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Inherent Risks of the Construction of High-Risk Individuals in Diabetes Treatment and Prevention: An Ethical Challenge

Skolbekken, John-Arne
Chapter
Accepted version
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Skolbekken (334.0Kb)
Permanent lenke
https://hdl.handle.net/11250/2979437
Utgivelsesdato
2021
Metadata
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  • Institutt for samfunnsmedisin og sykepleie [4087]
  • Publikasjoner fra CRIStin - NTNU [41872]
Originalversjon
10.1007/978-3-030-83666-5_4
Sammendrag
Type 2 diabetes is presented as a current global health challenge of epidemic proportions. In an effort to meet this challenge, identification of high-risk individuals has become an essential part of a strategy blurring the traditional divide between treatment and prevention. This strategy is framed within a risk discourse, where many health risks are defined as the outcome of individual lifestyle choices. As a consequence, individuals are offered new subject positions, attributed with personal responsibility for maintaining their own health. In this chapter, some ethical challenges implicit in this discourse are addressed. Among them are the arbitrary construction of diagnoses like type 2 diabetes and prediabetes, the potential burden of getting a lifelong diagnosis without ever experiencing a symptomatic disease and being diagnosed through ethnic stereotypes built into diabetes risk calculators. Once diagnosed, those identified as carrying a high risk of diabetes carries a further risk of shaming and blaming due to their failure to fulfil the obligations attributed to the subject position of healthy citizens. Finally, the chapter addresses how overlooking structural injustice and poverty may be a major failure of the high-risk approach to diabetes.
Utgiver
Springer Nature
Serie
Annals of Theoretical Psychology;
Opphavsrett
This is an Accepted Manuscript of a book chapter published by Springer. Locked until 1.1.2024 due to copyright restrictions.

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