Defining Life
In
chapter two of Rose (2007), “Politics and Life,” he specifically discusses the
terms of contemporary biopolitics: Life, Nonlife, Politics, Biopolitics,
Eugenics, Population, Risk, and The New Pastorate.
First, Rose discusses “the meaning of life.” Rose discusses how conceptions of
the term, life, have changed since the 1800s, noting the rise of biology, which
did not exist in the 18th century; then Rose discusses Foucault’s
idea of binary divisions of nature in
the 19th century as either – the living which is continuously
fruitful- or inorganic – the non-living, those who do not produce/reproduce; and
lastly, the 20th century is more conflicting in assertions of life with some scholars viewing the era of “life as information” replaced by “life as
organic unity,” Rose agrees with EvelynFox Keller that
a genetic style
of thought is giving way to a postgenomic emphasis on complexities,
interactions, developmental sequences, and cascades of regulation interacting
back and forth at various points in the metabolic pathways that lead to the
synthesis of enzymes and proteins. (p. 47).
Rose also asserts that life
“in terms of information” has reached its limits and “can no longer capture
what researchers do as they represent and intervene in the vital complexities
that constitute life at a molecular level” (p. 47). In addition, Rose also
discusses the differences between life and nonlife, noting that the lines
between these two states of being are not concrete but rather blurred (as he
cites the issues concerning organ transplantation), and are subject to
political, bioethical, and biomedical debate, along with concentrated
capitalization.
Politics
& Biopolitics
Using
Foucault’s (1978) theoretical framework of political power in The History of Sexuality, Rose
emphasizes that politics have to address the vitality of human existence: “the size
and quality of the population; reproduction and human sexuality; conjugal,
parental, and familial relations’ health and diseases; birth and death” (p.
53). Because of essential relations between managing populations and their
characteristics, and the many components of government and their systems of management,
Rose uses the term biopolitics to refer to “strategies involving contestations
over the ways in which human vitality, morbidity, and mortality should be
problematized, over the desirable level and form of the interventions required,
over the knowledge, regimes of authority, and practices of intervention that
are desirable, legitimate, and efficacious.” (p. 54).
Eugenics, Risk, & the New Pastorate
Rose notes the different ways in which eugenics has been
defined by many scholars throughout the first half of the 20th
century. Rose states that eugenics is comprised of strategic ways of legitimating
and making vital the need “to secure the future welfare of the nation by acting
upon the differential rates of reproduction of specific portions of the population,
so as to encourage the best to procreate and to limit the procreation of those
thought to be of lower, inferior, defective, or diseased stock” (p. 54). Central
to the idea of eugenics is population. FrancisGalton (1883) coined the term, eugenics, and believed that “the science of
heredity is concerned with Fraternities and large Populations rather than with
individuals and must treat them as units” (Galton, 1889, p. 35 as cited in
Rose). In other words, as Rose reiterates, while the aim is strategically
placed on the agency for individual health, this aim ultimately hopes to
improve the quality of the entire population, and not just select individuals. Roses
discusses Foucault’s concepts of the body politic- eugenics- as to include:
population, quality, territory, nation, and race as being an essential part of
eugenic discourse, as he gives the example of how Nazi physicians used these
terms to promote superior bodies over “inferior” ones.
According
to Rose, in eugenics, through a “variety of strategies that try to identify,
manage, or administer those individuals, groups, or localities, where risk is
seen to be high,” risk thinking has been central to biopolitics for over 150
years (p. 70). Here, risk implies multiple ways of contemplation and acting
that “involve calculations about probable futures in the present followed by
interventions into the present in order to control that potential future” (p.
70). In the first half of the 20th century, genetic advising was
used in heredity clinics following WWII. Throughout the same century,
reproduction risks became a central area in which women were risk profiled by
their physician or midwife. Pregnant women already considered high risk due to
age or family history, could choose to receive antenatal screening – testing samples
of maternal serum for genetic abnormalities; in addition, many of the “feeble
minded,” psychiatric patients, and sexual offenders were sterilized.
