Medicalization

Medicalization
  • 文章类型: Journal Article
    This essay challenges the idea of progress as technological development in relation to medicine by focusing on people rather than things. It analyzes how the prevalence of such an idea of progress leads contemporary societies to a technofetishism that degrades community life and medical practice, contributing to the medicalization of social life. It is argued that the realization of technological potentialities depends on their forms of use, that the main motive of technological development is unlimited profit, and the priority developments are those that enhance social control which maintains the status quo. Intelligence as an intelligence quotient is criticized by proposing it as an attribute of the human being as a whole, manifested in the ways of thinking and acting of human beings in their circumstances, where affectivity and critical thinking are essential for their development; it is emphasized that its antecedent is the harmonic concert of planetary life, which contrasts with the prevailing human disharmony. It is proposed that artificial intelligence is the latest creation of technofetishism, which deposits vital attributes in technology, and that its use will accentuate the degradation of human and planetary life. Another idea of medical progress is proposed, based on forms of organization that is conducive to the development of inquisitive, critical, and collaborative skills that promote permanent improvement, whose distant horizon is dignified progress: the spiritual, intellectual, moral, and convivial sublimation of collectivities in harmony with the planetary ecosystem.
    Este ensayo cuestiona, a propósito de la medicina, la idea de progreso como desarrollo tecnológico al centrarlo en las personas no en las cosas. Se analiza cómo el predominio de tal idea de progreso convierte a las sociedades actuales al tecno-fetichismo que degrada la vida comunitaria y la práctica médica contribuyendo a la medicalización de la vida social. Se argumenta: que la realización de las potencialidades tecnológicas depende de sus formas de uso; que el móvil principal del desarrollo tecnológico es el lucro sin límites y que los desarrollos prioritarios son los que potencian el control social que mantiene el statu quo. Se critica la idea de inteligencia como cociente intelectual al proponerla como atributo del ser humano como un todo, manifiesto en las formas pensar y proceder de las personas en sus circunstancias, donde la afectividad y el pensamiento crítico son imprescindibles para su desarrollo. Se destaca que su antecedente es el concierto armónico de la vida planetaria contrastante con la disarmonía humana imperante. Se plantea que la inteligencia artificial es la más reciente hechura del tecno-fetichismo que deposita en la tecnología atributos vitales y que sus formas de uso acentuarán la degradación de la vida humana y planetaria. Se propone otra idea de progreso médico basado en formas de organización propicias para el desarrollo de aptitudes inquisitivas, críticas y colaborativas que impulsen la superación permanente, cuyo horizonte lejano es el progreso dignificante: sublimación espiritual, intelectual, moral y convivencial de las colectividades en armonía con el ecosistema planetario.
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  • 文章类型: Journal Article
    This essay questions, with regard to medicine, the idea of progress as technological development by focusing on people rather than things. It analyzes how the predominance of such an idea of progress converts today\'s societies to techno-fetishism that degrades community life and medical practice, contributing to the medicalization of social life. It is argued that the realization of technological potentialities depends on their forms of use; that the main motive of technological development is unlimited profit and that priority developments are those that enhance the social control that maintains the status quo. The intelligence as an intelligence quotient is criticized by proposing it as an attribute of the human being as a whole, manifested in the ways of thinking and proceeding of people in their circumstances, where affectivity and critical thinking are essential for their development; it is emphasized that its antecedent is the harmonic concert of planetary life that contrasts with the prevailing human disharmony. It is proposed that artificial intelligence is the most recent creation of techno-fetishism that deposits vital attributes in technology and that its forms of use will accentuate the degradation of human and planetary life. Another idea of medical progress is proposed, based on forms of organization conducive to the development of inquisitive, critical and collaborative skills that promote permanent improvement, whose distant horizon is dignifying progress: spiritual, intellectual, moral and convivial sublimation of collectivities in harmony with the planetary ecosystem.
