The industrialization of fetishism or the fetishism of industrialization. A critique of Ivan Illich

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Abstract

This article critically assesses the ideology of industrialism in light of Ivan Illich's Medical Nemesis. The paper is divided into 3 sections. The first section is a description of the main features of that ideology, the most prevalent and influential one used in sociological literature to explain the state both of Western societies and of our health services. Also in this section, it is shown how these features appear in Illich's analysis of our societies, of our health services, and of the different clinical, social, and structural iatrogeneses that health services create. The second section examines the assumptions underlying Illich's analysis and discusses their validity to explain the nature and function of our Western health services and their iatrogenic effects. Where Illich's explanations are considered invalid, alternative explanations are presented. Among them, it is postulated that it is not industrialism, but the assumedly transcended category of capitalism that is the cause of the social and structural iatrogeneses. The third section discusses the political implications of Illich's analysis, at a time when our Western societies are supposedly in crisis.

Original languageEnglish (US)
Pages (from-to)351-371
Number of pages21
JournalInternational Journal of Health Services
Volume5
Issue number3
StatePublished - 1975

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industrialization
Health Services
health service
ideology
Capitalism
society
capitalist society
cause
Industrial Development

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health
  • Nursing(all)
  • Health(social science)
  • Health Professions(all)

Cite this

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title = "The industrialization of fetishism or the fetishism of industrialization. A critique of Ivan Illich",
abstract = "This article critically assesses the ideology of industrialism in light of Ivan Illich's Medical Nemesis. The paper is divided into 3 sections. The first section is a description of the main features of that ideology, the most prevalent and influential one used in sociological literature to explain the state both of Western societies and of our health services. Also in this section, it is shown how these features appear in Illich's analysis of our societies, of our health services, and of the different clinical, social, and structural iatrogeneses that health services create. The second section examines the assumptions underlying Illich's analysis and discusses their validity to explain the nature and function of our Western health services and their iatrogenic effects. Where Illich's explanations are considered invalid, alternative explanations are presented. Among them, it is postulated that it is not industrialism, but the assumedly transcended category of capitalism that is the cause of the social and structural iatrogeneses. The third section discusses the political implications of Illich's analysis, at a time when our Western societies are supposedly in crisis.",
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