Abstract
The concept of ‘geneticization’ has been introduced in the scholarly literature to describe the various interlocking and imperceptible mechanisms of interaction between medicine, genetics, society and culture. It is argued that Western culture currently is deeply involved in a process of geneticization. This process implies a redefinition of individuals in terms of DNA codes, a new language to describe and interpret human life and behavior in a genomic vocabulary of codes, blueprints, traits, dispositions, genetic mapping, and a gentechnological approach to disease, health and the body. This article analyses the thesis of ‘geneticization’. Explaining the implications of the thesis, and discussing the critical refutations, it is argued that ‘geneticization’ primarily is a heuristic tool that can help to re-focus the moral debate on the implications of new genetic knowledge towards interpersonal relations, the power of medicine, the cultural context and social constraints, rather than emphasizing issues as personal autonomy and individual rights.
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References
Arney, W.R. and B.J. Bergen: 1984, Medicine and the Management of Living. Taming the Last Great Beast. Chicago/ London: University of Chicago Press.
Bachelard, G.: 1938, La formation de l'esprit scientifique. Paris: Vrin.
Caplan, A.L.: 1992, If I Were a Rich Man Could I Buy a Pancreas? And Other Essays on the Ethics of Health Care. Bloomington and Indianapolis: Indiana University Press.
Chadwick, R. and M. Levitt: 1998, 'Genetic Technology: A Threat to Deafness', Medicine, Health Care and Philosophy 1 (3), 209–215.
Collins, F.S.: 1991, 'Medical and Ethical Consequences of the Human Genome Project', Journal of Clinical Ethics 2 (4), 260–267.
Condit, C.M.: 1999, The Meanings of the Gene. Public Debates about Human Heredity. Madison: University of Wisconsin Press.
Conrad, P. and J. Schneider: 1980, 'Looking at Levels of Medicalization: A Comment on Strong's Critique of the Thesis of Medical Imperialism', Social Science and Medicine 14A, 75–79.
Crawford, R.: 1980, 'Healthism and the Medicalization of Everyday Life', International Journal of Health Services 10 (3), 365–388.
Dijck, J. van: 1998, Imagenation. Popular Images of Genetics. London: Macmillan Press.
Fletcher, J. and D. Wertz: 1988, Ethics and Applied Human Genetics: A Cross-Cultural Perspective. Heidelberg: Springer Verlag.
Fogle, T.: 1995, 'Information Metaphors and the Human Genome Project', Perspectives in Biology and Medicine 38 (4), 535–547.
Foucault, M.: 1970, The Order of Things. An Archaeology of the Human Sciences. New York: Pantheon Books.
Foucault, M.: 1973, The Birth of the Clinic. An Archaeology of Medical Perception. New York: Pantheon Books.
Foucault, M.: 1979, Discipline and Punish. The Birth of the Prison. New York: Vintage Books.
Glasner, P. and H. Rothman (eds.): 1998, Genetic Imaginations. Ethical, Legal and Social Issues in Human Genome Research. Aldershot: Ashgate.
Have, H.A.M.J. ten: 1990, 'Knowledge and Practice in European Medicine: The Case of Infectious Diseases', in: H.A.M.J. ten Have, G.K. Kimsma and S.F. Spicker (eds.), The Growth of Medical Knowledge. Dordrecht/Boston/London: Kluwer Academic Publishers, pp. 15–40.
Have, H.A.M.J. ten and M. Loughlin: 1994, 'Responsibilities and Rationalities: Should the Patient be Blamed?', Health Care Analysis 2 (2), 119–127.
Have, H.A.M.J. ten: 1997, 'Living with the Future: Genetic Information and Human Existence', in: R. Chadwick, M. Levitt and D. Shickle (eds.), The Right to Know and the Right Not to Know. Aldershot: Avebury, pp. 87–95.
Hedgecoe, A.: 1998, 'Geneticization, Medicalisation and Polemics', Medicine, Health Care and Philosophy 1 (3), 235–224.
