Archives
The risks of lifestyle and the diseases of civilisation
Miranda Hughes
Centre for the Body and Society, Faculty of Arts, Deakin University, VIC
Abstract
Current conceptions of being at risk for diseases of civilization put bodies into a state of transition. The prevailing emphasis on categorising and cataloguing risk factors according to lifestyles is creating a new type of absent body, but one that is in a sense 're-ified' into an abstraction of its former self - we are becoming sorts of 'non-bodies' that experience 'virtual illness' and 'virtual health'. Being at risk for any of the numerous fashionable diseases places the body in a state of transitional ambivalence where bodies are both well and ill at the same time. But how do we negotiate risk and how is it decided what lifestyle risks cause diseases of civilisation?
The social construction of risk and that relationship to the labelling of certain illnesses as 'diseases of civilization' will be outlined in this paper. Using the example of the attempts to control coronary heart disease, the 'number one killer' in Western Civilisation, I will explore the interaction between the labelling of some diseases as 'diseases of civilisation', 'lifestyle diseases', 'self-inflicted illnesses', 'man-made diseases', 'western diseases' or 'diseases of affluence', and the normalisation of the ideal of health which is promoted as being achievable through a natural, healthy diet and lifestyle that is somehow devoid of risk. The rapidly increasing use of risk factors in regulating acceptable behaviour will be studied. The processes involved in the tacit incorporation of socio-cultural and economic values into medical science itself will be examined, thus providing another example of how current medical theory and practice is one expression of the post-modern attitude to the body.
References
Abercrombie, N., Hill, S. & Turner, B.S. (1986), Sovereign Individuals of
Capitalism, Allen & Unwin, London.
Australian Bureau of Statistics (1994), Year Book 1994, AGPS, Canberra.
Beck, U, (1992), Risk Society: Towards a New Modernity Sage, London.
Blaser, M.J. (1994), 'Bacteria and diseases of unknown cause', Annals of Internal
Medicine 121:2 (15 July); 144-145.
Chapman, S. (1986), Great Expectorations: Advertising and the Tobacco Industry,
Comedia, London.
Commonwealth Department of Health (1994) Better Health Outcomes for Australians
AGPS, Canberra.
Connor S., & Connor, W. (1991) The New American Diet System, Simon &
Schuster, New York.
Crotty, P. (1995), Good Nutrition?: Science versus Culture, Allen & Unwin, Sydney.
Crotty, P., Rutishauser, I.C.R. & Cahill, M.M. (1992), 'Food in low-income
families', Australian Journal of Public Health, 16:168-174
Davis, A. (1993), 'Economising health' in Beyond the Market: Alternatives to
Economic Rationalism, eds. S. Rees, G. Rodley & F. Stiwell, Pluto, Sydney,
pp.19-135.
Dean, K. (1994), 'Creating a new knowledge base for the new public health
(Editorial)', Journal of Epidemiology and Community Health, 48: 217-219.
Douglas, M., (1990), 'Risk as a forensic resource', Daedalus, (Fall), 1-16.
Eckermann E (1994), New Social Epidemiology: Women and Health Indicators,
Report to WHO Geneva.
Featherstone, M. (1982), 'The body in consumer culture', Theory, Culture & Society,
1: (2), 18-33.
Feinstein, Alvin R. (1994), 'Clinical Judgement Revisited: The Distraction of
Quantitative Models', Annals of Internal Medicine, 120 (9): 799-805.
Fischler, Claude (1993), 'A nutritional cacophony or the crisis of food selection in
affluent societies', For a Better Nutrition in the 21st Century, eds. P. Leathwood,
M. Horisberger & W.P.T. James, Vevey/Raven, New York, pp. 57-65.
Fitzgerald, F.T. (1994), 'The tyranny of health', New England Journal of Medicine,
331 (31): 196-198.
Frank, J.B.(1944, [orig. 1790]), 'Academic Address on The People's Misery: Mother
Of Diseases, delivered in public on May the 5th, 1790', Bulletin of the History of
Medicine, 16: 92-99.
Grover, S.A., Gray-Donald, K., Joseph, L. et al. (1994), 'Life expectancy following
dietary modification or smoking cessation: Estimating the benefits of a prudent
lifestyle', Archives of Internal Medicine, 154 (8 August), 1697-1704.
