Genesis and Development of a Scientific Fact
I’ve been meaning to read this book for a decade, and it’s been sitting on my bookshelf for perhaps a year. But I have been reading some literature about concepts lately, and realized that this book would need to be part of those readings. So when I finally got to a break in my reading schedule, I picked it up, expecting to slog through it.
Instead, I found a highly readable book that takes the question of developing scientific facts quite seriously. As Thaddeus Trenn says in the preface, this monograph was originally written in 1935 and published with a scant 640 copies, “of which about 200 were sold,” and “indeed, the first published reference to his monograph since the 1930s seems to be that of Kuhn in 1962” (p.xviii). Nearly a lost work, this monograph found a new life in the sociology of science and technology (SST) in the 1970s.
To me, the book reads as if it had been written in the 1970s. It sounds a lot like SST works that came out at that time and a little later (Shapin, Schaeffer, Woolgar, Latour, Bazerman), following the same basic methodology of examining how scientific concepts change over time through subsequent texts. I’m not sure whether Fleck heavily influenced these texts or whether those texts found Fleck newly relevant because his text resembled theirs — but in any case, the method of investigation was familiar, leading to insights that accorded with what I understand of SST.
In the Prologue, Fleck lays out what’s at stake: “What is a fact?” He answers that “A fact is supposed to be distinguished from transient theories as something definite, permanent, and independent of any subjective interpretation by the scientist.” Epistemology critiques how facts are established, but, Fleck says, epistemology tends to focus exclusively on “well-established facts of everyday life, or those of classical physics” (p.xxvii). He sets off to examine how empirical facts originate, focusing on a “recent” fact: “the fact that the so-called Wasserman reaction is related to syphilis” (p.xxviii).
In Chapter 1, he examines how the modern concept of syphilis originated. After all, in the 15th century, it was unclear whether a single disease existed (p.2). At that point, the first idea emerged: syphilis was distinguished by spreading from the genitals, and this meant to astrology-based science that it was influenced by the sign of Scorpio (p.2). “Astrology thus contributed its share to the firm establishment of the venereal character of syphilis as its first ‘specific difference’” (p.2), followed by religion’s treatment of syphilis as “a punishment for sinful lust” (p.3). Thus “the stigma of fatefulness and sinfulness was imprinted upon syphilis” (p.3) and became a lasting part of the concept.
The second idea evolved from nascent medical practice involving pharmaceuticals: syphilis, along with other skin diseases, could be treated by mercury — unlike other venereal diseases such as gonorrhea (pp.3-4). This second idea developed side by side with the first one, and they eventually mingled (p.5).
Fleck concludes that the fact of syphilis itself emerged from these ideas that we would today consider fallacious; he urges us to pay “attention to the cultural-historical dependence” of epistemic choices (p.9).
Two other ideas also contributed to this scientific fact. The third idea is that of syphilis as a pathogenetic disease entity — i.e., focused on “the mechanism of the pathological associations” — including foul humours. The fourth idea is that of syphilis as a special etiological entity (p.11).
Eventually, the Wasserman reaction redefined syphilis, created the discipline of serology, and yielded an effective etiological concept of syphiology (p.14). “This completes the present-day (!) definition of syphilis” (p.14). Fleck concludes that the development of the concept of syphilis is incomplete in principle, constituting a transformation from earlier understandings (p.19).
In Chapter 2, Fleck argues that “Concepts are not spontaneously created but are determined by their ‘ancestors’” (p.20). Just as we would not study anatomy without embryology, we should not study “epistemology without historical and comparative investigations” (p.21). Nor can we just rely on phenomenology (p.21)!
Thus, we must study proto-ideas, which influenced the development of scientific facts despite often being based on prescientific ideas (such as astrology) (p.23). The Wasserman reaction, he says, “constitutes the modern, scientific expression of an earlier pre-idea which contributed to the concept of syphilis” (p.23). “Can epistemology blandly ignore the fact that many scientific positions developed from proto-ideas which at the time were not based upon the type of proof considered valid today?” (pp.24-25), he demands. “Proto-ideas must be regarded as developmental rudiments of modern theories and as originating from a socio-cogitative foundation” (p.25). These are “‘mutations’ in thought-style” (p.26). Further, he says, cognition is the result of social activity (p.38), emerging from a “thought collective” or “a community of persons mutually exchanging ideas or maintaining intellectual interaction” and which “provides the special ‘carrier’ for the historical development for the historical development of any field of thought, as well as for the given stock of knowledge and level of culture” (p.39, his emphasis). He identifies three factors involved in cognition: “the individual, the collective, and objective reality” (p.40).
In Chapter 3, Fleck finally tells us what the Wasserman reaction is. I’ll just skip to his point, which is that without a preexisting, prescientific idea of a change in syphilitic blood, there would be no Wasserman test and no serology (p.77).
In Chapter 4, Fleck defines a scientific fact as “a thought-stylized conceptual relation which can be investigated from the point of view of history and from that of psychology, both individual and collective, but which cannot be substantively reconstructed in toto simply from these points of view” (p.83). He describes the mechanism of the scientific experiment in these terms, noting that “cognition modifies the knower so as to adapt him harmoniously to his acquired knowledge” (p.86). He argues that “the general aim of intellectual work is therefore maximum thought constraint with minimum thought caprice” (p.95). and he concludes that a fact arises through (1) a signal of resistance in chaotic initial thinking, leading to (2) a definite thought constraint, yielding (3) a form to be perceived (p.95). Truth is thus a stylized solution: not subjective or relative, but “an event in the history of thought” that is “stylized through constraint” (p.100, his emphasis). And a fact is “the signal of resistance opposing free, arbitrary thinking” (p.101).
The book ends with a biographical sketch. Fleck earned his medical degree in 1922 and specialized in bacteriology, heading the bacteriological and chemical labs of the State Hospital in Lvov, Poland (p.149). His research work centered on typhus. This book was published in 1935 in Switzerland because conditions did not allow a Jew to publish in Germany at that time (p.150). During the German occupation of Lvov, Fleck was compelled to produce a typhus vaccine for the German armed forces. After divulging the procedure for obtaining the new vaccine, in 1943, he was sent to Auschwitz, where (under duration) he continued to produce the vaccine. In 1944, he was transferred to Buchenwald, where he was again compelled to produce it. Buchenwald was liberated in 1945, and he returned to Poland (p.151). Finally, he was able to emigrate to Israel with his wife in 1957 (p.152).
Overall, I found this book to be a fascinating, exciting, and highly rewarding reading. Fleck writes clearly and confidently, providing a valuable sociological account that grapples with concepts as culturally and historically emergent, and thus conditioned by (or guided by, or originating from) prescientific ideas. For me, it served a useful contrast to the line of thought that travels from Hegel to Vygotsky to modern-day commentators such as Blunden, in which scientific concepts are sharply distinguished from complexes and pseudoconcepts, emerging through dialectic to yield more accurate and defensible understandings of the world. Fleck doesn’t deny that the modern concept of syphilis is more useful for investigation and more tractable to treatment, but he understands this concept (and other scientific concepts) as pragmatic in relation to current thought and practice, rather than closer to reality in an absolute or objective sense.
I’m sure I’ll be returning to this book to think about concepts further. If you’re interested in concepts, or just the sociology of science in general, I highly recommend it.