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573 Reviews of Books The Natural Philosophy of Time G. J. WHITROW, M.A., D.PHIL., reader in applied mathematics, University of London, at Imperial College of Science and Technology. London and Edinburgh: Nelson & Sons. 1961. Pp. 324. 42s. THIS book is another sign ’of rapidly increasing interest B among scientists in the nature of time and its significance in every form of advancing knowledge. Biologists have already studied closely the rhythmic activities of plants and animals; and now we have a mathematician surveying the whole range of time and times, in an admirably comprehensive way which includes the latest developments of modem scientific theory. Though in a better posicion than most specialists to make a philosophical review, Dr. Whitrow does not make only a philo- sophical exposition of his subject. He wisely prefers to consider classical philosophical theories about time in the light of modern scientific knowledge. This must be one of the very few books, if not the only one, in which a very broad cross-section of the modes of thought of different scientific disciplines is made available to the general reader. It contains an astonishing display of wide reading and is a source book of the first quality. After a consideration of the attempts to eliminate time from science, the origin of time, and, rather inconclusively, the need for a scale of time, he passes to an interesting study of time and the human being, with many medical and physiological references. Perhaps the medical reader will find most profit and enjoyment here, for later chapters require a standard of mathematical knowledge well above the average for the pro- fession. But a struggle with the later chapters is still worth while for the mathematically inept, for they force the reader to realise what an important world of precise statement is almost unknown to him. If the medical reader criticises Dr. Whitrow for sometimes making a too superficial appraisal of the medical aspects of time, he must admit that the attempt is remarkably better than the physician or surgeon could make in the field of advanced mathematics and physics. The subject of time, or rather times, is exceedingly difficult. This difficulty may be the reason why time in the biological sciences, including medicine, has been so much neglected. Adverse criticism in the face of such a broad and scholarly production may seem ungenerous. But it may be fair to make one or two small points. What does Dr. Whitrow himself think about time ? He states at the end of his first chapter a hypothesis that there is a unique basic rhythm of the universe. But this grand concept fades out in only three other page references in the whole work. And when we come to the three pages of conclusion at the end of the last chapter, we find that one page is given to a summary of the reasons why Newtonian imagery is inadequate. In the two final sentences we read, " Nor is time a mysterious illusion of the intellect. It is an essential feature of the universe." In this quotation we see again the serious difficulty which the use of the word " time " makes whenever the word is not qualified so as to make it clear what form of time, personal or otherwise, is under consideration. The book does not settle the problem whether man, supposedly the measure of all things, is responsible, through his mental and nervous processes, for all modes of thought for which the symbol in language is the word " time "; or whether time exists whether man exists or not. It is not made clear to us that every thought which has been exchanged between human beings, in spoken or written words or gesture, must be a purely human product; and that the accurate behaviour of birds and plants is in bird and plant time, about which man can have ideas but which he cannot know as a personal experience. Unless we postulate an anthropomorphic God who keeps time going before we are born and after we are dead, all ideas and forms of time which man can discuss must be personal to the human race. Every idea in this book is man-made. Man is indeed the measure of all things for his fellows. We may not say more. The Origin of Medical Terms 2nd ed. HENRY ALAN SKINNER, M.B., F.R.C.S.(C.), professor of anatomy, University of Western Ontario. London: Baillière, Tindall, & Cox. 1961. Pp. 437. 100s. WRITTEN to help students and others to a better understanding of the complex language of modern medicine, this book lists alphabetically all the commonly used terms of chemical, anatomical, and clinical practice, with a detailed explanation of the origin and significance of each. On anatomical nomenclature and the basic sciences there is little to fault, but in clinical and historical matters the work is less satisfactory. The suggestions that Julius Caesar was delivered by hysterotomy, and that Percivall Pott sustained the fracture which bears his name, have often been disproved. Noguchi’s claim to have " discovered the parasite of yellow fever " (p. 293) was refuted even during his lifetime: nor have bacteriologists since been able to confirm his work on the " pure cultures of the spirochaae of syphilis ", described on the same page. An entry for Owen Thomas states that he qualified in Liverpool (he was trained with his brothers in Edinburgh, and in London). Treves never acknowledged that he performed an appendicectomy on King Edward VII, the operation described on p. 409: it is generally held that he decided only to drain an abscess. Gonorrhoea usually responds to a single injection of penicillin. The comment on p. 195, which follows a reference to irrigation methods and says that " recent developments in chemotherapy, such as the use of the ’ sulfa ’ group, indicate that this new method of treatment may be completely successful ", therefore reads rather strangely. Professor Skinner’s researches have elucidated the origin of many words. No-one, for example, has previously explained adequately how the barbiturate drugs were named. It has been said that they were so called because of the involuntary exclama- tion a chemist uttered on first tasting one of these intensely bitter urea derivatives. Professor Skinner now tells of a com- munication from the Bayer Laboratories, describing how they were christened after Barbara, a waitress in a Munich cafe, as a compliment for the part she played in the initial experiments upon them. The Pathology of Ionising Radiation SHIELDS WARREN, M.D., SC.D., LL.D., professor of pathology, Harvard Medical School. Springfield, Ill.: Charles C. Thomas. Oxford: Blackwell Scientific Publications. 1961. Pp. 42. 24s. Tms short monograph, based on the Weller memorial lecture sponsored by the Michigan Pathological Society, is easy to read and goes smoothly on an uncritical tour of radiation biology as it applies to mammals and particularly man. Like all rapid sight-seeing, it is necessarily superficial, and the author is rather inclined to be dogmatic when it is difficult to disprove and vague when it is easy to verify. Several references are made to the linear energy transfer of radiations, but an important point omitted is that radiations with a high linear energy transfer are much more efficient in causing biological damage than those with a low energy. The radiosensitivities of cells are often mentioned, but the universal influence of oxygen tension on cell radiosensitivity is not; and the fundamental contribution of Puck concerning cell radio- sensitivity is overlooked. The book is too technical for the lay reader, and the unspecialised doctor will find it hard to judge its merits; but the radiobiologist might be profitably provoked by its dogmatism. Personality Structure and Human Interaction The Developing Synthesis of Psycho-dynamic Theorv. HARRY GUNTRIP, PH.D., psychotherapist, Leeds University department of psychiatry. (International Psycho-Analytical Library, no. 56. Edited by John D. Sutherland, M.B., PH.D.) London: Hogarth Press and Institute of Psycho-Analysis. 1961. Pp. 456. 45s. THE author’s theme is the process by which psychoanalysis, outgrowing its origins in a neurophysiological and psycho- biological philosophy of man (with the instinct concept as the
Transcript
Page 1: Reviews of Books

