Normality, risk and the future: implicit communication of threat in health surveillance

Lauritzen, Sonja Olin; Sachs, Lisbeth

doi:10.1111/1467-9566.00262

Cited by 61 publications

(48 citation statements)

References 13 publications

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“…Con dence in predictions is enhanced by the size of the sample population studied. As risk is calculated on an aggregate level and belongs to the world of probability, transformation of risk appraisals to the level of the individual and the understanding of ones' own health is, of necessity, dif cult (Lauritzen and Sachs, 2001). Oliver (1987) argue that one of the underlying problems with regard to attempts to prevent CHD is the very low speci city with which it is possible to identify individuals at risk.…”

Section: Risk Assessmentmentioning

confidence: 99%

“…Accordingly, Lupton (1995) argues that there is a contradiction inherent in the concept of risk; there are laws of risk that may be identi ed and applied to individuals and groups but that risk may also be avoided, provided one is aware of these laws and willing to act rationally to avoid being a casualty of risk. However, as many health risks are invisible or require technical knowledge to assess them, most individuals have to rely on expert risk assessors to interpret the meaning, importance and implications of these risks (Lupton and Chapman, 1995;Lauritzen and Sachs, 2001). Epidemiology is the science that provides the system of knowledge that underpins the assessment of health risks used by public health practitioners and is presented to members of the lay public via health education and health promotion as a set of objective and given 'truths' (Lupton, 1997).…”

Section: Introductionmentioning

confidence: 99%

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Coronary heart disease: Women's assessment of risk--a qualitative study

Ruston¹,

Clayton²

2002

Health, Risk & Society

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Coronary heart disease (CHD) kills over 135,000 people each year. The underlying premise of this study was that women might not assess themselves as at risk because CHD has generally been perceived within popular culture, medicine and research as a man's disease. Hayes (Social Science and Medicine, 35, pp. 55-61, 1991) suggests that critical to the success of any risk assessment strategy is: the identi cation of risk markers that can accurately predict speci c adverse health outcomes and the ability of the strategy users to measure risk factors and calibrate them appropriately. In-depth interviews were conducted with 83 women, 50 who had been admitted to hospital with a CHD-related cardiac event and 33 without manifest CHD. They were found to adopt risk assessment strategies that enabled them to conceptually distance themselves from risk of CHD by: attributing risky lifestyle behaviour to men; subjectively manipulating the potential threat posed by their own risk factors and by over-emphasising the importance of social position to risk. The outcome of these strategies can be summed up as-'women are only at high risk of developing CHD if they adopt a man's way of life'. This has important implications for the prevention of CHD in women.

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Section: Risk Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Coronary heart disease: Women's assessment of risk--a qualitative study

Ruston¹,

Clayton²

2002

Health, Risk & Society

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“…Den preventiva medicinen har kommit att utvecklas inte minst på grund av tekniskt avancerade undersökningsmetoder (Olin-Lauritzen & Sachs 2001, 2011, Sachs 2012. Människor behöver inte längre presentera ett lidande för att anses sjuka.…”

Section: Medikalisering Av Cancerfamiljer Ger Framtida Skuggorunclassified

Medikalisering av cancerfamiljer ger framtida skuggor

Sachs¹

2014

TFSS

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När nu det genetiska arvet framstår alltmer som en förklaring till sjukdom och mänskligt beteende i allmänhet behöver man ställa frågan hur sådana förklaringar påverkar människors uppfattningar om familj och släktskap över tid och i framtiden och i vilken utsträckning genetiska förklaringar strider mot vidare social utveckling. Idéer om genetiskt arv och cancersjukdom sätter familj och släktgrupper i fokus. När en person informeras om anlag för cancersjukdom blir frågan om alla medlemmar i en släktgrupp bör informeras och undersökas. Det kan gälla såväl från en medicinetisk utgångspunkt som från en känslomässig och ansvarskännande utgångspunkt bland diagnostiserade enskilda. Forskning kring ärftliga sjukdomar innebär en medikalisering av släktskap något som kan innebära stora förändringar för enskilda personer. Under en tid då familjestrukturer är mera flytande och mindre bestämda genom blodsband än tidigare kan man ställa frågan vilken betydelse en betoning av genetiskt arv som överförare av mänskligt beteende och släktskap kan få. Inbyggt i begreppet genetiskt arv finns en betoning av familj och släkt som medier genom vilka ärftlighet flyter. Ett fall från en antropologisk studie illustrerar hur genetisk kargtläggning leder till medikalisering av släktskap[1].[1] En tidigare version finns publicerad i Scand.J of Publ.Health 2004 men är här uppdaterad och reviderad.

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“…Traditionally, as numerous authors have underlined (in particular Lauritzen and Sachs 2001) the question is problematized in terms of the risk of giving birth to another sick child -a risk that is considered to be high because, for a recessive disease like cystic fibrosis, it is of 25%.…”

Section: Clinicians' "Ethical Practice" and "Ethical Work"mentioning

confidence: 99%

Genetic Testing, Birth, and the Quest for Health

Vailly

2013

Science, Technology, & Human Values

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Newborn screening for genetic diseases has developed rapidly in Western countries. These biopolitics raise the question of birth as a sociological “knot” insofar as it is the threshold between the (possibly ill or disabled) child and the fetus. The question therefore addressed in this text, based on a field study of newborn screening for cystic fibrosis in France, is that of the link between the quest for good health (through treatment) and the elimination of poor health (by prenatal diagnosis). Do they reinforce each other or, on the contrary, are they contradictory? I analyze the positions of both mothers of screened children and clinicians regarding the following three points: prenatal diagnosis to preclude sets of sick siblings, identification of heterozygous individuals, and generalized prenatal screening. This study shows how increasingly attentive patient care and an increasingly demanding approach to prenatal diagnosis reinforce one another. It also analyzes the role of taking action early on and evaluating the lives of sick or disabled people in this process. In conclusion, I engage a more general discussion about what I suggest calling a “quality life.”

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Normality, risk and the future: implicit communication of threat in health surveillance

Cited by 61 publications

References 13 publications

Coronary heart disease: Women's assessment of risk--a qualitative study

Coronary heart disease: Women's assessment of risk--a qualitative study

Medikalisering av cancerfamiljer ger framtida skuggor

Genetic Testing, Birth, and the Quest for Health

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