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Wolfson Research Institute for Health and Wellbeing

Wolfson Fellow

Publication details for Professor Holger Maehle

Maehle, Andreas-Holger & Pranghofer, Sebastian (2010). Medical confidentiality in the late nineteenth and early twentieth centuries: an Anglo-German comparison. Medizinhistorisches Journal 45(2): 189-221.
  • Publication type: Journal papers: academic
  • ISSN/ISBN: 0025-8431
  • Keywords: Medical confidentiality, Professional secrecy, Medical ethics, Medicine and law, Venereal diseases, Abortion, Public health, England, Germany.
  • View online: Online version
  • Durham research online: DRO record

Author(s) from Durham

Abstract

Professional secrecy of doctors became an issue of considerable medico-legal and political debate in the late ineteenth and early twentieth centuries in both Germany and England, although the legal preconditions for this debate were quite different in the two countries. While in Germany medical confidentiality was a legal obligation and granted in court, no such statutory recognition of doctors’ professional secrecy existed in England. This paper is a comparative analysis of medical secrecy in three key areas – divorce trials, venereal disease and abortion – in both countries. Based on sources from the period between c.1870 and 1939, our paper shows how doctors tried to define the scope of professional secrecy as an integral part of their professional honour in relation to important matters of public health.