Medicalization

Though modern medicine publicly rejects Cartesian dualism, its treatment of pain and addiction betrays a residual metaphysical separation of mind and body. The institutional distinction between the “legitimate pain patient” and the “addict” re-inscribes ontological dualism through diagnostic and policy frameworks. Patients are compelled to perform metaphysical purity: pain must be somatic, desire must be psychological. The forced choice between opioids or benzodiazepines exemplifies this enacted dualism, requiring individuals to prioritize either body or mind in treatment. Yet the pharmacology of (...) substances like benzodiazepines and stimulants destabilizes the very categories medicine seeks to preserve. Rejecting substance dualism reveals both pain and addiction as dysregulated modes of embodiment — the bodymind’s attempt at equilibrium following trauma. This paper argues that the persistence of dualism in medical governance perpetuates epistemic injustice and ontological hygiene, and calls for a monist model of care integrating somatic and affective distress. -/- Excerpt from a developing project on the metaphysics of embodiment, pain, and addiction in medical practice. (shrink)

Moralising accounts of depression include the idea that depression is a sin or the result of sin, and/or that it is the result of demonic possession which has occurred because of moral or spiritual failure. Increasingly some Christian communities, understandably concerned about the debilitating effects these views have on people with depression, have adopted secular folk psychiatry’s ‘medicalising’ campaign, emphasising that depression is an illness for which, like (so-called) physical illnesses, experients should not be held responsible. This paper argues that (...) both moralising and medicalising models of depression are intellectually and practically (pastorally and therapeutically) problematic, gesturing towards more promising emphases. (shrink)

Prior research has unveiled a pathologization effect where individuals perceived as having bad moral character are more likely to have their conditions labeled as diseases and are less often considered healthy compared to those viewed as having a good moral character. Moreover, these individuals are perceived as less unlucky in their affliction and more deserving of it. This study explores the broader impacts of moral character on such judgments, hypothesizing that these effects reach deeper and extend to both negative and (...) positive moral evaluations. The pathologization effect also raises concerns about potential discrimination and the overmedicalization of normal health variations, so we also examine whether providing more detailed descriptions of conditions mitigates the influence of judgments of moral character. The methodology and broader implications of our findings are discussed, emphasizing the need for a deeper understanding of how moral judgments might influence patient care. (shrink)

The concepts of health and disease are fundamental to medical research, healthcare, and public health, and philosophers have long sought to clarify their meaning and implications. Increasingly, it is suggested that progress in this area could be advanced by integrating empirical methods with philosophical reflection. This Element explores the emerging field of experimental philosophy of medicine (XPhiMed), which takes this approach by applying empirical methods to longstanding philosophical debates. It begins with an overview of the philosophical debates and their methodological (...) challenges, followed by an exploration of experimental findings on health, disease, and disorder, along with their implications for philosophy and other fields. (shrink)

The article investigates the ethical and philosophical challenges posed by the integration of artificial intelligence in vascular surgery. Based on systematic data analysis and an interdisciplinary approach, the authors evaluate key AI advances, including personalization of treatment, automation of diagnosis, and prediction of complications. Particular attention is paid to the problems of accountability for algorithm decisions, transparency of “black box” systems, dehumanization of medicine, and cyborgization. The contradictions between technological efficiency and preservation of humanitarian values are revealed. The study emphasizes (...) the need for legal, educational and ethical mechanisms for the harmonious implementation of AI, where the doctor remains the central figure in the system “human-algorithm-patient” // Статья посвящена исследованию этических и философских вызовов, возникающих при интеграции искусственного интеллекта в сосудистую хирургию. На основе систематического анализа данных и междисциплинарного подхода авторы оценивают ключевые достижения ИИ, включая персонализацию лечения, автоматизацию диагностики и прогнозирование осложнений. Особое внимание уделено проблемам ответственности за решения алгоритмов, прозрачности «черных ящиков», дегуманизации медицины и киборгизации. Раскрыты противоречия между технологической эффективностью и сохранением гуманитарных ценностей. Исследование подчеркивает необходимость правовых, образовательных и этических механизмов для гармоничного внедрения ИИ, где врач остается центральным звеном в системе «человек-алгоритм-пациент». (shrink)

