Institute of Public Health (ISPUP) and Cardiovascular R&D Unit, University of Porto Medical School, Portugal.
Sociol Health Illn. 2011 Sep;33(6):853-68. doi: 10.1111/j.1467-9566.2010.01327.x. Epub 2011 Feb 24.
This article explores the construction of meaning regarding assisted reproductive technology by legal framers, medical practitioners and would-be parents, through the concept of ecology of knowledge. It is argued that these inter-relationships between experts and lay people can be understood in terms of the formation of a social structure of ecology of knowledge, which depends on local and emotional knowledge co-produced by medical doctors, jurists and lay people in dynamic ways without compromising the autonomy of medical, legal and lay knowledge and skills. The assessment of the benefits and risks of assisted reproductive technology partially represents negotiations of knowledge between these social and professional groups, aiming to reproduce existing relations and practices, particularly the social power of medicine and technology, the dominant perceptions about women's and men's bodies and the geneticisation of genealogy. These negotiations of knowledge generate new rights, new social actors, new scientific fields and new ways of thinking and talking about individual and institutional responsibilities. Ecology of knowledge comes imbued with hope, trust, power, credibility of institutions and moralisation whereby some citizens' rights may be weakened.
本文通过知识生态学的概念，探讨了法律制定者、医疗从业者和准父母对辅助生殖技术的意义建构。本文认为，专家和非专业人士之间的这种相互关系，可以理解为一种知识生态学社会结构的形成，这种结构依赖于医学、法律和非专业人士以动态的方式共同产生的地方性和情感性知识，而不会损害医学、法律和非专业知识和技能的自主性。对辅助生殖技术的利益和风险的评估部分代表了这些社会和专业群体之间的知识协商，旨在再现现有关系和实践，特别是医学和技术的社会权力、对男女身体的主导观念以及系谱的基因化。这些知识协商产生了新的权利、新的社会行为者、新的科学领域以及关于个人和机构责任的新思维和新表达方式。知识生态学充满了希望、信任、权力、机构的可信度和道德化，这可能会削弱一些公民的权利。
