Evidence map›Paper›PMID 25045179›Full record

ArticleMedical history2014

Making modern migraine medieval: men of science, Hildegard of Bingen and the life of a retrospective diagnosis.

Katherine Foxhall

Open access · hybridAbstract readHistorical Article
In one paragraph

Article in Medical history, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
43.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Article
  3. Historical and social science perspectives on food allergy.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2023
    Review
  4. Past, present and imaginary: Pathography in all its forms.Health (London, England : 1997) · 2023
    Article
  5. Article
  6. From "Transient Hemiopsia" to Migraine Aura.Vision (Basel, Switzerland) · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Katherine FoxhallUniversity of Leicester, School of History, University of Leicester, University Road, Leicester LE1 7RH, UK.
University of Leicester · GB

Funding

Wellcome TrustWellcome Trust WT091650MA
6 · The paper itself

Abstract

Charles Singer's retrospective diagnosis of Hildegard of Bingen as a migraine sufferer, first made in 1913, has become commonly accepted. This article uses Hildegard as a case study to shift our focus from a polarised debate about the merits or otherwise of retrospective diagnosis, to examine instead what happens when diagnoses take on lives of their own. It argues that simply championing or rejecting retrospective diagnosis is not enough; that we need instead to appreciate how, at the moment of creation, a diagnosis reflects the significance of particular medical signs and theories in historical context and how, when and why such diagnoses can come to do meaningful work when subsequently mobilised as scientific 'fact'. This article first traces the emergence of a new formulation of migraine in the nineteenth century, then shows how this context enabled Singer to retrospectively diagnose Hildegard's migraine and finally examines some of the ways in which this idea has gained popular and academic currency in the second half of the twentieth century. The case of Hildegard's migraine reminds us of the need to historicise scientific evidence just as rigorously as we historicise our other material and it exposes the cumulative methodological problems that can occur when historians use science, and scientists use history on a casual basis.

Indexed as

History, 20th CenturyHumansMaleMigraine DisordersRetrospective StudiesScienceCharles SingerHildegard of BingenMedical imageryMigraineRetrospective diagnosis

Identifiers

PMID25045179
PMCPMC4103393
OpenAlexW2044109464

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.