Similar to
Foucault, Rose
also discusses eugenics as pastoral – “a form of collectivizing and individualizing
power concerned with the welfare of the ‘flock’ as a whole” (p.73). Rose states
that contemporary pastoral power is not managed by the state; rather, this
power takes form in a plural and debated field imbedded by the codes defined by
different ethical and professional associations and committees, researchers’ empirical
analyses, attitudes and policies by employers and insurers, tests developed and
advertised by psychologists and biotech companies, self-help organizations
advice, and additionally, the perspectives of religious organizations and
sociologists. In other words, Rose describes contemporary pastoral power as
relational, working “between the affects and ethics of the guider,” the medical
professionals, and the affects and ethics of the guided- “patient”- who are
making themselves more productive and better citizens of society. Lastly, as we
already briefly discussed in class, Rose discusses the problems surrounding the
fact that, “once known to fall within a risk group, the individual may be
treated – by others and by themselves – as if they were, now or in the future,
certain to be affected in the severest fashion” (p.75).
U.S.
Healthscapes and Iconography
In
chapter three of “Biomedicalization,” Clarke (2010) argues that modern American
biomedicalization, along with the rise of medicine and medicalization, are all overlapped
“with popular and visual cultural materials, representations, and media
coverage of things medical”- which Clarke deems as healthscapes (p. 105). To
reiterate, through discourse, healthscapes “focus on all kinds of things
medical as forming assemblages, infrastructures of assumptions as well as
people, things, places, images and demonstrate “how medicine gained cultural authority” (Clarke, p. 141, p. 106).
For
critically evaluating healthscapes, Clarke first notes Jordanova’s (1998) theory
that visual imagery exists beyond language in ways still not clearly
understood; second, Collier and Lakoff’s (2005) notion that “(bio)medical framings of ‘regimes
of living’ have become deeply naturalized” (p. 107); third, health has “densely
elaborated iconographies” (p.107); fourth, medical imaging technologies have depicted
the body as seemingly transparent; and lastly, through visual medicine, people “imagine
(bio)medicalization.” Throughout the majority of the chapter, Clarke discusses
the three eras of healthscapes: 1). The rise of medicine (1890-1945) – cultural
products, via mass production and consumption, centered on advertising physicians,
the medicine profession, and the life sciences without medical professionals
having to put forth much effort to promote themselves; 2). Medicalization (1940-1985)
– people having/ and more routinely visiting a family doctor; relying more on
advanced medicine; new acts and health insurance policies promoting health
benefits; more regularly published books and radio airings on health issues; and
“newer media” of television programming and films concerning health; 3). Biomedicalization
(1980-Present) – began with the infrastructures of computer and information
sciences; health research projects, such as the Human Genome Project; newspaper
covers and mystery novels dedicated to biomedical issues; the rise of the era
of fictional medical dramas on television; new media focuses on celebrity
health; through many cultural forms, patients publicly becoming spokespersons of their own illnesses; the creation of video, digitalization, and robotics;
and websites.
I think that an important area that Clarke does not directly
discuss is social media. The way people think of and can view other women’s ultrasounds
has drastically changed since the creation of networks such as Facebook. Ultrasounds
are now not simply viewed in the privacy of a gynecologist office (as Clarke notes the pictures are often passed around), but can be
posted to millions and millions of people on a social network; thus, posting
sonograms online further promotes the idea of fetal personhood as friends may
post their comments on the characteristics of the fetus. Also, I think another
relevant example is online support groups discussing and promoting different
health issues. These groups can persuade inquirers of the benefits of different
biomedical issues, such as in-vitro fertilization, genetic testing, and even issues
such as vegetarianism. Online support groups offer citizens a way to show they
actively care about the well-being of the population by giving helpful advice
to those who feel “inferior” in their own health management, etc.
Questions:
1). In chapter three, Clarke discusses the
healthscapes of the biomedicalization era and emphasizes the idea that Altheide
(2002) argues that the media produce a “discourse of fear” – “a vigilant
awareness that danger and risk lurk at every turn” (p.135). Based on Rose’s
assessment of managing risk and Clarke’s analysis of biomedicalization
healthscapes, cite a specific health-related example of how you see fear, risk
and/or danger being emphasized in culture.
