In the vanguard of biomedicine? The curious and contradictory case of anti-ageing medicine.

In the vanguard of biomedicine? The curious and contradictory case of anti-ageing medicine.
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DOI:
10.1111/j.1467-9566.2009.01212.x
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发表时间:
2010-02-01
影响因子:
2.9
通讯作者:
Flatt MA
Flatt MA
中科院分区:
医学2区
文献类型:
--
作者:
Fishman JR;Settersten RA Jr;Flatt MA

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The rise of anti-ageing medicine is emblematic of the current conditions of American biomedicine. Through in-depth interviews with 31 anti-ageing practitioners, we examine how practitioners strive for—and justify—a model of care that runs counter to what they see as the ‘assembly line’ insurance-managed industry of healthcare. Their motivation, however, is not merely a reaction to conventional medicine. It is derived from what they see as a set of core beliefs about the role of the physician, the nature of the physician-patient relationship, and the function of biomedicine. We analyse this ideology to underscore how anti-ageing medicine is built on a ‘technology of the self’, a self in need of constant surveillance, intervention, and maintenance. The ultimate goal is to create an optimal self, not just a self free of illness. A fundamental irony is that, despite their self-presentation and the perception of the public, anti-ageing providers do not use practices that are especially ‘high-tech’ or unconventional. Instead, the management of ageing bodies rests on providers’ perceived knowledge of their patients, tailored treatments, and a collaborative pact between the provider and patient.
DOI: 10.1016/j.jaging.2008.05.002
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