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Chemical species: the art and politics of living with(out) drugs after addiction. 化学物种:成瘾后与毒品共存的艺术和政治
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-01-01 Epub Date: 2022-09-27 DOI: 10.1057/s41292-022-00281-9
Fay Dennis

We live within and are made up of ever-changing chemical flows. Witnessing a "chemical turn" in the social sciences, this article asks what a chemical reading of drugs and bodies can offer an understanding of drug dependency and recovery. Where chemicals render bodies "molecular" (Deleuze and Guattari, 1987), they open them up to more intimate forms of connection that extend our understanding of drug-body relationships beyond limiting categories such as addiction. Rather than a chemical drug entering a biological body, there are chemical interactions that expand the boundaries of where one ends and the other begins. While chemicals have long been a preoccupation in neurological models of addiction, they are seldom taken up in sociological studies of these concerns. Drawing on a series of body-mapping workshops with people in drug recovery/treatment in London, UK, to track these chemical bodies, this article explores the art of living a chemically transformed life. This is an art that thinks with Isabelle Stengers' (in Stengers and Savransky, 2018) notion of the word to include "not paying attention" as a mode of "paying attention to what may lurk" in living with the ongoing effects of drugs in unequally entangled worlds.

我们生活在不断变化的化学流中,并由化学流组成。随着社会科学的 "化学转向",本文提出了一个问题:对毒品和身体的化学解读能为我们理解毒品依赖和戒毒提供什么。化学物质使身体变得 "分子化"(德勒兹和瓜塔里,1987 年),它们为身体打开了更亲密的联系形式,使我们对毒品与身体关系的理解超越了成瘾等限制性范畴。与其说是化学药物进入生物体,不如说是化学作用扩大了两者之间的界限。长期以来,化学物质一直是成瘾的神经学模型所关注的问题,但在有关这些问题的社会学研究中却很少涉及。本文通过与英国伦敦的戒毒/治疗者进行一系列身体绘图工作坊,追踪这些化学物质的身体,探讨了化学变化的生活艺术。这种艺术与伊莎贝尔-施特恩格斯(Isabelle Stengers)(见施特恩格斯与萨弗兰斯基,2018 年)的概念一致,将 "不注意 "作为在不平等纠缠的世界中与毒品的持续影响共存时 "注意可能潜伏的东西 "的一种模式。
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引用次数: 0
Reprowebs: a conceptual approach to elasticity and change in the global assisted reproduction industry. Reprowebs: a conceptual approach to elasticity and change in the global assisted reproduction industry.
IF 1.3 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-01-01 Epub Date: 2021-10-09 DOI: 10.1057/s41292-021-00260-6
Anika König, Heather Jacobson

In the last few decades, assisted reproductive technologies (ARTs) have become increasingly transregional and transnational, often involving travel within or between countries or even continents. Until recently, the global ART industry was marked by so-called 'reprohubs'-places (such as southern California, Dubai, Anand, and Mumbai) specializing in the provision of reproductive services. While reprohubs continue to exist, in the last few years, many have splayed out, transforming into something more akin to webs that encompass, but go beyond these hubs. These webs show a unique dynamic capability to tighten, entangle, or extend in reaction to local and global changes, a characteristic which became particularly obvious during the global Covid-19 pandemic. In this paper, we propose conceptualizing this new dynamic capability as 'reprowebs'-an approach that adds a new dimension to the existing conceptualization of reproductive travel and helps us to better understand current developments in the global ART industry.

在过去的几十年里,辅助生殖技术(ARTs)变得越来越跨地区和跨国界,经常需要在各国国内或各国之间甚至在各大洲之间旅行。直到最近,全球辅助生殖技术产业的标志是所谓的 "生殖中心"--专门提供生殖服务的地方(如加利福尼亚南部、迪拜、阿南德和孟买)。虽然生殖中心依然存在,但在过去几年中,许多生殖中心已经分散开来,变成了更类似于网络的东西,包括这些中心,但又超越了这些中心。这些网络显示出一种独特的动态能力,可以根据当地和全球的变化而收紧、纠缠或延伸,这一特点在全球 Covid-19 大流行期间尤为明显。在本文中,我们建议将这种新的动态能力概念化为 "再网络"--这种方法为现有的生殖旅行概念化增添了新的维度,有助于我们更好地理解全球 ART 行业当前的发展。
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引用次数: 0
Entrepreneurial treatment activism for undone science: mannitol and Parkinson's disease. 未完成科学的创业治疗行动主义:甘露醇和帕金森病。
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-01-01 DOI: 10.1057/s41292-021-00258-0
Shlomo Guzmen-Carmeli, David A Rier

