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Anticipating and suspending: the chronopolitics of cryopreservation 预期与暂停:低温保存的时间政治学
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2024-07-11 DOI: 10.1057/s41292-024-00332-3
Thomas Lemke

The article brings together two disparate and so far largely disconnected bodies of research: the critical analysis of cryopreservation technologies and the debate on modes of anticipation. It starts with a short review of the state of the research on the concept of cryopolitics. In the next part I will suggest two revisions. I will problematize the idea of latent life and the focus on potentialities that have been central to the research on cryopolitics so far, proposing to shift the analytic frame to suspended life on the one hand and to modes of anticipation on the other. I argue that cryopreservation practices are part of contemporary technologies of anticipation. They are linked to a politics of suspension by mobilizing a liminal biological state in which frozen organisms or biological material are neither fully alive nor ultimately dead. This seeks to avert and/or enable distinctive futures by extending temporal horizons and keeping vital processes in limbo.

这篇文章汇集了迄今为止基本上互不关联的两项研究:对低温保存技术的批判性分析和关于预期模式的辩论。文章首先简要回顾了有关低温政治学概念的研究现状。在下一部分中,我将提出两项修订建议。我将对迄今为止一直是低温政治学研究核心的潜伏生命理念和对潜在性的关注提出质疑,建议将分析框架一方面转向悬浮生命,另一方面转向预期模式。我认为,低温保存实践是当代预期技术的一部分。它们与悬浮政治相关联,调动了一种边缘生物状态,在这种状态下,冷冻生物体或生物材料既不是完全活着,也不是最终死亡。这种做法旨在通过延长时间范围和保持生命过程处于停滞状态来避免和/或实现独特的未来。
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引用次数: 0
The politics of suspension suspended: the curious case of a cryopreserved cell product 悬浮政治:冷冻保存细胞产品的奇特案例
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2024-07-09 DOI: 10.1057/s41292-024-00328-z
Ruzana Liburkina

Following recent discussions around suspended life, this paper focuses on an endeavor that sought to arrest biological material in time and space and render it available on demand. It depicts the attempt to establish a collection of cryopreserved donated cells. The study offers rare insights into how this initiative was at odds with familiar politics significant in its field, those of innovation and preparedness, and therefore was suspended itself. In identifying parallels with accounts of unsuccessful biobanks, the paper makes a case for the analytical value of considering ill-fated projects of suspension along with those that prosper and attract public attention. The case of a novel cryo-collection, in particular, demonstrates how the idea and practice of suspension only gathers political momentum when it serves other well-established rationales. As such, it prompts two important conclusions. First, the power to arrest life as it comes with cryotechnologies is much more likely to unravel in entrenched constellations than to carry transformative or disruptive potential. Second, however, the paper also exemplifies that projects of suspension are not necessarily doomed to serve hegemonic ways of governing life. It advocates for preventing such mismatches from falling into oblivion.

继最近围绕悬浮生命的讨论之后,本文重点介绍了一种试图在时间和空间上固定生物材料并使其按需提供的努力。它描述了建立冷冻保存捐赠细胞库的尝试。这项研究提供了罕见的见解,揭示了这一举措是如何与人们熟悉的、在其领域具有重要意义的政治--创新和准备--相抵触,并因此被中止的。通过找出与不成功的生物库相似之处,本文论证了将命运多舛的中止项目与成功并吸引公众关注的项目一并考虑的分析价值。特别是新型低温采集的案例表明,只有当暂停的想法和做法符合其他既定理由时,它才会获得政治动力。因此,它提出了两个重要结论。首先,冷冻技术带来的剥夺生命的力量更有可能在根深蒂固的关系中瓦解,而不是带来变革或破坏性的潜力。其次,本文还举例说明,悬浮项目并不一定注定要服务于管理生命的霸权方式。本文主张防止这种错配被遗忘。
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引用次数: 0
What is the cure for absolute infertility? Biomedicalisation and routinisation of surrogacy and uterus transplantation in Nordic medical journals 如何治疗绝对不孕症?北欧医学期刊中代孕和子宫移植的生物医学化和常规化
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2024-07-09 DOI: 10.1057/s41292-024-00333-2
Lise Eriksson

