Heiner Fangerau

Heiner Fangerau
Heinrich-Heine-Universität Düsseldorf | HHU · Department for the History, Theory, and Ethics of Medicine

Prof. Dr.

About

396
Publications
63,219
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
2,116
Citations
Introduction
Heiner Fangerau currently works at the Department of the History, Philosophy and Ethics of Medicine, Heinrich-Heine-Universität Düsseldorf. Heiner does research in History of Science and Medicine and Medical Ethics.
Additional affiliations
January 2016 - present
Heinrich-Heine-Universität Düsseldorf
Position
  • Head of Department
October 2014 - December 2015
University of Cologne
Position
  • Head of Department
December 2008 - September 2014
Ulm University
Position
  • Head of Department

Publications

Publications (396)
Article
Full-text available
Abstract Background Consent to treatment is a cornerstone of medical ethics and law. Nevertheless, very little empirical evidence is available to inform clinicians and policymakers regarding the capacities of forensic patients with schizophrenia spectrum disorders (SSDs) to make decisions about their treatment, with the risk of clinical and legal i...
Article
Full-text available
Aims The purpose was to compare the frequency of needs of patients with schizophrenia in forensic services across five European countries as assessed by both the patients and their care staff. Methods Patients with schizophrenia and a history of significant interpersonal violence were recruited from forensic psychiatric services in Austria, German...
Article
Full-text available
Background As part of a larger project commissioned by the German Neurological Society (DGN), this paper focuses on the DGN’s German and Austrian honorary members. In particular, the question of whether former membership in the National Socialist German Workers’ Party (NSDAP) or other Nazi organizations was an obstacle to becoming an honorary membe...
Article
Full-text available
Der Beitrag fasst verschiedene Modelle von Krankheit zusammen und erklärt ihre Hintergründe. Neben einer Begriffsklärung und der Bedeutung sozialer und rechtlicher Rahmungen für den Umgang mit Krankheit im deutschen Versicherungswesen werden Kausalpfade und Verlaufsformen als mögliche Determinanten unterschiedlicher Krankheitskonzeptionen in den Bl...
Article
Full-text available
Background Between 1901 and 1953, a total of 5110 persons were nominated for the Nobel Prize in Physiology or Medicine. This time period spans both world wars and touches on the question of how the Nobel Committees dealt with German prize candidates.PurposeThe nominations of the German pathologist Franz Büchner for the Nobel Prize will be used to e...
Article
Full-text available
From a historical perspective, SARS-CoV-2 and COVID-19 have simultaneously led to known and previously unknown events as well. These seamlessly linked events can only be grasped with a new, integrative perspective of the relationship between culture and disease. Such a view requires a historiography that captures the full spectrum of an epidemic ev...
Article
Zusammenfassung Hintergrund/Zielsetzung Die Einwilligungsfähigkeit (EWF) von Patient*innen ist eine unabdingbare Voraussetzung der informierten Zustimmung zu medizinischen Maßnahmen. Im Fall von Zweifeln an der EWF ist daher eine sorgfältige ärztliche Prüfung und Beurteilung erforderlich. Trotz einer breiten theoretischen Diskussion über die Konze...
Article
Full-text available
Since the WHO’s “Influenza Pandemic Preparedness Plan” in 1999, pandemic preparedness plans at the international and national level have been constantly adapted with the common goal to respond early to outbreaks, identify risks, and outline promising interventions for pandemic containment. Two years into the COVID-19 pandemic, public health experts...
Article
Assisted reproductive technologies (ART) may be supplemented with in vitro gametogenesis (IVG). Although IVG is still experimental the question arises whether IVG offers any moral advantages compared to implemented methods. The aim of the paper is to display the landscape of ethical arguments in favour or against IVG. ART-related ethical issues in...
Article
Full-text available
In the years after Ross Harrison published his pivotal paper on nerve fiber regeneration in 1907, researchers following his line of research presented tissue culture techniques as an extremely sensitive, difficult, and almost occult methodology. When Philip R. White published a manual on tissue culturing in 1954, he declared that he wanted to disen...
