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Embodied material encounters and the ambiguous promise of biomedical futures: The case of biologically derived medicines 具体的物质遭遇和生物医学未来的模糊承诺:生物衍生药物的案例
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-06-14 DOI: 10.1080/14636778.2020.1778459
Mianna Meskus, Venla Oikkonen
Therapies and prophylactics using biologically derived materials such as cells, microbes or tissues are often portrayed as key to increased future health. This article investigates the material preconditions of such visions. Building on feminist new materialist approaches, it explores the embodied material encounters between biologicals administered into living bodies and the vibrant materiality of the body. We investigate embodied material encounters through two biologicals, pandemic vaccines and stem cell therapies, focusing on vaccine-associated narcolepsy during the 2009 pandemic, and adverse reactions in an experimental stem cell therapy targeting an eye disease called AMD. We propose that the concept of embodied material encounter provides an important tool for STS by making visible the constitutive situatedness of risk and promise and the multiplicity of futures in therapeutically harnessed biological processes. We argue that ethically accountable visions of biomedical futures need to be anchored in a nuanced understanding of these embodied processes.
使用细胞、微生物或组织等生物来源材料的治疗和预防措施往往被描述为增进未来健康的关键。本文探讨了这种愿景的物质前提条件。在女权主义新唯物主义方法的基础上,它探索了被植入生命体的生物制剂与身体充满活力的物质性之间的具体物质相遇。我们通过两种生物制剂,大流行性流感疫苗和干细胞疗法研究了具体的物质接触,重点研究了2009年大流行性流感期间疫苗相关的发作性睡病,以及针对AMD眼病的实验性干细胞疗法的不良反应。我们提出,具体化的物质遭遇的概念为STS提供了一个重要的工具,通过使风险和承诺的构成情境和治疗利用生物过程的未来的多样性可见。我们认为,生物医学未来的伦理责任愿景需要建立在对这些具体过程的细致理解之上。
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引用次数: 2
Putting menopause on ice: the cryomedicalization of reproductive aging 冰封更年期:生殖衰老的低温医学化
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-06-07 DOI: 10.1080/14636778.2020.1775563
C. Kroløkke, A. Bach
This article examines how cryopreserved ovarian tissue is potentiated as a menopausal prevention and/or treatment cure. Based on a multi-sited ethnographic study, the article empirically foregrounds scientific accounts and interviews with Danish female cancer patients who had ovarian tissue preserved. Using situational analysis as a methodological approach along with analytical perspectives on potentiality, we identify three framings revealing how cryotechnology intervenes with women’s reproductive aging: Cryopreservation as a risk management technology, as an optimizing technology, and as a synchronization technology. The article shows how the ability to cryopreserve ovarian tissue in order to reverse menopause draws upon an understanding of menopause as not only controllable but of cryopreservation as a resource-wise technology that manages women’s aging bodies. Suggesting “cryomedicalization” as a term, the article highlights how cryopreserved ovarian tissue (re)constitutes normative temporalities, produces new understandings of cryo-restoration and raises questions related to the cryopolitics of women’s aging.
这篇文章探讨了冷冻保存的卵巢组织是如何作为绝经期预防和/或治疗治疗的。基于一项多地点的人种学研究,本文实证地对保存卵巢组织的丹麦女性癌症患者的科学叙述和访谈进行了展望。利用情境分析作为方法学方法以及对潜力的分析视角,我们确定了揭示冷冻技术如何干预女性生殖衰老的三种框架:冷冻保存作为风险管理技术,作为优化技术,作为同步技术。这篇文章展示了冷冻卵巢组织以逆转更年期的能力是如何利用对更年期的理解,不仅是可控的,而且是冷冻保存作为一种资源明智的技术来管理女性衰老的身体。这篇文章提出了“冷冻医学化”这一术语,强调了冷冻保存的卵巢组织(re)如何构成规范性的时间性,对冷冻修复产生了新的理解,并提出了与女性衰老的冷冻政治相关的问题。
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引用次数: 5
A portrait of assisted reproduction in Mexico: scientific, political, and cultural interactions 墨西哥辅助生殖的画像:科学、政治和文化的互动
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-06-05 DOI: 10.1080/14636778.2020.1775564
Nora Komposch, C. Schurr
Sandra P. Gonzales-Santos’s A Portrait of Assisted Reproduction in Mexico offers a unique insight into the fast-growing field of assisted reproduction in Mexico. By presenting the sociocultural, po...