This article investigates 20 years of discursive struggles in Nordic medical journals around the process of legitimating and routinising gestational surrogacy and uterus transplantation in Finland and Sweden. The comparative analysis through critical discourse analysis suggests that influential health care professionals have contributed to different levels of legal and cultural adaptation of the methods, prioritising non-commercial gestational surrogacy in Finland and uterus transplantation in Sweden. The article identifies central discursive turning points in the medical journal discussions by interpreting them against the background of medical and policy developments in Finland and Sweden during the analysed twenty-year period. Legitimation and routinisation of surrogacy and uterus transplantation were developed through biomedicalisation by representing them as infertility treatments and emphasising the relational dynamics between donors and recipients—a connection that in the Nordic context is often based on kinship or close relationships. The diagnosis of absolute uterine factor infertility was central to representing women as on the boundary between fertile and infertile, as they may have functioning ovaries. Through the biomedicalised rhetoric of equal opportunities for biogenetic motherhood, the diagnosed women’s ambiguous reproductive status was used to legitimise the two methods as cures for absolute infertility, thereby reinforcing hegemonic family and kinship norms.

本文研究了20年来北欧医学期刊围绕芬兰和瑞典妊娠代孕和子宫移植的合法化和常规化进程所展开的话语斗争。通过批判性话语分析进行的比较分析表明,有影响力的医疗保健专业人士在不同程度上促进了这些方法在法律和文化上的适应性,在芬兰优先考虑非商业性妊娠代孕,在瑞典优先考虑子宫移植。文章根据所分析的二十年间芬兰和瑞典的医疗和政策发展背景,对医学期刊讨论中的核心话语转折点进行了解读。代孕和子宫移植的合法化和常规化是通过生物医学化发展起来的,将其表现为不孕不育治疗方法,并强调捐赠者和接受者之间的关系动态--在北欧,这种关系通常建立在亲属或亲密关系的基础上。绝对子宫因素不孕症的诊断是代表妇女处于可育与不育界限的核心,因为她们可能有功能正常的卵巢。通过生物医学化的 "生儿育女机会均等 "的说辞,被诊断妇女模糊的生殖状况被用来使这两种方法合法化,作为绝对不孕症的治疗方法,从而强化了霸权的家庭和亲属关系规范。
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引用次数: 0
From brain “scar” to “bat shit crazy”: negotiating the madness of sexual violence discourse 从脑部 "疤痕 "到 "蝙蝠屎一样的疯狂":就性暴力话语的疯狂进行谈判
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2024-07-09 DOI: 10.1057/s41292-024-00334-1
Emma Yapp

This article analyses how people who identify with psychiatric diagnoses in England and Wales make sense of and talk about their experiences of sexual violence. I examine how interview participants engaged with the hegemonic trauma discourse, as well as the consequences of this for meaning-making, affective pain, and the feminist imperative to ‘speak out’. The hegemonic trauma discourse is characterised by leaving a psychological ‘scar’; is premised on a sudden interruption to a ‘good life’; and is considered pathologically unspeakable without intervention. This discourse was both validating and affectively painful for participants, and interventions targeting dissociation were helpful for assuaging distress. However, it was additionally normative and exclusionary, and did not fulfil the political promise of ‘speaking out’, as all participants faced myriad socio-political denial.

