This article offers a conceptualization of medicine as based on the ethological term ‘grooming behavior’. This is a paradigm that frees medicine from strict dependence on definitions of health and disease. The paradigm is descriptive and it aims at a better understanding of our health – related habits and institutions. The article particularly tries to illuminate the beneficial aspects of ‘over-medicalization’ and wastefulness that allegedly characterize contemporary biomedicine, mainly the mitigation of social tensions and the provision of luring ethoses of human action as alternatives to individualism, militarism, and the like. ‘Medicine as grooming behavior’ balances the hegemonic vectors rampant in biomedicine. Moreover, contrary to the equilibrium concept of health, the article claims that each choice of grooming entails its own accord and discord with the human body. Therefore, desert for healthcare is not a unique right, nor can it be delineated naturally. The one desert people do have is the right to equal consideration of one’s subjective worldview. Medicine as grooming behavior enhances such consideration while it cultivates diversity and creativity, which are pivotal to human happiness and well being.
Aiello, L. and Dunbar, R.I.M. (1993). Neocortex size, group size, and the evolution of language. Current Anthropology, 34, 184–193.
2.
Alter, J.S. (1999). Heaps of health, metaphysical fitness: Ayurveda and the ontology of good health in medical anthropology. Current Anthropology, 40, S43–S66.
3.
Amundsen, D.W. (1996). Medicine, society, and faith in the ancient and medieval worlds. Baltimore, MD: Johns Hopkins University Press.
4.
Antonovsky, A. (1987). Unraveling the mystery of health. San Francisco, CA: Jossey-Bass.
5.
Appiah, K.A. (1994). Identity, authenticity, survival: Multicultural societies and social reproduction. In A. Gutman (Ed.), Multiculturalism (expanded edn), pp. 149–164. Princeton, NJ: Princeton University Press.
6.
Aries, P. (1981). The hour of our death. New York: Oxford University Press.
7.
Armstrong, D. (1983). Political anatomy of the body: Medical knowledge in Britain in the twentieth century. Cambridge: Cambridge University Press.
8.
Beauchamp, T.L. and Childress, J.F. (1994). Principles of biomedical ethics, 4th edn.New York: Oxford University Press.
9.
Benn, S.I. and Peters, R.S. (1965). The principles of political thought: Social foundations of the democratic state. New York: Free Press.
10.
Bermudez, J.L. , Marcel, A. and Eilan, N., Eds. (1995). The body and the self. Cambridge, MA: MIT Press.
11.
Binsky, P. (1996). Medieval death: Ritual and representation. Ithaca, NY: Cornell University Press.
12.
BIO-MED II-project (2001). Basic principles in bioethics and biolaw, 1995–1998. Spain: Instituta Borja de Bioetica.
13.
Brain, R. (1979). The decorated body. London: Hutchinson.
14.
Brock, D. (1993). Quality of life measures in health care and medical ethics. In A.K. Sen and M.C. Nussbaum (Eds.), The quality of life, pp. 95–132. Oxford: Clarendon.
15.
Brodman, J.W. (1998). Charity and welfare: Hospitals and the poor in medieval Catalonia. Philadelphia, PA: University of Pennsylvania Press.
16.
Brown, D.E. (1991). Human universals. New York: McGraw Hill.
17.
Bunzl, M. (1980). Comment on health as a theoretical concept. Philosophy of Science, 47, 116–118.
18.
Caplan, A.L. (1993). The concepts of health, illness, and disease. In W.F. Bynum and R. Porter (Eds.), Companion encyclopedia of the history of medicine, pp. 233–248. New York: Routledge.
19.
Carritt, E.F. (1947). Ethical and political thinking. Oxford: Oxford University Press.
20.
Cassidy, C.M. (1994). Unraveling the ball of string: Reality, paradigms and the study of alternative medicine. Advances: The Journal of Mind–Body Health, 10, 8–35.
21.
Clarck, G. (1964). A history of the Royal College of Physicians. Oxford: Clarendon.
22.
Comaroff, J. (1993). The diseased heart of Africa. In S. Lindenbaum and M. Lock (Eds.), Knowledge, power and practice, pp. 305–329. Berkeley, CA: University of California Press.
23.
Conrad, P. (1992). Medicalization and social control. Annual Review of Sociology, 18, 209–232.
24.
Conrad, P. and Schneider, J. (1980). Deviance and medicalization: From badness to sickness. St Louis, MO: Mosby.
25.
Dubos, R. (1968). Medicine, man and environment. New York: Praeger.
26.
