Published online by Cambridge University Press: 05 June 2012
The physician as lifestyle expert, as wellness adviser, has already begun to appear. And as genetic and other predictive tools improve, the art of prevention will grow far more sophisticated. Physicians will administer tests and, armed with the results, prescribe preventive measures just as precisely as they now dispense medications … what all this means is that our present concept of medicine will disappear …
(Crichton, 1990, cited in Beck & Beck-Gernsheim, 2001, p. 143)Learning objectives
This chapter introduces ideas about individuals' understandings and relationships with their bodies, and the body as a site which can be examined and controlled in order to maintain physical health. Thus, behaviours such as breast and testicular self-examination, screening for disease and genetic screening are considered. We discuss the implications of the current pervasive focus on disease risk, self-surveillance and engagement with technological screening programmes. By the end of this chapter you should be able to:
distinguish between primary, secondary and tertiary prevention efforts;
describe some of the major forms of secondary prevention of disease;
evaluate whether screening programmes have a psychological impact;
outline the costs and benefits of screening programmes;
identify factors which influence individual uptake of screening services;
describe the major types of genetic testing currently employed, as well as their psychological and social effects;
discuss the implications of secondary prevention approaches for the individual;
examine how secondary prevention practices influence individual perceptions of risk;
evaluate how morality is embedded within accounts of risk.
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