Elizabeth Watkins

Stress presents an interesting case for the application of medicalization theory. From the 1950s to the 1980s, stress became an established, if not fully deciphered, component of the matrix within which illness developed, as understood by physicians and patients, scientists, and laypeople alike. While the various iterations of the medicalization thesis are useful for analyzing the information flows between the multiplicity of actors engaged in the production and interpretation of the stress concept, they cannot account for all aspects of the evolution of the incorporation of stress into both the medical lexicon and the popular vernacular. To account for the significance of physical explanations for the physiological and pathological effects of stress on the body, this essay expands the model of medicalization to include biologization. This modified model is further deployed as an analytical framework to develop the central argument of this essay: that the medicalization of stress allowed for an expansion of therapeutic options available to practitioners and recipients of mainstream medicine by opening up space for the legitimation of alternative healing practices. Biologization looks to the system of ideas on which medical approaches are based to explain how the reductionist project to find molecular mechanisms of disease causality brought stress and other social and psychological phenomena into the domain of medicine. This expanded model of medicalization can usefully characterize late twentieth and early twenty-first century attitudes toward a wide variety of human disorders whose causes have been found to be molecular in origin. By folding biology into the medicalization thesis, social scientists can train a fresh analytical lens on the role of medicine in recent and contemporary American life.