Hilhorst, M.T.: 1993, 'Aangeboren en aangedane handicaps: maakt het moreel verschil?', in: I.D. de Beaufort, and M.T. Hilhorst (eds.), Kind, ziekte en ethiek. Baarn: Ambo, pp. 67–91.
Hoedemaekers, R. and H.A.M.J. ten Have: 1998a, 'Geneticization: The Cyprus Paradigm', Journal of Medicine and Philosophy 23 (4), 274–287.
Hoedemaekers, R. and H.A.M.J. ten Have: 1998b, 'Commercialisation of Genetic Diagnostic Services', Medicine, Health Care and Philosophy 1 (3), 217–224.
Hoedemaekers, R. and H.A.M.J. ten Have: 1999, 'Genetic Health and Genetic Disease', in: V. Launis, J. Pietarinen and J. Räikkä (eds.), Genes and Morality. New Essays. Amsterdam/Atlanta: Rodopi, pp. 121–143.
Illich, I.: 1975, 'The Medicalization of Life', Journal of Medical Ethics 1 (1), 73–77.
Jordan, B.D., N.R. Relkin, L.D. Ravdin et al.: 1997, 'Apolipoprotein E e4 Associated with Chronic Traumatic Brain Injury in Boxing', JAMA 278 (2), 136–140.
Katz Rothman, B.: 1998, Genetic Maps and Human Imaginations. The Limits of Science in Understanding Who We Are. New York/London: Norton.
Koechlin, F. and D. Ammann (hrsg.): 1997, Mythos Gen. Rieden bei Baden: Utzinger/Stemmle Verlag.
Lippman, A.: 1991, 'Prenatal Genetic Testing and Screening: Constructing Needs and Reinforcing Inequities', American Journal of Law and Medicine 1, 15–50.
Lippman, A.: 1992, 'Led (Astray) by Genetic Maps: The Cartography of the Human Genome and Health Care', Social Science and Medicine 35 (12), 1469–1476.
Lippman, A.: 1993, 'Prenatal Genetic Testing and Geneticization: Mother Matters for All', Fetal Diagn Ther 8 (suppl 1), 175–188.
Lupton, D.: 1994, Medicine as Culture. Illness, Disease and the Body in Western Societies. London: Sage Publications.
McGleenan, T.: 1998, 'The Jurisprudence of Genetic Privacy', Medicine, Health Care and Philosophy 1 (3), 225–233.
Nelkin, D. and M.S. Lindee: 1995, The DNA Mystique. The Gene as a Cultural Icon. New York: W.H. Freeman and Company.
Niermeijer, M.F.: 1998, 'Geneticalisering. Misleidend onbegrip door onjuiste informatie', Medisch Contact 53, 641–642.
Watson, J.D.: 1990, 'The Human Genome Project: Past, Present, and Future', Science 248, 44–48.
Wert, G. de: 1994, 'De oorlog tegen kanker, de jacht op kankergenen, en de speurtocht naar de ethiek', Tijdschrift kanker 18 (2), 41–55.
Wert, G. de: 1999, Met het oog op de toekomst. Voortplantingstechnologie, erfelijkheidsonderzoek en ethiek. Amsterdam: Thesis Publishers.
Wilkie, T.: 1993, Perilous Knowledge. The Human Genome Project and its implications. London/Boston: Faber and Faber.
Williams, S.J. and M. Calnan (eds.): 1996, Modern Medicine. Lay Perspectives and Experiences. London: UCL Press.
Zola, I.K.: 1975, 'In the Name of Health and Illness: On Some Socio-Political Consequences of Medical Influence', Social Science and Medicine 9, 83–87.
Zwieten, M.C.B. van and H.A.M.J. ten Have: 1998, 'Geneticalisering, een nieuw concept', Medisch Contact 53, 398–400
Zwieten, M.C.B. van and H.A.M.J. ten Have: 1998, 'Geneticalisering. Naschrift', Medisch Contact 53, 642.
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ten Have, H.A.M.J. Genetics and culture: The geneticization thesis. Med Health Care Philos 4, 295–304 (2001). https://doi.org/10.1023/A:1012090810798
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DOI: https://doi.org/10.1023/A:1012090810798