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Before Foucault

Roy Porter, 25 January 1990

The Normal and the Pathological 
by Georges Canguilhem, translated by Carolyn Fawcett and Robert Cohen.
Zone, 327 pp., £21.95, June 1989, 0 942299 58 2
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... When is a disease not a disease? No quibbling academic riddle this, but a problem increasingly pressing upon medical practice and ethics alike. So many questions crowd in. Is it valid to talk of a person being ill without a disease, or having a disease without being sick? When and how do we draw dividing-lines between conditions, disabilities and abnormalities, on the one hand, and diseases, on the other? This can be a crucial issue when it comes to final authority in deciding the fate of severely-malformed babies ...

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