The article illustrates the main features of the concept of medicalization, starting from its theoretical roots. Although it is the process of extending the medical gaze on human conditions, it appears that medicalization cannot be strictly connected to medical imperialism anymore. Other "engines" of medicalization are influential: consumers, biotechnology and managed care. The growth of research and theoretical reflections on medicalization has led to the proposal of other parallel concepts like pharmaceuticalization, genetization and biomedicalization. These new theoretical tools could be (...) useful in the analysis of human enhancement. Human enhancement can be considered as the use of biomedical technology to improve performance on a human being who is not in need of a cure: a practice that is increasingly spreading in what might be defined as a "bionic society". (shrink)

We show how interest in “human enhancement” and "optimization” is rooted in a broader social phenomenon – the medicalization of life – and argue that the push to enhance and optimize human beings has a distinctively neoliberal character. Indeed, human enhancement and optimization practices reflect a growing tendency to apply market concepts and logic to individuals, who increasingly conceive of themselves as performative subjects. The Quantified Self is, we suggest, the Marketized Self. Moreover, the Quantified Self is not merely a (...) symptom of the marketization of individuals but serves also to perpetuate that marketization: the Quantified Self threatens to become that concept which defines who the individual “really” is. We argue that this metaphysically weighty idea affects how we think about what is good for human beings. (shrink)

After a short description of the major sociological theories based on the concept of risk (Douglas, Beck, Luhmann, Giddens) I propose to integrate the concept of risk with the concept of trust. On a less theoretical level I propose to consider governance as the institutional response to the growing complexity of the risk society. Above all, network governance – that is institutional steering based on a high community participation – seems to give good results in the field of health care (...) policies, as has been shown in the Emilia-Romagna area (Italy). (shrink)

After a short description of the major sociological theories based on the concept of risk (Douglas, Beck, Luhmann, Giddens) I propose to integrate the concept of risk with the concept of trust. On a less theoretical level I propose to consider governance as the institutional response to the growing complexity of the risk society. Above all, network governance – that is institutional steering based on a high community participation – seems to give good results in the field of health care (...) policies, as has been shown in the Emilia-Romagna area (Italy). (shrink)