Medical diagnosis of dyslexia in a Swedish elite school: A case of “consecrating medicalization”

Based on qualitative data of an upper-secondary school in Sweden’s primary elite community, Djursholm, I propose how medical diagnosis of students as dyslexics contributes to consecrating them by offering a short cut to successful performance, while at the same time reproducing differences between social classes. The study suggests how students that do not score top can be labeled dyslexic and the social and moral consequences of that. I introduce the concept of “consecrating medicalization” in order to discriminate between the effects of medical diagnosis of members of different social classes. In this way, this paper contributes to further examining some key problems in medical sociology and the sociology of elites, by offering a framework of synthesis and integration.     

Medicalization of Social Problems: Rising Depression-related Absenteeism in Japan

Increasing numbers of people are absent from work with a diagnosis of depression, and this has become a social problem in Japan. This study examines the hypothesis that this rise of depression-related absenteeism in Japan is influenced by social factors that contribute to the medicalization of social problems. Here, “social factors” are corporate systems that affect workers' psychology and mental health, media coverage and disease awareness campaigns by pharmaceutical companies, the intentions of patients' physicians, as well as psychopathological factors such as increased workplace stress. Data were obtained from semi-structured interviews conducted with 50 workers who had a history of taking depression-related leaves of absence, and a re-diagnosis by six physicians of 10 representative cases derived from categorizations based on data from the interviews. The data were analyzed to identify social factors underlying the rise in depression-related absenteeism and the mechanisms of medicalization of social problems. Social factors found to affect the rise of depression-related absenteeism include mentalities whereby patients, seeking to escape from harsh work environments, may wish to receive a diagnosis of depression to take a leave of absence; and the intention of participants' physicians to provide the diagnosis out of sympathy even when official diagnostic criteria are not met. Thus, it would seem that work-related social problems that should normally be addressed by public policy measures are in fact being medicalized. Moreover, this study considers how “self-medicalization” by patients renders the solution to social problems more complex by contributing to the further medicalization of social problems.     

Freezing time? The sociology of egg freezing

In the past decade, social scientists and bioethicists have produced a significant body of work tracking the technical, legal, ethical, and sociocultural development and implications of human egg freezing. What began as a treatment to “preserve” the fertility of cancer patients has transformed into a technology enabling delayed childbearing. We provide an overview of four research areas that have received the most attention in the sociological and anthropological literature of egg freezing: medicalization, gender, temporality and risk, and markets. What emerges from much of the research is the sense that egg freezing has become entangled with cultural imperatives to take future-oriented responsibility for one's own health, financial, social, and reproductive needs through self-management, risk reduction, calculation, and optimization. Throughout, we consider the implications of this novel reproductive technology within national and transnational “reproflows” that stratify reproduction along raced and classed lines.     

Sarah was a Butch: Sexual Identity,Gender Practices,and Sarah's Place as Mother in the Jewish National Pantheon

Three fields of discourse regarding a masculine-like woman connect at a point that the queer field calls intersex, medical practice calls a sexual disorder, and rabbinic literature terms aylonit. The queer discursive field focuses on the freedom to choose an identity, but not the freedom from choosing one. The medical field focuses on sexual practice as the source of determining “normal” sexuality. In the discursive field of Jewish law there are no demands, because the Halakhic authority determines gender identity on behalf of the individual, maintaining ambiguity.     

新自由主义全球化对“医疗化”的形构

“医疗化”与新自由主义全球化之间有怎样的关联?国内外社会学界对此尚缺乏系统的分析。本文以物质力量、制度、观念为分析框架,探讨新自由主义如何加剧并转变全球的“医疗化”状况。在物质上,产、官、学复合体网络的多方利益形成有力的市场力量,从而促成医疗化;在制度上,则是由于药品之国际专利权的制定与各国导致医疗化的政策;在观念上,某些压力团体因为要强化“竞争力”而推动某种服药的观念、个人自主健康管理的盛行、风险恐慌的论述普遍化及另类医疗的兴起等氛围都加剧了“医疗化”。 即便有反新自由主义的力量,但医疗的供给面与需求面均被牵涉到因商品化可获利的普遍利益中,因而新自由主义的结构性力量仍难以撼动,从而使医疗化加剧。     

The institution of medicine and transgender identity construction: Between a doc and a hard place

Research shows that when transgender young people are well-supported throughout their gender transition they have similar levels of depression to their cisgender counterparts. For transgender young people who wish to transition medically, these support systems may include parents as advocates and healthcare professionals who specialize in transgender services. Decisions about steps throughout transition are made by transgender children, their parents, and their physicians. An examination of gender structure theory and medicalization literature helps to assess how medicine-on institutional, interactional, and individual levels-contributes to cisnormativity and enables us to reflect on the relationships among sex, gender, and science. This literature review aims to analyze how cultural ideologies influence medical processes that shape the identity construction of transgender children and it sheds light on parental involvement throughout transitions.     

(Re)circulating Foreign Bodies

This paper situates Richard Fung's auto-ethnographic video Sea in the Blood within the context of the personal illness narrative as a mode of political resistance which emerged alongside the movements of feminist health activism and global HIV/AIDS activism. I argue that as a critical illness narrative, which reads the experiences of transnational travel and migration in and through a narrative of illness, race, and sexuality, Sea in the Blood disrupts the genres of both the personal illness narrative and the imperial travel narrative while resisting the assimilative pull of what Charles L. Briggs calls the “political economy of communicability.” Specifically, I argue that Fung resists cultural and political absorption using three primary strategies: the symbolics of blood, the juxtaposition of illness and travel narratives, and the tactics of misalignment, or the self-conscious use of contradictory narratives and competing modes of representation. Through these strategies, Sea in the Blood is installed as a form of revolutionary activism which comments on the historical pathologization of foreign bodies, and exposes the ways in which the medicalization of race underwrites the medicalized history of sexuality. Accordingly, Sea in the Blood inaugurates what might be thought of as a politics of incommunicability through the sensuous and metaphorical re/circulation of foreign bodies.     

Drug Courts and the Logic of Coerced Treatment1

This article examines the social and historical significance of coerced drug treatment within the criminal justice system. Drug courts, the most prominent example of this approach, serve as a case study to explore how seemingly contradictory perspectives on substance use—therapeutic and punitive—are merged to justify increased criminal justice oversight of defendants in the name of facilitating recovery. Drawing on an analysis of drug court organizational documents and interviews with key advocates, this article (1) examines the punitive, therapeutic, and medical knowledge drug court advocates draw on and construct to justify an increased role for the courts in solving the problem of addiction, and (2) links these theories historically to broader discussions about the causes of crime and the courts’ role in solving social problems. Overall, this article considers how scientific theories are fused with moral considerations in the name of an “enlightened” criminal justice approach to complex social problems.