Chapter
Sowohl auf der Ebene der Konzepte von Gesundheit und Krankheit als auch auf der Ebene der Personen, die miteinander in medizinischem Kontext in Kontakt stehen, spielt Anerkennung eine Rolle in der Medizin. Im Beitrag werden drei wesentliche Ebenen der Anerkennung in der Medizin betrachtet: a) Die Anerkennung von Krankheits-/Gesundheits-/Diagnostik-...
Chapter
Alter, Altern, Zeitlichkeit und Geschichte sind eng miteinander verwoben. Nur ein irgendwie geartetes Verständnis der Zeit und ihres Verstreichens erlaubt es überhaupt, Altern als einen Prozess zu beschreiben, der unaufhörlich mit dem Beginn der Existenz eines belebten oder unbelebten Objekts beginnt und chronologisch voranschreitet. Nicht notwendi...
Book
Full-text available
You can download the fulltext via https://www.nomos-elibrary.de/10.5771/9783748927242-1/titelei-inhaltsverzeichnis?page=1
Article
Full-text available
Zusammenfassung Dieser Aufsatz befasst sich mit den Nobelpreisnominierungen für den Neurologen und Neurochirurgen Otfrid Foerster (1873–1941). Foerster wurde 17 Mal für den Nobelpreis für Physiologie oder Medizin nominiert. Aufbauend auf Akten des Stockholmer Nobelpreisarchives, Primär- und Sekundärliteratur wird auf folgende Fragen eingegangen: We...
Article
Full-text available
Zusammenfassung Der Dermatovenerologe Samuel Jessner (1859–1929) erhielt im Jahr 1921 einen Lehrauftrag für „Sexuallehren“ an der Universität Königsberg (heute: russ Калининград, Kaliningrad). Im Reichsmedizinalkalender wurde er aber auch als Urologe geführt. Dieser Beitrag zeichnet seinen Lebensweg und sein Wirken nach und fragt, wie Jessner in de...
Article
Full-text available
Zusammenfassung Zwischen 2016 und 2018 wurden mit 33 Personen Interviews zur Geschichte der Humangenetik in Deutschland zwischen 1970 und den 2000er Jahren geführt. 29 Interviewte stimmten einer wissenschaftlichen Analyse zu. Diese Interviews wurden mit den Methoden der qualitativen Inhaltsanalyse und der Grounded Theory ausgewertet. Im Zentrum die...
Article
Full-text available
Historians have repeatedly pointed to personal and institutional continuities between eugenics in Germany before 1945 and the developing human genetics in post-war Germany. But how was this external perception discussed among German human geneticists and did it play a role in the discipline’s self-image? On the basis of printed sources and biograph...
Article
Objective On behalf of the German Neurological Society (DGN), a study was conducted into how far former chairmen, honorary chairmen, and honorary members could be regarded as incriminated from the National Socialist period. While an online supplement of this journal presents seven individual biographies (in six papers) by way of example, this paper...
Article
Currently vaccines protecting from COVID-19 are a scarce resource. Prioritising vaccination for certain groups of society is placed in a context of uncertainty due to changing evidence on the available vaccines and changing infection dynamics. To meet accepted ethical standards of procedural justice and individual autonomy, vaccine allocation strat...
Article
Full-text available
Background: The purpose of this systematic review is to systematically investigate which non-pharmacological interventions are effective in reducing violence risk among patients with schizophrenia spectrum disorders (SSD) in forensic settings. Methods: Six electronic data bases were searched. Two researchers independently screened 6,003 abstracts r...
Article
Diagnostics - the recognition and naming of diseases - plays a key role in the contact between doctors and patients. In the nineteenth century, the diagnostic process underwent a central shift in both its theoretical conception and its practical implementation. The semiotics practiced until then, the »theory of signs«, which - with a prognostic ori...
Chapter
Full-text available
In the ‘Fifth Gene Technology Report’, renowned experts provide an overview of current developments and their applications in the dynamically evolving research field of gene and biotechnologies. They examine, among other topics, genetic diagnostics, somatic gene therapy, the development of vaccines, stem cell and organoid research, green gene techn...
