'quantified lives and vital data: exploring health and technology through personal medical devices'. 2018. Editors: Lynch, Rebecca, Farrington, Conor (Eds.). Palgrave Macmillan Introduction

'quantified lives and vital data: exploring health and technology through personal medical devices'. 2018. Editors: Lynch, Rebecca, Farrington, Conor (Eds.). Palgrave Macmillan Introduction
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“量化生命和重要数据:通过个人医疗设备探索健康和技术”。

DOI:
10.1080/13648470.2018.1507486
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发表时间:
2019
影响因子:
1.8
通讯作者:
Garnett E
Garnett E
中科院分区:
法学4区
文献类型:
--
作者:
Garnett E

文献摘要

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个人医疗技术 (PMD) 日益渗透到我们的日常生活中,影响着我们的感受、我们了解自己身体的方式以及调解不同的社会和物质关系。 PMD 是一个广泛且异构的技术类别,包括 Fit Bit 等生活方式应用程序以及用于管理慢性病的监测仪器。在围绕这个快速发展的研究和专业领域的辩论中,自我保健和对自己的健康负责的概念很普遍(Fotopoulou 和 Riordan 2017;Lupton 2013)。这些概念和想法也与 PMD 的公共卫生和商业营销纠缠在一起并通过其得以实现(NHS England 2014;Pantlin 2017)。那么,PMD 是一种社会技术和政治形态,它表达了与健康、护理和公民身份相关的关切,同时也表明了个人对健康的责任正在具体化和再生产的不太明显的方式。编辑们担心在技术乌托邦和技术反乌托邦话语之间找到一个位置,这篇评论提出了这样的问题:我们的实证研究如何重新阐述我们提出的有关 PMDS 的问题,以便回应和参与它们实践、部署和实验的具体方式?这本内容丰富的合集的编辑们为个性化医疗和数字健康技术方面不断发展的批判社会科学和人文研究领域做出了及时的贡献(参见 Lupton 2014;Prainsack 2017)。通过汇集 PMD 出现的各种背景的记录,本书探索、概念化和质疑了 PMD 与社会、科学和医疗条件的共同生产。这些章节涵盖了针对不同医学相关问题和背景的一系列 PMD,并建立在不同的学科领域:从社会学到科学技术研究到医学伦理学。在阅读和反思这本书时,特别引人注目的是如何利用 PMD 的各种偶然性和差异来重新思考主观性、经验、意义建构和健康等概念。编辑后的本书分为五个部分。开头两章构成引言。第一个由编辑们提出,阐述了本书的目标,并追溯了其概念和主题的发展。在此开场之后是马修曼的一章,他对有关技术的不同理论进行了有用的概述,认为 PMD 扩展了身体、力量和感官,从而调节了我们对世界的参与。三个核心和实证实质性部分相互交叉:质疑“个人”(Kragh-Frubo等人;Hess;Dudhwala)、“医疗”(Farrington;Smajdor和Stockl;Lynch)和“设备”(福克纳;蒂尔;肯特和布什)等概念以及每个概念如何相互联系、相互作用和转化。然后从分析和理论上应用这些概念来探索身体、技术和数据的情境纠缠,并在某些情况下反思以潜在的创造性方式参与这些过程的方法。剩下的评论将考虑作者解释身体、技术和数据形成的一些方式,以及关注这些情境实践和行为如何带来研究 PMD 的新方法。
Personal medical technologies (PMDs) increasingly pervade our everyday life, influencing how we feel, the ways in which we understand our body and mediating different social and material relations. PMDs are a broad and heterogeneous category of technologies that include life-style apps, such as fit bits, as well as monitoring instruments for managing chronic diseases. Notions of self-care and ownership of one’s health are prevalent in debates surrounding this rapidly developing field of research and expertise (Fotopoulou and Riordan 2017; Lupton 2013). These concepts and ideas are also entangled with and performed through the public health and commercial marketing of PMDs (NHS England 2014; Pantlin 2017). PMDs, then, are socio-technical and political formations that articulate concerns relating to health, care and citizenship, whilst also signaling the less visible ways in which individual responsibility for health is being materialised and re-produced. Guided by the editors’ concerns for finding a place in-between the techno-utopian and techno-dystopian discourses, this review asks, how can our empirical studies reformulate the questions we ask about PMDS in order to respond and engage with the specific ways they are practiced, deployed and experimented with? The editors of this rich-edited collection make a timely contribution to the growing field of critical social science and humanities research on personalized medicine and digital health technologies (See Lupton 2014; Prainsack 2017). By bringing together accounts of a diverse range of contexts in which PMDs are emerging, the book explores, conceptualizes and interrogates their co-production with social, scientific and medical conditions. The chapters cover a range of PMDs for different medical-related concerns and contexts, and build on different disciplinary fields: from sociology to science and technology studies to medical ethics. What was particularly compelling when reading and reflecting on this book was how the various contingencies and differences of PMDs were used to re-think concepts like subjectivity, experience, sense-making and health. The edited book is arranged into five parts. The opening two chapters form the introduction. The first, by the editors, sets out the aims of the book and traces its conceptual and thematic development. Following this opening is a chapter by Matthewman, who provides a useful overview of different theories about technology, arguing that PMDs extend bodies, forces and senses, and thereby mediate our participation in worlds. The three core and empirically substantive sections intersect with one another: interrogating the concepts ‘personal’(Kragh-Frubo et al; Hess; Dudhwala),‘medical’(Farrington; Smajdor and Stockl; Lynch) and ‘device’(Faulkner; Till; Kent and Bush) and how each relate, interact and transform one another. These concepts are then applied analytically and theoretically to explore the situated entanglements of bodies, technologies and data, and in some cases to reflect on methods for engaging with these processes in potentially creative ways. The remaining review will consider some of the ways authors account for the formation of bodies, technologies and data, and how attending to these situated practices and doings can bring about new ways of studying PMDs.