Dunbar, R.I.M. (1993). Co-evolution of neocortical size, group size and language in humans. Behavioral and Brain Sciences, 16, 681–735.
27.
Dunbar, R. (1996). Grooming, gossip and the evolution of language. Cambridge: Harvard University Press.
28.
Elias, N. (1978). The civilizing process. Oxford: Blackwell.
29.
Elias, N. and Dunning, E. (1986). Quest for excitement: Sport and leisure in the civilizing process. Oxford: Blackwell.
30.
Elster, J. (1989). The cement of society: A study of social order. Cambridge: Cambridge University Press.
31.
Engelhardt, T. (1996). The foundations of bioethics, 2nd edn.New York: Oxford University Press.
32.
Erchack, G.M. and Rosenfeld, R. (1989). Learning disabilities: Dyslexia and the medicalization of the classroom. In J. Best (Ed.), Images of issues: Typifying contemporary social problems. New York: Aldine.
33.
Fabrega, H. (1997). Evolution of sickness and healing. Berkeley, CA: University of California Press.
34.
Foucault, M. (1973). The birth of the clinic: An archeology of medical perception. London: Tavistock.
35.
Foucault, M. (1988). The care of the self (vol. 3 of The history of sexuality). London: Allen Lane.
36.
Frankenberg, R. (1993). Contested knowledge. In S. Lindenbaum and M. Lock (Eds.), Knowledge, power and practice: The anthropology of medicine and everyday life, pp. 219–242. Berkeley, CA: University of California Press.
37.
Frisby, D. (1986). Fragments of modernity. Cambridge, MA: MIT Press.
38.
Gilligan, C. (1993). In a different voice: Psychological theory and women’s development, 2nd edn. Cambridge: Harvard University Press.
39.
Gil-Sotres, P. (1998). Regimens of health. In M.D. Grmek (Ed.), Western medical thought from antiquity to the Middle Ages, pp. 291–318. Cambridge: Harvard University Press.
40.
Goodall, J. (1986). The chimpanzees of Gombe: Patterns of behavior. Cambridge: Belknap Press.
41.
Griffin, J. (1986). Well being: Its meaning, measurement and moral importance. New York: Oxford University Press.
42.
Grof, S. and Halifax, J. (1977). The human encounter with death. New York: E.P. Dutton.
43.
Grossinger, R. (1980). Planet medicine: From Stone Age Shamanism to post-industrial healing. New York: Doubleday.
44.
Hart, H.L.A. (1955). Are there any natural rights?Philosophical Review, 64, 175–191.
45.
Hegel, G.W.F. (1967). The philosophy of right. Oxford: Oxford University Press.
46.
Hegel, G.W.F. (1977). The phenomenology of spirit. Oxford: Clarendon Press.
47.
Hirschman, A.O. (1982). Shifting involvements: Public interest and public action. Princeton, NJ: Princeton University Press.
48.
Illich, I. (1976). Medical nemesis: The expropriation of health. New York: Pantheon.
49.
Jacob, J.M. (1988). Doctors and rules: A sociology of professional values. London: Routledge.
50.
James, W. (1993). The varieties of religious experience, 19th edn.New York: Random House.
51.
Jouanna, J. (1999). Hippocrates. Baltimore, MD: Johns Hopkins University Press.
52.
Kass, L. (1975). Regarding the end of medicine and the pursuit of health. Public Interest, 40, 11–42.
53.
Kass, L. (1985). Toward a more natural science. New York: Free Press.
54.
Kennedy, I. (1981). The unmasking of medicine. London: Allen & Unwin.
55.
Kleinman, A. , Eisenberg, L. and Good, B. (1978). Culture illness and care: Clinical lessons from anthropologic and cross-cultural research. Annals of Internal Medicine, 88, 251–258.
56.
Lain-Entralgo, P. (1970). The therapy of the word in classical antiquity. New Haven, CT: Yale University Press.
57.
Lakoff, G. and Johnson, M. (1999). Philosophy in the flesh. New York: Basic Books.
58.
Le Fanu, J. (1999). The rise and fall of modern medicine. New York: Carroll & Graf.
59.
Levi-Strauss, C. (1963). Structural anthropology. New York: Basic Books.
60.
Lippman, A. (1991). The geneticization of health and illness: Implications for social practice. Endocrinologie, 29, 85–90.
61.
Loewy, E.H. (1996). Textbook of healthcare ethics. New York: Plenum.
62.
MacCarthy, F. (1999). Making the body beautiful. The New York Review of Books, 44(15), 19–21.
63.
McKeown, T. (1979). The role of medicine: Dreams, mirage or nemesis. Princeton, NJ: Princeton University Press.