Sexuality plays a central role in Foucault’s philosophy, from his four volume series on the topic to his ideas about medicalization, biopower, and the abnormal. Many of Foucault’s concepts, such as governmentality, biopower, and biopolitics, are useful for analyzing the effects of laws and policies regulating reproduction and sexuality. This article brings Foucault’s ideas to bear on two aspects of sexuality, reproduction and trans health care, to show how the operations of biopower result in reproductive oppression. We briefly trace the (...) history of the professionalization of medicine and the correlative shift in control over reproduction from midwives to doctors. Next we examine the issue of forced or coerced sterilization of people deemed “unfit” to reproduce; for example, those with cognitive or physical disabilities, non-whites, and poor people, exemplifying how biopolitics is a normalizing force. Biopolitics and normalization permeate trans healthcare as well, pathologizing trans people as deviant in order for them to be able to access gender affirming health care and imposing norms based on binary and stereotypical gender categories and whiteness resulting in a restrictive transnormativity. Trans reproduction is subject to passive eugenics which makes sterility a requirement for transition related care. We demonstrate how reproductive oppression harms those who are not cisgender, heterosexual, cognitively and physically abled, and white; sex and biological reproduction are at the center of these processes of reproducing white, middle class workers in dyadic heterosexual family relations to perpetuate a ‘productive’ capitalist system. We conclude by discussing the ways that active and passive eugenics work together in reproducing heteronormativity, the interimbrication of whiteness and heteronormativity, and the implications for citizenship, immigration, and population control in service to the nation-state. (shrink)

This conceptual paper advocates for the recognition of neurodiversity within South African education policy as integral to the realisation of inclusive education. Current policy discourses marginalise neurodivergent communities by conflating neurodiversity with disability, reproducing deficit-based framings that neglect intersectional realities. This underrepresentation has negative consequences for the participation and recognition of neurodivergent learners, particularly those with autism and attention-deficit/hyperactivity disorder. We argue that policy reform is essential to reframe neurodiversity as difference, rather than disability. Drawing on the cultural model and (...) intersectionality theory, this study undertakes a qualitative analysis of post-apartheid education policy documents and relevant scholarly literature. The analysis critically interrogates how neurodiversity is framed, the extent of its representation, and the implications of prevailing deficit-oriented conceptualisations for inclusive education in South Africa. Findings reveal that neurodiversity is largely absent from existing policies, and when referenced, it is mischaracterised through medicalised discourses that reinforce stigma. Such framings erase strengths-based perspectives, perpetuate negative perceptions of autism and attention-deficit/hyperactivity disorder, and constrain institutional capacity to develop inclusive practices responsive to South Africa’s socio-cultural context. We call for Afrocentric, intersectional, and community-driven policy reform. Reframing neurodiversity as human diversity would align with UNESCO’s Salamanca Statement, enhance institutional inclusivity, and improve the educational experiences of neurodivergent learners across schools and universities in South Africa. (shrink)

This study investigates the influence of evaluative judgments, specifically regarding an individual's moral character, on judgments of health and disease. Though it might seem that assessments judgments of health and disease should be impervious to evaluative judgments, two hypotheses suggest that health and disease judgments might be influenced by evaluative judgments: the "naturalization hypothesis" which centers on our inclination to assign blame, and the "pathologization hypothesis" rooted in the belief of a just world. These hypotheses lead to opposing predictions about (...) how someone with a perceived negative moral character might have their condition categorized. Employing a fictional vignette and the methodologies of experimental philosophy, our research provides evidence in favor of the "pathologization hypothesis." While this phenomenon likely carries real-world implications, especially in healthcare, it also has potential for offering insights into the dynamics of medicalization and stigma. (shrink)