Chapter
Full-text available
Krankheit in digitalen Spielen hat viele Facetten - egal ob psychisch oder somatisch. Ihre Darstellung fußt dabei auf Prozessen, die gesellschaftliches Wissen zu Krankheiten aufgreifen und gemäß der Eigenlogik digitaler Spiele verändern. Ästhetik, Narration und Spielmechanik partizipieren so an Kämpfen um Deutungshoheiten zwischen der Tradierung st...
Book
Evidenz beschreibt etwas, das unmittelbar einleuchtet. Wissenschaftliche Abbildungen erheben zwar den Anspruch, evident zu sein, aber ihre Evidenz ist nicht natürlich. Sie ist nur mittelbar für diejenigen einleuchtend, die sie lesen können. Das gilt auch für Bilder in der medizinischen Diagnostik: Im Visualisierungsprozess diagnostischer Abbildunge...
Preprint
Insgesamt werden einschneidende Veränderungen im medizinischen Tätigkeitsbereich durch die Potenziale der KI vorausgesagt. Auswirkungen auf das ärztliche Selbstverständnis sind dabei ebenfalls zu erwarten. Wenn das für die fachliche Kompetenz und Autorität von Ärzt*innen konstitutive Arbeiten im "Clinical Reasoning" von KI-Systemen hinsichtlich Gen...
Chapter
Full-text available
Krankheit in digitalen Spielen hat viele Facetten – egal ob psychisch oder somatisch. Ihre Darstellung fußt dabei auf Prozessen, die gesellschaftliches Wissen zu Krankheiten aufgreifen und gemäß der Eigenlogik digitaler Spiele verändern. Ästhetik, Narration und Spielmechanik partizipieren so an Kämpfen um Deutungshoheiten zwischen der Tradierung st...
Article
Full-text available
Several physicians have been nominated for the Nobel Prize in literature, but so far none of them have received it. Because physicians as women and men of letters have been a major topic of feuilletons, seminars and books for many years, questions arise to what extent medicine was a topic in the proposals for the Nobel Prize and in the Nobel jury e...
Book
https://www.lehmanns.de/shop/geisteswissenschaften/54221107-9783965431492-medizinische-terminologie
Chapter
Mit der Gewinnung und Generierung unterschiedlicher Stammzelltypen gehen verschiedene ethische Überlegungen einher. Am stärksten umstritten ist die moralische Legitimität der Gewinnung und Erforschung von humanen embryonalen Stammzellen (hES-Zellen). Gleichzeitig gilt die Stammzellforschung als Hoffnungsträger für (potentielle) klinische, therapeut...
Article
Full-text available
Background: The German government has made it mandatory to wear respiratory masks covering mouth and nose (MNC) as an effective strategy to fight SARS-CoV-2 infections. In many countries, this directive has been extended on shopping malls or public transportation. The aim of this paper is to critically analyze the statutory regulation to wear prot...
Article
Full-text available
Zusammenfassung Die reproduktionsmedizinischen Technologien Egg Freezing und In-vitro-Gametogenese ermöglichen die Schwangerschaft in späterem Alter, sogar nach der Menopause. Diese Möglichkeit hat weitreichende individuelle, aber auch gesellschaftliche Konsequenzen. Ziel des Beitrags ist, diese Konsequenzen aufzuzeigen und die damit verbundenen Zi...
Article
Hans Asperger and his involvement in the national socialist system is currently sparking a debate in which historical reconstruction and personal memory are juxtaposed. Critical voices seeing him as involved in the Nazi regime are confronted with voices that claim to have come to know a completely different Asperger than the one they are confronted...
Article
Full-text available
In the human population, social contacts are a key for transmission of bacteria and viruses. The use of face masks seems to be critical to prevent the transmission of SARS-CoV-2 for the period, in which therapeutic interventions are lacking. In this review, we describe the history of masks from the middle age to modern times.
Chapter
This chapter explores Franco Basaglia’s relation with German psychiatry, from his early infatuation with the anthropo-phenomenological tradition to the disputes with the social psychiatric movement during the 1960s and 1970s. After an overview of Basaglia’s criticism of German psychiatric schools and institutions, the chapter focuses on his persona...
