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Medicalization, Health and Development

Medicalization, Health and Development. Josep M. Comelles, M.D.; Ph.D. Departament d’Antropologia, Filosofia i Treball Social Universitat Rovira i Virgili, Tarragona 2013, January. Buñuel, Luis (1932) Tierra sin pan. Medicalization as development. A classical idea

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Medicalization, Health and Development

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  1. Medicalization, Health and Development • Josep M. Comelles, M.D.; Ph.D. • Departament d’Antropologia, Filosofia i Treball Social • Universitat Rovira i Virgili, Tarragona • 2013, January

  2. Buñuel, Luis (1932)Tierra sin pan

  3. Medicalization as development • A classical idea • The hegemony of a medical naturalistic regard • The subalternity of religious discourses on health • Medicalization as progress

  4. The problems • Medicalization is a complex process • Medicalization has non linear steps • Medicalization has changing meanings

  5. Medicalization 1 A local arena • A local strategy to manage the res publica in cities • To prevent the plague • To naturalize private health practices • To legitimate some professionals: doctors and pharmacists • A naturalistic conception of the ethiology of diseases

  6. Medicalization 1 Effects • A new social image and political position for doctors and pharmacists • The enbodiment of galenism in popular culture • The articulation between galenism and popular empiricism • A new way of popularization of systematic medicine: the printed book

  7. Medicalization 2A Nation State arena • The development of public health policies • Doctors and pharmacists as organic intellectuals • A natural conception of disease • Science and technology as tools of progress

  8. Medicalization 2Effects • Medicalization as a strategic tool of global economic imperialism • The trend towards an hegemonic individual concept of disease and cure • The hegemony of the body and the concept of health bodies • The subalternity of public health policies (higienism and sanitation

  9. Nip/Tuck 1x01 (2004)

  10. Medicalization 2Side effects • The attainment of the aims of public health policies hide its importance • The medicalization as an instrument of colonial imperialism • The hegemony of a biological, clinical and individual conception of disease • The rythm of medicalization is not equal everywhere even in developed countries: inequalities and inequities

  11. Medicalization 3An individual arena • In developed countries the first two steps of medicalization are apparently be closed • Public Health is not the main concern of public policies • Doctors and health professionals are no more the organic intellectuals of the process • The third step coexists with the second in the global context

  12. Medicalization and communication tools

  13. We, the others and the political economy of research and of culture The cultural dimension of medicalization F2F Internet Medias Mainly “health” oriented and private management We: Biomedical and socioculture biomedical research Scholar production of knowledge “mainly disease oriented” public or private management

  14. Are we really speaking on development now?

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