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dc.contributor.authorVogt, Henrik
dc.contributor.authorHofmann, Bjørn
dc.contributor.authorGetz, Linn Okkenhaug
dc.date.accessioned2017-05-09T07:19:13Z
dc.date.available2017-05-09T07:19:13Z
dc.date.created2016-04-25T11:11:49Z
dc.date.issued2016
dc.identifier.citationMedicine, Health care and Philosophy. 2016, 19 (2), 307-323.nb_NO
dc.identifier.issn1386-7423
dc.identifier.urihttp://hdl.handle.net/11250/2441937
dc.description.abstractThe emerging concept of systems medicine (or ‘P4 medicine’—predictive, preventive, personalized and participatory) is at the vanguard of the post-genomic movement towards ‘precision medicine’. It is the medical application of systems biology, the biological study of wholes. Of particular interest, P4 systems medicine is currently promised as a revolutionary new biomedical approach that is holistic rather than reductionist. This article analyzes its concept of holism, both with regard to methods and conceptualization of health and disease. Rather than representing a medical holism associated with basic humanistic ideas, we find a technoscientific holism resulting from altered technological and theoretical circumstances in biology. We argue that this holism, which is aimed at disease prevention and health optimization, points towards an expanded form of medicalization, which we call ‘holistic medicalization’: Each person’s whole life process is defined in biomedical, technoscientific terms as quantifiable and controllable and underlain a regime of medical control that is holistic in that it is all-encompassing. It is directed at all levels of functioning, from the molecular to the social, continual throughout life and aimed at managing the whole continuum from cure of disease to optimization of health. We argue that this medicalization is a very concrete materialization of a broader trend in medicine and society, which we call ‘the medicalization of health and life itself’. We explicate this holistic medicalization, discuss potential harms and conclude by calling for preventive measures aimed at avoiding eventual harmful effects of overmedicalization in systems medicine (quaternary prevention).nb_NO
dc.language.isoengnb_NO
dc.publisherSpringer Verlagnb_NO
dc.titleThe new holism: P4 systems medicine and the medicalization of health and life itselfnb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.source.pagenumber307-323nb_NO
dc.source.volume19nb_NO
dc.source.journalMedicine, Health care and Philosophynb_NO
dc.source.issue2nb_NO
dc.identifier.doi10.1007/s11019-016-9683-8
dc.identifier.cristin1352213
dc.description.localcodeThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.nb_NO
cristin.unitcode194,65,20,0
cristin.unitcode194,18,23,30
cristin.unitnameInstitutt for samfunnsmedisin
cristin.unitnameSeksjon for helse, teknologi og samfunn
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1


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