Medicalization occurs when a phenomenon comes to be subject to medical study, diagnosis, treatment, or prevention. Whether a phenomenon ought to be medicalized should be decided on a case-by-case basis. Recent moves to remove “bereavement exclusions” from psychiatric diagnostic manuals and to introduce grief-specific medical disorders have elicited criticisms from skeptics about grief’s medicalization, but these criticisms can largely be blunted. This article first clarifies the nature of disputes about medicalization, highlighting how these disputes do not concern whether a condition (...) such as grief is clinically significant or whether it can generate illness, but whether the condition itself is rightfully categorized as potentially pathological. It then offers a stronger, philosophically grounded case against the medicalization of grief, resting on how medicalizing grief is likely to detrimentally alter the moral and political meanings attached to grief. Specifically, medicalizing grief will “normativize” a medical vocabulary for evaluating grief that may impede authentic engagement with grief, validate a suspect “time slice” model of human well-being that overlooks how grief can benefit a person’s life as a whole, and impede desirable sympathy or solidarity with grieving persons. (shrink)

In recent years, an array of critical emotion theorists have emerged who call for change with respect to how emotion theory is done, how emotions are understood, and how we do emotion. In this chapter, I draw on the work that some of these authors have produced to analyze how emotional marginalization of trans and disabled identities is experienced, considering in particular how this emotional marginalization results from the long history of pathologization of trans and disabled people. The past and (...) current pathologization of trans and disabled people is produced through normative assumptions, values, and beliefs that uphold systems of normalcy, including assumptions, values, and beliefs about how we feel and express emotions. In order to examine these issues, I identify three different stages at which emotional marginalization may take place: emotion experience, emotional display, and emotion recognition. In other words, emotional marginalization of trans and disabled people can occur at any of these stages. The central concern of my chapter is thus to show how emotional marginalization, at each of these stages, affects trans and disabled people. (shrink)

Gender dysphoria is typically construed as a medical concept. This understanding of gender dysphoria reflects how cisgender people interpret trans experience. This essay proposes an alternative concept of gender dysphoria for critical theory: on this account, gender dysphoria is alienation from cisgender forms of life. If the medicalized concept of gender dysphoria tacitly takes for granted, identifies with, and thereby reinforces cisgender patriarchal society, a critical theory of gender dysphoria instead approaches the issue from the perspective of trans people, their (...) lived experiences and social situation, to offer a critique of society. While the medicalized concept of gender dysphoria refers to a “distress” caused by living in the “wrong-body,” the critical concept of gender dysphoria refers to an alienation as a result of living in the “wrong (cisgender patriarchal) society.” The critical concept of gender dysphoria may become a tool capable of describing the necessary facets of trans experience necessary to form a political coalition. The paper concludes by claiming that trans subjects are the gendered analogue of Marx’s concept of the proletariat. (shrink)

The most recent versions of official psychiatric diagnostic guidelines include a new addition: Prolonged Grief Disorder (PGD). PGD is controversial due to concerns about harmful looping effects. Some opponents of PGD’s inclusion in the DSM worry that the diagnosis may pathologize normal human experiences and alienate grievers from their grief. This paper argues that these concerns are less troubling than they initially appear (in part because they assume an unhelpful, and conceptually optional, background understanding of health conditions as pathologies) and (...) calls attention to overlooked beneficial looping effects that might be achieved by medicalizing (some) experiences of grief. (shrink)

Psychiatric language and concepts, and the norms they embed, have come to influence more and more areas of our daily lives. This has recently been described as a feature of the ‘psychiatrization of society.’ This paper looks at one aspect of psychiatrization that is still little studied in the literature: the psychiatrization of our emotional lives. The paper develops an extended account of emotion pathologizing as a form of affective injustice that is related to psychiatrization and that specifically harms psychopathologized (...) people, i.e., people who are socially perceived to be mentally ill. After introducing an initial account of emotion pathologizing as articulated in Pismenny et al. (2024), we extend the account by demonstrating how processes and practices of emotion pathologizing are informed by (1) the dominant biomedical approach to psychiatry and (2) sanism, a system of discrimination and oppression that disadvantages people who have received a psychiatric diagnosis, or are perceived as in need of psychiatric treatment. We then argue that emotion pathologizing can manifest as an affect-related hermeneutical injustice that disadvantages psychopathologized individuals by unfairly constraining how they make sense of and understand their own emotional experiences. (shrink)