64.
McKeown, T. (1988). The origins of human disease. Oxford: Basil Blackwell.
65.
McKnight, J. (1995). The careless society. New York: Basic Books.
66.
Mazlish, B. (1998). The uncertain sciences. New Haven, CT: Yale University Press.
67.
Miles, R.W. (1963). Chimpanzee behavior: Removal of foreign body from companion’s eye. Proceedings of the National Academy of Sciences, 49, 840–843.
68.
Miller, P. (1998). The transformation of patriarchy in the West, 1500–1900. Indianapolis, IN: University of Indiana Press.
69.
Mitford, J. (1998). The American way of death revisited. New York: Knopf.
70.
Morris, D.B. (1998). Illness and culture in the postmodern age. Berkeley, CA: University of California Press.
71.
Nuland, S.B. (2001). A very wide and deep dissection. New York Review of Books, 48, 51–53.
72.
Oestreich, G. (1982). Neostoicism and the early modern state. Cambridge: Cambridge University Press.
73.
Osborne, T. (1994). On anti-medicine and clinical reason. In C. Jones and R. Porter (Eds.), Reassessing Foucault: Power medicine and the body, pp. 28–47. New York: Routledge.
74.
Parens, E. , Ed. (1998). Enhancing human traits: Ethical and social implications. Washington, DC: Georgetown University Press.
75.
Parsons, T. (1951). The social system. Glencoe, IL: The Free Press.
76.
Polhemus, T. and Randall, H. (1996). The customized body. New York: Serpent Tail.
77.
Poovey, M. (1998). A history of the modern fact: Problems of knowledge in the science of wealth and society. Chicago, IL: University of Chicago Press.
78.
Popper, K. (1948). Utopia and violence. The Hibbert Journal, 46:115-115.
79.
Porter, R. (1998). The greatest benefit to mankind: A medical history of humanity. New York: Norton.
80.
Rango, N. (1985). The nursing home resident with dementia. Annals of Internal Medicine, 102, 835–841.
81.
Rawls, J. (1999). The idea of public reason revisited. In J. Rawls (Eds.), The law of peoples, pp. 129–180. Cambridge: Harvard University Press.
82.
Reiser, S.J. (1981). Medicine and the reign of technology. Cambridge: Cambridge University Press.
83.
Rosen, G. (1974). From medical police to social medicine. New York: Science History Publications.
84.
Rubin, A. (Ed.). (1988). Marks of civilization. Los Angeles: Museum of Cultural History.
85.
Sabine, G.H. (1950). A history of political theory, revised edn.New York: Henry Holt.
86.
Sartre, J.P. (1992). Notebooks for an ethics. Chicago, IL: University of Chicago Press.
87.
Sen, A.K. (1999). Development as freedom. New York: Knopf.
88.
Spang, R. (2000). The invention of the restaurant. Cambridge: Harvard University Press.
89.
Taljedal, I.B. (1997). Weak and strong holism. Scandinavian Journal of Social Medicine, 25, 67–69.
Trachtenberg, P. (1997). 7 tattoos: A memoir in the flesh. New York: Crown.
92.
Tronto, J.C. (1993). Moral boundaries: A political argument for an ethic of care. New York: Routledge.
93.
Vandenburg, W. (1985). The growth of minds and cultures. Toronto: University of Toronto Press.
94.
Veyne, P. (1990). Bread and circuses. London: Allen Lane.
95.
Walzer, M. (1983). Spheres of justice: A defense of pluralism and equality. New York: Basic Books.
96.
Welie, J.V.M. (1998). In the face of suffering. Omaha, NE: Creighton University Press.
97.
Wildavsky, A. (1977). Doing better and feeling worse: The political pathology of health policy. Daedalus, 106, 105–125.
98.
Wuthnow, R. (1991). Acts of compassion: Caring of others and helping ourselves. Princeton, NJ: Princeton University Press.
99.
Zaner, R.M. (1981). The context of self: A phenomenological inquiry using medicine as a clue. Athens, OH: Ohio University Press.
100.
Zeldin, T. (1994). An intimate history of humanity. New York: Harper Collins.
101.
Zimmermann, F. (1987). The jungle and the aroma of meats: An ecological theme in Hindu medicine. Berkeley, CA: University of California Press.
102.
Zola, I.K. (1972a). The concept of trouble and sources of medical assistance to whom one can turn, with what and why. Social Science & Medicine, 6, 673–679.
103.
Zola, I.K. (1972b). Medicine as an institution of social control. Sociology Review, 20, 487–504.