2). In an above post, I posted a link to
an upcoming movie that I think represents the idea of eugenics because the
citizens are always consumed about their future because they, ultimately, can
control if they wish to live longer than the age of 25 and do so without bodily
maturing past that age. How do you view examples of eugenics in modern society?
When the term eugenics is brought into the discussion images of late 19th century and early 20th century race-science is evoked, carrying the sickening baggage of a taxonomy of humanity that dehumanized and attempted to create a metaphysical order of destiny that was ostensibly formulated from arbitrary distinctions. So as we discuss the idea of eugenics we can refer to the activism of Margaret Sanger or the detestable ambitions of Hitler, Darwinian survivalism or a Nietzschean superman and while all of these references are relevant they are still ancillary to the crux of the discussion. Human beings have the innate desire to improve themselves, whether it is their physical appearance or general health, intellectual ability or social status. If we expand that innate desire to societies there is a pragmatic need for populations to be improved in these ways to increase the productivity of human capital.
ReplyDeleteHow this biopower is organized and maximized is observable but the ultimate ends are debatable. Perhaps the technologies of improvement are meant for specific populations while lesser technologies are appropriated to manage subjugated populations. Those with access to genetic technologies that can improve the intellectual or physical capacity or ability of their offspring or their own quality of life may be welcomed to it while others who are less fortunate may be left with maintenance technologies that manage their miserable existences. In many cases biomedicalization seems to be a means to keep certain populations alive to continue their existence at the bottom of the socioeconomic ladder for the express means of exploitation.
I will cease throwing rays of sunshine everyone’s way to say this- regardless of whether we agree that these advancements and improvements of humanity at the molecular level are actually meant or appropriated to do so; we must come to terms with our ideological and practical role in all of this. If there is a battle to be fought over meaning, i.e. the meaning of life, the meaning of discourse or the purpose of the technologies that we utilize, ultimately what is made of this is our choice. Following Foucault’s lead I feel we should examine how of this operates on the micro-level and decide if we will be ambivalent or press for application or abolition.
In chapter three, Clarke discusses the healthscapes of the biomedicalization era and emphasizes the idea that Altheide (2002) argues that the media produce a “discourse of fear” – “a vigilant awareness that danger and risk lurk at every turn” (p.135). Based on Rose’s assessment of managing risk and Clarke’s analysis of biomedicalizationhealthscapes, cite a specific health-related example of how you see fear, risk and/or danger being emphasized in culture.
ReplyDeleteTo answer your questions I thought I would be interesting to check Google to see if there were any recent health risks. I searched “Health risk fear.” I discovered that the Fishers in Gladstone, Australia fear a fish health risk but what was more interesting was the Anxiety and stress forum that I discovered where people deal with their constant fear of health problems http://ehealthforum.com/health/topic31519.html. This forum I believe represents how fear and the discouse of health risk can affect individuals in a culture. Let’s look at a couple of the participants:
Hypochondriac1028 states: “Hey im new here, I am soooo happy to have found this site, I have hypochondriasis extrememly bad, my life is based on worrying, I constantly think imgonna drop over dead from a hear attack, brain anurysm,cancer,brain tumor etc, ive had 5 ekg's, a 24 hour holtermoniter, 2 brain ct's, a brain mri, a chest x-ray,countlesspyschatristsive even tried hypnotherapy”
Striving2BAnxietyFree says: I am comforted by all that I have read here. I go through the same cycles of fear that all of you have discussed. The specifics may vary, but the theme is exactly the same.