Anchored in a decolonial framework, we understand race and gender as co-constructions of colonial modernity. Drawing on María Lugones’ concept of the colonial/modern gender system, we show that non-normative racialized trans subjects are pathologized through the imposition of a racial-colonial system of binary gender. We argue that coloniality, when adopted into the medical-psychiatric apparatus, takes shape as transnormativity: an individualized, medicalized form of trans identity which is rooted in a white, Western understanding of gender. Building on Jasbir Puar’s framework of (...) homonationalism and trans(homo)nationalism, and critiques of assimilationist queer politics through the lens of racial capitalism and anti-imperialism, we argue that trans(homo)nationalism is the absorption of transnormativity into the broader operations of state power, and see transnormativity as an extension of coloniality, operating as neo-colonialism. We argue that the political implications of trans(homo)nationalism include the sanctioning of violence against and the marginalization of non-normative and racialized trans subjects, and the continued imposition of a regime of racialized normative gendering. This assimilationist nationalist agenda is funneled through the for-profit medical-psychiatric apparatus wherein transition is co-opted into a curative, progress-based temporality. Looking to theorizations of trans temporality, we critique notions of linearity and futurity insofar as they bolster the deployment of racist, nationalist, imperialist state agendas. We articulate a vision for futurity grounded in a trans of color framework which resists assimilation into normativized gender, and call for truly radical futures for trans people which resist medicalized forms of trans identity which subscribe to the colonial, white, Western ideals of gender. (shrink)

Many worry about the over-medicalisation of mental illness, and some even argue that we should abandon the term mental illness altogether. Yet, this is a commonly used term in popular discourse, in policy making, and in research. In this paper I argue that if we distinguish between disease, illness, and sickness (where illness refers to the first-personal, subjective experience of the sufferer), then the concept of mental illness is a useful way of understanding a type of human experience, inasmuch as (...) the term is (i) apt or accurate, (ii) a useful hermeneutical resource for interpreting and communicating experience, and (iii) can be a good way for at least some of us to establish a liveable personal identity within our culture. (shrink)

"When we imagine the future of reproductive technology, it is usually a future of more and more choice. A future where it is increasingly possible to exorcise yourself from many of the risks that have thus far been inextricable from the process of bringing someone into being. In a way, I felt as if I were living involuntarily within this future. But it was a half-formed, incomplete future, where I was left terrified in a range of new ways, but not (...) quite protected. A time on the brink of knowledge, but without knowledge.". (shrink)

In this paper, I explore the nature of medical interventions like neuromodulation on the complex human experience of love. Love is built upon two fundamental natures, viz: the biological and the psychosocial. As a result of this distinction, scientists, and bioethicists have been exploring the possible ways this complex human experience can be biologically tampered with to produce some supposed higher-order ends like well-being and human flourishing. At the forefront in this quest are Earp, Sandberg and Savulescu whose research works (...) over ten years has focused on the good that could stem from the medicalization of love. I acknowledge the various criticisms that have been made against this stance. However, most of these criticisms have been directed towards the mere side effects and sociocultural disservices that could result from the process of using drugs to influence human romantic relationships and in the end, critiques endorse the medicalization of love on the basis that its benefits outweigh the disadvantages. Consequently, I advance two strands of arguments against “medically-assisted love,” the ontological and the socio-ethical arguments. The former presupposes that beyond the possible side effects of medicalizing love there is something inherently mistaken about this effort and there is something intrinsically different about love that distinguishes it from its medically-engineered alternative. In the latter argument, I claim that drug interventions in romantic love contravene the very nature of medicine. Overall, I believe that critiques were still able to endorse medicalizing love despite their objections because they were only looking at one direction, the physical/cultural complications. (shrink)

The biopsychosocial model (BPSM) is increasingly influential in medical research and practice. Several philosophers and scholars of health have criticized the BPSM for lacking meaningful scientific content. This article extends those critiques by showing how the BPSM’s epistemic weaknesses have led to certain problems in medical discourse. Despite its lack of content, many researchers have mistaken the BPSM for a scientific model with explanatory power. This misapprehension has placed researchers in an implicit bind. There is an expectation that applications of (...) the BPSM will deliver insights about disease; yet the model offers no tools for producing valid (or probabilistically true) knowledge claims. I argue that many researchers have, unwittingly, responded to this predicament by developing certain patterns of specious argumentation I call “wayward BPSM discourse.” The arguments of wayward discourse share a common form: They appear to deliver insights about disease gleaned through applications of the BPSM; on closer inspection, however, we find that the putative conclusions presented are actually assertions resting on question-begging arguments, appeals to authority, and conceptual errors. Through several case studies of BPSM articles and literatures, this article describes wayward discourse and its effects. Wayward discourse has introduced into medicine forms of conceptual instability that threaten to undermine various lines of research. It has also created a potentially potent vector of medicalization. Fixing these problems will likely require reimposing conceptual rigor on BPSM discourse. (shrink)

