ABSTRACT
Résumé Cet article propose une réflexion sur la notion de guérison et sur ses usages en cancérologie. Un premier point ausculte sa mise en Åuvre en tant qu'ambition à la fois médicale et politique suprême de la mission fondatrice de la cancérologie française. Un deuxième axe pointe ses divers accommodements sociaux, en observant les différentes figures et mésaventures du concept confronté à l'épreuve de l'incurabilité d'un certain nombre de cancers. Enfin, une troisième partie de l'article s'intéresse aux effets de l'incertitude chronique inhérente à l'oncologie. Fondée sur des recherches empiriques inspirées par la grounded theory, par l'interactionnisme et sous l'influence revendiquée d'Anselm Strauss, cette réflexion peut être vue comme un abrégé des travaux de l'auteure, réalisés de la fin des années 1990 à nos jours, sur la cancérologie française. L'incertitude médicale et sa gestion, individuelle et collective, sont au cÅur de ce travail.
Abstract This article proposes a reflection about the notion of cure and its uses in oncology. A first point examines its implementation as the utmost medical and political ambition of the founding mission of French oncology. A second axis points to its various social accommodations, observing the different figures and misadventures of the concept confronted with the test of the incurability of numerous cancers. Finally, a third part of the article focuses on the effects of the chronic uncertainty inherent in oncology. Based on empirical research made from the late 1900s to our days, inspired by grounded theory, interactionism and under the influence of Anselm Strauss, this reflection can be seen as an abstract of the author's work on French oncology. Medical uncertainty and its individual and collective management are at the core of this work.
Resumo Este artigo propõe uma reflexão sobre a noção de cura e seus usos em oncologia. Um primeiro ponto examina sua implementação como uma ambição suprema tanto médica quanto política da missão fundadora da oncologia francesa. Um segundo eixo aponta suas diversas acomodações sociais, observando as diferentes figuras e desventuras do conceito confrontado com o teste de incurabilidade de um certo número de cânceres. Finalmente, a terceira parte do artigo se centra sobre os efeitos da incerteza crônica inerente à oncologia. Com base em pesquisas empíricas inspiradas pela grounded theory, pelo interacionismo e sob a influência reivindicada de Anselm Strauss, esta reflexão pode ser vista como um resumo da obra do autor, feitas desde o final de 1900 até atualmente, sobre oncologia francesa. A incerteza médica e sua gestão, individual e coletiva, estão no centro deste trabalho.
Subject(s)
Humans , Male , Female , Sociology, Medical , Remission Induction , Uncertainty , Medical Oncology , NeoplasmsABSTRACT
This article analyses the Enquete Permanente Cancer (EPC) (Permanent Cancer Survey), which organized the recording of cancers in France from 1943 onwards. This survey used a new classification of tumours and introduced the notion of stages. For its French authors, defining the different stages of the disease was primarily a question of methodological necessity: standardizing and giving relevance to data which until then has been disparate and scarce. However, by correlating the timing of the initial diagnosis of cancer with the length of asymptomatic periods after anti-cancer treatment, differentiated survival rates could be obtained. For each type of cancer, each stage could be shown to correspond to a greater or lesser probability of lenght of survival. This notion of stages, which was rapidly adopted on the international level as a tool for probabilistic reasoning, was not adopted for the purposes of prognosis in France until the 1960s.
