Hoedemaekers R, ten Have H
Catholic University of Nijmegen, The Netherlands.
J Med Philos. 1998 Jun;23(3):274-87. doi: 10.1076/jmep.23.3.274.2585.
Geneticization is a broad term referring to several related processes such as a spreading tendency to use a genetic model of disease explanation, a growing influence of genetics in medical practice, and the slow changing of individual and societal attitudes towards reproduction, prevention and control of disease. These processes can be demonstrated in medical literature on preventive genetic screening and counselling programs for beta-thalassaemia in Cyprus, the United Kingdom and Canada. The preventive possibilities of the new genetic and diagnostic technologies have been quickly understood and advocated by health professionals, and their educational strategies have created a web of social control, in marked contrast to the alleged voluntary decision-making process and free choice. Genetic diagnostic technologies have led to considerable changes in control and management of beta-thalassaemia, and have generated a number of unresolved incongruities.
基因化是一个广义术语，指的是几个相关过程，比如使用疾病解释的基因模型的传播趋势、遗传学在医学实践中的日益增长的影响，以及个人和社会对疾病的生殖、预防和控制态度的缓慢转变。这些过程可以在塞浦路斯、英国和加拿大关于β地中海贫血的预防性基因筛查和咨询项目的医学文献中得到证明。健康专业人员很快理解并倡导了新的基因和诊断技术的预防可能性，他们的教育策略形成了一个社会控制网络，这与所谓的自愿决策过程和自由选择形成了鲜明对比。基因诊断技术已导致β地中海贫血的控制和管理发生了相当大的变化，并产生了一些未解决的不一致之处。
