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Sachs, Lisbeth
Publications (10 of 25) Show all publications
Sachs, L. (2004). The new age of the molecular family. An anthropological view on the medicalisation of kinship. Scandinavian Journal of Public Health, 32(1), 24-29
Open this publication in new window or tab >>The new age of the molecular family. An anthropological view on the medicalisation of kinship
2004 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 32, no 1, p. 24-29Article in journal (Refereed) Published
Abstract [en]

Now that genetic inheritance is featuring more and more as an explanation of disease and human behaviour in general, a question that needs to be asked is how such explanations affect people's perceptions of family and kinship and to what extent genetic explanations conflict with broader social developments. Ideas about the genetic inheritance of disease place the family and kin group in the spotlight, requiring all its members to be scrutinised. Research on inheritable diseases entails a medicalisation of kinship that reflects and promotes a view of family relationships at odds with the ongoing changes in the structure of families. At a time when family structures are more fluid and less determined by "blood" relationships than ever before we have an increasing emphasis on genetic inheritance as the transmitter of both human behaviour and kinship. Embedded in concepts of genetic inheritance is thus the notion that family and kin are the medium through which inheritance flows. Two cases from an anthropological study will illustrate how genetic mapping leads to the medicalisation of kinship. © Taylor & Francis 2004.

Keywords
Genetics, Information, Medicalisation, Molecular family
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-45560 (URN)
Note

DOI does not work: 10.1038/14034940310007987

Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2018-03-06
Forss, A., Tishelman, C., Widmark, C. & Sachs, L. (2004). Women's experiences of cervical cellular changes: An unintentional transition from health to liminality?. Sociology of Health and Illness, 26(3), 306-325
Open this publication in new window or tab >>Women's experiences of cervical cellular changes: An unintentional transition from health to liminality?
2004 (English)In: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566, Vol. 26, no 3, p. 306-325Article, review/survey (Refereed) Published
Abstract [en]

Cervical cancer screening is a preventive intervention directed towards women to both detect cervical cancer and identify those at risk for developing this disease. It has been argued that participation in screening programmes and early detection situations may lead to new kinds of sickness experiences. This article is based on qualitative phenomenological hermeneutical analysis of interviews with women who have received abnormal Pap smear test results through a population-based outreach screening programme in urban Sweden. The aim of this article is to illuminate the meaning, for the participating women, of the lived experience of receiving notification about an abnormal Pap smear result. The data are presented in terms of two themes: Pap smear for routine and recurrent confirmation of health and unexpected and ambiguous communication about Pap smear results. The findings are discussed as an unintentional transition from confirmation of health to liminality. Whereas medical diagnosis has been discussed as structuring the inchoate, an abnormal Pap smear did not create order for the interviewed women. On the contrary, the notification of an abnormal Pap smear created disorder as the women had expected to be confirmed as healthy but instead neither health nor disease were confirmed or excluded. Even 'simple' technology is shown to have an ontological dimension, with the ability to transform daily taken-for-grantedness of ourselves as primarily healthy to (potentially) unhealthy.

Keywords
Medical technology, Pap smear, Phenomenological hermeneutics, Prevention, Screening
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-45773 (URN)10.1111/j.1467-9566.2004.00392.x (DOI)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-13
Linell, P., Adelswärd, V., Sachs, L., Bredmar, M. & Lindstedt, U. (2002). Expert talk in medical contexts: Explicit and implicit orientation to risks. Research on Language and Social Interaction, 35(2), 195-218
Open this publication in new window or tab >>Expert talk in medical contexts: Explicit and implicit orientation to risks
Show others...
2002 (English)In: Research on Language and Social Interaction, ISSN 0835-1813, E-ISSN 1532-7973, Vol. 35, no 2, p. 195-218Article in journal (Refereed) Published
Abstract [en]

In medical contexts, parties often have reasons to focus on risks: risks of developing diseases or of having children with congenital diseases, risks involved in taking drugs or in using a particular type of therapy, and so forth. In such risk-implicative contexts, doctors and nurses deal with the risk topics sometimes directly, at other times quite indirectly. In this article, we discuss results from studying 5 different health care contexts, We discuss contextual factors that might account for some of the considerable differences in risk talk. Our claim is that the different explicit versus implicit orientations are linked to where and how the different health care experts position themselves vis-A-vis scientific risk formulations and everyday risk perceptions, Our data on the implicit orientations to risk cast doubt on theories of discourse that would hold that all relevant understandings in discourse are made verbally manifest.