Beyond medicalization: what’s left of pain With the help of the ethnopsychiatric research led by Tobie Nathan and other fundamental anthropological insights, we want to analyze how the medical and psychological gaze shapes our understanding and narration of pain and death. Specifically, our purpose is to highlight how the medicalization of discourse took away the possibility for the pain to say something crucial for the subject and society, isolating the individuals who suffer, thus preventing the possibility of reflecting and changing (...) the status quo. (shrink)

In medicine, some personality traits, involving specific patterns of thought, feeling, and behavior, are considered to be pathological. Personality types, characteristic of such pervasive and maladaptive traits, are known under the term “personality disorders.” However, some of these pathological traits, diagnostic of so-called Cluster B personality disorders, largely describe immoral behavior. Hence, the question arises as to how such immoral behavior could be framed also as a medical problem. Moreover, it is not immediately clear whether persons with these disorders could (...) be held responsible for their immoral actions. By drawing on virtue ethics and the concept of responsibility without blame, the article demonstrates how the problem of compatibility between medicalization, cultivation of moral character, and responsibility could be resolved. Thereby, it is suggested that Cluster B personality disorders are best understood as both a moral and medical problem. (shrink)

Medicalisation is a social phenomenon in which conditions that were once under legal, religious, personal or other jurisdictions are brought into the domain of medical authority. Low sexual desire in females has been medicalised, pathologised as a disease, and intervened upon with a range of pharmaceuticals. There are two polarised positions on the medicalisation of low female sexual desire: I call these the mainstream view and the critical view. I assess the central arguments for both positions. Dividing the two positions (...) are opposing models of the aetiology of low female sexual desire. I conclude by suggesting that the balance of arguments supports a modest defence of the critical view regarding the medicalisation of low female sexual desire. (shrink)

Cet article s’intéresse aux injustices épistémiques à l’œuvre dans le milieu médical et en particulier dans la pratique du diagnostic. Il s’inscrit dans la continuité des discussions philosophiques liées aux injustices épistémiques, et résonne en particulier avec le travail de Miranda Fricker sur l’injustice herméneutique1. Le but principal est de montrer que l’accès au diagnostic est un enjeu de justice épistémique. Les critiques de la médicalisation dénoncent depuis longtemps des torts épistémiques causés par le milieu médical – par exemple la (...) pathologisation liée au diagnostic. Tout en reconnaissant ces dangers, nous montrons, à travers une analyse de témoignages et de contenus produits par des personnes diagnostiquées de différentes conditions, que des bénéfices épistémiques peuvent aussi découler d’un diagnostic. Ainsi, nous proposons de distinguer entre bienfait thérapeutique et bienfait herméneutique du diagnostic. Ensuite, nous défendons que certains déficits de diagnostics constituent des injustices herméneutiques structurelles. Nous avançons finalement l’idée qu’une approche reconnaissant et valorisant les bienfaits épistémiques du diagnostic peut avoir un impact positif sur nos pratiques médicales, et peut également jeter un éclairage nouveau, plus charitable, sur les pratiques d’autodiagnostic. (shrink)

Addressing the question of how medicine should engage with people who consider their clinical disease condition to be importantly constitutive of their identity, this article focuses on one group—advocates for the fat acceptance (FA) or body positivity movement in American society. Drawing on philosophical analysis, I try to show that FA and physician communities represent different traditions within the larger culture and that whether obesity should be considered a disease is a culture battle. I argue that diseases (medical) and illnesses (...) (cultural) are 2 different designations of clinical symptoms and that both disease and illness designations can change over time or be uncertain. (shrink)

