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ABSTRACTThis paper analyses the long-lasting and successful attempt by the Saguenay physicians (and surgeons) to climb the social ladder in this region and to secure for themselves a place among the elites. During the first decades of the settlement (in the second half of the 19th century), the medical body was faced with a double challenge. It has to, first, structure its profession and, second, fight for its recognition by the society as a whole. The latter involved an acceptation, by this overwhelmingly rural population, at three levels: scientific, social, and cultural. According to the thesis set forth by the author, this could be mainly achieved through socio-political and cultural strategies. As a corollary, it appears that wealth and scientific knowledge, while undoubtedly contributing to the social promotion of the medical body, did not act as primary factors.
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This article acts as a definition of what bad news means in medicine and as an explanation of why it is so difficult for a doctor to break it and show the program How to Break Bad News put together by the Québec Doctors' College and the Québec College of Family Doctors.
Keywords: médecin, mauvaise nouvelle, peur, formation continue, physician, bad news, fear, continuing education
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460.More information
Socrates, before dying, addresses a surprising petition to Crito, “we owe a cock to Asclepius”. It is this enigmatic statement that is explored with recourse to Plato and Nietzsche in this paper. With the Phaedo, Plato offers us the chance to be present on the last day of Socrates's life and to participate, in spirit, in the dialogue with his disciples. The cult of Asclepius, god of medicine, venerated in Epidauros, provides us with the key to the symbolism of the cock. After presenting the interpretation of the death of Socrates by Nietzsche, we will contrast two perspectives for dealing with death: one by Socrates, through the justifications of reason and one by Nietzche, truth according to the body.
Keywords: mort, corps, Socrate, Nietzsche, death, body, Socrates, Nietzsche