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La discipline médicale : ethnographie des usages de normes de santé et de savoirs médicaux dans les dispositifs de la pénalité

Abstract : In France, as in most Western countries, prison has been the subject of a growing number of biomedical publications since the 1980s that emphasize the high prevalence of certain chronic conditions among the prison population. Why do so many prisoners have “health” “problems”? This dissertation undertakes to answer this question by approaching health not as a state, but as a norm. At the intersection of the sociology of institutions, the sociology of medicine and the sociology of knowledge, it draws on an ethnographic study combining observations of judicial practices, monographs of prison medical services, interviews, statistics and analyses of scholarly articles. Through a processual approach, it shows how the penal system produces “ill persons” by confronting the individuals caught by its devices with health norms and medical knowledge. By attending to the bureaucratic practices, to the construction of (criminal, managerial and medical) decisions, to the concrete conditions under which biomedical studies are conducted in prison as well as their effects, to the judicial and scientific discourses, to care activities and to the appropriation of such care by prisoners according to their social background, the present investigation allows for an understanding of how medical power currently unfolds, in a discreet and diffuse fashion, in and by institutions that do not primarily mean to cure.
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Lara Mahi. La discipline médicale : ethnographie des usages de normes de santé et de savoirs médicaux dans les dispositifs de la pénalité. Sociologie. Université de Nanterre - Paris X, 2018. Français. ⟨NNT : 2018PA100072⟩. ⟨tel-02370381⟩

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