Article
Full-text available
This paper reviews the files in the archive of the Nobel Prize Committee for Physiology or Medicine on the Austrian physiologist and pioneering researcher in the emerging fields of urology and sexual medicine: Eugen Steinach (1861-1944). It reconstructs and analyzes why and by whom Steinach was nominated for the Nobel Prize between 1920 and 1938 an...
Article
The significance of electricity for medicine in the modern industrial age should not be underestimated. Particularly in connection with neurasthenia, electrotherapeutic approaches also experienced a boom for domestic use. Thus, electrotherapy reached urology just as it was becoming established as a medical specialty. We analyzed urological manuals...
Article
Zusammenfassung Dies ist der zweite Teil der Studie „Beziehungen ausgewählter Neurophysiologen zum Nationalsozialismus“. Hier werden die vier wichtigen Neurophysiologen Hans Berger, Paul Hoffmann, Richard Jung und Alois E. Kornmüller sowie ihr Wirken in der Zeit des Nationalsozialismus näher vorgestellt.
Article
Zusammenfassung Dies ist der erste Teil der Studie „Beziehungen ausgewählter Neurophysiologen zum Nationalsozialismus“. Hier werden die nationalsozialistischen Organisationen vorgestellt, in denen Mediziner typischerweise Mitglieder waren. Dies soll den zweiten Teil vorbereiten, in welchem die wichtigen Neurophysiologen Hans Berger, Paul Hoffmann,...
Article
Full-text available
The naturalisation of mental disorders—ie, their translation into measurable and preferably molecular variables—has not progressed despite breath-taking discoveries in the neurosciences. We ask whether self-inflicted limits exist among psychiatrists that would prevent them from supporting an imaginary perfect blood test with diagnostic specificity,...
Article
When Adolf Hitler was appointed Chancellor of the Reich Otfrid Foerster was almost 60 years old and an internationally renowned neurologist, neurosurgeon and a pioneer of localization research. Since 1922 he held the chair of neurology in Breslau (Wroclaw) and from 1925 to 1932 he was president (later honorary president) of the first Society of Ger...
Article
From the mid-1950s to the early 1980s the German Neurological Society (DGN) appointed in addition to international physicians, numerous German physicians as honorary members. From a present day perspective, some of them are to be classified as “incriminated” with their commitment to the National Socialist “movement” and its health policy goals, whi...
Article
Max Nonne, an internationally renowned German neurologist, acted from 1918 to 1924 as president of the (first) Society of German Neurologists (GDN). Appointed honorary president in 1925, he held this position in the (second) German Neurological Society (DGN) until his death. Since 1961, this association has honored 16 neurologists with a commemorat...
Article
For a long time, biographical sketches and obituaries have focused on Pette’s instantly recognizable scientific contributions to German neurology and neurovirology; however, they often ignored or marginalized his role as vice-president of the Society of German Neurologists and Psychiatrists (GDNP) during the Nazi era. Recent investigations and repo...
Article
In 1924 Oswald Bumke was appointed as Emil Kraepelins successor to the Chair of Psychiatry at the University of Munich. After 1933 he was a promoting member of the SS and the National Socialist Teachers Federation but he was never a member of the National Socialist German Workers’ Party (NSDAP). In 1933 he assumed the presidency of the Society of G...
Article
There were three Austrian neurologists with connections to neurology in National Socialism who have been honored by the German Neurological Society (DGN) or its predecessor organizations with honorary membership. From 1928 to 1934 Julius Wagner-Jauregg (1857–1940) was head of the Austrian Alliance for National Regeneration and the Study of Heredity...
Article
Klaus Joachim Zülch’s research on the pathology and biology of brain tumors made him one of the outstanding scholars and clinicians in the fields of neurology and neuropathology in the Federal Republic of Germany. The World Health Organization (WHO) drew on his results when laying down its classification. In the years 1961–1962 he was president of...
Article
In 1953 the prominent German neurologist Georg(es) Schaltenbrand became president of the German Neurological Society (DGN) and in 1967 honorary president. Less well known is the fact that from 1933 to 1936 he was member of the “Stahlhelm” and the Storm Troopers (SA). In 1937 he joined the National Socialist German Workers’ Party (NSDAP) and other N...
