What structures of power would the new reorganization of the clinic have?

"[I]t was no longer the gaze of any observer, but that of a doctor supported and justified by an institution, that of a doctor endowed with the power of decision and intervention. Moreover, it was a gaze that was not bound by the narrow grid of structures (form, arrangement, number, size), but that could and should grasp colours, variations, tiny anomalies, always receptive to the deviant. Finally, it was a gaze that was not content to observe what was self-evident; it must make it possible to outline chances and risks; it was calculating...New objects were to present themselves to the medical gaze in the sense that, and at the same time as, the knowing subject reorganizes himself, changes himself, and begins to function in a new way. It was not, therefore, the conception of disease that changed first and later the way in which it was recognized; nor was it the signaletic system that was changed first and then the theory; but together, and at a deeper level, the relation between the disease and this gaze to which it offers itself and which at the same time it constitutes. At this level there was no distinction to be made between theory and experience, methods and results; one had to read the deep structures of visibility in which field and gaze are bound together by codes of knowledge, in this chapter we shall study these codes in their two major forms: the linguistic structure of the sign and the aleatory structure of the case." (pp. 89-90)

 

signs

cases

 

The net result of this new application of signs and cases resulted in "much more than a revival of the old medical empiricism; it was concrete life, the first application of analysis" (p. 104). Through it, "the clinic is a field made philophically 'visible' by the introduction into the pathological domain of grammatical and probabilistic structures...which freed medical perception from the play of essence and symptoms, and from the no less ambiguous play of species and individuals...A domain of clear visibility was opened up to the gaze" (p. 105).
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