Medical modernization, scientific research fields and the epistemic politics of health social movements

Sociology of Health & Illness
David J Hess

Abstract

As health social movements (HSMs) and complementary and alternative medicine (CAM) professions increasingly mount challenges to the authority of medical knowledge, the tendency for the medical research community and medical profession to dismiss such epistemic challenges (termed here 'paternalistic progressivism') and the corresponding response from challengers that medicine is corrupt (termed here 'medical devolution') has given way to a process of incorporation of challenges under the rubric of evidence-based research (termed here the epistemic dimension of 'medical modernization'). Under conditions of medical modernization the distinction between lay/alternative knowledge and scientific knowledge, upon which the epistemic authority of medicine rested, is submerged in a more complex field of competing scientific networks and research programmes. Furthermore, the older policy of transmitting science to an illiterate public and suppressing dissidents is replaced by an emerging system of the 'public shaping of science', in which there is both greater agency of social movement/lay advocacy organisations and greater recognition of the legitimacy of that agency. Indirect and direct forms of the public shaping of science are discuss...Continue Reading

References

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Citations

Jun 10, 2011·Family Practice·Jo-Anne RaynerMarie Pirotta
Jul 24, 2013·Annual Review of Genomics and Human Genetics·Pei P Koay, Richard R Sharp
Feb 21, 2013·Social Science & Medicine·Claire Edwards, Etaoine Howlett
Jan 13, 2016·Orphanet Journal of Rare Diseases·Deirdre PintoRichard Chenhall
Jun 29, 2010·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Hanna K ToiviainenElina K Hemminki
Jul 24, 2010·Sociology of Health & Illness·Dimitris Michailakis, Werner Schirmer
Mar 15, 2006·Social Science & Medicine·Fiona Wood, Michael J Bloor
Aug 2, 2005·Social Science & Medicine·Kyra Landzelius
Dec 3, 2014·Social Science & Medicine·Nicky BrittenKen Stein
Jul 22, 2015·Life Sciences, Society and Policy·Aaro TupaselaJose A Cañada
Jul 8, 2009·Public Understanding of Science·Robert EvansSusanne Langer
Nov 1, 2017·American Journal of Law & Medicine·Lewis A Grossman
Aug 19, 2021·Cadernos de saúde pública·Janete Ismael Mabuie GoveIslândia Bezerra
Aug 28, 2021·Health Sociology Review : the Journal of the Health Section of the Australian Sociological Association·Madeleine Pape
Sep 17, 2021·Journal of Health and Social Behavior·Owen Whooley, Kristin Kay Barker

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