This paper explores the position that moral enhancement interventions could be medically indicated in cases where they provide a remedy for a lack of empathy, when such a deficit is considered pathological. In order to argue this claim, the question as to whether a deficit of empathy could be considered to be pathological is examined, taking into account the difficulty of defining illness and disorder generally, and especially in the case of mental health. Following this, Psychopathy and a fictionalised mental (...) disorder are explored with a view to consider moral enhancement techniques as possible treatments for both conditions. At this juncture, having asserted and defended the position that moral enhancement interventions could, under certain circumstances, be considered medically indicated, this paper then goes on to briefly explore some of the consequences of this assertion. First, it is acknowledged that this broadening of diagnostic criteria in light of new interventions could fall foul of claims of medicalisation. It is then briefly noted that considering moral enhancement technologies to be akin to therapies in certain circumstances could lead to ethical and legal consequences and questions, such as those regarding regulation, access, and even consent. (shrink)

En este artículo expondré un análisis de la valoración negativa de las consecuencias que suelen atribuirse al fenómeno de la medicalización y, partiendo de aquí, mi objetivo básico será mostrar que la medicalización no es en sí mismo un fenómeno negativo. Sólo lo será cuando se obtenga un valor negativo del cálculo entre, por un lado, la efectividad de la propuesta médica para solucionar el problema y, por otro lado, el balance entre los beneficios de dicha propuesta médica y sus (...) posibles efectos secundarios; o bien, cuando se dé un contexto en el que el individuo, ya sea por desinformación o por una restricción externa (paternalismo médico), no tiene la libertad suficiente de escoger entre una propuesta médica y una propuesta no-médica. (shrink)

The article conceptualizes the term Pedagogy of Fear as the master narrative of educational systems around the world. Pedagogy of Fear stunts the active and vital educational growth of the young person, making him/her passive and dependent upon external disciplinary sources. It is motivated by fear that prevents young students—as well as teachers—from dealing with the great existential questions that relate to the essence of human beings. One of the techniques of the Pedagogy of Fear is the internalization of the (...) view that without evaluation and assessment we cannot know a child’s level or “worth”—and therefore are unable to help him/her if he is “slow in learning.” In contrast, Philosophy for/with Children offers a space for addressing existential questions, some of which deal with urgent social issues. The willingness to make philosophy inquiry an alternative already from an early age seeks to allow the child to challenge him/herself with new and fresh questions. Philosophy for/with Children does not regard children as a “space of lack” (experience, knowledge, values, etc.) The new and fresh philosophical perspective of children demands the presence of a willingness to engage in dialogue and rejection of the fear of the innocent and deep questions of philosophy. Shaking free of the Pedagogy of Fear and restoring honor to children’s questions demands a fundamental conceptual change within education. The replacement of existential certainty as it is depicted by adults in the existing education system with an existential question is a heavy intellectual task that in most cases is viewed as subversive—primarily on the part of the adult. It demands a return to starting points and a willingness to allow children a free and safe educational space in which to ground preliminary and fertile questions about themselves, their lives, their environment, and, most of all, the changing world they discover with the form of originality that is right for them. (shrink)

Pharmaceuticals or other emerging technologies could be used to enhance (or diminish) feelings of lust, attraction, and attachment in adult romantic partnerships. While such interventions could conceivably be used to promote individual (and couple) well-being, their widespread development and/or adoption might lead to “medicalization” of human love and heartache—for some, a source of serious concern. In this essay, we argue that the “medicalization of love” need not necessarily be problematic, on balance, but could plausibly be expected to have either good (...) or bad consequences depending upon how it unfolds. By anticipating some of the specific ways in which these technologies could yield unwanted outcomes, bioethicists and others can help direct the course of love’s “medicalization”—should it happen to occur—more toward the “good” side than the “bad.”. (shrink)

