< previous page page_86 next page >

Page 86
attempting to arrest lawbreakers, suppressing disturbance, maintain order and other legal action legal execution
Excludes:injuries caused by civil insurrections (E990.0-E999)
(ICD-9CM, 304)

This set includes state executions. Note that civil insurrections, where the definition of legal intervention is on the table, are classified together with war. The definition of legal, of course, may be subject to its own retrospective reconstruction, as in the case of the Rodney King trial. 14
Types of abortions, which may be to all intents and purposes medically equuivalent, are marked differently in the ICD according to their legality:
635Legally induced abortion
Includes: abortion of termination of pregnancy:
elective
legal
therapeutic
Excludes: menstrual extraction or regulation (V25.3)
636Illegally induced abortion
Includes: abortion:
criminal
illegal
self-induced
(ICD-9CM, 154)

Each type of abortion (spontaneous or 634, legally induced, illegally induced, unspecified, failed attempted, or 638) has the same set of complications attachednine difficulties, each accorded a digit (making it one of the most closely coded category sets in the ICD). When the issue arises, then, the ICD privileges the voice of the doctor and the laboratory over the voice of the patient; and legal discourse over cultural and social discourse. There are no mentions of what Adele Clarke calls "subtle forms of sterilization abuse" (1983) or of the abortions that never made it into any formal record that Leslie Reagan describes in her book When Abortion Was A Crime (1997). The controversial "abortion drug" RU486 is not mentioned in the ICD-10. One can read another order of social history from the nature of the silences in the story.
In general, the ICD carries with it its own context. This is a common feature of classification systems. One way of reading them is that they provide a stabilizing force between the natural and the social worlds. They hold in place sets of arrangements that allow us to read the

 
< previous page page_86 next page >