本文分析了在英格兰和威尔士被诊断为精神病的人是如何理解和谈论他们的性暴力经历的。我研究了访谈参与者是如何参与霸权创伤话语的,以及这种话语对意义建构、情感痛苦和女权主义者 "说出来 "的必要性所产生的后果。霸权创伤话语的特点是留下心理 "伤疤";以 "美好生活 "的突然中断为前提;并被认为在没有干预的情况下是不可言说的。对参与者来说,这种话语既是有效的,也是痛苦的,针对解离的干预措施有助于缓解痛苦。然而,它还具有规范性和排斥性,并没有实现 "说出真相 "的政治承诺,因为所有参与者都面临着无数的社会政治否定。
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引用次数: 0
Cell freezing and the biology of inexorability: on cryoprotectants and chemical time 细胞冷冻与不可逆转的生物学:关于低温保护剂和化学时间
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2024-07-07 DOI: 10.1057/s41292-024-00331-4
Hannah Landecker

What can’t freezing hold still? This article surveys the history of substances used to protect cells and organisms from freezing damage, known as cryoprotectants. Dimethyl sulfoxide (DMSO) has since 1959 been the most widely used of these agents in cryopreservation. Here, its evolution from pulp and paper waste byproduct to wonder drug to all-but-invisible routine element of freezing protocols is used to trace the direct arc from protection to toxicity in theories of how and why cryoprotectants work, from the 1960s to today. The power of these agents to simultaneously protect and degrade is shown to reside in manipulation of chemical time via hydrogen bonding and electron exchange, thereby reframing freezing as a highly active and transformational process. Countering long-held assumptions about cryopreservation as an operation of stasis after which the thawed entity is the same as it was before, this article details recent demonstrations of effects of cryoprotectant exposure that are nonlethal but nonetheless profoundly impactful within scientific and therapeutic practices that depend on freezing infrastructures. Understanding the operationalization of chemical time in the case of cryoprotectants is broadly relevant to other modern technologies dedicated to shifting how material things exist and persist in human historical time.

冷冻不能使什么保持不动?本文概述了用于保护细胞和生物体免受冷冻损伤的物质(即冷冻保护剂)的历史。自 1959 年以来,二甲基亚砜(DMSO)一直是冷冻保护剂中使用最广泛的一种。在这里,我们将利用二甲基亚砜从纸浆和造纸废料副产品到神奇药物再到冷冻方案中几乎不可见的常规元素的演变过程,来追溯从 20 世纪 60 年代到今天冷冻保护剂如何以及为何起作用的理论中从保护到毒性的直接弧线。通过氢键和电子交换对化学时间的操纵,证明了这些药剂同时具有保护和降解的能力,从而将冷冻重塑为一个高度活跃的转化过程。长期以来,人们一直认为冷冻保存是一种停滞操作,解冻后的实体与解冻前一样,本文与这种观点相反,详细介绍了最近展示的冷冻保护剂接触效果,这些效果并不致命,但却对依赖冷冻基础设施的科学和治疗实践产生了深远影响。在低温保护剂的案例中理解化学时间的可操作性与其他致力于改变物质如何在人类历史时间中存在和持续的现代技术具有广泛的相关性。
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引用次数: 0
The repro-paradox of sustainable reproduction—debating demographic anxieties in the Danish media (2010–2022) 可持续再生产的悖论--丹麦媒体对人口焦虑的辩论(2010-2022 年)
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2024-06-22 DOI: 10.1057/s41292-024-00330-5
Anna Sofie Bach, Michala Hvidt Breengaard

In Denmark, as in many other countries, declining fertility rates have stimulated debates about ‘underpopulation’ as a threat to the nation’s future sustainability. At the same time, climate change has initiated debates about ‘overpopulation’ and ‘overconsumption’ as a problem for sustaining the planet. While both debates can be understood in terms of demographic anxieties placing sustainable reproductive futures’ central, they exhibit different ideas of what ‘sustainable’ entails. In this article, we analyze how sustainable reproduction is negotiated within agendas of respectively a national fertility crisis and the climate crisis. We do so by mapping the media debates in Denmark in the period between 2010 and 2022. The aim of the article is to contribute to an understanding of the repro-paradox which simultaneously calls upon young Danes to reproduce more and less.

