Description
Book SynopsisEssays describing how dramatic, and especially technoscientific, changes in the constitution, organization, and practices of contemporary biomedicine have coalesced since the mid-1980s in biomedicalization, the second transformation of American medicine.
Trade Review“This is an important book for historians. . . . [I]ts importance lies with extending the scholarship that has now coalesced around the belief that we have entered a new epochal order in which the epistemic grounds for life itself have changed. . . . [A] timely, informative, engaging, and above all, heuristic achievement. It may be that we are still too much in the forest of the new epochal order to see the trees, but
Biomedicalization provides a significant empirical and theoretical clearing.” - Roger Cooter,
Medical History“In tracing the changing contours of biomedicine, this volume charts new connections between biopower, biopolitics, and biocapital, and it documents the emergence of new conditions, diagnostics, and treatments. This book will be most useful for scholars of medicine, health, the body, science, and technology. The theoretical framework is both systematic and clearly articulated, and it should prove provocative for those doing research in these areas. While some of the empirical case studies are more in conversation with the conceptual apparatus of biomedicalization than others, several are quite engaging and would make nice additions to undergraduate and graduate courses in these areas.” - Rene Almeling,
American Journal of Sociology“. . . [T]here is much to be gained from this volume. For academics and researchers entering the area, the volume serves as a useful introduction to biomedicalisation’s diverse expressions and implications. And because the arguments presented are sophisticated and the cases richly documented, the
volume will be an important resource for those already engaged with social theory and biomedicine.” - Mark Davis,
Culture, Health, and Sexuality“The anthology . . . offers, from my point of view, a fundamental contribution and an innovative theoretical framework for understanding not only the relation between medicine and society, but also the study of the technoscientific practices tout court.” - Stefano Crabu,
Technoscienzia“
Biomedicalization comprehensively articulates the 21st century
technoscientific turn in American medicine and brings key concepts in medical sociology to bear on health and medicine as well as science, technology, sexuality, race, gender and the body. I highly recommend it for scholars in these areas.” - Gayle A. Sulik,
Sociology of Health and Illness“At a time when biocapital, biopower, biotechnology, and biomedicine are more entangled than ever, this volume offers both rich theoretical and case-study grounding. The little preface ‘bio-’ seems to be about a kind of world-making equation for Bio[X] raised to the
nth power, where citizens of the United States, at least, find themselves with the obligation of health without the right to health, and with the technical means to extraordinary prowess in relation to the biomedical body without the financial means for many to pay for much humbler organic well being. This packed volume pulls astutely on the threads of many bio-knots to track questions of health and medicine in economic, cultural, and epistemological weaves. These essays are crucial for thinking about how difference and health—and differences in health—in the U.S. do and do not prepare one to travel responsibly transnationally.”—
Donna J. Haraway, author of
When Species Meet“In this excellent book, Adele E. Clarke and her colleagues have meticulously mapped out the multiple dimensions of the phenomenon that they term ‘biomedicalization,’ tracing the links between such apparently distinct phenomena as the increasing use of pharmaceutical drugs for prevention and enhancement, the new biomedical focus on risk and risk prevention, the commodification of medicine, the growing global bioeconomy, and the increased salience of the active and responsible patient. In demonstrating the socio-political, technical and epistemic interconnections between these developments, and through case studies of issues from reproduction to psychiatry, and from body imaging to biomarkers, this book makes a fundamental contribution to our understanding of the contemporary technoscientific transformation of American medicine—one that will inform and inspire future research.”—
Nikolas Rose, Martin White Professor of Sociology, London School of Economics and Political Science