573

Reviews of Books

The Natural Philosophy of TimeG. J. WHITROW, M.A., D.PHIL., reader in applied mathematics,University of London, at Imperial College of Science andTechnology. London and Edinburgh: Nelson & Sons. 1961.

Pp. 324. 42s.

THIS book is another sign ’of rapidly increasing interest B

among scientists in the nature of time and its significance inevery form of advancing knowledge. Biologists have alreadystudied closely the rhythmic activities of plants and animals;and now we have a mathematician surveying the whole rangeof time and times, in an admirably comprehensive way whichincludes the latest developments of modem scientific theory.Though in a better posicion than most specialists to make aphilosophical review, Dr. Whitrow does not make only a philo-sophical exposition of his subject. He wisely prefers to considerclassical philosophical theories about time in the light of modernscientific knowledge. This must be one of the very few books,if not the only one, in which a very broad cross-section ofthe modes of thought of different scientific disciplines is madeavailable to the general reader. It contains an astonishingdisplay of wide reading and is a source book of the first quality.After a consideration of the attempts to eliminate time from

science, the origin of time, and, rather inconclusively, the needfor a scale of time, he passes to an interesting study of time andthe human being, with many medical and physiologicalreferences. Perhaps the medical reader will find most profitand enjoyment here, for later chapters require a standard ofmathematical knowledge well above the average for the pro-fession. But a struggle with the later chapters is still worthwhile for the mathematically inept, for they force the reader torealise what an important world of precise statement is almostunknown to him. If the medical reader criticises Dr. Whitrowfor sometimes making a too superficial appraisal of the medicalaspects of time, he must admit that the attempt is remarkablybetter than the physician or surgeon could make in the fieldof advanced mathematics and physics.The subject of time, or rather times, is exceedingly difficult.