National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-48888 (URN)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12
Adelsvärd, V. & Sachs, L. (2002). Framtida skuggor: samtal om risk, prevention och den genetiska familjen. Lund: Arkiv förlag
Open this publication in new window or tab >>Framtida skuggor: samtal om risk, prevention och den genetiska familjen
2002 (Swedish)Book (Other academic)
Abstract [sv]

Hur kommer mitt liv att gestalta sig? Kommer jag att vara frisk och stark? Kan jag göra något för att påverka ödet? Den moderna läkekonsten försöker på olika sätt att besvara sådana frågor. Ständigt utvecklas nya metoder för att tidigt avslöja hälsorisker.

Att konfronteras med hot om framtida sjukdom kan vara dramatiskt och omtumlande. Så är det för den kvinna som får reda på att den bröstcancer hennes mamma dog av kan vara ärftlig och därmed hota henne själv eller hennes barn. Så är det också för den man som ser livet förkortat när blodprovet avslöjar ett alarmerande värde.

Men hur påverkas vi av genetisk kartläggning eller upplysning om konsekvenserna av en viss livsstil? Kan kunskap om möjliga sjukdomsförlopp rent av vara skadlig? Hur förstår människor den information som uttrycks i: "Du har 50 procents risk att utveckla cancer"? Den här boken visar hur vanliga människor reagerar i sådana situationer.

Place, publisher, year, edition, pages
Lund: Arkiv förlag, 2002. p. 127
Series
Pandora-serien, ISSN 1404-000X ; 5
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-33958 (URN)20116 (Local ID)9179241549 (ISBN)20116 (Archive number)20116 (OAI)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2018-05-02Bibliographically approved
Sachs, L. (2002). Från magi till bioteknik : medicinsk antropologi i molekylärbiologins tidevarv. Lund: Studentlitteratur
Open this publication in new window or tab >>Från magi till bioteknik : medicinsk antropologi i molekylärbiologins tidevarv
2002 (Swedish)Book (Other (popular science, discussion, etc.))
Place, publisher, year, edition, pages
Lund: Studentlitteratur, 2002
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-33959 (URN)20117 (Local ID)91-44-04065-2 (ISBN)20117 (Archive number)20117 (OAI)
Available from: 2009-10-10 Created: 2009-10-10 Last updated: 2018-01-13
Sachs, L. (2001). From a lived body to a medicalized body: Diagnostic transformation and chronic fatigue syndrome. Medical Anthropology, 19(4), 299-317
Open this publication in new window or tab >>From a lived body to a medicalized body: Diagnostic transformation and chronic fatigue syndrome
2001 (English)In: Medical Anthropology, ISSN 0145-9740, E-ISSN 1545-5882, Vol. 19, no 4, p. 299-317Article in journal (Refereed) Published
Abstract [en]

This paper addresses the diagnostic dilemma posed by chronic illness that offers no demonstrable evidence of serious physical disorders or pathology. Is a diagnosis such as chronic fatigue syndrome (CFS) disabling because it encourages people to identify with it? Does it become a self-fulfilling prophecy? In providing people with a name, and thus allowing them to confirm the legitimacy of their suffering, a diagnosis of CFS may help them to relate to their world and, hence, facilitate their recovery. One of the most relevant questions pertaining to a diagnosis of CFS concerns how people deal with suffering when it does not come with a biomedically established pathology. I draw upon material provided by 21 men and women diagnosed with CFS. My analysis concerns the ambivalence involved in the diagnostic process and its implications for the relationship between self-identity and chronicity.

