In a culture in which organ transplants, life-extension machinery, microsurgery, and artificial organs have entered everyday medicine, we seem to be on the verge of realization of the seventeenth century European view of the body as a machinE.But if we seem to have realized that conception, it can also be argued that we have in a sense turned it inside out. In the seventeenth century machine imagery reinforced the notion of the human body as a totally determined mechanism whose basic functionings the human being is helpless to alter. The then—dominant metaphors for this body—locks, watches, collections of springs—imagined a system that is set, wound up, whether by nature or God the watchmaker, ticking away in a predictable, orderly manner, regulated by laws over which the human being has no control. Understanding the system, we can help it perform. efficiently and intervene when it malfunctions, but we cannot radically alter the configuration of things. Western science and technology have now arrived, paradoxically but predictably (for it was a submerged, illicit element in the mechanistic conception all along), at a new, postmodern conception of human freedom from bodily determination. Gradually and surely, a technology that was first aimed at the replacement of malfunctioning parts has generated an industry and a value system fueled by fantasies of rearranging, transforming, and correcting, an ideology of limitless improvement and change, defying the historicity, the mortality, and indeed the very materiality of the body. In place of that materiality, we now have what I call 'cultural plastiC.' In place of God the watchmaker, we now have ourselves, the master sculptors of that plastiC. 'Create a masterpiece: sculpt your body into a work of art,' urges Fit magazinE.'You visualize what you want to look like, and then you create that form.' The precision technology of body sculpting, once the secret of the Arnold Schwarzeneggers and Rachel McLishes of the professional bodybuilding world, has now become available to anyone who can afford the price of membership in a health cluB.On the medical front, plastic surgery, whose repeated and purely cosmetic employment has been legitimated by popular music and film personalities, has become a fabulously expanding industry, extending its domain from nose jobs, face lifts, and tummy tucks to collagen-plumped lips and liposuction-shaped ankles and calves. In 1989, 681,00O procedures were done, up by 80 percent since 1981; over half of these were performed on patients between the ages of 18 and 35. The trendy Details magazine described such procedures as just 'another fabulous (fashion) accessory' and used to invite readers to share their cosmetic surgery experiences in the monthly column 'Knifestyles of the Rich and Famous.' Popular culture does not apply any brakes to these fantasies of rearrangement and transformation. 'The proper diet, file right amount of exercise, and you can have, pretty much, any body you desire,' claims an ad for a bottled mineral water. Of course, the rhetoric of choice and self-determination and the breezy analogies comparing cosmetic surgery to fashion accessorizing are deeply misleading. They efface not only the inequalities of privilege, money, and time that prohibit most people from indulging in these practices, but also the desperation that characterizes the lives of those who do. 'I will do anything, anything to make myself look and feel better,' says a contributor to the 'Knifestyles' column. Medical science has now designated a new category of 'polysurgical addicts' (or, as more casually referred to, 'scalpel slaves') who return for operation after operation, in perpetual quest of that elusive yet ruthlessly normalizing goal, the 'perfect' body. The dark underside of the practices of body transformation and rearrangement— reveals botched and sometimes—fatal operations, exercise addictions, and eating disorders. W A.only the rich should undergo such procedures B.doctors should worry about medicine, not ethics C.advertising should accurately reflect popular culture D.nature should not be tampered with unnecessarily
A.B.' C. D.' E.' F. G.only H.doctors I.advertising J.nature