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Updated: Jun 22, 2026

Targeted Next-generation Sequencing and Bioinformatics Pipeline to Evaluate Genetic Determinants of Constitutional Disease
Published on: April 4, 2018
Sequencing and its consequences: path dependence and the relationships between genetics and medicalization
Sara Shostak1, Peter Conrad, Allan V Horwitz
1Department of Sociology, Brandeis University, MS 071, Waltham, Massachusetts 02454-9110, USA. sshostak@brandeis.edu
The relationship between genetics and medicalization is not automatic. The meaning and practice of genetic research depend on historical context and how conditions are medically classified over time.
Area of Science:
- Genetics and Medical Sociology
- History and Philosophy of Science
Background:
- Common assumptions link genetics and medicalization, influencing policy and research.
- Critiques often overlook the dynamic and context-dependent nature of this relationship.
Purpose of the Study:
- To challenge the assumed direct link between genetics and medicalization.
- To explore how historical and institutional factors shape genetic research meanings.
Main Methods:
- Analysis of three case studies with identified genetic markers.
- Examination of critical junctures in phenotype stabilization and classification.
Main Results:
- Genetic research meanings are contingent on their place in event sequences.
- Institutional stabilization of phenotypes and classification mechanisms influence genetic research practices.
- Path dependence explains inconsistencies between genetics and medicalization.
Conclusions:
- The assumed self-sustaining relationship between genetics and medicalization is flawed.
- Historical context and institutional factors are crucial for understanding genetic research.
- Path dependence offers a framework for analyzing the genetics-medicalization dynamic.
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