TY - JOUR
T1 - The early struggles of the fledgling American Academy of Neurology
T2 - Resistance from the old guard of American neurology
AU - Louis, Elan D.
N1 - Funding Information:
Bailey representing the International Division of the N.I.N.D.B. [National Institutes of Neurological Disease and Blindness], would seem to be assuming the entire conduct of International Neurology, including the direct control of the Congresses themselves. I consider that this situation has arisen as a direct result of the initiative assumed by Bailey as Director of the N.I.N.D.B., which, so far as I know, is supported by funds coming from taxes paid by all of us in the United States and appropriated by Congress for the various institutes of the Public Health Service. I think that, as you say, sooner or later this matter must be brought to a head and the relative relations of the A.N.A. and A.A.N. in all things neurological in the United States must be stabilized. Otherwise I feel that Neurology is on the way to becoming a hotbed of politics, ambition and self-seeking, which has never been the case before the A.A.N. began to assume such an aggressive attitude in regard to all things neurological (Riley, 10 November 1959).
PY - 2013/1
Y1 - 2013/1
N2 - The American Neurological Association, established in 1874, was a small exclusive society comprising senior neurologists at a select number of north-eastern academic institutions. In 1948, an attempt was made to establish a second neurological society in the USA. The American Academy of Neurology was formed around a group of young neurologists who represented the country's Midwest and other regions. The American Academy of Neurology is now the larger of the two organizations, even though the American Academy of Neurology began as a small and politically vulnerable organization, arising in the shadow of the powerful and established American Neurological Association. How did the 75-year-old association react when a second, seemingly redundant, neurological association attempted to organize? This question has not been the focus of historical work, and the purpose of this study was to address this. To do so, the author studied the primary source materials in the American Academy of Neurology Historical Collection and the papers of Dr Henry Alsop Riley, an American neurologist, who was influential in both the American Neurological Association and American Academy of Neurology. On its formation, the American Academy of Neurology did not enter a vacuum. Indeed, the long-existing American Neurological Association actively resisted the new organization. There was reluctance to accept the new idea on a conceptual level, a formal attempt to hijack the new organization and discussions about punitive actions against its founder, while at the same time an attempt to bring him into the American Neurological Association leadership. Although the American Neurological Association attempted to frame itself as the patrician 'upper chamber' of American neurology, the American Academy of Neurology leadership was ultimately savvier at political manoeuvring and use of government agencies and funding organizations. The struggle of the American Academy of Neurology with the American Neurological Association was in many ways one manifestation of a larger societal struggle in a post-bellum (post-World War II) America with a changing demographic. The struggle involved the rise of democratic medical populism in the country's Midwest versus establishment medicine (mainly situated in the Northeast), and perhaps, the rise of the middle class versus the aristocrats.
AB - The American Neurological Association, established in 1874, was a small exclusive society comprising senior neurologists at a select number of north-eastern academic institutions. In 1948, an attempt was made to establish a second neurological society in the USA. The American Academy of Neurology was formed around a group of young neurologists who represented the country's Midwest and other regions. The American Academy of Neurology is now the larger of the two organizations, even though the American Academy of Neurology began as a small and politically vulnerable organization, arising in the shadow of the powerful and established American Neurological Association. How did the 75-year-old association react when a second, seemingly redundant, neurological association attempted to organize? This question has not been the focus of historical work, and the purpose of this study was to address this. To do so, the author studied the primary source materials in the American Academy of Neurology Historical Collection and the papers of Dr Henry Alsop Riley, an American neurologist, who was influential in both the American Neurological Association and American Academy of Neurology. On its formation, the American Academy of Neurology did not enter a vacuum. Indeed, the long-existing American Neurological Association actively resisted the new organization. There was reluctance to accept the new idea on a conceptual level, a formal attempt to hijack the new organization and discussions about punitive actions against its founder, while at the same time an attempt to bring him into the American Neurological Association leadership. Although the American Neurological Association attempted to frame itself as the patrician 'upper chamber' of American neurology, the American Academy of Neurology leadership was ultimately savvier at political manoeuvring and use of government agencies and funding organizations. The struggle of the American Academy of Neurology with the American Neurological Association was in many ways one manifestation of a larger societal struggle in a post-bellum (post-World War II) America with a changing demographic. The struggle involved the rise of democratic medical populism in the country's Midwest versus establishment medicine (mainly situated in the Northeast), and perhaps, the rise of the middle class versus the aristocrats.
KW - 20th century
KW - American Academy of Neurology
KW - American Neurological Association
KW - history
KW - neurology
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UR - http://www.scopus.com/inward/citedby.url?scp=84873387119&partnerID=8YFLogxK
U2 - 10.1093/brain/aws278
DO - 10.1093/brain/aws278
M3 - Article
C2 - 23288329
AN - SCOPUS:84873387119
VL - 136
SP - 343
EP - 354
JO - Brain
JF - Brain
SN - 0006-8950
IS - 1
ER -