Gaze and Medical Diagnosis: A Historical Account of Concepts in Biomedicine

Document Type : Original Article

Author

Ph.D. Candidate, Department of sociology, Delhi School of Economics, University of Delhi, New Delhi, India

Abstract

A diagnosis is a transformative act that functions as an interface between illness and disease and takes place at a juncture between patient and doctor. The reason to focus on diagnosis, both as a category and a process, is to emphasize its defining and differentiating role in medicine. That is, diagnosis provides the framework within which medicine operates and exerts its role. The paper attempts to highlight the role of gaze and concepts in the larger frame of change concerning medicine through the construct of diagnosis. The purpose is to destabilize the interactive configuration of social, economic, political, and technological impulses that has been the dominant mode of theorizing various shifts in medicine. In accord with the concept of the paradigm shift that explicates fundamental change in practice and experience of sciences, the process of diagnosis offers the vantage point to understand changes in medicine. The argument is substantiated by providing a historical account of clinical medicine to trace changing notions of health, disease, and the body owing to changes in diagnosis and gaze in particular.

Keywords


Anker, S., and Nelkin, D., 2004. The molecular gaze: art in the genetic age. Cold Spring Harbor. New York: Cold Spring Harbor Laboratory Press.
Armstrong, D., 1995. The rise of surveillance medicine. Sociology of health & illness, 17(3), pp.393-404.
Barry, S., ed., 1994. Michel Foucault: Critical Assessments. London: Routledge.
Bishop, J.P., 2011. The anticipatory corpse: Medicine, power, and the care of the dying. Notre Dame, Ind: University of Notre Dame Pess.
Berger, J., 2008. Ways of seeing. London: British Broadcasting Corporation.
Coleman, W., and Coleman, W.R., 1977. Biology in the nineteenth century: Problems of form, function, and transformation. Vol. 1. Cambridge: Cambridge University Press.
Canguilhem, G., 1991. The normal and the pathological. New York: Zone Books.
Foucault, M., 1975. The birth of the clinic an archaeology of medical perception. New York: Vintage Books.
Freidson, E., 1988. Profession of medicine: A study of the sociology of applied knowledge. Chicago: University of Chicago Press.
Gilbert, R., 2008. The body of nature and culture. Basingstoke: Palgrave Macmillan.
Hucklenbroich, P., 2014. “Disease entity” as the key theoretical concept of medicine. The Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine, 39(6), pp. 609-633.
Hogan, A.J., 2016. Life histories of Genetic Disease: Patterns and prevention in postwar medical genetics. Baltimore: JHU Press.
Jewson, N.D., 1976. The disappearance of the sick-man from medical cosmology, 1770-1870. Sociology, 10(2), pp. 225-244.
Jutel, A., 2011. Classification, disease, and diagnosis. Perspectives in biology and medicine, 54(2), pp.189-205.
Kleinman, A., 1992. Local worlds of suffering: An interpersonal focus for ethnographies of illness experience. Qualitative Health Research, 2(2), pp. 127-134.
Klawiter, M., 2004. Breast cancer in two regimes: the impact of social movements on illness experience. Sociology of Health & Illness, 26(6), pp. 845-874.
Parsons, T., 1951. Illness and the role of the physician: a sociological perspective. American Journal of orthopsychiatry, 21(3), p.452.
Stacey, J., 2013. Teratologies: A cultural study of cancer. Oxfordshire, England: Routledge.
Scott, T., 2010. Organization philosophy: Gehlen, Foucault, Deleuze. Palgrave Macmillan, Basingstoke, GB.