University of Toronto, Canada; The University of Queensland, Australia.
Auckland University of Technology, New Zealand.
Health (London). 2018 Mar;22(2):165-184. doi: 10.1177/1363459316688519. Epub 2017 Jan 23.
Drawing from Annemarie Mol's conceptulisation of multiplicity, we explore how health care practices enact their object(s), using physiotherapy as our example. Our concern is particularly to mobilise ways of practicing or doing physiotherapy that are largely under-theorised, unexamined or marginalised. This approach explores those actions that reside in the interstitial spaces around, beneath and beyond the limits of established practices. Using Mol's understanding of multiplicity as a theoretical and methodological driver, we argue that physiotherapy in practice often subverts the ubiquitous reductive discourses of biomedicine. Physiotherapy thus enacts multiple objects that it then works to suppress. We argue that highlighting multiplicities opens up physiotherapy as a space which can broaden the objects of practice and resist the kinds of closure that have become emblematic of contemporary physiotherapy practice. Using an exemplar from a rehabilitation setting, we explore how physiotherapists construct their object(s) and consider how multiplicity informs an otherwise physiotherapy that has broader implications for health care and rehabilitation.
借鉴安内玛丽·摩尔(Annemarie Mol)对多元性的概念化,我们以物理治疗为例,探讨医疗保健实践如何表现其对象。我们特别关注的是,如何调动那些在实践中在很大程度上未被理论化、未被检验或被边缘化的物理治疗方法。这种方法探讨了那些存在于既定实践的边缘、下方和之外的空间中的行动。我们利用 Mol 对多元性的理解作为理论和方法论的驱动因素,认为物理治疗在实践中常常颠覆了无处不在的生物医学还原论话语。因此,物理治疗表现出多种它试图抑制的对象。我们认为,强调多元性可以将物理治疗作为一个空间,拓宽实践的对象,并抵制当代物理治疗实践中具有代表性的那种封闭性。我们使用康复环境中的一个范例,探讨了物理治疗师如何构建他们的对象,并考虑多元性如何为物理治疗提供信息,这对医疗保健和康复有更广泛的影响。