与许多其他国家一样,丹麦生育率的下降引发了关于 "人口不足 "威胁国家未来可持续发展的讨论。与此同时,气候变化也引发了关于 "人口过剩 "和 "过度消费 "是地球可持续发展问题的讨论。虽然这两场辩论都可以从人口焦虑的角度来理解,将可持续的生殖未来作为核心,但它们对 "可持续 "的内涵表现出了不同的看法。在本文中,我们将分析可持续生育是如何分别在国家生育危机和气候危机的议程中进行协商的。为此,我们绘制了 2010 年至 2022 年期间丹麦媒体辩论的地图。文章的目的在于帮助人们理解同时呼吁年轻丹麦人多生育和少生育的生育矛盾。
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引用次数: 0
Reproducing the normal and the pathological in personalized cancer medicine clinical trials 在个性化癌症医学临床试验中再现正常和病理现象
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2024-06-16 DOI: 10.1057/s41292-024-00329-y
Nadav Even Chorev, Dani Filc

The medical practice termed Personalized Medicine ideally uses all the patient’s possible characteristics in predicting disease predisposition and response to therapy, but primarily employs the individual’s unique molecular make-up in the tailoring of treatment. This change in medical practice also entails an epistemic shift towards ‘molecularization’: individuals and disease are now understood and governed through life’s basic building blocks. In this paper we argue that underlying personalized medicine is a continued understanding of the pathological state as a quantitative deviation from a normal state. In this we build on the critique of French philosopher Georges Canguilhem who positioned the quantitative interpretation of the pathological in nineteenth century medical thinking. Personalized cancer medicine takes each patient’s cancer as singular, implying that there is no ‘normal’ baseline for comparing individual pathology. We analyze cases of personalized cancer clinical trials from recent years to show that each displays a quantitative understanding of the pathological reminiscent of past thinking in two main modes: a molecularized interpretation of cancer pathology and a quantitative measuring of targeted therapy efficacy. We situate the analysis in broader discussions of historical medical shifts and in current studies of personalized medicine, to outline implications of this form of continuity.

被称为 "个性化医学 "的医疗实践,理想的做法是利用病人所有可能的特征来预测疾病的易感性和对治疗的反应,但主要是利用个人独特的分子构成来量身定制治疗方案。医疗实践的这一变化也意味着认识论向 "分子化 "的转变:现在,人们通过生命的基本组成单元来理解和控制个体和疾病。在本文中,我们认为个性化医疗的基础是继续将病理状态理解为对正常状态的定量偏离。在这一点上,我们以法国哲学家乔治-康吉伦(Georges Canguilhem)的批判为基础。个性化癌症医学将每位患者的癌症视为单一的,这意味着没有 "正常 "基线可用于比较个体病理学。我们对近年来的个性化癌症临床试验案例进行了分析,结果表明,每项试验都显示出对病理学的定量理解,这让人联想到过去的思维模式,主要有两种模式:对癌症病理学的分子化解释和对靶向疗法疗效的定量测量。我们将这一分析置于对历史医学转变和当前个性化医学研究的更广泛讨论中,以概述这种连续性形式的意义。
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引用次数: 0
Harnessing the value of human bodily material: a bioconstitutional analysis 利用人体材料的价值:生物制度分析
IF 1.6 4区 医学 Q2 Social Sciences Pub Date : 2024-05-18 DOI: 10.1057/s41292-024-00327-0
Hadrien Macq, Céline Parotte, Pierre Delvenne

Human tissues and cells are now recognized as an important source of health and wealth. As such, public authorities have assumed responsibility for regulating their procurement, storage and use. Looking at the interactions between law and life through the lens of ‘bioconstitutionalism’, we specifically ask how human bodily material (HBM) is regulated and explore the resulting changing relationships between citizens, public authorities and researchers in Belgium, a country where the pharmaceutical industry weighs heavily in terms of employment and economic growth. We examine the regulation of HBM and show how the Belgian bioconstitutional order increasingly promotes research by facilitating the availability and use of HBM in the hope that this will fuel the engine of innovation, employment, and economic growth. We argue that this represents a turnaround from traditional conceptions of biological citizenship, as the state’s demand that its citizens donate their HBM for research is reinforced. We emphasize that what it means to be “altruistic” is being reshaped within a new moral economy of donation, without a clear recognition of this reshaping: while citizens are crucial contributors to the development of the bioeconomy, they are excluded from participating in the governance of how this bioeconomy develops.