    Este ensayo cuestiona, a propósito de la medicina, la idea de progreso como desarrollo tecnológico al centrarlo en las personas y no en las cosas. Se analiza cómo el predominio de tal idea de progreso convierte a las sociedades actuales al tecno-fetichismo que degrada la vida comunitaria y la práctica médica contribuyendo a la medicalización de la vida social. Se argumenta que la realización de las potencialidades tecnológicas depende de sus formas de uso, que el móvil principal del desarrollo tecnológico es el lucro sin límites, y que los desarrollos prioritarios son los que potencian el control social que mantiene el statu quo. Se critica la idea de inteligencia como cociente intelectual al proponerla como atributo del ser humano como un todo, manifiesto en las formas pensar y proceder de las personas en sus circunstancias, donde la afectividad y el pensamiento crítico son imprescindibles para su desarrollo. Se destaca que su antecedente es el concierto armónico de la vida planetaria contrastante con la disarmonía humana imperante. Se plantea que la inteligencia artificial es la más reciente hechura del tecno-fetichismo que deposita en la tecnología atributos vitales, y que sus formas de uso acentuarán la degradación de la vida humana y planetaria. Se propone otra idea de progreso médico basado en formas de organización propicias para el desarrollo de aptitudes inquisitivas, críticas y colaborativas que impulsen la superación permanente, cuyo horizonte lejano es el progreso dignificante: sublimación espiritual, intelectual, moral y convivencial de las colectividades en armonía con el ecosistema planetario.
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    文章类型: Journal Article
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  • 文章类型: Journal Article
    一些律师和法律学者认为,将跨性别原告(即,在歧视案件中引入原告诊断和/或医疗程序)将增强有利的原告结果。将生物本质主义联系起来的研究和理论(即,相信社会群体反映生物学根源,稳定类别)偏见,然而,这表明,对跨性别原告进行医疗处理可能不会帮助他们赢得案件,反而可能适得其反,损害他们的案件结果。为了测试这些相互竞争的假设,我们对1974年至2021年所有公开的涉嫌跨性别歧视的案件(N=124)进行了编码。重要的是,我们通过记录除诊断外的各种其他形式的医学治疗,解决了现有研究对跨性别原告仅通过诊断进行医学治疗的狭义定义的局限性.与法律学者的主张和律师的直觉相反,医学治疗并不能预测跨性别原告的有利结果.事实上,诊断之外的各种形式的医疗化预测了原告案件的负面结果。我们讨论了这项研究对科学理论和法律实践的启示。
    Some attorneys and legal scholars argue that medicalizing transgender plaintiffs (i.e., introducing plaintiff diagnoses and/or medical procedures) in discrimination cases will enhance favorable plaintiff outcomes. Research and theory linking biological essentialism (i.e., believing social groups reflect biologically-rooted, stable categories) to prejudice, however, suggests that medicalizing transgender plaintiffs might not help them win cases and might instead backfire and harm their case outcomes. To test these competing hypotheses, we coded all published cases involving alleged transgender discrimination (N = 124) from 1974 to 2021. Importantly, we addressed limitations of existing research that narrowly defined transgender plaintiff medicalization exclusively via diagnosis by documenting various other forms of medicalization beyond diagnosis. Contrary to legal scholars\' claims and attorney intuitions, medicalization did not predict favorable outcomes for transgender plaintiffs. In fact, various forms of medicalization beyond diagnosis predicted negative plaintiff case outcomes. We discuss the implications of this research for informing scientific theory and legal practice.
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  • 文章类型: Journal Article
    随着脑科学的不断发展,神经科学的研究和技术干预导致了一些伦理的兴起,道德,legal,概念性的,和社会经济问题。这些问题以及建立知识框架来解决这些问题的必要性构成了神经伦理学的基础。最方便的是,神经伦理学的规范定义是神经科学伦理学和神经科学伦理学。然而,有更多的关键问题来定义和框架的概念结构的领域。当前神经科学的自然主义-实证主义观点将扩展人类行为的概念,比如决策,意识,字符,和道德直觉,是机器的机械特征。哲学和人类学观点的争论围绕着这个定义出现,专注于简化主义的本质,仅仅是对人类思想和行为的积极看法。思考这种方法的珍珠,如果我们不认识到神经科学哲学人类学方面的重要性,我们首先回顾该领域的不同定义和批评,然后继续讨论伦理化和医学化两个概念。这些概念清楚地表明了生物伦理学中既定的实证主义-自然主义观点及其引起的问题。为了更好地理解这两个概念,我们在生命伦理学中使用围绕它们的现有讨论和文献。通过回顾现有的文献并增加该领域的哲学观点,我们的目标是为神经伦理学领域增加一种新的方法。我们专注于采用跨学科的方法来神经伦理学,以提供所需的背景视野和理论来讨论跨学科问题,并使学者和理论家能够重新构建该领域的基本问题。如神经伦理学的性质和范围。
    Thinking With a growing body of brain science, the research and technological interventions in neuroscience have led to the rise of some ethical, moral, legal, conceptual, and socioeconomic problems. These problems and the need to establish an intellectual framework to approach them framed the base of Neuroethics. Most conveniently, the normative definition of Neuroethics is declared as ethics of neuroscience and neuroscience of ethics. However, there are more critical issues to define and frame the conceptual structure of the field. The current naturalist-positivist vision in neuroscience will extend the concept that human behavior, such as decision-making, consciousness, character, and moral intuitions, are mechanical features of a machine. Arguments from philosophical and anthropological views arose around this definition, focusing on the reductionist nature of merely a positive view of the human mind and behavior. Thinking through the pearls of such an approach and what would be at stake if we fail to recognize the importance of the philosophical-anthropological aspect of neuroscience, we first review different definitions and critics of the field, then proceed to discuss two concepts of Ethicalization and Medicalization. These concepts clearly show the established positivist-naturalist view in bioethics and the issues it caused. To better understand these two concepts, we use existing discussions and literature around them in bioethics. By reviewing the existing literature and adding a philosophical view of the field, we aim to add a new approach to the field of Neuroethics. We focus on adopting an interdisciplinary approach to Neuroethics to provide the needed background vision and theory to discuss interdisciplinary issues and enable scholars and theorists to reframe the fundamental issues of the field, such as the nature and scope of Neuroethics.
