ten Have H A
Department of Ethics, Philosophy and History of Medicine, Faculty of Medical Sciences, University of Nijmegen, The Netherlands.
Med Health Care Philos. 2001;4(3):295-304. doi: 10.1023/a:1012090810798.
The concept of 'geneticization' has been introduced in the scholarly literature to describe the various interlocking and imperceptible mechanisms of interaction between medicine, genetics, society and culture. It is argued that Western culture currently is deeply involved in a process of geneticization. This process implies a redefinition of individuals in terms of DNA codes, a new language to describe and interpret human life and behavior in a genomic vocabulary of codes, blueprints, traits, dispositions, genetic mapping, and a gentechnological approach to disease, health and the body. This article analyses the thesis of 'geneticization'. Explaining the implications of the thesis, and discussing the critical refutations, it is argued that 'geneticization' primarily is a heuristic tool that can help to re-focus the moral debate on the implications of new genetic knowledge towards interpersonal relations, the power of medicine, the cultural context and social constraints, rather than emphasizing issues as personal autonomy and individual rights.
“基因化”这一概念已在学术文献中被引入,用以描述医学、遗传学、社会和文化之间各种相互关联且难以察觉的互动机制。有人认为,西方文化目前正深度卷入基因化进程。这一进程意味着依据DNA编码对个体进行重新定义,用一种新的语言,即以编码、蓝图、特征、性情、基因图谱等基因组词汇来描述和解读人类生活与行为,以及采用基因技术手段来对待疾病、健康和身体。本文分析了“基因化”这一论点。在解释该论点的含义并讨论批判性反驳观点后,认为“基因化”主要是一种启发式工具,有助于将关于新基因知识影响的道德辩论重新聚焦于人际关系、医学的力量、文化背景和社会限制,而非强调诸如个人自主性和个人权利等问题。