The 'limits' of medicalization?: modern medicine and the lay populace in 'late' modernity.

Taking as its point of departure the medicalization thesis and its limitations, this paper provides a critical discussion of certain more recent theoretical perspectives on life in contemporary society, and their relevance for understanding the relationship between modern medicine and the lay populace. In particular, attention is paid to the contours and existential parameters of life in 'late' modernity in terms of the following four key themes: (i) modernity as a 'reflexive' social order, (ii) 'risk' and the dialectic of scientific and social rationality; (iii) the "mediation' of contemporary experience; and (iv) lay 're-skilling' and the 'life political' agenda. On the basis of this, it is argued that far from being simply passive and dependent, a 'critical distance' is beginning to emerge between modern medicine and the lay populace; a situation which resonates with broader social trends and currents within society at large.

[1]  I. Illich Limits to Medicine: Medical Nemesis - The Expropriation of Health , 1991 .

[2]  V. Navarro Crisis, Health, and Medicine: A Social Critique , 1986 .

[3]  B. Turner,et al.  Medical power and social knowledge , 1987 .

[4]  Michael Bury,et al.  Living With Chronic Illness: The Experience of Patients and Their Families , 1988 .

[5]  M. Calnan Clinical uncertainty: is it a problem in the doctor-patient relationship? , 1984 .

[6]  M. Calnan,et al.  The limits of medicine: women's perception of medical technology. , 1989, Social science & medicine.

[7]  R. Crawford A Cultural Account of ‘Health’: Control, Release, and the Social Body , 1993 .

[8]  F. Davis,et al.  Beyond medicalisation-demedicalisation: the case of holistic health , 1994 .

[9]  A. Giddens The consequences of modernity , 1990 .

[10]  Images of scientific medicine , 1992 .

[11]  A. Synnott,et al.  The Body Social , 1993 .

[12]  A. Oakley The Captured Womb , 1984 .

[13]  J. Mckinlay Issues in the Political Economy of Health Care , 2022 .

[14]  I. K. Zola,et al.  In the name of health and illness: on some socio-political consequences of medical influence. , 1975, Social science & medicine.

[15]  Michael Oliver,et al.  The Politics of Disablement , 1990 .

[16]  Arthur Kroker,et al.  Body Invaders: Sexuality and the Postmodern Condition , 1988 .

[17]  H. Waitzkin A Marxian interpretation of the growth and development of coronary care technology. , 1979, American journal of public health.

[18]  M. Calnan,et al.  Health and Illness: The Lay Perspective , 1987 .

[19]  D. Lupton,et al.  Medicine as Culture: Illness, Disease and the Body , 2012 .

[20]  K. Bakx The ‘eclipse’ of folk medicine in western society , 1991 .

[21]  Helen Roberts,et al.  Women, Health and Reproduction , 1981 .

[22]  A. Oakley Women Confined: Towards a Sociology of Childbirth , 1979 .

[23]  M. Foucault The Birth of the Clinic , 1963 .

[24]  Dominant Issues in Medical Sociology , 1987 .

[25]  A. Karpf Doctoring the Media : the Reporting of Health and Medicine , 1990 .

[26]  David G. Armstrong Political Anatomy of the Body: Medical Knowledge in Britain in the Twentieth Century , 1983 .

[27]  J. Baudrillard,et al.  The Masses: The Implosion of the Social in the Media , 1985 .

[28]  Ulrich Beck,et al.  From Industrial Society to the Risk Society: Questions of Survival, Social Structure and Ecological Enlightenment , 1992 .

[29]  B. Glassner Fitness and the postmodern self. , 1989, Journal of health and social behavior.

[30]  J. Mckinlay,et al.  Towards the Proletarianization of Physicians , 1985, International journal of health services : planning, administration, evaluation.

[31]  P. Conrad,et al.  Looking at levels of medicalization: a comment on Strong's critique of the thesis of medical imperialism. , 1980, Social science & medicine.

[32]  P. Conrad,et al.  Deviance and Medicalization: From Badness to Sickness , 1992 .

[33]  H Roberts,et al.  Risk Society: Towards a New Modernity , 1994 .

[34]  D. Wikler,et al.  Turkey-baster babies: the demedicalization of artificial insemination. , 1991, The Milbank quarterly.

[35]  M. Foucault,et al.  Technologies of the Self: A Seminar with Michel Foucault , 1988 .

[36]  E. M. Smith Ideas about Illness. An Intellectual and Political History of Medical Sociology , 1991, The Yale Journal of Biology and Medicine.

[37]  M. Sanner Attitudes toward organ donation and transplantation. A model for understanding reactions to medical procedures after death. , 1994, Social science & medicine.

[38]  L. Doyal,et al.  The political economy of health , 1979 .

[39]  Michael Bury,et al.  The Sociology of the Health Service , 1991 .

[40]  J. Ehrenreich The Cultural Crisis of Modern Medicine , 1980 .

[41]  H. Graham,et al.  Competing ideologies of reproduction: medical and maternal perspectives on pregnancy. , 1981 .

[42]  B. Turner,et al.  Regulating Bodies: Essays in Medical Sociology , 1992 .

[43]  The industrialization of fetishism or the fetishism of industrialization: a critique of Ivan Illich. , 1975, International journal of health services : planning, administration, evaluation.

[44]  C. Davison,et al.  The limits of lifestyle: re-assessing 'fatalism' in the popular culture of illness prevention. , 1992, Social science & medicine.

[45]  M. Foucault The History of Sexuality , 1976 .

[46]  David G. Armstrong Public Health Spaces and the Fabrication of Identity , 1993 .

[47]  A. Giddens Modernity and Self-Identity: Self and Society in the Late Modern Age , 1992, The New Social Theory Reader.

[48]  I. K. Zola,et al.  Medicine as an Institution of Social Control , 1972, The Sociological review.

[49]  D. Macer Perception of risks and benefits of in vitro fertilization, genetic engineering and biotechnology. , 1994, Social science & medicine.