This paper describes CliniCrowd, a patient-designed, entrepreneurial, crowd-sourced citizen-science approach to evaluating mannitol-essentially, an orphan drug-as a Parkinson's disease treatment. As such, CliniCrowd addresses 'undone science', and our paper contributes to the sociological literature thereon. Based on 38 qualitative interviews, fieldwork, and content analyses (2017-2020), we trace CliniCrowd's background and rationale. We: discuss undone science and its wider contexts; present earlier iterations of citizen-science and treatment activism; examine CliniCrowd's application of crowd-sourced citizen-science to address undone science around 'orphan drug' treatment for Parkinson's disease; explore how CliniCrowd has evolved, and re-framed its work, since its founding; ponder its future; and consider whether their approach can guide future citizen-science treatment research. Our paper contributes to the existing literature in four ways. First, we focus on medical treatment issues, an under-studied area of undone science. Second, we highlight orphan drugs as both major source of, and fruitful area for research on, undone science. Third, we describe CliniCrowd's pragmatic, entrepreneurial-rather than the more common activist-citizen-science approach to addressing undone treatment science. Finally, from our data on CliniCrowd we distil a preliminary model for future treatment activism around undone science.

这篇论文描述了cliniccrowd,一个病人设计的,创业的,群众来源的公民科学方法来评估甘露醇,本质上是一种孤儿药,作为帕金森病的治疗方法。因此,cliniccrowd讨论了“未完成的科学”,我们的论文对社会学文献做出了贡献。基于38个定性访谈、实地调查和内容分析(2017-2020),我们追溯了cliniccrowd的背景和基本原理。我们:讨论未完成的科学及其更广泛的背景;呈现早期的公民科学和治疗行动主义;检查cliniccrowd应用众包公民科学来解决围绕帕金森病“孤儿药”治疗的未完成科学;探索cliniccrowd自成立以来是如何演变的,并重新构建了它的工作框架;思考它的未来;并考虑他们的方法是否可以指导未来的公民科学治疗研究。本文对现有文献的贡献有四个方面。首先,我们关注医疗问题,这是一个未完成科学研究的领域。其次,我们强调孤儿药既是未完成科学研究的主要来源,也是富有成果的研究领域。第三,我们描述了cliniccrowd务实的、企业家的——而不是更常见的活动家-公民-科学的方法来解决未完成的治疗科学。最后,从我们在cliniccrowd上的数据中,我们提炼出了一个初步的模型,用于未来围绕未完成科学的治疗活动。
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引用次数: 1
The life and death of confidentiality: a historical analysis of the flows of patient information. 保密的生与死:对患者信息流的历史分析。
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2023-01-01 Epub Date: 2022-01-29 DOI: 10.1057/s41292-021-00269-x
Sarah Wadmann, Mette Hartlev, Klaus Hoeyer

Health data can contain sensitive information. People who consult a doctor seek help on issues that matter to them: they typically expect some form of confidentiality. However, the notion and practices of confidentiality have changed dramatically over time. In this article, we trace the history of confidentiality in the Danish healthcare system, which has one of the world's most integrated patient information infrastructures. Building on an analysis of legal and political documents dating back to the late seventeenth century, we show that confidentiality originated as a social phenomenon that helped build trust in healthcare professionals and gradually developed into an idiom of citizens rights. Lately, confidentiality has given way to more technocratic forms of data protection. As the political, legal and technological reality, which the idea of confidentiality once referred to, has radically changed, we argue that confidentiality has become what Ulrik Beck has called a 'zombie category'-a notion that lives on even if its content has passed away. If confidentiality has become a zombie concept, we suggest it is time to discuss what may take its place so that patient interests are protected in the current political economy of health data.

