Latimer Joanna
SATSU, Department of Sociology, University of York, York, UK.
Sociol Health Illn. 2018 Feb;40(2):379-391. doi: 10.1111/1467-9566.12678.
In this paper I explore how the papers in this volume offer ways of thinking about materialities of care in terms of political ecologies, including hierarchies of value as well as assemblages, in which strategic agendas are made present in everyday practices, with profound and ordinary affects, as well as effects. I show how power can work through the association of multiple and heterogeneous materials and social processes to create 'thresholds', as spaces through which people must pass in order to be included as patients, and which circulate specific imaginaries over what counts as an appropriate need. I go on to suggest how some material practices are made mundane and immaterial, that is inconsequential, so that by drawing attention to their importance in how care is done (or not done) the papers help disrupt the commonplace production and reproduction of the 'neglected things' (Puig de la Bellacasa ) of healthcare environments, and by so doing help reimagine what is important for occasions to actually be caring. I then shift to thinking about a sensibility, one that is highly valued in this collection of articles, that helps illuminate different imaginaries of care to those that dominate healthcare environments, an approach that I have called elsewhere 'relational extension', and in the example I offer here show how shifts in extension as a form of motility disrupts stabilities and their reproduction, to accomplish different forms of world-making.
在本文中，我探讨了本卷中的论文如何提供从政治生态学角度思考护理物质性的方式，包括价值等级以及组合，在这些组合中，战略议程通过日常实践得以呈现，伴随着深刻而平凡的情感以及影响。我展示了权力如何通过多种异质材料和社会过程的关联发挥作用，以创造“门槛”，这些门槛是人们为了被纳入患者范畴而必须跨越的空间，并且这些门槛传播着关于什么才算是适当需求的特定想象。我接着指出，一些物质实践是如何变得平凡且无形，即无关紧要的，这样一来，通过关注它们在护理实施（或未实施）方式中的重要性，这些论文有助于扰乱医疗环境中“被忽视事物”（普伊格·德拉·贝拉卡萨）的常见生产与再生产，并且通过这样做，有助于重新构想真正体现关怀的场合中什么才是重要的。然后，我转向思考一种敏感性，这种敏感性在本系列文章中备受重视，它有助于阐明与主导医疗环境的那些护理想象不同的想象，我在其他地方将这种方法称为“关系扩展”，在此处提供的例子中，我展示了作为一种能动性形式的扩展变化如何扰乱稳定性及其再生产，以实现不同形式的世界构建。
