{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T18:46:34Z","timestamp":1777920394990,"version":"3.51.4"},"reference-count":89,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2011,2,7]],"date-time":"2011-02-07T00:00:00Z","timestamp":1297036800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Soc Stud Sci"],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:p>This paper reports and discusses \u2018genomic designation\u2019 as a way of classifying people. In genomic designation the object of biomedical analysis \u2014 and the concomitant medical category that is subject to scientific, clinical, and social action \u2014 is delineated on a genomic basis, while the phenotype is decentralized and tabulated post factum. Unlike prominent sociological concepts such as biosociality or geneticization, where genetic proclivities for or explanations of phenotypic categories affect social processes, genomic designation treats characteristics of the genome as the essential referent of new categories of illness. I outline the relevant sociological literature and the shift to what Nikolas Rose has called the \u2018molecular gaze\u2019 before explicating the concept of genomic designation and its half-century history. I use 22q13 Deletion\/Phelan\u2014McDermid syndrome as an example of genomic designation: investigations into the deletion of genetic material at site q13 on the 22nd chromosome preceded and made practicable the delineation of a syndrome more than a decade later, even though the associated phenotype is not distinct enough for diagnosis. Finally, I discuss the implications of this turn to \u2018rigidly designate\u2019 kinds of people according to observations made at the level of the genome and outline directions for future research.<\/jats:p>","DOI":"10.1177\/0306312710391923","type":"journal-article","created":{"date-parts":[[2011,2,7]],"date-time":"2011-02-07T23:45:03Z","timestamp":1297122303000},"page":"203-226","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":54,"title":["Genomic designation: How genetics can delineate new, phenotypically diffuse medical categories"],"prefix":"10.1177","volume":"41","author":[{"given":"Daniel","family":"Navon","sequence":"first","affiliation":[{"name":"Department of Sociology, Columbia University, New York, NY, USA,"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,2,7]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.7208\/chicago\/9780226189666.001.0001"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1038\/nrg2346"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.anthro.34.081804.120522"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511526770.002"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1097\/GIM.0b013e3181cdeb9a"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1038\/ng2107"},{"key":"atypb7","doi-asserted-by":"crossref","unstructured":"Bearman PS, Martin M, and Shostak S (eds) (2008) Genetics and Social Structure. 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