健康数据可能包含敏感信息。咨询医生的人会在对他们来说重要的问题上寻求帮助:他们通常希望得到某种形式的保密。然而,随着时间的推移,保密的概念和做法发生了巨大变化。在这篇文章中,我们追溯了丹麦医疗系统的保密历史,该系统拥有世界上最集成的患者信息基础设施之一。基于对17世纪末的法律和政治文件的分析,我们发现保密起源于一种社会现象,有助于建立对医疗专业人员的信任,并逐渐发展成为公民权利的习语。最近,保密性已经让位给了更多技术官僚形式的数据保护。随着政治、法律和技术现实(保密的概念曾经提到过)发生了根本性的变化,我们认为保密已经成为Ulrik Beck所说的“僵尸类别”——即使其内容已经消失,这个概念仍然存在。如果保密已经成为一个僵尸概念,我们建议是时候讨论一下它可能会取代什么,以便在当前健康数据的政治经济中保护患者的利益。
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引用次数: 2
“It gives me time, but does it give me freedom?”: a contextual understanding of anticipatory decision-making in social egg freezing “这给了我时间,但它给了我自由吗?”:对社会卵子冷冻中预期决策的语境理解
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-12-31 DOI: 10.1057/s41292-022-00297-1
M. De Proost, G. Coene
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引用次数: 0
Epistemology of the side effect: anecdote and evidence in the digital age 副作用的认识论:数字时代的轶事和证据
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-12-22 DOI: 10.1057/s41292-022-00293-5
A. Lentacker
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引用次数: 0
The normal is pathological: semi-conscious brains, mindless habits, and the paradoxical science of mindfulness 正常是病态的:半意识的大脑、无意识的习惯和自相矛盾的正念科学
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-12-19 DOI: 10.1057/s41292-022-00292-6
Nedim Karakayali
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引用次数: 0
Psychedelic innovations and the crisis of psychopharmacology 迷幻药创新与精神药理学危机
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-12-15 DOI: 10.1057/s41292-022-00294-4
N. Langlitz
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引用次数: 3
“Black race”, “Schwarze Hautfarbe”, “Origine africaine”, or “Etnia nera”? The absent presence of race in European pharmaceutical regulation “黑人种族”、“Schwarze Hautfarbe”、“起源非洲”或“Etnia nera”?欧洲药品监管中不存在种族问题
IF 1.6 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-12-14 DOI: 10.1057/s41292-022-00291-7
S. Mulinari, Anna Bredström
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引用次数: 1
"The elephant in the room": social responsibility in the production of sociogenomics research. "房间里的大象":社会基因组学研究成果中的社会责任。
IF 1.3 4区 医学 Q4 SOCIAL SCIENCES, BIOMEDICAL Pub Date : 2022-12-01 Epub Date: 2021-07-03 DOI: 10.1057/s41292-021-00239-3
Daphne Oluwaseun Martschenko

Sociogenomics examines the extent to which genetic differences between individuals relate to differences in social and economic behaviors and outcomes. The field evokes mixed reactions. For some, sociogenomics runs the risk of normalizing eugenic attitudes and legitimizing social inequalities. For others, sociogenomics brings the promise of more robust and nuanced understandings of human behavior. Regardless, a history of misuse and misapplication of genetics raises important questions about researchers' social responsibilities. This paper draws on semi-structured interviews with sociogenomics researchers who investigate intelligence and educational attainment. It does so to understand how researcher's motivations for engaging in a historically burdened field connect to their views on social responsibility and the challenges that come with it. In interviews, researchers highlighted the trade-off between engaging in socially contested research and the potential benefits their work poses to the social sciences and clinical research. They also highlighted the dilemmas of engaging with the public, including the existence of multiple publics. Finally, researchers elucidated uncertainties over what social responsibility is in practice and whether protecting against the misuse and misinterpretation of their research is wholly possible. This paper concludes by offering ways to address some of the challenges of social responsibility in the production of knowledge.

社会基因组学研究个体之间的基因差异与社会和经济行为及结果差异的关联程度。这一领域引起的反应不一。有些人认为,社会基因组学有可能使优生态度正常化,并使社会不平等合法化。而对另一些人来说,社会基因组学则带来了对人类行为进行更有力、更细致理解的希望。无论如何,滥用和误用遗传学的历史提出了有关研究人员社会责任的重要问题。本文采用半结构式访谈的方式,采访了研究智力和教育程度的社会基因组学研究人员。这样做是为了了解研究人员从事这一历史负担沉重的领域的动机是如何与他们对社会责任的看法以及随之而来的挑战相联系的。在访谈中,研究人员强调了从事有社会争议的研究与他们的工作为社会科学和临床研究带来的潜在益处之间的权衡。他们还强调了与公众接触的困境,包括多重公众的存在。最后,研究人员阐明了社会责任在实践中的不确定性,以及防止滥用和曲解他们的研究是否完全可行。本文最后提出了在知识生产过程中应对社会责任挑战的一些方法。
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Biosocieties
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