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2.2 Medical vocabularies are improved with Scale up
In the 1880s, increased attention was given to the idea that it was necessary to push aside previous norms entirely, instead of merely revising past knowledge in light of contemporary techniques. The theories of Sigmund Freud and Ernst Mach influenced early Modernist literature. Ernst Mach argued that the mind had a fundamental structure, and that subjective experience was based on the interplay of parts of the mind in The Science of Mechanics Freud's first major work was Studies on Hysteria with Josef Breuer.
According to Freud, all subjective reality was based on the play of basic drives and instincts, through which the outside world was perceived. As a philosopher of science, Ernst Mach was a major influence on logical positivism, and through his criticism of Isaac Newton, a forerunner of Albert Einstein's theory of relativity. Many prior theories about epistemology argued that external and absolute reality could impress itself, as it were, on an individual, as, for example, John Locke's empiricism, which saw the mind beginning as a tabula rasa, a blank slate (An Essay Concerning Human Understanding, 1690 Freud's description of subjective states, involving an unconscious mind full of primal impulses and counterbalancing self-imposed restrictions, was combined by Carl Jung with the idea of the collective unconscious, which the conscious mind either fought or embraced.
While Charles Darwin's work remade the Aristotelian concept of "man, the animal" in the public mind, Jung suggested that human impulses toward breaking social norms were not the product of childishness or ignorance, but rather derived from the essential nature of the human animal.Another major precursor of modernism was Friedrich Nietzsche especially his idea that psychological drives, specifically the "will to power", were more important than facts, or things. Henri Bergson , on the other hand, emphasized aware, introspective, and explored the darker aspects of human natureThe term modernism covers a number of related, and overlapping, artistic and literary movements, including Imagism, Symbolism, Futurism, Vorticism, Cubism, Surrealism, Expressionism, and Dada.Early modernist writersEarly modernist writers, especially those writing after World War I and the disillusionment that followed, broke the implicit contract with the general public that artists were the reliable interpreters and representatives of mainstream culture and ideas, and, instead, developed unreliable narrators, exposing the irrationality at the roots of a supposedly rational world. They also attempted to address the changing ideas about reality developed by Charles Darwin, Ernst Mach, Freud, Albert Einstein, Nietzsche, Bergson and others. From this developed innovative literary techniques such as stream-of-consciousness, interior monologue, as well as the use of multiple points-of-view. This can reflect doubts about the philosophical basis of realism, or alternatively an expansion of our understanding of what is meant by realism. For example, the use of stream-of-consciousness or interior monologue reflects the need for greater psychological realism.It is debatable when the modernist literary movement began, though some have chosen 1910 as roughly marking the beginning and quote novelist Virginia Woolf, who declared that human nature underwent a fundamental change "on or about December 1910". But modernism was already stirring by 1902, with works such as Joseph Conrad's (1857–1924) Heart of Darkness, while Alfred Jarry's absurdist play, Ubu Roi appeared even earlier, in 1896.Among early modernist non-literary landmarks is the atonal ending of Arnold Schoenberg's Second String Quartet in 1908, the Expressionist paintings of Wassily Kandinsky starting in 1903 and culminating with his first abstract painting and the founding of the Expressionist Blue Rider group in Munich in 1911, the rise of fauvism, and the introduction of cubism from the studios of Henri Matisse, Pablo Picasso, Georges Braque and others between 1900 and 1910. Sherwood Anderson's Winesburg, Ohio is known as an early work of modernism for its plain-spoken prose style and emphasis on psychological insight into characters.James Joyce was a major modernist writer whose strategies employed in his novel Ulysses for depicting the events during a twenty-four-hour period in the life of his protagonist, Leopold Bloom, have come to epitomize modernism's approach to fiction. The poet T.S. Eliot described these qualities in 1923, noting that Joyce's technique is "a way of controlling, of ordering, of giving a shape and a significance to the immense panorama of futility and anarchy which is contemporary history.

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