Genetics and culture: The geneticization thesis

  • Henk A. M. J. ten Have


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.

bioethics culture Foucault genetics geneticization Human Genome Project medicalization non-directiveness responsibility 


  1. 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.Google Scholar
  2. Bachelard, G.: 1938, La formation de l'esprit scientifique. Paris: Vrin.Google Scholar
  3. 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.Google Scholar
  4. Chadwick, R. and M. Levitt: 1998, 'Genetic Technology: A Threat to Deafness', Medicine, Health Care and Philosophy 1 (3), 209–215.CrossRefGoogle Scholar
  5. Collins, F.S.: 1991, 'Medical and Ethical Consequences of the Human Genome Project', Journal of Clinical Ethics 2 (4), 260–267.Google Scholar
  6. Condit, C.M.: 1999, The Meanings of the Gene. Public Debates about Human Heredity. Madison: University of Wisconsin Press.Google Scholar
  7. 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.Google Scholar
  8. Crawford, R.: 1980, 'Healthism and the Medicalization of Everyday Life', International Journal of Health Services 10 (3), 365–388.PubMedCrossRefGoogle Scholar
  9. Dijck, J. van: 1998, Imagenation. Popular Images of Genetics. London: Macmillan Press.Google Scholar
  10. Fletcher, J. and D. Wertz: 1988, Ethics and Applied Human Genetics: A Cross-Cultural Perspective. Heidelberg: Springer Verlag.Google Scholar
  11. Fogle, T.: 1995, 'Information Metaphors and the Human Genome Project', Perspectives in Biology and Medicine 38 (4), 535–547.PubMedGoogle Scholar
  12. Foucault, M.: 1970, The Order of Things. An Archaeology of the Human Sciences. New York: Pantheon Books.Google Scholar
  13. Foucault, M.: 1973, The Birth of the Clinic. An Archaeology of Medical Perception. New York: Pantheon Books.Google Scholar
  14. Foucault, M.: 1979, Discipline and Punish. The Birth of the Prison. New York: Vintage Books.Google Scholar
  15. Glasner, P. and H. Rothman (eds.): 1998, Genetic Imaginations. Ethical, Legal and Social Issues in Human Genome Research. Aldershot: Ashgate.Google Scholar
  16. 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.Google Scholar
  17. 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.PubMedCrossRefGoogle Scholar
  18. 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.Google Scholar
  19. Hedgecoe, A.: 1998, 'Geneticization, Medicalisation and Polemics', Medicine, Health Care and Philosophy 1 (3), 235–224.CrossRefGoogle Scholar
  20. 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.Google Scholar
  21. Hoedemaekers, R. and H.A.M.J. ten Have: 1998a, 'Geneticization: The Cyprus Paradigm', Journal of Medicine and Philosophy 23 (4), 274–287.PubMedGoogle Scholar
  22. Hoedemaekers, R. and H.A.M.J. ten Have: 1998b, 'Commercialisation of Genetic Diagnostic Services', Medicine, Health Care and Philosophy 1 (3), 217–224.CrossRefGoogle Scholar
  23. 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.Google Scholar
  24. Illich, I.: 1975, 'The Medicalization of Life', Journal of Medical Ethics 1 (1), 73–77.PubMedCrossRefGoogle Scholar
  25. 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.PubMedCrossRefGoogle Scholar
  26. Katz Rothman, B.: 1998, Genetic Maps and Human Imaginations. The Limits of Science in Understanding Who We Are. New York/London: Norton.Google Scholar
  27. Koechlin, F. and D. Ammann (hrsg.): 1997, Mythos Gen. Rieden bei Baden: Utzinger/Stemmle Verlag.Google Scholar
  28. Lippman, A.: 1991, 'Prenatal Genetic Testing and Screening: Constructing Needs and Reinforcing Inequities', American Journal of Law and Medicine 1, 15–50.Google Scholar
  29. 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.PubMedCrossRefGoogle Scholar
  30. Lippman, A.: 1993, 'Prenatal Genetic Testing and Geneticization: Mother Matters for All', Fetal Diagn Ther 8 (suppl 1), 175–188.PubMedCrossRefGoogle Scholar
  31. Lupton, D.: 1994, Medicine as Culture. Illness, Disease and the Body in Western Societies. London: Sage Publications.Google Scholar
  32. McGleenan, T.: 1998, 'The Jurisprudence of Genetic Privacy', Medicine, Health Care and Philosophy 1 (3), 225–233.CrossRefGoogle Scholar
  33. Nelkin, D. and M.S. Lindee: 1995, The DNA Mystique. The Gene as a Cultural Icon. New York: W.H. Freeman and Company.Google Scholar
  34. Niermeijer, M.F.: 1998, 'Geneticalisering. Misleidend onbegrip door onjuiste informatie', Medisch Contact 53, 641–642.Google Scholar
  35. Watson, J.D.: 1990, 'The Human Genome Project: Past, Present, and Future', Science 248, 44–48.PubMedGoogle Scholar
  36. Wert, G. de: 1994, 'De oorlog tegen kanker, de jacht op kankergenen, en de speurtocht naar de ethiek', Tijdschrift kanker 18 (2), 41–55.Google Scholar
  37. Wert, G. de: 1999, Met het oog op de toekomst. Voortplantingstechnologie, erfelijkheidsonderzoek en ethiek. Amsterdam: Thesis Publishers.Google Scholar
  38. Wilkie, T.: 1993, Perilous Knowledge. The Human Genome Project and its implications. London/Boston: Faber and Faber.Google Scholar
  39. Williams, S.J. and M. Calnan (eds.): 1996, Modern Medicine. Lay Perspectives and Experiences. London: UCL Press.Google Scholar
  40. 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.CrossRefGoogle Scholar
  41. Zwieten, M.C.B. van and H.A.M.J. ten Have: 1998, 'Geneticalisering, een nieuw concept', Medisch Contact 53, 398–400Google Scholar
  42. Zwieten, M.C.B. van and H.A.M.J. ten Have: 1998, 'Geneticalisering. Naschrift', Medisch Contact 53, 642.Google Scholar

Copyright information

© Kluwer Academic Publishers 2001

Authors and Affiliations

  • Henk A. M. J. ten Have
    • 1
  1. 1.Department of Ethics, Philosophy and History of Medicine, Faculty of Medical SciencesUniversity of NijmegenThe Netherlands

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