This difficulty may be the reason why time in the biologicalsciences, including medicine, has been so much neglected.Adverse criticism in the face of such a broad and scholarlyproduction may seem ungenerous. But it may be fair to makeone or two small points. What does Dr. Whitrow himselfthink about time ? He states at the end of his first chapter ahypothesis that there is a unique basic rhythm of the universe.But this grand concept fades out in only three other pagereferences in the whole work. And when we come to the three

pages of conclusion at the end of the last chapter, we findthat one page is given to a summary of the reasons whyNewtonian imagery is inadequate. In the two final sentenceswe read, " Nor is time a mysterious illusion of the intellect.It is an essential feature of the universe." In this quotationwe see again the serious difficulty which the use of the word" time " makes whenever the word is not qualified so as tomake it clear what form of time, personal or otherwise, is underconsideration. The book does not settle the problem whetherman, supposedly the measure of all things, is responsible,through his mental and nervous processes, for all modes ofthought for which the symbol in language is the word " time ";or whether time exists whether man exists or not. It is notmade clear to us that every thought which has been exchangedbetween human beings, in spoken or written words or gesture,must be a purely human product; and that the accurate

behaviour of birds and plants is in bird and plant time, aboutwhich man can have ideas but which he cannot know as apersonal experience. Unless we postulate an anthropomorphicGod who keeps time going before we are born and after we aredead, all ideas and forms of time which man can discuss mustbe personal to the human race. Every idea in this book isman-made. Man is indeed the measure of all things for hisfellows. We may not say more.

The Origin of Medical Terms2nd ed. HENRY ALAN SKINNER, M.B., F.R.C.S.(C.), professor ofanatomy, University of Western Ontario. London: Baillière,Tindall, & Cox. 1961. Pp. 437. 100s.

WRITTEN to help students and others to a better understandingof the complex language of modern medicine, this book listsalphabetically all the commonly used terms of chemical,anatomical, and clinical practice, with a detailed explanationof the origin and significance of each.

On anatomical nomenclature and the basic sciences there islittle to fault, but in clinical and historical matters the work isless satisfactory. The suggestions that Julius Caesar wasdelivered by hysterotomy, and that Percivall Pott sustained thefracture which bears his name, have often been disproved.Noguchi’s claim to have " discovered the parasite of yellowfever " (p. 293) was refuted even during his lifetime: nor havebacteriologists since been able to confirm his work on the

" pure cultures of the spirochaae of syphilis ", described onthe same page. An entry for Owen Thomas states that he

qualified in Liverpool (he was trained with his brothers inEdinburgh, and in London). Treves never acknowledged that heperformed an appendicectomy on King Edward VII, the

operation described on p. 409: it is generally held that hedecided only to drain an abscess.

Gonorrhoea usually responds to a single injection of penicillin.The comment on p. 195, which follows a reference to irrigationmethods and says that " recent developments in chemotherapy,such as the use of the ’ sulfa ’ group, indicate that this newmethod of treatment may be completely successful ", thereforereads rather strangely.

Professor Skinner’s researches have elucidated the origin ofmany words. No-one, for example, has previously explainedadequately how the barbiturate drugs were named. It has beensaid that they were so called because of the involuntary exclama-tion a chemist uttered on first tasting one of these intenselybitter urea derivatives. Professor Skinner now tells of a com-munication from the Bayer Laboratories, describing how theywere christened after Barbara, a waitress in a Munich cafe, as acompliment for the part she played in the initial experimentsupon them.

