The diagnosis of fetal alcohol syndrome (FAS) was invented in 1973.
This paper investigates the process by which a cluster of birth defects associated with exposure to alcohol in utero came to be a distinct medical diagnosis, focusing on the first ten years of the medical literature on FAS.
Fetal alcohol syndrome was discovered'by a group of Amcrican dysmorphologists who published the first case reports and coined the term FAS.
However, the nature of the diagnosis and its salient symptoms were determined collectively over time by the medical profession as a whole.
The paper traces the natural history of the diagnosis in the U.S. through five stages : introduction, confirmation and corroboration. dissent, expansion, and diffusion.
FAS serves as an example of the social construction of clinical diagnosis ; moral entrepreneurship plays a key role and the medical literature on FAS is infused with moral rhetoric, including passages from classical mythology, philosophy, and the Bible, FAS is a moral as well as a medical diagnosis, reflecting the broader cultural concerns of the era in which it was discovered, including a greater awareness of environmental threats to health, the development of fetal medicine, an emphasis on the perfect child, and a growing paradigm of maternal-fetal conflict.
Mots-clés Pascal : Syndrome alcoolique foetal, Diagnostic, Evolution, Histoire, Nouveau né, Homme, Toxicité, Ethanol, Nouveau né pathologie
Mots-clés Pascal anglais : Fetal alcohol syndrome, Diagnosis, Evolution, History, Newborn, Human, Toxicity, Ethanol, Newborn diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0086961
Code Inist : 002B03F. Création : 31/05/1999.