Sandra P. Gonzales-Santos的《墨西哥辅助生殖的肖像》为墨西哥快速发展的辅助生殖领域提供了一个独特的视角。通过展示社会文化,……
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引用次数: 0
Transparency, consent and trust in the use of customers' data by an online genetic testing company: an Exploratory survey among 23andMe users 在线基因检测公司使用客户数据的透明度、同意和信任:23andMe用户的探索性调查
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-05-15 DOI: 10.1080/14636778.2020.1755636
Aviad E. Raz, E. Niemiec, H. Howard, S. Sterckx, Julian Cockbain, B. Prainsack
23andMe not only sells genetic testing but also uses customer data in its R&D activities and commercial partnerships. This raises questions about transparency and informed consent. Based on a online survey conducted in 2017–18, we examine attitudes of 368 customers of 23andMe toward the company's use of their data. Our findings point at divides in the context of customers' awareness of the two-sided business model of DTC genetics and their attitudes toward consent. While most of our respondents (68%) were aware that 23andMe could store their data and use it for certain purposes without their consent, over 40% were not aware that using and sharing customer data was part of the business model. Views were also divided regarding what type of consent was most appropriate. We explore the implications of these divides for participatory research and for the importance of transparency and trust in commercially-driven scientific knowledge production.
23andMe不仅销售基因检测,还在研发活动和商业合作中使用客户数据。这引发了关于透明度和知情同意的问题。根据2017-18年进行的一项在线调查,我们研究了23andMe的368名客户对公司使用其数据的态度。我们的研究结果指出,在客户对DTC基因的双边商业模式的认识和他们对同意的态度方面存在分歧。虽然我们的大多数受访者(68%)知道23andMe可以在未经他们同意的情况下存储他们的数据并将其用于某些目的,但超过40%的受访者不知道使用和共享客户数据是商业模式的一部分。对于哪种类型的同意是最适当的,意见也有分歧。我们探讨了这些分歧对参与性研究的影响,以及在商业驱动的科学知识生产中透明度和信任的重要性。
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引用次数: 16
Opening up forensic DNA phenotyping: the logics of accuracy, commonality and valuing 开启法医DNA表型:准确性、共性和价值的逻辑
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-04-30 DOI: 10.1080/14636778.2020.1755638
Roos Hopman
Forensic DNA Phenotyping (FDP) encompasses an emerging set of technologies aimed at predicting physical characteristics of unknown suspects from crime scene DNA traces. In its application FDP involves a variety of settings: research laboratories where FDP tests are developed, forensic laboratories where FDP technologies are used to analyze crime scene DNA traces, and finally the criminal investigation, where results of tests are applied towards finding suspects. In this paper I show that the practices in each of these settings work by a different set of concerns, which I articulate by adopting the notion of “logics” as developed by Annemarie Mol. I ethnographically trace FDP from research lab to investigation, identifying three different logics along the way: those of accuracy, commonality, and valuing respectively. Taken together, I show that these practices do not linearly accumulate but form a heterogeneous assemblage, adding nuance to discussions surrounding FDP.
法医DNA表型(FDP)包含了一套新兴的技术,旨在通过犯罪现场的DNA痕迹预测未知嫌疑人的身体特征。在其应用中,FDP涉及各种环境:开发FDP测试的研究实验室,使用FDP技术分析犯罪现场DNA痕迹的法医实验室,最后是刑事调查,将测试结果用于寻找嫌疑人。在本文中,我展示了每种情况下的实践都有不同的关注点,我通过采用Annemarie Mol提出的“逻辑”概念来阐明这些关注点。我从研究实验室到调查,从民族志上追踪FDP,并在此过程中分别确定了三种不同的逻辑:准确性、共性和价值。综上所述,我表明这些实践并不是线性累积的,而是形成了一个异质的组合,为围绕FDP的讨论增加了细微差别。
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引用次数: 8
A cold yield. Cryopreserved oocytes of “social freezing” customers as potential option values for biomedical research 冷产量。“社会冷冻”客户的冷冻卵母细胞作为生物医学研究的潜在选择价值
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-04-30 DOI: 10.1080/14636778.2020.1755637
Alexander Friedrich
While the demand for “social freezing” services has increased significantly in recent years, the number of cryopreserved eggs that are actually being used in treatment remains very low, so far. Both tendencies indicate a continuously growing stock of unused oocytes. In this article, I discuss the possibility that the growing stock could be co-opted to solve the problem of egg procurement especially for biomedical research. As a consequence, the secondary utilization of female fertility resources would become their main form of use. However, this would finally turn the customers of fertility services into unintended productive forces of a cryotechnologically advanced bioeconomy. The paper discusses the risk of a subtle form of exploitation that could be associated with this reproductive service in the future, which will pose further challenges for the practice of informed consent.
