{
  "abstract": "The rapid advancement of biomedicine and health technologies has fostered salvatory visions of cure, shaping patient expectations while simultaneously sparking debates about how healthy bodies are produced, validated, and practiced. Cutting-edge innovations not only inspire hope but also redefine conceptions of the self and the body, reconfiguring means to assurance. In well-resourced healthcare systems, individuals increasingly rely on prevention through identifying underlying or unknown diseases, even before they develop. Meanwhile, health technologies such as wearables and online self-tests are marketed as means for proactive disease prevention and health optimization. While these interventions seemingly offer reassurance of being healthy, they also introduce unintended and iatrogenic consequences, including overdiagnosis, medical overuse, ableism, and the creation of new health inequities.These unintended consequences challenge dominant biomedical narratives, exposing the epistemological limitations of biomedicine and disrupts what we phrase as our ‘ontological securities’ in disease, health, prevention and the body, ie. the fundamental assumptions we take for granted about the nature, existence, and classification of diseases.In this panel, we critically examine the promises and epistemologies of highly technologized and digital health, as well as their differentiated and unequal effects on individuals and communities. Three presentations from different ethnographic studies collectively argue for the need for theoretical attention to understand how ontological disruptions shape our perceptions of bodies and health. They also explore when and how these disruptions can (or cannot) be communicated without undermining the public trust in science and medicine.Jønsson: Disentangling Ontologies of Prevention in the ClinicSturtzSreetharan: Expanding Bodies, Expanding Risks: GLP-1 Weight Loss Drugs and Overdiagnosis in JapanGreen: The Vision of Precision and the Limits of MedicineCentral to our discussion is the disruption of ontological securities—the foundational beliefs and assumptions that individuals rely on to feel secure about their health and medical decisions. Communication about overdiagnosis, with its inherent uncertainties and risks, unsettles these certainties and necessitates reconfiguring assurance.Objectives To engage anthropological, philosophical and social science perspectives in the discussion of ODx, presenting ethnographical data and discussing theoretical perspectives on communicating the harms of too much medicine.Method ethnography + theory",
  "authors": [
    {
      "affiliations": [
        "Roskilde University, Copenhagen, Denmark",
        "The Arctic University of Norway, Tromsø, Norway"
      ],
      "name": "Alexandra Brandt Jønsson"
    },
    {
      "affiliations": [
        "University of Copenhagen, Copenhagen, Denmark"
      ],
      "name": "Sara Green"
    },
    {
      "affiliations": [
        "Arizona State University, Tempe, USA"
      ],
      "name": "Cindi SturtzSreetharan"
    }
  ],
  "title": "074 Disrupting ontological securities: communicating overdiagnosis and the harms of too much medicine",
  "uid": "0f440594-d91b-5116-a6ea-70e526338a08"
}