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诊断:基因组时代的批判性社会反思

Diagnosis: a critical social reflection in the genomic era.

作者信息

Jutel Annemarie

机构信息

Victoria University of Wellington. Kelburn, Wellington. 6012 Nova Zelândia.

出版信息

Cien Saude Colet. 2019 Sep 26;24(10):3619-3626. doi: 10.1590/1413-812320182410.34502018. eCollection 2019.

Abstract

Diagnosis is a pivotal tool for the work of medicine as they categorise and classify individual ailments via a generalised schema. However diagnosis is also a profoundly social act, which reflects society, its values and how it makes sense of illness and disease. Considering diagnosis critically, as well as practically, is an important job of the sociologist. This paper reviews how a social model can provide a critical tool for viewing diagnosis in the genomic era. It explores how the formulation of diagnosis, be it via genetic explanations or microbiological ones, are the product of social discovery, negotiation, and consensus.

摘要

诊断是医学工作的关键工具,因为它通过通用模式对个体疾病进行分类。然而,诊断也是一种深刻的社会行为,反映了社会、其价值观以及对疾病的理解方式。批判性地且实际地看待诊断是社会学家的一项重要工作。本文回顾了社会模型如何能为在基因组时代审视诊断提供一种批判性工具。它探讨了诊断的形成,无论是通过遗传学解释还是微生物学解释,都是社会发现、协商和共识的产物。

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