Article
This paper aims at reconstructing the biographies of six German neurologists during and after the “Third Reich”. Between 1957 and 1976, five of them were presidents of the German Neurological Society (DGN), the sixth was appointed honorary president in 1981. They all joined the National Socialist German Workers’ Party (NSDAP) or Storm Troopers (SA)...
Article
The German Neurological Society (DGN) instigated an investigation into potential incrimination of some of the previous leading members regarding their Nazi involvement. The persons in question include former (honorary) presidents and honorary members of the DGN (or the predecessor organizations) and the name givers of prizes awarded by the DGN. Thi...
Article
Paul Vogel belonged to a group of neurologists born around 1900 who felt particularly attracted by the promises of National Socialism. Shortly after having completed his Habilitation in 1934 he became head of the leading neurology department in Berlin located at the Hansaplatz. Doctors working there reported patients for sterilization according to...
Article
In 1954 Karl Kleist (1879–1960) became an honorary member of the German Neurological Society (DGN), an honor that was granted 2 years earlier to his colleague Viktor von Weizsäcker (1886–1957). The attempt to classify and assess their careers between 1933 and 1945 led to diametrically opposed results in historical research. This article summarizes...
Article
On behalf of the German Neurological Society (DGN) former presidents, honorary presidents and honorary members were checked for possible formal or ideological affiliations with National Socialism (NS) 75 years after the NS dictatorship. When the DGN was reformed in 1950, 6 of the 7 “founding fathers” were former members of the National Socialist Ge...
Article
The Kaiser Wilhelm Institute (KWI) for Brain Research in Berlin-Buch was one of the key institutions enmeshed in the euthanasia program between 1939 and 1945, generating scientific knowledge by dissecting the brains of murdered patients. As a consequence, this institution and its early years have attracted the attention of historians for years. The...
Article
Full-text available
In Bavarian psychiatric hospitals approximately 15,000 people with mental handicaps and mental illnesses were killed after the end of the so-called “Action T4”. Targeted death of mentally ill patients in numerous psychiatric institutions continued. Death from starvation was one of the strategies of so-called “decentralized” or “regionalized euthana...
Chapter
Full-text available
Organoids are developed from stem cells and serve as three-dimensional model systems for different organs. They have great potential for research and medicine, but also raise philosophical, ethical and legal questions which have rarely been discussed in Germany so far. This thematic study by the interdisciplinary research group (IAG) Gene Technolog...
Chapter
Ein Virus dominiert weltweit die Kommunikationsströme. »Corona« ist von gesamtgesellschaftlicher Relevanz, das Kennzeichen jeder Krise. Nicht nur die Körper sind infiziert, auch die Gesellschaft ist es. Ein Zwang zum Urteilen und Handeln unter Zeitnot, eine unbestimmte Verpflichtung zur Aktion setzt Politik, Wirtschaft, Massenmedien und nicht zulet...
Article
Full-text available
Background: The link between schizophrenia spectrum disorders (SSD) and violence is a core issue for most forensic psychiatric services. However, the drivers of violence in this population remain unclear, and, to date tools to predict violence risk have a range of limitations. Perhaps because of this uncertainty about the nature of violence risk,...
Article
Full-text available
This paper aims at reconstructing the development and role of German neurology between 1840 and 1940. Therefore a couple of original sources as well as selected material form the scattered secondary literature were assessed and reviewed. Since the middle of the nineteenth century, an intricate process of separation from internal medicine and psychi...
Article
Full-text available
GlobKult – kulturwissenschaftlich-politisches Magazin. https://www.globkult.de/geschichte/zeitgeschichte/1798-ost-deutsche-geschichte-erinnern-erfahrungen-in-ddr-kinderheimen
Article
Background Assistance systems serving the locomotion of older people interact in many ways with the culture of a society. Since early modern times at the latest, walking aids were tantamount to human frailty; however, the cane also symbolized governmental power or reputation. Nowadays, the cane, the wheelchair, and the rollator have not only a func...
Article
Full-text available
The scope and mission of the history of science have been constant objects of reflection and debate within the profession. Recently, Lorraine Daston has called for a shift of focus: from the history of science to the history of knowledge. Such a move is as an attempt at broadening the field, and ridding it of the contradictions deriving from its mo...