The individual cases immediately follow the “History,” readers thereby encountering an iterated clinical narrative: a generalized story of the malady told in the “History” and in a patchwork of separate narratives made up of the case descriptions.
The “History” is worth quoting at some length because it detailed a complex trajectory of shaking, agitations, and altered gait developing slowly over time: So slight and nearly imperceptible are the first inroads of this malady, and so extremely slow its progress, that it rarely happens, that the patient can form any recollection of the precise period of its commencement. to answer with exactness to the dictates of the will….
It looks afresh at the work’s structure and content, locating the writing in the context of the culture of the day and in its affinities with eighteenth-century urban observation and the sentimental literature of Parkinson’s time.’s clinical phenomenology goes beyond the language of the ocular to include subjective perspectives on the effects of the condition, and on the way Parkinson characterized the natural history of the malady. Leonard’s Church Shoreditch, Parkinson’s place of retirement in 1817, and St Luke’s Mental Asylum. Chapter 3, “SHAKING PALSY DISTINGUISHED FROM OTHER DISEASES FROM WHICH IT MAY BE CONFOUNDED,” sought to differentiate the malady from similar conditions and to establish the Shaking Palsy as a “species of disease.” In the fourth chapter, “PROXIMATE CAUSE—REMOTE CAUSES—ILLUSTRATIVE CASES,” he outlined possible causes of the condition, referring to a number of cases including several from his own practice.
The historian Roy Porter considered Parkinson a man “with impeccably enlightened credentials,” a doctor with a highly developed empiricist bent, committed to observation and recording of the human and natural worlds, and faithful to social and political ideals including widening of the franchise and improvements in the material conditions of the majority of people. Finally, in chapter 5, “CONSIDERATIONS RESPECTING THE MEANS OF CURE,” Parkinson outlined two stages of the affliction and suggested that in the earlier stage the condition might be curable with local treatments.
This meeting is being held to celebrate 200 years of progress in understanding the signs and symptoms of Parkinson’s disease, the cause of the illness, and its treatment and progress toward a cure.
In this respect, the organization of the meeting will track the chapters of "The Shaking Palsy" as written by James Parkinson and give the state-of-the-art view of Parkinson’s disease.
The EACCME is an institution of the European Union of Medical Specialists (UEMS).
The ' James Parkinson – An Essay on the Shaking Palsy 1817.
A celebration of 200 years of progress' is designated for a maximum of 11 hours of European external CME credits.
Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.