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  • 文章类型: Journal Article
    在丹麦,人们应该对自己的健康负责,尤其是随着他们的身体变老,他们经历了身体或精神衰退的迹象。借鉴老丹麦人的实地考察,我表明,过度关注健康会引起社会和结构性争议和差距,将个体健康行为的观念与疾病和衰老的社会框架联系起来。我认为,这种强调有助于对衰老过程中自然发生的身体变异进行不必要的诊断,一种被称为过度诊断的现象,增加了更广泛的老年医疗化。
    In Denmark, people are expected to take responsibility for their health, not least as their bodies age and they experience signs of physical or mental decline. Drawing on fieldwork among older Danes, I illustrate that an excessive focus on health gives rise to social and structural controversies and disparities, linking ideas of healthy behavior at the individual level with the societal framing of disease and aging. I argue that this emphasis contributes to the unwarranted diagnosis of bodily variations that naturally occur in the aging process, a phenomenon referred to as overdiagnosis, adding to a broader medicalization of old age.
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  • 文章类型: Journal Article
    背景:小阴唇肥大的特点是唇组织延伸到大阴唇以外;然而,肥大的确切定义是一个争论的问题。虽然阴唇肥大的患病率在女性中非常普遍,禁忌/有争议的态度和手术干预仍然占主导地位。对小阴唇肥大的认识和研究将增加我们对这种代表性不足的解剖多样性的认识。
    目的:提供有关阴唇肥大的现有文献报告,并讨论其定义,病因学,态度,管理,以及围绕小阴唇肥大的医学治疗及其影响。
    方法:小阴唇肥大相关文献综述.
    结果:小阴唇的外观和测量结果差异很大,肥大在人群中极为普遍,并且大部分是非病理性的。仍然缺乏定义阴唇肥大的标准化标准。围绕阴唇肥大的态度在全球不同,但是在西方国家,对阴唇肥大的压倒性情绪已经在很大程度上被医学化了。
    结论:对阴唇肥大的非病理性病例采取消极的态度和不必要的药物治疗是不合理的,并伴随着潜在的风险。仍然存在迫在眉睫的需要来区分非病理性的细长阴唇,教育公众不同的生殖器外观,并提高对生殖器整容手术的长期结果和风险的认识。
    BACKGROUND: Labia minora hypertrophy can be characterized by the labial tissue extending beyond the labia majora; however, the exact definition of hypertrophy is a matter of debate. While the prevalence of labia hypertrophy is very common among women, taboo/controversial attitudes and surgical interventions still dominate. The recognition and study of labia minora hypertrophy will increase our knowledge of this underrepresented anatomic diversity.
    OBJECTIVE: To provide a report of the current literature on labia hypertrophy and discuss the definition, etiology, attitudes, management, and medicalization surrounding labia minora hypertrophy and the implications.
    METHODS: Comprehensive review of literature pertaining to labia minora hypertrophy.
    RESULTS: Labia minora appearance and measurements vary extensively, and hypertrophy is extremely prevalent in the population and largely nonpathologic. There remains a lack of standardized criteria to define labia hypertrophy. Attitudes surrounding labia hypertrophy differ globally, but in Western nations the overwhelming sentiment toward labia hypertrophy has largely been medicalized.
    CONCLUSIONS: Negative attitudes and unnecessary medicalization of nonpathologic instances of labia hypertrophy is unjustifiable and comes with potential risks. There remains an impending need to demedicalize nonpathologic elongated labia, educate the public on diverse genital appearance, and improve understanding of the long-term outcomes and risks of genital cosmetic surgery.