Here we see some of the issues that people might face when they see themselves as being at risk. Nikolas Rose explains, “There are problems that flow from the fact that, once known to fall within a risk group, the individual may be treated – by others and by themselves- as if they were, now or in the future, certain to be affected in the severest fashion” (p. 75). Bio-politics seems to work best when we regulate ourselves. Here Rose points out that there are social and internal consequences to these self regulations. Adeke Clarke also examines in chapter 3 of Biomedicalization how we are medicalized through various mediums such as advertisements and television programs and there effects. When looking at the show ER Clarke discusses a study that “found that 15 percent of the viewers surveyed had contacted a physician about an ailment they had seen on the show” (p. 136). One of these type of viewers seem to be reflected on the health forum.
carrie38: “news items, magazines, documentories, set me off, a year ago i got paranoid i was going to have a epiletic fit and this went on for a long time. I have kinda got over that now, but progressed onto other things. watched a programme on someone who had cervical cancer, 2 weeks later, id convinced myself id got it, then i started having back pain, so i told myself i had liver cancer which went onto bone cancer, then moved onto brain tumor, this brain tumor thing over took me so much that i had to go for a ct scan of which was negative.”
I guess the question I have is, “how does risk in terms of bio-politics and biomedicalization “affect” people and their lives?”
During several class periods, we have discussed how eugenics of today is different from eugenics projects of the past which served as justification for “ethnic cleansing” and creating “master races.” Today’s projects are truly concerned with improving the health of entire populations rather than eliminating individuals who do not live up to some arbitrary standard (as Marina was talking about with the Iceland study). I believe the history lessons from slavery in the U.S., genocide in Nazi Germany, infanticide in ancient countries and movements by other Social Darwinists left impressions upon us that are difficult to let go. History is hard to forget. Despite reassurances that our donated genetic information to such projects as The Human Genome Project and 23 and Me will be used to create a data base of genetic information that may one day serve as the foundation for research to “cure” disease, many are still hesitant to take the eugenics leap. Why? Because we are scared that somehow, someway our information will be used against us, if not in a mass extermination then in our jobs, our personal relationships, or our healthcare. It is unfortunate that the evil actions of some individuals in the past continue to plague the health of the masses in the present and the future.
ReplyDeleteA specific health-related example of how I see fear, risk and/or danger being emphasized in culture, and an example that has gained a lot of traction in recent weeks, is the HPV vaccination. Debates surrounding this vaccination and its implementation capture the complicated nature of the three interdependent (and often interchangeable) notions of fear, risk, and danger.
ReplyDeleteIn the UK in 2009, a 14-year-old girl died a few hours after receiving the Gardasil vaccine (http://www.dailymail.co.uk/news/article-1216714/Schoolgirl-14-dies-given-cervical-cancer-jab.html). Consequently, discourses of fear emerged. "The Daily Mail" interviewed a fellow student in the girl’s class, who said, “'A lot of people were crying afterwards and we were all very worried. 'We have to have three of the jabs in all and a lot of us don't want to take the rest, but they're telling us we have to because there will be side effects if we don't have them all.'”
More recently, Michele Bachmann controversially argued that the HPV vaccine is “potentially dangerous” and even able to cause “mental retardation.” "The Guardian" reported on September 14, 2011 that in the aftermath of Bachmann’s recent debate performance in which she discussed the HPV vaccination, “doctors and scientists say that her remarks risk further reducing the already low take-up rates for the vaccine, as more parents will be convinced to reject the vaccine for their daughters” (http://www.guardian.co.uk/world/2011/sep/14/michele-bachmann-hpv-vaccine). In fact, the headline of "The Guardian’s" article is “Michele Bachmann HPV row prompts fears for vaccine programme in U.S.: Doctors and scientists say Bachmann’s comments risk further reducing already low take-up rates for vaccine in US.” “[Doctors] say the comments by the Republican candidate will only stoke growing and unfounded fears about a whole class of common immunizations needed to fight disease,” wrote Julie Steenhuysen for “Reuters” (http://www.reuters.com/article/2011/09/15/us-cancer-hpv-idUSTRE78E5YM20110915).
Clearly, “fear, risk, and/or danger” are very present in discourses challenging the wisdom behind the HPV vaccination, other vaccinations at large, and across larger healthscapes. When also taking into account the discourses that warn against NOT getting the vaccine, it is interesting to see in action the contradictory ways these words get used as “a vigilant awareness that danger and risk lurk at every turn” through the cultivation of fear in health-related discourses (Clarke 135).