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Redefining the subject?: The influence of Foucault on the sociology of health and illness
Alan R Petersen
Sociology Program, School of Social Sciences, Murdoch University, VIC
Abstract
There is no doubt as to the enormous contemporary interest in Michel Foucault within sociology, and within social science as a whole. There is now a veritable 'Foucault industry' with many books and articles devoted to exploring the broader implications of his ideas for social and political theory in general (see, eg Boyne 1990; Dreyfus & Rabinow 1982) and for studies of governmentality (Burchell, Gordon & Miller 1991; Rose 1989), of body regulation (Armstrong 1983) and of gender (McNay 1992; Sawicki 1991) in particular.
Foucault has been credited by many intellectuals as having made a major contribution to a revolution in thinking about the development of history; about the constitution of human subjectivity; and about processes of government and of bodily regulation and control. However, given the relative recency of this interest, which really only spans the last decade, and some trenchant criticisms by some feminists and others of Foucault's epistemology and politics, it is difficult to know what the longer term impact of his work will be.
For the sociology of health and illness at least, it is clear is that Foucault's work must be taken seriously if for no other reason that health and medicine were major themes in his work and used to illustrate his broader theories about the relationships between knowledge and power (see Foucault 1975, 1980, 1991a). There has been increasing debate about the theoretical significance of Foucault's work within the international literature on the sociology of health and illness. And the concepts developed by Foucault are being increasingly applied in empirical studies in many areas.
It is my belief that Australian sociologists interested in health, illness and healing can benefit greatly from this theoretical and empirical work. But both Foucault's work, and that of his followers, needs a careful and critical reading. This paper outlines major themes in Foucault's work, and examines how his ideas have been, and could be, applied by sociologists working in the health area.
References
Armstrong D (1983) Political Anatomy of the Body: Medical Knowledge in Britain in the Twentieth Century. Cambridge University Press: Cambridge.
Barrett M (1991) The Politics of Truth: From Marx to Foucault. Polity Press: Cambridge.
Birke L, Himmelweit S and Vines G (1992) Detecting genetic diseases: prenatal screening and its problems, in Kirkup G and Smith Keller L (eds) Inventing Women: Science, Technology and Gender. Polity Press: Cambridge.
Boyne R (1990) Foucault and Derrida: The Other Side of Reason. Unwin Hyman: London.
Burchell G, Gordon C and Miller P (eds) (1991) The Foucault Effect: Studies in Governmentality. Harvester Wheatsheaf: Hemel Hempstead.
Bury MR (1986) Social constructionism and the development of medical sociology, Sociology of Health and Illness 8(2): 137-169.
Castel R (1991) From dangerousness to risk, in Burchell G, Gordon C and Miller P (eds) (1991) The Foucault Effect: Studies in Governmentality. Harvester Wheatsheaf: Hemel Hempstead.
Craib I (1992) Modern Social Theory: From Parsons to Habermas 2nd edn, Harvester Wheatsheaf: Hemel Hempstead.
Dreyfus HL and Rabinow P (1982) Michel Foucault: Beyond Structuralism and Hermeneutics. Harvester Wheatsheaf: Hemel Hempstead.
Flax J (1990) Thinking Fragments: Psycholanalysis, Feminism, and Postmodernism in the Contemporary West. University of California Press: Berkeley.
Foucault M (1975) The Birth of the Clinic: An Archaeology of Medical Perception. Vintage Books: New York.
Foucault M (1977) Discipline and Punish: The Birth of the Prison, Tavistock, London.
Foucault M (1980) The History of Sexuality, Volume 1 : An Introduction. Vintage Books: New York.
Foucault M (1982) The subject and power (Afterword), in Dreyfus HL and Rabinow P, Michel Foucault: Beyond Structuralism and Hermeneutics. Harvester Wheatsheaf: Hemel Hempstead.
Foucault M (1987) The Use of Pleasure, The History of Sexuality, Volume 2. Penguin: London.
Foucault M (1990) The Care of the Self, The History of Sexuality, Volume 3. Penguin: London.
Foucault M (1991a) The politics of health in the eighteenth century, in Rabinow P (ed) The Foucault Reader. Penguin: London.
Foucault M (1991b) The ethic of care for the self as a practice of freedom: An interview translated by JD Gauthier, in Bernauer J and Rasmussen D (eds) The Final Foucault. The MIT Press: Cambridge.
Fox NJ (1992) The Social Meaning of Surgery. Open University Press: Buckingham, pp.130.
Fox NJ (1993) Discourse, organisation and the surgical ward round, Sociology of Health and Illness 15(1):16-42.
Freund PES (1990) The expressive body: a common ground for the sociology of emotions and health and illness, Sociology of Health and Illness 12(4):454-477.
Henriques J, Hollway W, Urwin C Venn C and Walkerdine V (1984) Changing the Subject: Psychology, Social Regulation and Subjectivity. Methuen: London.
May C (1992) Nursing work, nurses' knowledge, and the subjectification of the patient, Sociology of Health and Illness 14(4):472-477.
McNay L (1992) Foucault and Feminism: Power, Gender and the Self. Polity Press: Cambridge.
Nettleton S (1992) Pain, Power and Dentistry. Open University Press: Buckingham.
Robertson M (1992) Starving in the Silences: An Exploration of Anorexia Nervosa. Allen & Unwin: North Sydney.
Rose N (1989) Governing the Soul: The Shaping of the Private Self. Routledge: London
Sawicki J (1991) Disciplining Foucault: Feminism, Power, and the Body. Routledge: New York.
Silverman D (1987) Communication and Medical Practice: Social Relations in the Clinic. Sage: London.
Turner BS (1987) Medical Power and Social Knowledge. Sage: London.
Turner BS (1992) Regulating Bodies: Essays in Medical Sociology. Routledge: London.
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