Sociology of Low Expectations
Sociology of Low Expectations
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低期望社会学
DOI：
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
Clare Williams
中科院分区：
文献类型：
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作者：
J. Gardner;G. Samuel;Clare Williams
社会科学家已经注意到炒作和对未来的乐观愿景在通过鼓励创新联盟为生物医学创新项目提供动力方面的作用。在本文中，我们展示了对未来不太乐观、不确定和适度的愿景如何为创新项目提供动力。学者们强调临床医生需要仔细管理潜在患者的期望。以一个为患有运动障碍的儿童和青少年提供深部脑刺激的先驱临床团队为例，我们展示了临床医生如何利用他们的专业知识和临床专业知识来应对这一要求，与潜在患者一起构建未来愿景；个性化、谦虚且充满不确定性的愿景。我们将这种愿景构建工作称为重新校准，我们认为重新校准使临床医生能够管理围绕新型生物医学干预措施的高度乐观和大肆宣传的未来愿景与在临床环境中提供这些干预措施的紧迫性之间的紧张关系。借鉴科学和技术研究的成果，我们建议重新校准通过就如何判断创新的“有效性”达成共识，将患者纳入创新联盟。
Social scientists have drawn attention to the role of hype and optimistic visions of the future in providing momentum to biomedical innovation projects by encouraging innovation alliances. In this article, we show how less optimistic, uncertain, and modest visions of the future can also provide innovation projects with momentum. Scholars have highlighted the need for clinicians to carefully manage the expectations of their prospective patients. Using the example of a pioneering clinical team providing deep brain stimulation to children and young people with movement disorders, we show how clinicians confront this requirement by drawing on their professional knowledge and clinical expertise to construct visions of the future with their prospective patients; visions which are personalized, modest, and tainted with uncertainty. We refer to this vision-constructing work as recalibration, and we argue that recalibration enables clinicians to manage the tension between the highly optimistic and hyped visions of the future that surround novel biomedical interventions, and the exigencies of delivering those interventions in a clinical setting. Drawing on work from science and technology studies, we suggest that recalibration enrolls patients in an innovation alliance by creating a shared understanding of how the “effectiveness” of an innovation shall be judged.