Lippman A
Dep't of Epidemiology & Biostatistics, McGill University.
Am J Law Med. 1991;17(1-2):15-50.
This Article considers the influence and implications of the application of genetic technologies to definitions of disease and to the treatment of illness. The concept of "geneticization" is introduced to emphasize the dominant discourse in today's stories of health and disease and the social construction of biological phenomenon is described. The reassurance, choice and control supposedly provided by prenatal genetic testing and screening are critically examined, and their role in constructing the need for such technology is addressed. Using the stories told about prenatal diagnosis as a focus, the consequences of a genetic perspective for and on women and their health care needs are explored.
本文探讨了基因技术在疾病定义和疾病治疗应用中的影响及意义。引入了“基因化”概念,以强调当今健康与疾病故事中的主导话语,并描述了生物现象的社会建构。对产前基因检测和筛查所提供的安心感、选择权和控制权进行了批判性审视,并探讨了它们在构建此类技术需求方面的作用。以关于产前诊断的故事为重点,探讨了基因视角对女性及其医疗保健需求的影响以及女性及其医疗保健需求对基因视角的影响。