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Rebirthing the clinic : the interaction of clinical judgement and genetic technology in the production of medical science.

Latimer, Joanna and Featherstone, Katie and Atkinson, Paul and Clarke, Angus and Pilz, Daniela T. and Shaw, Alison (2006) Rebirthing the clinic : the interaction of clinical judgement and genetic technology in the production of medical science. Science Technology & Human Values, 31 (5). pp. 599-630. ISSN 1552-8251

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Abstract

The article reconsiders the nature and location of science in the development of genetic classification. Drawing on field studies of medical genetics, we explore how patient categorization is accomplished in between the clinic and laboratory. We focus on dysmorphology, a specialism concerned with complex syndromes that impair physical development. We show that dys-morphology is about more than fitting patients into prefixed diagnostic categories and that diagnostic process is marked by moments of uncertainty, ambiguity, and deferral. We describe how different forms of evidence are brought into play and how patterns of physical features are identified as genetic or not. We suggest that clinical categorical work helps articulate the genetic as an emergent domain of medical classification and that moments of ambiguity and deferral create an imperative space that helps legitimate the need for more technoscience, and consequently, more clinical judgment with which to fix the genetic future.

Item Type: Article
Journal or Publication Title: Science Technology & Human Values
Uncontrolled Keywords: dysmorphology • genetic science • molecular technology • clinical classification • medical knowledge
Subjects: B Philosophy. Psychology. Religion > B Philosophy (General)
Departments: UNSPECIFIED
ID Code: 24074
Deposited By: ep_ss_importer
Deposited On: 27 Feb 2009 09:26
Refereed?: Yes
Published?: Published
Last Modified: 17 Sep 2013 08:19
Identification Number:
URI: http://eprints.lancs.ac.uk/id/eprint/24074

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