Reification and the consciousness of the patient

Abstract

The signs and symptoms of disease do something more than signify the functioning of our bodies: they also signify critically sensitive and contradictory components of our culture and social relations. Yet, in our standard medical practices this social "language" emanating from our bodies is manipulated by concealing it within the realm of biological signs. I try to show this by means of a patient's interpretation of the meaning of her illness. This case study illustrates that in denying the human relations embodied in signs, symptoms, and therapy, we mystify those relations and also reproduce a political ideology in the guise of a science of physical things. This I call reification, following Karl Marx's analysis of the commodity and Georg Lukacs' application of this analysis to the interpretation of capitalist culture and its mode of objectifying social relations. I argue that in sustaining reification, our medical practice invigorates cultural axioms as well as modulating the contradictions intrinsic to our culture and views of objectivity. In this way disease is recruited into serving the ideological needs of the social order, to the detriment of healing and our understanding of the social causes of misfortune.