Author(s):

  • Maturo A
  • Mori L
  • Moretti V

Abstract:

It is hard to deny that contemporary society is becoming increasingly medicalized. Mental health is likely the most medicalized sphere. The pathologization of emotions is entangled with the rise of a therapeutic culture. This article proposes the hypothesis that apps used to self-track different aspects of mental health and wellbeing represent a peculiar kind of pedagogical tool and a new engine of medicalization. The “quantified self” acts on reality with the conviction that a data-driven life can enhance one’s health status. The mechanisms that foster this attitude are gamification and quantification – two central features of mental health apps. We seek to demonstrate this through a content analysis of six of the most downloaded mental health apps focused on two different kinds of texts: the description provided by the app itself and the reviews written by its users. Our investigation reveals that these types of apps are giving rise to an idea of the subject which is separated from social factors. This de-policitization of health brought about by the apps strengthens the neoliberal idea of health as an individual responsibility, marginalizing any discourse on social justice. Therefore, this kind of health education appears at best ambiguous, if not controversial.

Documentation:

https://doi.org/10.14658/pupj-ijse-2016-3-12

References:

Adams, M. (2003). The reflexive self and culture: a critique. British Journal of Sociology, 54(2), 221-238. doi: 10.1080/0007131032000080212

Austin, J.L. (1962). How to do things with words. London: Oxford University Press.

Bandura, A. (1977). Self-efficacy: toward a unifying theory of behaviour change. Psychological Review, 84(2), 191-215. doi: 10.1037/0033-295X.84.2.191

Barber, B.R. (2007). Con$umed. How Market Corrupts Children, Infantilize adults and swallows Citizens Whole. New York: Norton.

Barker, K.K. (2014). Mindfulness meditation: Do-it-yourself medicalization of every moment. Social Science & Medicine, 106, 168-176. doi: 10.1016/j.socscimed.2014.01.024

Becker, G. (1976). The Economic Approach to Human Behaviour. Chicago: University of Chicago Press.

Bellah, R., Madsen, R., Sullivan, W. M., Swidler, A., & Tipton, S. M. (1985). Habits of the Heart. Individualism and Commitment in American Life. Berkley-Los Angeles: University of California Press.

Binkley, S. (2011). Happiness, positive psychology and the program of neoliberal governmentality. Subjectivity, 4(4), 371-394. doi: 10.1057/sub.2011.16

Brown, W. (2006). American Nightmare. Neoliberalism, neoconservatism, and de-democratization. Political Theory, 34(6),690-714. doi: 10.1177/0090591706293016

Bryman, A. (1984). The Debate about Qualitative and Quantitative Research. A Question of Methods or Epistemology. The British Journal of Sociology, 35(1), 75-92. doi: 10.2307/590553

Clarke, A., & Shim, J. (2011). Medicalization and Biomedicalization Revisited: Technoscience and Transformations of Health, Illness, and Biomedicine. In B.A., Pescosolido, et al. (Eds.), Handbook of the Sociology of Health, Illness, and Healing(173-200). New York: Springer.

Conley, D. (2011). Learning to Love Animal (Models) (or) How (Not) to Study Genes as a Social Scientist. In B.A., Pescosolido, et al. (Eds), Handbook of the Sociology of Health, Illness, and Healing(527-542.) New York: Springer.

Conrad, P. (2007). The Medicalizationof Society: On the Transformation of Human Conditions into Treatable Disorders. Baltimore: J. Hopkins University Press.

Dardot, P., & Laval, C. (2009). La nouvelle raison du monde. Essais sur la société néolibérale. Paris: La Découverte. Dean, M. (1999). Governmentaility: Power and Rule in Modern Society. London: Sage.

Delbaere, M. (2013). Metaphors and myths in pharmaceutical advertising. Social Science & Medicine, 82, 21-29. doi: 10.1016/j.socscimed.2013.01.020

Desrosiers, A. (2011). Buono o cattivo? Il ruolo del numero nel governo della città neoliberale. Rassegna Italiana di Sociologia, LII/3, 373-397. doi:10.1423/35257

Erikson, E.H. (1963). Childhood and Society. New York: Norton.