The Pathology of Ionising RadiationSHIELDS WARREN, M.D., SC.D., LL.D., professor of pathology,Harvard Medical School. Springfield, Ill.: Charles C. Thomas.Oxford: Blackwell Scientific Publications. 1961. Pp. 42. 24s.

Tms short monograph, based on the Weller memoriallecture sponsored by the Michigan Pathological Society, iseasy to read and goes smoothly on an uncritical tour ofradiation biology as it applies to mammals and particularlyman. Like all rapid sight-seeing, it is necessarily superficial,and the author is rather inclined to be dogmatic when it isdifficult to disprove and vague when it is easy to verify.

Several references are made to the linear energy transfer ofradiations, but an important point omitted is that radiationswith a high linear energy transfer are much more efficient incausing biological damage than those with a low energy. Theradiosensitivities of cells are often mentioned, but the universalinfluence of oxygen tension on cell radiosensitivity is not; andthe fundamental contribution of Puck concerning cell radio-sensitivity is overlooked.The book is too technical for the lay reader, and the

unspecialised doctor will find it hard to judge its merits; butthe radiobiologist might be profitably provoked by its

dogmatism.

Personality Structure and Human InteractionThe Developing Synthesis of Psycho-dynamic Theorv. HARRYGUNTRIP, PH.D., psychotherapist, Leeds University departmentof psychiatry. (International Psycho-Analytical Library, no. 56.Edited by John D. Sutherland, M.B., PH.D.) London: HogarthPress and Institute of Psycho-Analysis. 1961. Pp. 456. 45s.

THE author’s theme is the process by which psychoanalysis,outgrowing its origins in a neurophysiological and psycho-biological philosophy of man (with the instinct concept as the

Page 2: Reviews of Books

574

basis of theory), develops into a psychodynamic theory of thepersonality, implying a philosophy of man that takes accountof his reality as an individual. He points out that this study ofdevelopments in psychoanalytic theory is no mere academicexercise but is aimed at reaching an understanding of how tolive together in cooperative fellowship in an era when man’smastery of the natural sciences calls urgently for the scientificelucidation by the sociologist and the psychologist of man’ssocial and individual problems.The chapters on the emerging synthesis, a psychodynamic

theory of personality, show the relationship of Mrs. Klein’sand Fairbairn’s theories both to Freud and to each other. Theviews of the various authorities are given as quotations fromtheir works, so that the author’s theme is readily followed.In his conclusions, he examines the basic forms of humanrelationship, and the relationship between theory and therapy,with special reference to the work of Fairbairn and Klein.This is a valuable book, surveying critically an important areaof psychoanalytic theory, and indicating the practical applica-tions for both social understanding and therapy.

Disease and DestinyJUDSON BENNETT GILBERT, M.D., F.A.C.S., with addition and anintroduction by Gordon E. Mestler. London: Dawsons of PallMall. 1962. Pp. 530. 130s.

THE late Dr. Gilbert, a New York surgeon, set out to compilethe fullest possible index of published references to the illnessesof notable historical figures, and to the medical significance oftheir actions and writings. He died before his book was readyfor the press, and it has now been completed by relatives andfriends. No previous index to the diseases of famous personscan compare with it.The first article cited deals with Abd-el-Kader, an Arab

leader in Algeria a hundred years ago: the last with Zwingli, theSwiss religious reformer. Between these entries are all thosesources which should be consulted by those seeking informa-tion on such topics as Beethoven’s deafness, Milton’s blindness,and Nebuchadnezzar’s madness. The names thoughout arearranged alphabetically, each followed by a list of publishedreferences, and a note about the subject’s historical importance.(A brief indication of the medical interest of his or her lifewould have made the book even more valuable). It is not

surprising to discover that Samuel Johnson, who was latterlyso much ,afiiicted by physical and mental disorders, has attrac-ted the attention of some forty authors. For Goethe, however,the list runs to many more than three hundred, and he therebyachieves a distinction which only Napoleon even approaches.Amongst physicians themselves, Servetus appears to have beenthe subject of most monographs. But this may well be becauseWilliam Harvey, with his gout and his terminal aphasic stroke,has been unaccountably omitted from this unique, and other-wise meticulous, bibliography.

