg\" alt=\"\" width=\"429\" height=\"749\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again2.jpg 429w, https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again2-172x300.jpg 172w\" sizes=\"auto, (max-width: 429px) 100vw, 429px\" \/><\/p>\n<p><span style=\"font-weight: 400\">The dung beetle <\/span><i><span style=\"font-weight: 400\">Deltochilum Eschscholz<\/span><\/i><span style=\"font-weight: 400\"> is also called <\/span><i><span style=\"font-weight: 400\">Anamnesis Vigors<\/span><\/i><span style=\"font-weight: 400\"> (Figure 3).<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-46738 alignnone\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again3.jpg\" alt=\"\" width=\"534\" height=\"558\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again3.jpg 534w, https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again3-287x300.jpg 287w\" sizes=\"auto, (max-width: 534px) 100vw, 534px\" \/><\/p>\n<p><span style=\"font-weight: 400\">Anamnesis in immunology refers to a reaction to an antigen that stimulates production of an antibody to another antigen previously encountered. Here is an early instance of the adjectival form in the Collected Papers by Members of the Staff of the International Health Board of the Rockefeller Foundation (1941; 18(1): 28): \u201cSera from a number of cases of pneumonia and minor respiratory diseases such as the common cold were tested because of the possibility that such respiratory diseases might bring about an anamnestic response and in this way give false positive tests for epidemic influenza\u201d. The SARS coronavirus, for example, <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/30844511\"><span style=\"font-weight: 400\">epidemic<\/span><\/a><span style=\"font-weight: 400\"> in 2003\u20134, later induced <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17881505\"><span style=\"font-weight: 400\">anamnestic responses<\/span><\/a><span style=\"font-weight: 400\"> to other coronaviruses.<\/span><\/p>\n<p><span style=\"font-weight: 400\">There is a lot of lexicographical work to be done on the <\/span><i><span style=\"font-weight: 400\">OED<\/span><\/i><span style=\"font-weight: 400\">\u2019s entry for anamnesis, to accommodate all these meanings.<\/span><\/p>\n<p style=\"text-align: left\"><span style=\"font-weight: 400\"><em><strong>Jeffrey Aronson<\/strong>\u00a0is a clinical pharmacologist, working in the Centre for Evidence Based Medicine in Oxford&#8217;s Nuffield Department of Primary Care Health Sciences. He is also president emeritus of the British Pharmacological Society.<\/em><\/span><\/p>\n<p><strong>Competing interests:<\/strong> None declared.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-46737 size-full\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again_integer_final.png\" alt=\"\" width=\"693\" height=\"1069\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again_integer_final.png 693w, https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again_integer_final-194x300.png 194w, https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again_integer_final-664x1024.png 664w, https:\/\/blogs.bmj.com\/bmj\/files\/2020\/02\/aronson_anamnesis_again_integer_final-640x987.png 640w\" sizes=\"auto, (max-width: 693px) 100vw, 693px\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Last week I discussed some meanings of anamnesis, starting with Plato, continuing with the patient\u2019s history, and ending with Aristotle. There are more. Some are medical. All relate to memory, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/02\/28\/jeffrey-aronson-when-i-use-a-word-more-about-anamnesis\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38359,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5762],"tags":[],"class_list":["post-46725","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-jeff-aronsons-words"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jeffrey Aronson: When I Use a Word . . . 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