Espeland, W.N., & Stevens, M.L. (2008). A Sociology of Quantification. European Journal of Sociology, 49(3), 401-436. doi: 10.1017/S0003975609000150

European Commission (2014). Green Paper on Mobile Health.Foucault, M. (1976). Crisis de un modelo en la medicina? Revista centroamericana de Ciencias de la Salud, 3, 202-19.

Foucault, M. (1977). Discipline and punish. The Birth of the Prison. New York: Random House.

Foucault, M. (1997). The Ethics of the concern for self as a practice of freedom. In id. Ethics. Subjectivity and Truth(pp. 280-301). New York: The New Press.

Foucault, M. (2008). The Birth of Biopolitics. Lectures at the Collège de France. New York: Palgrave.

Fourcade, M., & Healy, K. (2013). Classification Situations: Life-chances in the Neoliberal Era. Accounting, Organizations, and Society, 38, 559–572. doi: 10.1016/j.aos.2013.11.002

Freud, S. ([1920], 1991). Beyond the Pleasure Principle. In A., Richards (Ed.),OnMetapsychology: The Theory of Psyhoanalysis(275-338), London: Penguin.

Furedi, F. (2004). Therapy Culture. London: Routledge.

Gane, N. (2013). The emergence of neoliberalism: Thinking through and beyond Michel Foucault’s lectures on biopolitics. Theory, Culture & Society, 31(4), 3-27. doi: 10.1177/0263276413506944

Gershon, I. (2011). Neoliberal agency. Current Anthropology, 52(4), 537-555. doi: 10.1086/660866

Honneth, A. (2004). Organized self-realization: Some paradoxes of individualization. European Journal of Social Theory, 7(4), 463-478. doi: 10.1177/1368431004046703

Horwitz, A.V. (2010). Pharmaceuticals and the Medicalization of Social Life. In D., Light (Ed.), The risks of prescription drugs(pp. 92-115). New York: Columbia UP.

Horwitz, A.V.,& Wakefield, J. (2009). The medicalization of sadness. Salute e Società, VIII(2), 49-66.

Illich, I. (1973), Limits to Medicine –Medical Nemesis: The Expropriation of Health. London: Marion Boyars Publisher Ltd.

Jagoda, P. (2013). Gamification and Other Forms of Play. Boundary 2, 40(2), 113-144. doi: 10.1215/01903659-2151821

Jutel, A. (2009). Sociology of diagnosis: A preliminary review. Sociology of Health and Illness, 31(2), 278-99. doi: 10.1111/j.1467-9566.2008.01152.x

Jutel, A., & Lupton, D. (2015). Digitizing diagnosis: a review of mobile applications in the diagnostic process. Diagnosis, 1-8. doi: 10.1515/dx-2014-0068

Light D. Maturo A. (2015), Good Pharma. The Public Health Model of the Mario Negri Institute, New York, Palgrave.

Lupton, D. (2014). Apps as Artefacts: Towards a Critical Perspective on Mobile Health and Medical Apps. Societies, 4, 606-622. doi:10.3390/soc4040606

Lupton, D. (2015). Digital Sociology. London: Routledge.

Maturo A., Setiffi F (2016). The Gamification of Risk: How Health Apps Foster Self-Confidence And Why This Is Not Enough.Health, Risk and Society,17(7-8),477-494. doi: 10.1080/13698575.2015.1136599

Maturo, A. (2012). Social Justice and Human Enhancement in Today’s Bionic Society. Salute e Società, XI(2), 15-28.

Maturo, A. (2014). Fatism, Self-Monitoring and the Pursuit of Healthiness in the Time of Technological Solutionism. Italian Sociological Review, 4(2), 157-171.

Maturo, A. (2016). DoingThingswith Numbers. The Quantified Self and the Gamification of Health,eäJournal of Medical Humanities & Social Studies of Science and Technology, 7(1), 87-10.

McGonigal, J. (2011). Reality Is Broken. How Games Are Making Us Better and How They Can Change The World. New York: The Penguin Press.McLellan, F. (2007). Medicalisation: A Medical Nemesis. The Lancet, 369, 627-628.

McNay, L. (2009). Self as Enterprise. Dilemmas of Control and Resistance in Foucault’s The Birth of Biopolitics. Theory, Culture & Society, 26(6),55-77. doi: 10.1177/0263276409347697

Mead, G.H. (1932). Mind, Self, and Society. Chicago: Chicago University Press.Miller, D. (2005). Materiality: An Introduction. In D., Miller (Ed.), Materiality(1-50). Durham: Duke University Press.