人体组织和细胞现已被视为健康和财富的重要来源。因此,公共机构承担起了监管其采购、储存和使用的责任。从 "生物宪政 "的视角审视法律与生命之间的互动,我们特别提出了如何监管人体材料(HBM)的问题,并探讨了比利时公民、公共机构和研究人员之间不断变化的关系。我们研究了对人体材料的监管,并展示了比利时的生物机构秩序是如何通过促进人体材料的可用性和使用来日益推动研究的,并希望以此来推动创新、就业和经济增长。我们认为,这代表着传统生物公民概念的转变,因为国家要求其公民捐献他们的 HBM 用于研究的要求得到了加强。我们强调,"利他主义 "的含义正在新的捐赠道德经济中被重塑,而这种重塑却没有得到明确的认可:虽然公民是生物经济发展的重要贡献者,但他们却被排除在如何发展生物经济的管理之外。
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引用次数: 0
What to do with the new molecular publics: the vernacularization of pathogen genomics and the future of infectious disease biosocialities 如何对待新的分子公众:病原体基因组学的本土化与传染病生物社会性的未来
IF 1.6 4区 医学 Q2 Social Sciences Pub Date : 2024-04-13 DOI: 10.1057/s41292-024-00326-1
Stephen Molldrem

Recent decades have seen expansions in the subfield of pathogen genomic epidemiology, also called ‘molecular epidemiology.’ Practitioners in this area analyze pathogen genetic sequence data to identify the emergence of pathogen subtypes or ‘variants,’ including ones that have evolved to have problematic biological characteristics such as greater transmissibility or treatment resistance. The field’s prominence has led to public controversies surrounding applications of pathogen genomics in disease control. The most highly visible examples occurred during the COVID-19 pandemic, when the designation of SARS-CoV-2 ‘Variants of Concern’ by the World Health Organization shaped public health strategies, media stories, and everyday talk about the pandemic. Drawing on several cases, I argue that controversies around uses of pathogen genomics have driven the emergence of a novel kind of socio-technical form, which I call a ‘molecular public.’ Molecular publics materialize when pathogen genomic science enters public discourse through news media or similar means, followed by people recognizing themselves as being potentially at risk of becoming infected with a particular pathogen subtype or affected by policy responses to a variant. I present molecular publics as a useful analytic for social studies of infectious disease and a vector through which novel biosocialities mediated by pathogens can emerge.

近几十年来,病原体基因组流行病学(又称 "分子流行病学")子领域不断扩展。该领域的从业人员分析病原体基因序列数据,以确定病原体亚型或 "变种 "的出现,包括那些已进化到具有问题生物特征(如更强的传播性或抗药性)的病原体。这一领域的突出成就引发了公众对病原体基因组学在疾病控制中应用的争议。最引人注目的例子发生在 COVID-19 大流行期间,当时世界卫生组织指定 SARS-CoV-2 为 "关注变异体",这影响了公共卫生策略、媒体报道和有关该流行病的日常讨论。根据几个案例,我认为围绕病原体基因组学用途的争议推动了一种新型社会技术形式的出现,我称之为'分子公众'。当病原体基因组科学通过新闻媒体或类似手段进入公众讨论,随后人们认识到自己可能面临感染特定病原体亚型的风险,或受到针对变异体的政策反应的影响时,分子公众就出现了。我将分子公众作为传染病社会研究的一种有用的分析方法,也是病原体介导的新型生物社会性得以出现的载体。
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引用次数: 0
Remembering Adele Clarke 缅怀阿黛尔-克拉克
IF 1.6 4区 医学 Q2 Social Sciences Pub Date : 2024-03-23 DOI: 10.1057/s41292-024-00325-2
Monica J. Casper
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引用次数: 0
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