Show Summary Details
Page of

Culs-de-Sac and Bureaucracies 

Culs-de-Sac and Bureaucracies
Culs-de-Sac and Bureaucracies

Dieter Schmidt

and Simon Shorvon

Page of

PRINTED FROM OXFORD MEDICINE ONLINE ( © Oxford University Press, 2020. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 21 September 2020

This chapter examines some of the curate’s eggs of epilepsy. Examples in which the bright light of success is obscured by shadows cast from the dark side. It starts by pointing out the erratic nature in which science has advanced in the modern period, using the theories of causation of epilepsy as an example. This is not a linear path to the stars but a course influenced by societal and political fashion, with many culs-de-sac and wrong turnings, now as much as in the past. It considers, too, the extraordinary bureaucracies which underpin communication in epilepsy today—the journals, the congresses, and the professional organisations—and that govern the regulation of drug therapy. The landscapes within which these bureaucracies operate are often marked by short-termism, politics of the parish pump variety, the impact of often rather tiresome personalities, and the dead hand of regulation and ‘guidance’. There have been steps forward and some reverses, but most is Brownian movement.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.