Personal Health Monitoring (PHM) uses electronic devices which monitor and record health-related data outside a hospital, usually within the home. This paper examines the ethical issues raised by PHM. Eight themes describing the ethical implications of PHM are identified through a review of 68 academic articles concerning PHM. The identified themes include privacy, autonomy, obtrusiveness and visibility, stigma and identity, medicalisation, social isolation, delivery of care, and safety and technological need. The issues around each of these are discussed. The system (...) / lifeworld perspective of Habermas is applied to develop an understanding of the role of PHMs as mediators of communication between the institutional and the domestic environment. Furthermore, links are established between the ethical issues to demonstrate that the ethics of PHM involves a complex network of ethical interactions. The paper extends the discussion of the critical effect PHMs have on the patient’s identity and concludes that a holistic understanding of the ethical issues surrounding PHMs will help both researchers and practitioners in developing effective PHM implementations. (shrink)

This article discusses the moment in which normative ideas about aging and reproductive embodiment became conceptually linked in the mid-nineteenthcentury medicalization of menopause. The reading centers on the first English book-length publication on menopause, written by E. J. Tilt in 1857, and Foucault’s concept of the medical gaze. I analyze mechanisms of observing, conceptualizing, and treating the body in relation to time and discuss their function in affirming and reworking social norms of age and gender. In doing so, I highlight (...) the political work implicit in contesting conceptualizations of female reproductive bodies, their age-specific pathologies, and directives of (self-)surveillance employed in discourses surrounding women’s reproductive health. (shrink)

Is the boundary between the normal and the pathological real or fiction? Are health and disease just a matter of fact or are they value-laden? Here we present some examples of how alleged diseases can be invented and propagated by the industry (disease mongering) or by the methodology of medical science itself. We show that the boundary between health and disease is blurred and depends on individual and social representations, culture relative ways of categorising things and people, and by the (...) society’s degree of medicalisation. However, we do not mean that it is not real, rather that it is more complex than expected, as the subjectivity of social constructions and individual experiences makes them no less real. Finally, we conclude that health and disease belong to both objective and subjective kinds of reality, so the fictional can be real. (shrink)

The process of medicalization has been analyzed in the medical humanities with disapprobation, with much emphasis placed on its ability to reinforce existing social power structures to ill effect. While true, this is an incomplete picture of medicalization. I argue that medicalization can both reinforce and disrupt existing social hierarchies within the clinic and outside of it, to ill or good effect. We must attend to how this takes place locally and globally lest we misunderstand how medicalization mediates power and (...) justice. I provide concrete examples of how this occurs by considering dysesthesia ethiopsis, autism, chronic fatigue syndrome, depression, and HIV/AIDS. (shrink)

In this paper, I sound a warning note about the medicalization of risk conditions such as high cholesterol, especially in a health care climate of resource scarcity.

Our reluctance to demystify grief is a sign of the distinctive obligation and discomfort that people feel towards those who have died. These feelings, however, are instructive about the nature of grief. As a vehicle of a living person’s relation to the dead, grief is mysterious—and we are rightly reluctant to take that mystery away. But grief is not to be avoided by philosophy on that account. I defend a less Romantic view of grief, in which a grieving person’s experience (...) of “normal” grief: 1) is felt to require an objectively recognized loss; 2) is felt to be dedicated to that lost object; 3) seems to most people to be something that she ought to feel; and 4) probably ought not to be medicalized, nor consequently medicated. This view of grief affords an understanding and appreciation of this rather special and important emotion without reducing its mystery. (shrink)

This paper argues that childhood diagnosis, particularly in educational and behavioural contexts, too often functions as a mechanism of control rather than care. Through a critical-ethical lens, it interrogates how diagnostic language frames noncompliance as disorder, refusal as dysfunction, and difference as deficit. Drawing from critical pedagogy, disability studies, and the sociology of childhood, the paper challenges the assumption that support must be earned through suffering and pathologisation. Rather than presenting new diagnostic models, the paper proposes an ethical reorientation: one (...) that centres children’s relational, sensory, and dissenting expressions as forms of moral knowledge. It contends that diagnosis often shifts attention away from structural failure—masking adult discomfort, institutional inflexibility, and the systemic marginalisation of non-normative behaviour. Using a hybrid methodology that blends narrative analysis, philosophical inquiry, and policy critique, the paper ultimately calls for a diagnostic reversal: a turn from identifying broken children to diagnosing the systems that demand their conformity. In doing so, it offers a vision of support grounded not in deficit, but in dignity. (shrink)