Abstract:In recent years we have seen the emergence of "personalised medicine." This development can be seen as the logical product of reductionism in medical science in which disease is increasingly understood in molecular terms. Personalised medicine has flourished as a consequence of the application of neoliberal principles to health care, whereby a commercial and social need for personalised medicine has been created. More specifically, personalised medicine benefits from the ongoing commercialisation of the body a… Show more
“…Thus, the assumption about the relevance of the patient's genetic (or other biological) makeup for treatment outcomes is at the base of the PM model. Extracting information about this makeup through testing [12,14,16,22,39] and tailoring interventions based on that, forms the action level. These actions, moreover, are undertaken with the purpose of better control of the medical outcomes.…”
Section: Analysis Of the Models Of Pm And Pcc Personalized Medicine Mmentioning
confidence: 99%
“…Responsibility for good health is shifted from government and collectives to the individual, such that the individual is now ''responsible'' for his or her health or disease [39].…”
Section: Individualization: Power Responsibility and Threats Of Incmentioning
In contrast to standardized guidelines, personalized medicine and person centered care are two notions that have recently developed and are aspiring for more individualized health care for each single patient. While having a similar drive toward individualized care, their sources are markedly different. While personalized medicine stems from a biomedical framework, person centered care originates from a caring perspective, and a wish for a more holistic view of patients. It is unclear to what extent these two concepts can be combined or if they conflict at fundamental or pragmatic levels. This paper reviews existing literature in both medicine and related philosophy to analyze closer the meaning of the two notions, and to explore the extent to which they overlap or oppose each other, in theory or in practice, in particular regarding ethical assumptions and their respective practical implications.
“…Thus, the assumption about the relevance of the patient's genetic (or other biological) makeup for treatment outcomes is at the base of the PM model. Extracting information about this makeup through testing [12,14,16,22,39] and tailoring interventions based on that, forms the action level. These actions, moreover, are undertaken with the purpose of better control of the medical outcomes.…”
Section: Analysis Of the Models Of Pm And Pcc Personalized Medicine Mmentioning
confidence: 99%
“…Responsibility for good health is shifted from government and collectives to the individual, such that the individual is now ''responsible'' for his or her health or disease [39].…”
Section: Individualization: Power Responsibility and Threats Of Incmentioning
In contrast to standardized guidelines, personalized medicine and person centered care are two notions that have recently developed and are aspiring for more individualized health care for each single patient. While having a similar drive toward individualized care, their sources are markedly different. While personalized medicine stems from a biomedical framework, person centered care originates from a caring perspective, and a wish for a more holistic view of patients. It is unclear to what extent these two concepts can be combined or if they conflict at fundamental or pragmatic levels. This paper reviews existing literature in both medicine and related philosophy to analyze closer the meaning of the two notions, and to explore the extent to which they overlap or oppose each other, in theory or in practice, in particular regarding ethical assumptions and their respective practical implications.
“…Following Nikolas Rose's observation on ‘molecular biopolitics’ (Rose ), Savard remarks that this focus on the molecular categorisation of the individual in personalised medicine is powered by biopolitical assumptions about ‘the power of genetic knowledge and about an individual's responsibility for his or her health’ (Savard : 199). Consequently, in the context of personalised medicine, ‘responsibility for good health is shifted from the state and collectives to the individual, such that the individual is now “responsible” for his or her health or disease’ (Savard : 199). As observed by several authors drawing on the work of Foucault (), this new individual responsibility for one's own genetic heritage resonates more broadly with the neoliberal ideology of self‐government and consumer rationality in health care, where rational patients are made responsible for their good health (Clarke et al .…”
Section: Resultsmentioning
confidence: 99%
“…For instance, as Donna Dickenson argues, pharmacogenomics is entangled with and resonates within a configuration of Me, as opposed to We, medicine , which includes direct‐to‐consumer genetic testing, private umbilical and cord blood banking and enhancement technologies (Dickenson : 1). Dickenson argues that Me medicine is driven primarily by corporate interests and neoliberal public policy (2013: 180) and powered by the seemingly incontestable assumption that individual medicine is preferable to collective medicine (Dickenson : 184), consequently imagining the ideal patients, or perhaps clients, as ‘rational citizens capable of exercising freedom’ (Savard : 200). As a result of these factors, and despite modest concrete success of application:Narratives and images of personalised medicine remain a vibrant but also contested part of the biomedical and genomic discourse and are being taken up and reinvented in a number of emerging social technical practices.(Tutton : 162)…”
Globally supported by public policy and investment, nanomedicine is presented as an ongoing medical revolution that will radically change the practice of health care from diagnostic to therapeutic, and everything in between. One of nanomedicine's major promises is that of personalised medicine, enabling diagnostics and therapeutics tailored to individual needs and developing a truly 'patient-friendly' medical approach. Based on qualitative interviews with nanomedicine researchers in Canada, this article explores the emerging concept of personalised medicine as it becomes entangled with nanomedical research. More precisely, drawing on insights from science studies and the sociology of expectations, it analyses researchers' perceptions of personalised medicine in the cutting edge of current nanomedicine research. Two perceptions of personalisation are identified; a molecular conception of individuality and a technical conception of personalisation. The article concludes by examining the relationship between the two conceptions and contrasts them with the normative reflex of a more expansive conception of personalised medicine.
“…The individualized approach is being promoted in sleep health , arthritis treatment , cancer therapy , diabetes management , veterinary medicine , and sports training , to name but a few examples. Researchers, clinicians, and educators, benefitting from the ongoing commercialization of the body , are putting the individual at the nucleus of critical inquiry. With the individual at the center, reductionism is defied by situating the person as a relational being whose intersubjectivity, life history, and cultural experience are variously factored in all their splendor and complexity.…”
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