Innovative Health Technologies and the Social: Redefining Health, Medicine and the Body

This paper explores the growth and social implications of what are regarded as highly innovative technologies in health. Conventional medical sociology and the sociology of health have had a very uneven engagement with technology, apart from sustained feminist critique of reproductive technologies. More recent analyses developed within the sociology of the body and especially in science and technology studies (STS) have provided new insights into the meaning of health, illness and disease and the way these are mediated by and changed through technological development. Through an examination of recent work the paper argues that current sociological analysis points towards a qualitative shift in the relation between innovative health technologies (IHTs), the body, identity and wider social processes. These changes are especially linked to two increasingly related IHTs - genetics and informatics - and the ways that they reconfigure the social boundaries between the `biological' and the `social' and so between medicine and society. The paper concludes by discussing the implications for the future research agenda within STS, especially in terms of the relationship between the social and the technical.

[1]  M. Lynch Against Reflexivity as an Academic Virtue and Source of Privileged Knowledge , 2000 .

[2]  Pr Higate The Body in Everyday Life , 1998 .

[3]  Rosalind Gill,et al.  The Gender-Technology Relation , 2018 .

[4]  Michael Bury,et al.  Illness narratives: fact or fiction? , 2001 .

[5]  Simon J Williams,et al.  Sociological imperialism and the profession of medicine revisited: where are we now? , 2001 .

[6]  A. Kerr,et al.  On Ambivalence and Risk: Reflexive Modernity and the New Human Genetics , 2000 .

[7]  Roy Porter,et al.  The greatest benefit to mankind : a medical history of humanity , 1998 .

[8]  P. Barach,et al.  Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems , 2000, BMJ : British Medical Journal.

[9]  A. Frank Bringing Bodies Back in: A Decade Review , 1990 .

[10]  B. Barnes Biotechnology as Expertise , 2020, Nature, Risk and Responsibility.

[11]  N T Ellis,et al.  When protocols fail: technical evaluation, biomedical knowledge, and the social production of 'facts' about a telemedicine clinic. , 2001, Social science & medicine.

[12]  The Social Economics of Health Care , 2001 .

[13]  A. Clarke Population screening for genetic susceptibility to disease , 1995, BMJ.

[14]  R. Rizzo Safeguarding Genetic Information: privacy, confidentiality, and security? , 2001 .

[15]  Madeleine Akrich,et al.  Beyond Social Construction of Technology: the Shaping of People and Things in the Innovation Process , 1992 .

[16]  M. Hardey Doctor in the house: the Internet as a source of lay health knowledge and the challenge to expertise , 1999 .

[17]  Felix Stalder,et al.  Pandora's Hope: Essays on the Reality of Science Studies , 2000, Inf. Soc..

[18]  M. Warnock,et al.  Informed consent in medical research. , 1998, BMJ.

[19]  Genetic Privacy and Confidentiality: Why They are So Hard to Protect , 1998, The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics.

[20]  A new medical pluralism , 1999 .

[21]  B. Turner,et al.  The Body And Society , 1986 .

[22]  S. Franklin Embodied Progress: A Cultural Account of Assisted Conception , 1997 .

[23]  M. Callon,et al.  New Technology at the Outset. , 1995 .

[24]  Nick Crossley,et al.  Body-Subject/Body-Power: Agency, Inscription and Control in Foucault and Merleau-Ponty , 1996 .

[25]  Marc Berg,et al.  Differences in Medicine: Unraveling Practices, Techniques, and Bodies , 1999 .

[26]  D. Skinner,et al.  Valuing Technology: Organisations, Culture and Change , 1999 .

[27]  Günter B Risse,et al.  The greatest benefit to mankind: a medical history of humanity from antiquity to the present , 1999, Medical History.

[28]  Stuart S Blume,et al.  The Rhetoric and Counter-Rhetoric of a "Bionic" Technology , 1997, Science, technology & human values.

[29]  A. Giddens,et al.  Reflexive Modernization: Politics, Tradition and Aesthetics in the Modern Social Order , 1994 .

[30]  P. Glasner,et al.  Genetic Imaginations: Ethical, Legal and Social Issues in Human Genome Research , 1998 .

[31]  S. Funtowicz,et al.  Science for the PostNormal Age , 2001 .

[32]  R. Westrum The Social Construction of Technological Systems , 1989 .

[33]  Marc Berg,et al.  Constructivist Perspectives on Medical Work: Medical Practices and Science and Technology Studies , 1995 .

[34]  Dorothy Nelkin and M. Susan Lindee The DNA Mystique , 1995 .

[35]  A. Mol,et al.  Regions, Networks and Fluids: Anaemia and Social Topology , 1994, Social studies of science.

[36]  P. Jallinoja Genetic screening in maternity care: preventive aims and voluntary choices , 2001 .

[37]  J. Rehman Towards a new common sense. Law, science and politics in paradigmatic transition , 1996 .

[38]  N. Luhmann Risk: A Sociological Theory , 1993 .

[39]  F. Mair,et al.  Telemedicine and clinical governance: controlling technology, containing knowledge , 2004 .

[40]  J. Raymond,et al.  Ru 486: Misconceptions, Myths and Morals , 1991 .

[41]  Marilyn Strathern,et al.  After Nature: English Kinship in the Late Twentieth Century , 1992 .

[42]  Puteri Shanaz Jahn Kassim,et al.  Issues in medical law and ethics , 2003 .

[43]  J. Campling,et al.  Nature, Risk and Responsibility , 2020 .

[44]  S. Funtowicz,et al.  Science for the Post-Normal Age , 1993, Commonplace.

[45]  P. Strong Sociological imperialism and the profession of medicine , 1979 .

[46]  D. Armstrong,et al.  The rise of surveillance medicine , 1995 .

[47]  Terence Turner,et al.  The Body and Society: Explorations in Social Theory.Bryan S. Turner , 1986 .

[48]  R. Chadwick Informed consent and genetic research. , 2001 .

[49]  Steve Woolgar,et al.  The Machine at Work: Technology, Work and Organization , 1997 .