Aiming at the 'proper' body: How exoskeletons foster 'risky' bodies and conflicting knowledge regimes.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Sociology of health & illness Pub Date : 2024-07-01 Epub Date: 2024-02-14 DOI:10.1111/1467-9566.13757
Denisa Butnaru
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Abstract

Exoskeletal devices are new technologies that have been developed in the medical field to provide assistance and rehabilitation for persons with motor impairments. Among these impairments, spinal cord injury and stroke are the most common. Drawing on materials collected during multi-sited ethnography conducted in France, Germany and Switzerland from 2014 to 2019, I suggest that exoskeletons contribute to a more general process that I identify as 'aiming at the "proper" body'. As they materially craft motor impaired bodies but also are responsible for datafication and dataveillance, exoskeletons allow to categorise new aspects of 'risky' bodies. Simultaneously, they foster conflicts between experts' perspectives about rehabilitation practice and the users' phenomenological experiences that exoskeletons aim to transform. After describing how exoskeletons expand the realm of contemporary medical technologies in their purpose of 'aiming at "proper" bodies' while being 'miraculous', I identify two conceptions of 'risky' bodies: a first one related to materiality, a second one to processes of digitalisation to which exoskeletons actively participate. Finally, I investigate some conflicting levels between the regimes of expert knowledge and the phenomenological experiences of the users and reassess the latter's role in rehabilitation practice with exoskeletons.

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瞄准 "合适 "的身体:外骨骼如何促进 "危险 "身体和相互冲突的知识体系。
外骨骼装置是医疗领域开发的新技术,可为运动障碍患者提供帮助和康复。其中,脊髓损伤和中风最为常见。根据 2014 年至 2019 年在法国、德国和瑞士进行的多地点人种学研究中收集的材料,我认为外骨骼有助于一个更普遍的过程,我将其称为 "以'适当的'身体为目标"。由于外骨骼不仅为运动受损的身体提供了材料,还负责数据化和数据监控,因此可以对 "危险 "身体的新方面进行分类。同时,外骨骼还促进了专家对康复实践的看法与使用者的现象学体验之间的冲突,而外骨骼旨在改变使用者的现象学体验。在描述了外骨骼如何在 "神奇 "的同时 "瞄准'合适'的身体 "这一目的上拓展了当代医疗技术的领域之后,我指出了 "危险 "身体的两种概念:第一种概念与物质性有关,第二种概念与外骨骼积极参与的数字化进程有关。最后,我研究了专家知识体系与使用者现象学经验之间的一些冲突,并重新评估了后者在外骨骼康复实践中的作用。
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来源期刊
CiteScore
6.10
自引率
6.90%
发文量
156
期刊介绍: Sociology of Health & Illness is an international journal which publishes sociological articles on all aspects of health, illness, medicine and health care. We welcome empirical and theoretical contributions in this field.
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