Self-knowledge and risk in stratified medicine
This article considers why and how self-knowledge is important to communication about risk and behaviour change by arguing for four claims. First, it is doubtful that genetic knowledge should properly be called ‘self-knowledge’ when its ordinary effects on self-motivation and behaviour change seem s...
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| Formáid: | Journal article |
| Foilsithe / Cruthaithe: |
Routledge
2017
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| _version_ | 1826300710755500032 |
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| author | Hordern, J |
| author_facet | Hordern, J |
| author_sort | Hordern, J |
| collection | OXFORD |
| description | This article considers why and how self-knowledge is important to communication about risk and behaviour change by arguing for four claims. First, it is doubtful that genetic knowledge should properly be called ‘self-knowledge’ when its ordinary effects on self-motivation and behaviour change seem so slight. Second, temptations towards a reductionist, fatalist, construal of persons’ futures through a ‘molecular optic’ should be resisted. Third, any plausible effort to change people’s behaviour must engage with cultural self-knowledge, values and beliefs, catalysed by the communication of genetic risk. For example, while a Judaeo-Christian notion of self-knowledge is distinctively theological, people’s self-knowledge is plural in its insight and sources. Fourth, self-knowledge is found in compassionate, if tense, communion which yields freedom from determinism even amidst suffering. Stratified medicine thus offers a newly precise kind of humanising health care through societal solidarity with the riskiest. However, stratification may also mean that molecularly unstratified, ‘B’ patients’ experience involves accentuated suffering and disappointment, a concern requiring further research. |
| first_indexed | 2024-03-07T05:21:19Z |
| format | Journal article |
| id | oxford-uuid:df03f581-db0e-49cd-9d50-a9d87d35f02f |
| institution | University of Oxford |
| last_indexed | 2024-03-07T05:21:19Z |
| publishDate | 2017 |
| publisher | Routledge |
| record_format | dspace |
| spelling | oxford-uuid:df03f581-db0e-49cd-9d50-a9d87d35f02f2022-03-27T09:36:11ZSelf-knowledge and risk in stratified medicineJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:df03f581-db0e-49cd-9d50-a9d87d35f02fSymplectic Elements at OxfordRoutledge2017Hordern, JThis article considers why and how self-knowledge is important to communication about risk and behaviour change by arguing for four claims. First, it is doubtful that genetic knowledge should properly be called ‘self-knowledge’ when its ordinary effects on self-motivation and behaviour change seem so slight. Second, temptations towards a reductionist, fatalist, construal of persons’ futures through a ‘molecular optic’ should be resisted. Third, any plausible effort to change people’s behaviour must engage with cultural self-knowledge, values and beliefs, catalysed by the communication of genetic risk. For example, while a Judaeo-Christian notion of self-knowledge is distinctively theological, people’s self-knowledge is plural in its insight and sources. Fourth, self-knowledge is found in compassionate, if tense, communion which yields freedom from determinism even amidst suffering. Stratified medicine thus offers a newly precise kind of humanising health care through societal solidarity with the riskiest. However, stratification may also mean that molecularly unstratified, ‘B’ patients’ experience involves accentuated suffering and disappointment, a concern requiring further research. |
| spellingShingle | Hordern, J Self-knowledge and risk in stratified medicine |
| title | Self-knowledge and risk in stratified medicine |
| title_full | Self-knowledge and risk in stratified medicine |
| title_fullStr | Self-knowledge and risk in stratified medicine |
| title_full_unstemmed | Self-knowledge and risk in stratified medicine |
| title_short | Self-knowledge and risk in stratified medicine |
| title_sort | self knowledge and risk in stratified medicine |
| work_keys_str_mv | AT hordernj selfknowledgeandriskinstratifiedmedicine |