Download - Medicalization, Health and Development
Medicalization, Health and
Development
Medicalization, Health and
Development
Josep M. Comelles, M.D.; Ph.D.Departament d’Antropologia, Filosofia i Treball Social
Universitat Rovira i Virgili, Tarragona2013, January
Josep M. Comelles, M.D.; Ph.D.Departament d’Antropologia, Filosofia i Treball Social
Universitat Rovira i Virgili, Tarragona2013, January
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Medicalization as development
✦ A classical idea
✦ The hegemony of a medical naturalistic regard
✦ The subalternity of religious discourses on health
✦ Medicalization as progress
The problems
✦ Medicalization is a complex process
✦ Medicalization has non linear steps
✦ Medicalization has changing meanings
Medicalization 1 A local arena
✦ A local strategy to manage the res publica in cities
✦ To prevent the plague
✦ To naturalize private health practices
✦ To legitimate some professionals: doctors and pharmacists
✦ A naturalistic conception of the ethiology of diseases
Medicalization 1 Effects
✦ A new social image and political position for doctors and pharmacists
✦ The enbodiment of galenism in popular culture
✦ The articulation between galenism and popular empiricism
✦ A new way of popularization of systematic medicine: the printed book
Medicalization 2A Nation State arena
✦ The development of public health policies
✦ Doctors and pharmacists as organic intellectuals
✦ A natural conception of disease
✦ Science and technology as tools of progress
Medicalization 2Effects
✦ Medicalization as a strategic tool of global economic imperialism
✦ The trend towards an hegemonic individual concept of disease and cure
✦ The hegemony of the body and the concept of health bodies
✦ The subalternity of public health policies (higienism and sanitation
Nip/Tuck 1x01 (2004)
Medicalization 2Side effects
✦ The attainment of the aims of public health policies hide its importance
✦ The medicalization as an instrument of colonial imperialism
✦ The hegemony of a biological, clinical and individual conception of disease
✦ The rythm of medicalization is not equal everywhere even in developed countries: inequalities and inequities
Medicalization 3An individual arena
✦ In developed countries the first two steps of medicalization are apparently be closed
✦ Public Health is not the main concern of public policies
✦ Doctors and health professionals are no more the organic intellectuals of the process
✦ The third step coexists with the second in the global context
Medicalization and communication tools
Period Topics Emphasis Media Tools
13thC -18/19th C The plague The city as res publicaRegiment de la pesteMedical topographies
18th C.-1970
Hygiene and
sanitation, Diseases
The nation State as the space of
public health policies
Books, novels, reports, newspapers
advertisements,movies in theatres, the proto history of
TV
1970-2012
The hegemony
of the body care
Medicalization is a structural dimension
of global culture
TelevisionInternet
(reality shows. advertisements, shows,
documentaries, soap operas)
We, the others and the political economy of research and of
culture
We: Biomedical and socioculture biomedical
research
Scholar production of knowledge
“mainly disease oriented”
public or private management
The cultural dimension of medicalizatio
n
F2FInterne
tMedias
Mainly “health”oriented
and private management
Are we really speaking on
development now?