“These captivating essays bring the study of health and medicine to a new level by firmly linking medical sociology to the latest work on science, technology, gender, sexuality, race, and the body. Across the wide range of diseases and issues taken up in this volume, biomedicine emerges as a crucial domain where identities and differences are generated, inequalities are challenged or reinforced, risks and rewards are juxtaposed, and dreams of human perfectibility are constantly dangled before us.”—
Steven Epstein, author of
Inclusion: The Politics of Difference in Medical Research“. . . There is much to be gained from this volume. For academics and researchers entering the area, the volume serves as a useful introduction to biomedicalisation’s diverse expressions and implications. And because the arguments presented are sophisticated and the cases richly documented, the volume will be an important resource for those already engaged with social theory and biomedicine.” -- Mark Davis * Culture, Health & Sexuality *
“
Biomedicalization comprehensively articulates the 21st century
technoscientific turn in American medicine and brings key concepts in medical sociology to bear on health and medicine as well as science, technology, sexuality, race, gender and the body. I highly recommend it for scholars in these areas.” -- Gayle A. Sulik * Sociology of Health & Illness *
“In tracing the changing contours of biomedicine, this volume charts new connections between biopower, biopolitics, and biocapital, and it documents the emergence of new conditions, diagnostics, and treatments. This book will be most useful for scholars of medicine, health, the body, science, and technology. The theoretical framework is both systematic and clearly articulated, and it should prove provocative for those doing research in these areas. While some of the empirical case studies are more in conversation with the conceptual apparatus of biomedicalization than others, several are quite engaging and would make nice additions to undergraduate and graduate courses in these areas.” -- Rene Almeling * American Journal of Sociology *
“The anthology . . . offers, from my point of view, a fundamental contribution and an innovative theoretical framework for understanding not only the relation between medicine and society, but also the study of the technoscientific practices tout court.” -- Stefano Crabu * Tecnoscienza *
“This is an important book for historians. . . . [I]ts importance lies with extending the scholarship that has now coalesced around the belief that we have entered a new epochal order in which the epistemic grounds for life itself have changed. . . . [A] timely, informative, engaging, and above all, heuristic achievement. It may be that we are still too much in the forest of the new epochal order to see the trees, but
Biomedicalization provides a significant empirical and theoretical clearing.” -- Roger Cooter * Medical History *
Table of ContentsPreface vii
Acknowledgments xi
Biomedicalization: A Theoretical and Substantive Introduction / Adele E. Clarke, Janet K. Shim, Laura Mamo, Jennifer Ruth Fosket, and Jennifer R. Fishman 1
Part I. Theoretical and Historical Framings
1. Biomedicalization: Technoscientific Transformations of Health, Illness, and U.S. Biomedicine / Adele E. Clarke, Janet K. Shim, Laura Mamo, Jennifer Ruth Fosket, and Jennifer R. Fishman 47
2. Charting (Bio)medicine and (Bio)medicalization in the United States, 1980–present / Adele E. Clarke, Jennifer Ruth Fosket, Laura Mamo, Jennifer R. Fishman, and Janet K. Shim 88
3. From the Rise of Medicine to Biomedicalization: U.S. Healthscapes and Iconography, circa 1890—Present / Adele E. Clarke 104
4. Gender and Medicalization and Biomedicalization Theories / Elianne Riska 147
Part II. Case Studies: Focus on Difference
5. Fertility, Inc.: Consumption and Subjectification in U.S. Lesbian Reproductive Practices / Laura Mamo 173
6. The Body as Image: An Examination of the Economic and Political Dynamics of Magnetic Resonance Imaging and the Construction of Difference / Kelly Joyce 197
7. The Stratified Biomedicalization of Heart Disease: Expert and Lay Perspectives on Racial and Class Inequality / Janet K. Shim 218
8. Marking Populations and Persons at Risk: Molecular Epidemiology and Environmental Health / Sara Shostak 242
9. Surrogate Markers and Surrogate Marketing in Biomedicine: The Regulatory Etiology and Commercial Progression of "Ethnic" Drug Development / Jonathan Kahn 263
Part III. Focus on Enhancement
10. The Making of Viagra: The Biomedicalization of Sexual Dysfunction / Jennifer R. Fishman 289
11. Bypassing Blame: Bariatric Surgery and the Case of Biomedical Failure / Natalie Boero 307
12. Breast Cancer Risk as Disease: Biomedicalizing Risk / Jennifer Ruth Fosket 331
13. Biopsychiatry and the Informatics of Diasnosis: Governing Mentalities / Jackie Orr 353
Epilogue: Thoughts on Biomedicalization in Its Traditional Travels / Adele E. Clarke 380
References 407
About the Contributors 485
Index 487