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  • 文章类型: Journal Article
    医学社会学家通过引入全球健康可以获得很多好处。在这篇文章中,我提出了扩大我们的领域,通过推进对全球健康的社会学观点。我反思我的事业,学者-活动家导师的影响,以及我对医学化学术发展的贡献,叙事,和医学社会学中的全球健康。首先,我专注于医疗化,它与生物医学化和药学化的关系,以及对全球健康医学化的批评。第二,我分析了疾病经历研究中的叙事转向,并将视觉材料作为疾病叙事研究的组成部分。第三,我探索全球健康,并展示医学社会学家正在建立的知识体系的例子。虽然我把每一个都当作一个不同的区域,我的讨论说明了这三个领域是如何交织在一起的,以及我对每个领域的贡献是如何遍历并在它们之间建立联系的。
    Medical sociologists have much to gain by bringing in global health. In this article, I make the case for expanding our field by furthering sociological perspectives on global health. I reflect on my career, the influence of scholar-activist mentors, and my contributions to the development of scholarship about medicalization, narrative, and global health in medical sociology. First, I focus on medicalization, its relationship to biomedicalization and pharmaceuticalization, and critiques of the medicalization of global health. Second, I analyze the narrative turn in studies of illness experiences and the inclusion of visual materials as an integral part of narrative studies of illness. Third, I explore global health and show examples of bodies of knowledge that medical sociologists are building. Although I present each as a distinct area, my discussion illustrates how the three areas are intertwined and how my contributions to each traverse and build connections among them.
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  • 文章类型: Editorial
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  • 文章类型: Journal Article
    先前的研究表明,经历勃起或性功能障碍的男性在面对面的临床接触中讨论他们的性经历可能会感到不舒服。部分原因是与讨论私人性行为相关的污名和尴尬。这项研究调查了电子病人,或者更确切地说,寻求建议的人,和医生在在线医疗咨询(OMC)中交流性功能障碍。我们对CHDoctor的相关OMC进行了主题导向的语篇分析,一个中国医疗咨询网站,了解感知性功能障碍的个体如何表达他们的病情,以及平台上的医生如何回应并向这些个体提供建议。我们的分析显示,OMC为寻求建议者提供了一个公开讨论其性健康问题的地方,并从协助减轻相关社会污名的医生那里获得授权。经过详细的语篇分析,然而,我们发现,寻求建议的人经常将他们的性经历解释为需要医疗干预的疾病症状。作为回应,医生倾向于通过将他们的状况视为医疗问题,并将其描述为由压力和焦虑引起的心理社会问题,来验证这些寻求建议的人的初步自我诊断。与批判的社会学观点保持一致,该观点将性功能障碍视为社会建构的问题,而这些问题是针对性功能的主导规范的,我们认为,医生和寻求建议者对某些性行为的医学化和心理化,在话语上强化了异性性交的本质主义观点并使之合法化。这些观点将阴茎阴道性交和射精作为唯一标准,成功,和可取的性活动形式。这可能会进一步引起成年男性的恐惧和焦虑,他们的性行为实际上与这些规范不符。
    Previous research shows that men who experience erectile or sexual dysfunction may feel uncomfortable discussing their sexual experiences in face-to-face clinical encounters. Part of the reason is the stigma and embarrassment associated with discussing private sexual matters. This study examines how e-patients, or more precisely advice-seekers, and doctors communicate about sexual dysfunction in online medical consultations (OMCs). We conducted a Theme-Oriented Discourse Analysis of relevant OMCs on CH Doctor, a Chinese medical consultation website, to understand how individuals with perceived sexual dysfunction articulate their conditions and how doctors on the platform respond and provide recommendations to these individuals. Our analysis reveals that OMCs afford advice-seekers a place to openly discuss their sexual health issues and gain empowerment from doctors who assist in mitigating the associated social stigma. Upon detailed discourse analysis, however, we find that individuals seeking advice often interpret their sexual experiences as symptoms of illness that requires medical intervention. In response, doctors tend to validate these advice-seekers\' preliminary self-diagnoses by treating their conditions as medical issues and characterizing them as psychosocial problems caused by stress and anxiety. Aligning with a critical sociological perspective that views sexual dysfunction as socially constructed problems referenced against dominant norms of sexual functioning, we argue that the medicalization and psychologization of certain sexual behaviors by doctors and advice-seekers discursively reinforce and legitimize essentialist views of hetero-coital sexual interaction. Such views reify penile-vaginal intercourse and ejaculation as the only standard, successful, and desirable form of sexual activity. This may further induce fear and anxiety among adult men whose sexual behaviors do not realistically align with these norms.
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