National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-32743 (URN)18668 (Local ID)18668 (Archive number)18668 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2018-01-13
Lauritzen, S. & Sachs, L. (2001). Normality, risk and the future: implicit communication of threat in health surveillance. Sociology of Health and Illness, 23(4), 497-516
Open this publication in new window or tab >>Normality, risk and the future: implicit communication of threat in health surveillance
2001 (English)In: Sociology of Health and Illness, ISSN 0141-9889, E-ISSN 1467-9566, Vol. 23, no 4, p. 497-516Article in journal (Refereed) Published
Abstract [en]

In the practice of health surveillance, health professionals have to cope with the task of communicating outcomes of tests and measurements, as well as counselling individuals about present and future threats to their own or their children's health. Research in this field has shed some light on the 'language of risk' and its implications for how the individual understands and deals with health in everyday life. Here, we want to further this exploration of the language of risk and to discuss the meaning of risk, normality and deviance. We focus on the implicit or explicit introduction and interpretation of threat in the communication between health professionals and patients in two programmes of health surveillance: child health surveillance and surveillance of 40-year-old men. Common themes in these two versions of health surveillance are discussed in relation to the meaning of risk, normality and threats for the future.

Keywords
health surveillance, risk, threats, communication, clinical encounters
National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-49194 (URN)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12
Sachs, L. (2001). Problems of communication in evidence-based medicine. International Journal of Risk and Safety in Medicine, 14(3-4), 107-114
Open this publication in new window or tab >>Problems of communication in evidence-based medicine
2001 (English)In: International Journal of Risk and Safety in Medicine, ISSN 0924-6479, E-ISSN 1878-6847, Vol. 14, no 3-4, p. 107-114Article in journal (Refereed) Published
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-32807 (URN)18740 (Local ID)18740 (Archive number)18740 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2018-01-13
Sachs, L., Taube, A. & Tishelman, C. (2001). Risk in numbers - Difficulties in the transformation of genetic knowledge from research to people - The case of hereditary cancer. Acta Oncologica, 40(4), 445-453
Open this publication in new window or tab >>Risk in numbers - Difficulties in the transformation of genetic knowledge from research to people - The case of hereditary cancer
2001 (English)In: Acta Oncologica, ISSN 0284-186X, E-ISSN 1651-226X, Vol. 40, no 4, p. 445-453Article in journal (Refereed) Published
Abstract [en]

Difficulties in communicating diagnostic information are exacerbated when the 'diagnosis' is a 'genetic risk' for cancer. The risk estimation demanded in this situation differs from other types of probability estimations. Observations of participants in 45 consultation sessions between physicians and potential patients were conducted at a clinic for hereditary cancer to explore the communication of genetic information. Thirty-three sessions were audiotaped, transcribed verbatim and analyzed, along with notes from the other sessions. A dominant theme was found to be numerical discussion of risk. Further analysis resulted in the description of problems for practitioners in the process of translating scientific knowledge into clinical management. Problems in providing information include unclear aims of the consultation sessions, mixing various types of background information and probabilities, recognizing how low the predictive values are, and difficulties in communicating the relationship between probability and conclusions. Problems in communicating information about the genetic risk for cancer are of at least two types: dilemmas arising from uncertainties implicit in the nature of the information itself and difficulties in communicating information in a manner that those concerned can interpret. These issues need clarification, so that information with far-reaching consequences can be made as clear and comprehensible as possible for those involved.

National Category
Social Sciences
Identifiers
urn:nbn:se:liu:diva-48345 (URN)
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2017-12-12
Sachs, L. (2000). Att tolka budskap i vårdmöten över kunskapsgränser. Läkartidningen, 97(35), 3752-3758
Open this publication in new window or tab >>Att tolka budskap i vårdmöten över kunskapsgränser
2000 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 97, no 35, p. 3752-3758Article in journal (Other academic) Published
National Category
Social Sciences Interdisciplinary
Identifiers
urn:nbn:se:liu:diva-32745 (URN)18670 (Local ID)18670 (Archive number)18670 (OAI)
Available from: 2009-10-09 Created: 2009-10-09 Last updated: 2018-01-13
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