虽然近年来对“社会冷冻”服务的需求显著增加,但到目前为止,实际用于治疗的冷冻卵子数量仍然非常少。这两种趋势都表明未使用卵母细胞的存量在不断增加。在这篇文章中,我讨论的可能性,可以利用生长的库存来解决鸡蛋的采购问题,特别是用于生物医学研究。因此,女性生育资源的二次利用将成为其主要利用形式。然而,这最终会将生育服务的客户转变为冷冻技术先进的生物经济的意想不到的生产力。本文讨论了一种微妙的剥削形式的风险,这种剥削形式可能与未来的生殖服务有关,这将对知情同意的实践构成进一步的挑战。
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引用次数: 12
The welfare state driving “me” and “we” medicine – a critical discourse analysis 福利国家驱动“我”与“我们”医学——批判性话语分析
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-04-28 DOI: 10.1080/14636778.2020.1755635
M. Terkildsen, V. Burau, Ulla Væggemose, Nina Konstantin Nissen
This study explored the relationship between visions of personalized medicine, for-profit companies, and state governance in the context of an ongoing discussion of “me” vs. “we” medicine. It took its empirical departure in a Scandinavian welfare state, Denmark, and a discourse analysis was conducted based on interviews, documents, webpages, and media sources from vital public and private stakeholders. The analysis demonstrated how the development of a program for personalized medicine in Denmark emerges as largely driven by the state. Although for-profit companies are involved, the Danish state governs the development of the personalized medicine program single-handedly. This results in a form of personalized medicine framed in both “me” and “we” discursive terms. The analysis revealed that the welfare state plays a dominating role and controls these discourses articulating certain ideas of “me” and “we.” When compared to other studies, these results showed how the role of welfare states may still remain potent in the development of personalized medicine, and in the case of a Scandinavian welfare state, this challenges established views of a “me” vs. “we” dichotomy.
在“我”与“我们”医学的持续讨论背景下,本研究探讨了个性化医疗愿景、营利性公司和国家治理之间的关系。它以斯堪的纳维亚福利国家丹麦为实证出发点,并基于重要的公共和私人利益相关者的访谈、文件、网页和媒体来源进行了话语分析。分析表明,丹麦个性化医疗项目的发展在很大程度上是由国家推动的。虽然营利性公司也参与其中,但丹麦政府一手管理着个性化医疗项目的发展。这导致了一种以“我”和“我们”两种话语形式框架的个性化医疗形式。分析表明,福利国家在这些表达“我”和“我们”某些观念的话语中起着主导作用和控制作用。与其他研究相比,这些结果表明,福利国家在个性化医疗的发展中可能仍然发挥着重要作用,而在斯堪的纳维亚福利国家的情况下,这挑战了“我”与“我们”二分法的既定观点。
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引用次数: 8
Bioinsecurities: disease interventions, empire, and the government of species 生物不安全:疾病干预、帝国和物种治理
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-04-26 DOI: 10.1080/14636778.2020.1755640
Courtney Addison
In Bioinsecurities, Neel Ahuja charts the lively and affective forces that constitute and threaten US empire. Racialized discourses of contagion and risk are repeatedly coded as matters of security...
在《生物不安全》一书中,尼尔·阿胡贾描绘了构成并威胁美国帝国的活跃而有力的力量。传染和风险的种族化话语被反复编码为安全问题。
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引用次数: 5
Facing legal barriers regarding disclosure of genetic information to relatives 在向亲属披露遗传信息方面面临法律障碍
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-04-21 DOI: 10.1080/14636778.2020.1755639
Roy Gilbar, S. Barnoy
Leading research projects are evidence of the growing public interest in genetic diagnosis and treatment. In this context, disclosure of genetic information to relatives has become a prominent issue. However, this involves patient confidentiality, which is grounded in law and conflicts with disclosure to relatives. When conducting a legal and bioethical discussion in this context, it is first necessary to examine how clinicians perceive the role of law in their practice and how they interpret it. A qualitative study was therefore conducted among clinicians in Israel. The findings indicate that the clinicians’ approach is more relational than that of the law, in view of their pro-active steps to ensure that familial information reaches the relatives when the patient is reluctant to convey this information themselves. In light of these findings the authors argue that the law can resolve situations of explicit and implicit refusal to inform relatives.
领先的研究项目是公众对基因诊断和治疗日益增长的兴趣的证据。在这种背景下,向亲属披露遗传信息已成为一个突出的问题。然而,这涉及到病人的保密,这是基于法律的,与向亲属透露有冲突。在这种情况下进行法律和生物伦理讨论时,首先有必要检查临床医生如何看待法律在其实践中的作用以及他们如何解释法律。因此,在以色列的临床医生中进行了定性研究。研究结果表明,临床医生的方法比法律更具有相关性,因为他们采取了积极的步骤,以确保在患者不愿自己传达这些信息时,将家庭信息传达给亲属。鉴于这些发现,作者认为,法律可以解决明确或暗示拒绝通知亲属的情况。
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引用次数: 0
Television and the genetic imaginary 电视和基因想象
IF 1.8 4区 医学 Q2 Social Sciences Pub Date : 2020-04-21 DOI: 10.1080/14636778.2020.1755641
Kostas Kampourakis
There is no doubt that television can provide various representations of what science is and how it is done, as well as convey various messages about the specifics of various disciplines. As far as...
毫无疑问,电视可以提供科学是什么以及科学是如何进行的各种表现,也可以传达关于不同学科细节的各种信息。就…而言
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引用次数: 0
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New Genetics and Society
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