Miller, P. (1992). Accounting and Objectivity: The Invention of Calculating Selves and Calculable Spaces. Annals of Scholarship, 9(1/2), 61-86.

Mori, L. (2014). A momentary lapse of the reason. Neoliberal subjectivity and recreational drug use. Italian Journal of Sociology of Education, 6(3), 70-103. Retrieved from http://www.ijse.eu/wp-content/uploads/2014/10/2014_3_5.pdf

Moynihan, R., & Cassels, A. (2005). Selling sickness. How drug companies are turning us into patients.New York: Nation Books.

Murthy, D. (2008). Digital Ethnography. An Examination for the Use of New Technologies for Social Research. Sociology, 42(5), 837-855. doi: 10.1177/0038038508094565

Neresini, F. (2015). Quando i numeri diventano grandi: che cosa possiamo imparare dalla scienza. Rassegna Italiana di Sociologia,LVI 3-4, 405-431.

Nicoli, M. (2012). Io sono un’impresa. Biopolitica e capitale umano. Aut-Aut, 35(6), 85-99.

Olsen, W., & Morgan, J. (2005). A Critical Epistemology of Analytical Statistics: Addressing the Sceptical Realist. Journal for the Theory of Social Behaviour, 35, 255-284. doi: 10.1111/j.1468-5914.2005.00279.x

Porter, TM. (1996). Trust in Numbers: The Pursuit of Objectivity in Science and Public Life. Princeton. NJ: Princeton University Press.

Read, J. (2009). A genealogy of homo-economicus: neoliberalism and the production of subjectivity. Foucault Studies, 6, 25-36. Retrieved from http://rauli.cbs.dk/index.php/foucault-studies/article/viewFile/2465/2463

Rimke, H., & Brock, D. (2012). The culture of therapy: Psychocentrism in everyday life. In M., Thomas, R., Raby & D., Brock (Eds.), Power and Everyday Practices (pp. 182-202). Toronto: Nelson.

Rose, N. (2007). The politics of Life Itself. Biomedicine, Power, and Subjectivity in the Twenty-First Century. New Haven: Princeton U.P.

Rose, N., O’Malley, P., & Valverde, M. (2006). Governmentality. Annual Review of Law and Social Sciences,2, 83-104. doi: 10.1146/annurev.lawsocsci.2.081805.105900Rushkoff, D. (2009). Life Inc. New York: Random House.

Sauder, M., WendyN.E. (2009). “The Discipline of Rankings: Tight Coupling and Organizational Change.” American Sociological Review 74(1):63-82.

Smith, A. et al. (2012), Body Perceptions and Health Behaviors in an Online Bodybulding Community. Qualitative Health Research, 22(7), 971-985. doi: 10.1177/1049732312443425

The Quantified Self. Counting every moment. (2015, June 5).The Economist. Retrieved, fromhttp://www.economist.com/node/21548493

Timmermans, S., & Epstein, S. (2010). A World of Standard but not a Standard World: Toward a Sociology of Standards and Standardization. Annual Review of Sociology, 36, 69-89. doi: 10.1146/annurev.soc.012809.102629

Walters, W. (2012). Governmentality: Critical Encounters. New York-London: Routledge.

Weber, M. (1992). The Protestant Ethic and the Spirit of Capitalism. New York: Routledge.

Whitson, J. R. (2013). Gaming the quantified self. Surveillance & Society, 11(1/2), 163-172. Retrieved from: http://library.queensu.ca/ojs/index.php/surveillance-and-society/article/view/gaming/0

Williams, J., Seale, C., Boden, S., Lowe, P., & Steinberg, D.L. (2008). Waking up to sleepiness: Modafinil, the media and the pharmaceuticalisation of everyday/night life. Sociology of Health and Illness, 30(6), 839-855. doi: 10.1111/j.1467-9566.2008.01084.x

Wolf, G. (2010, May 2). The Data-Driven Life. The New York Times –Sunday Review, May 2nd: MM38. Retrieved from http://www.nytimes.com/2010/05/02/magazine/02self-measurement-t.html?_r=0