Biographical Memoirs of Fellows of the Royal Society,1961. (Vol. 7. London: The Royal Society. 1961. Pp. 363.30s.).-This volume contains twenty-five masterly biographies,each with a fine portrait and a complete bibliography. Fivewere distinguished botanists; chree made great contributions tothe study of aeronautics; two were astronomers; two geologists;and physics, mathematics, chemistry, entomology, engineering,and photographic research are also represented. Five of the

biographies have special interest for medical readers. R. G.

Harrison, the inventor of tissue culture, was among thegreatest experimental embryologists. P. A. Gorer was patholo-gist, immunologist, and the world’s foremost authority on theserology and serological genetics of tissue transplantation.T. R. Elliott (written by Sir Henry Dale) did much to establishmedicine as a progressive science and made many additions toour knowledge of physiology. Geoffrey Jefferson (by SirFrancis Walshe) advanced neurological thought and practice inthe international world to a degree achieved by no one mansince the height of Harvey Cushing’s influence in the UnitedStates. Lord Stopford of Fallowfield (by Sir Wilfrid le Gros,Clark and the Vice-Chancellor of Manchester University) had

two careers, first as a neuroanatomist of great distinction, andlater as an exceptionally able vice-chancellor doing great workfor medical education on a national level. This volume isessential for any medical library that prides itself on its referencesection.

Microbiological Standardization (Proceedings of the 6thInternational Congress, Wiesbaden, 1960. Berlin-Zehlendorf:H. Hoffmann. 1961. Pp. 473. DM. 88-80).-These pro-ceedings of the 6th international congress were published justas the 7th congress opened in London. The Wiesbadencongress was concerned with problems of standardisation ofattenuated poliovaccines and of quadruple vaccines containingpoliomyelitis and pertussis vaccines and diphtheria and tetanustoxoids. There was an interesting series of papers on measlesvaccination, using both attenuated and inactivated vaccines.The older problems of standardisation of germ counting anddisinfection were also discussed and a start was made on thesubject of standardising veterinary virus vaccines. Thesepapers are mainly for specialist readers.

Bibliography of Medical Reviews (Vol. 6, Cumulation,1955-61. Washington, D.C.: United States Department ofHealth, Education, and Welfare. Pp. 436).-Since 1955 theNational Library of Medicine of the United States has pub-lished an annual index of articles which have surveyed, evalu-ated, and synthesised newly published information on topics ofinterest to " biomedical research and to the practice of thehealth sciences ". The sixth volume is a cumulation of the fiveannual indexes and of the review articles which appeared in1960. In its six-year span it includes 13,500 articles drawn fromnearly 2000 journals and arranged under 21,000 subject entries.

New Inventions

J. J. SHIPMANM.S. Lond., F.R.C.S.

North Herts Hospital,Hitchin, Herts

A TELESCOPIC BLADDER RETRACTORIN performing bladder operations good exposure is necessary,

and various retractors are available. But the distance of the

trigone from the surface varies considerably; and to cope withthese variabledistances a re-

tractor with ex-

tending bladeshas been devised(see figure).

This retractorconsists of astainless-steel

hand-forgedGossett-typeframe, with twofixed fenestratedside blades, anda removablefenestratedcentre blade (seeinset). All thethree bladeshave removableends, whichtele-scope into the

upper section ineach case, givingan adjustmentvarying from 4 to7 in. Different shapes may be added to suit individual require-ments. The blades are held in any fixed position by means ofknurled locking collars.The retractor was made for me by Messrs. Murphy Boyle Ltd.,

69, Wimpole Street, London, W.1.


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