Gurr, Michael I. (1992), 'Dietary lipids and coronary heart disease: Old evidence, new
perspective', Progress in Lipid Research, 31(3):195-243.
Hanson, N.R. (1972), Patterns of Discovery, Scribner, New York.
Harding, S. (1991), Whose Science? Whose Knowledge?: Thinking from Women's
Lives, Cornell University Press, Ithaca, New York.
Hesse, M. (1963), Models and Analogies in Science, Routledge, London.
Hetzel, B. & McMichael, T. (1987), The LS (Lifestyle) Factor, Penguin, Sydney.
Horton, R. (1967), 'African traditional thought and western science', Africa, 36(1,2):
50-71, 155-187.
Keys, A. (1980), Seven Countries, A Multivariate Analysis of Death and Coronary
Heart Disease, Harvard University Press, Cambridge.
Kowalski, R.E. (1989), The 8-Week Cholesterol Cure, Harper and Row, New York.
Kuhn, T.S. (1970), The Structure of Scientific Revolutions, University of Chicago
Press, Chicago.
Latour, B. (1987), Science in Action: How to Follow Scientists and Engineers
Through Society, Open University Press, Milton Keynes.
Lewins, F. (1994), Transexualism and medical science: current limitations and new
directions, this volume.
Lupton, D. (1993), 'Risk as moral danger: The social and political functions of risk
discourse in public health', International Journal of Health Services, 23(3): 425-
435.
Majno, G. (1975), The Healing Hand: Man and Wound in the Ancient World, Harvard
Uni Press, Cambridge, Massachusetts.
Milio, N. (1989, 'Nutrition and health: Patterns and policy perspectives in food-rich
countries', Social Sciences and Medicine, 29(3):413-423.
Phillimore, P., Beattie, A., & Townsend, P. (1994), 'Widening inequality of health in
northern England, 1981-91',British Medical Journal, 308:(30 April), 1125-1128.
Polanyi, M. (1958), Personal Knowledge: Towards a Post -critical Philosophy, Free
Press, New York.
Porter, R. (1994), 'Gout: Framing and Fantasizing Disease', Bulletin of the History of
Medicine, 68:1-28.
Power, J. (1994), 'Health and social inequality in Europe', British Medical Journal,
308(30 April): 1153-1156.
Quine, W.V.O. (1960), Word and Object, MIT, Cambridge, Mass.
Rose, G. (1985), 'Sick individuals and sick populations', International Journal of
Epidemiology, 14:(l):32-38.
Rose, G. (1993), The Strategy of Preventive Medicine, Oxford Medical Publications,
Oxford.
Rosenfeld, I. (1986), Modern Prevention: The New Medicine, Simon & Schuster
New York.
Rosenman, R.H. (1993), 'The questionable roles of the diet and serum cholesterol in
the incidence of ischemic heart disease and its 20th century changes', Homeostatis,
34(1-2): 1-44.
Sontag, S. (1978), Illness as Metaphor, Vintage, New York.
Stein, H.F. (1990), American Medicine as Culture, Westview, Los Angeles.
Taylor, P. (1984), Smoke Ring: The Politics of Tobacco, Bodley Head, London.
Tesh, S. (1988), Hidden Arguments: Political Ideology and Disease Prevention
Policy, Rutgers Uni Press, New Brunswick.
Tonkinson, R. (1978), The Mardudjara Aborigines: Living the Dream in Australia's
Desert, Holt, Rinehart & Winston, New York.
Turner, B.S. (1987), Medical Power and Social Knowledge, Sage, London.
Turner, B.S. (1992), Regulating Bodies: Essays in Medical Sociology, Routledge,
London.
Turner, B.S. (1994), 'From regulation to risk', Orientalism, Postmodernism and
Globalism, Routledge, London.
Turner, B.S.(1994), 'Preface', in Pasi Falk, The Consuming Body, Sage, London,
pp. vii-xvii.
WHO (1994) Progress Towards Health For All: Statistics Of Member States, WHO,
Geneva
Zola, I.K. (1972), 'Medicine as an institution of social control: The medicalizing of
society', The Sociological Review, 20(4):487-504.

eContent Home