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当自我追踪进入身体康复领域:从“被动”自我追踪到护理安排中的持续情感互动。

When self-tracking enters physical rehabilitation: From 'pushed' self-tracking to ongoing affective encounters in arrangements of care.

作者信息

Schwennesen Nete

机构信息

Department of Anthropology/Department of Public Health, Centre for Healthy Ageing, Copenhagen University, Copenhagen, Denmark.

出版信息

Digit Health. 2017 Aug 30;3:2055207617725231. doi: 10.1177/2055207617725231. eCollection 2017 Jan-Dec.

Abstract

In this paper, I explore what happens when self-tracking technologies and devices travel into the context of physical rehabilitation and come to constitute what Lupton has called 'pushed' self-tracking. By unpacking the processes through which a self-tracking technology is put to use in physical rehabilitation in Denmark, and the kind of relationships patients and healthcare providers establish with and through this technology, I illustrate how a new geography of responsibility is constituted, where responsibility for professional guidance is delegated to the technology and patients are expected to produce and engage in movement data. In contrast to the image of 'pushing' as a single activity where one part (technology) has the authority to push the other (patient) to act in certain ways, I argue that 'the push' is better described as an ongoing and contingent process that evolves through affective and affecting encounters between human (patients, healthcare providers) and nonhuman (technology, algorithms, software) actors. I illustrate that even though responsibility is delegated to the technology, it is unable to make bodies move by itself. Rather, what determines what 'it' becomes and how 'it' comes to act is enabled by the constitution of a wider arrangement of care and the arrangements' ability to affect and respond to particular bodies.

摘要

在本文中,我探讨了自我追踪技术和设备进入物理康复领域并构成卢普顿所称的“推动式”自我追踪时会发生什么。通过剖析丹麦一种自我追踪技术在物理康复中被应用的过程,以及患者和医疗服务提供者与该技术建立并通过该技术形成的关系类型,我阐述了一种新的责任地理格局是如何形成的,在这种格局中,专业指导的责任被委托给技术,并且期望患者生成并参与运动数据。与将“推动”视为一种单一活动的形象不同,即一方(技术)有权推动另一方(患者)以特定方式行动,我认为“推动”更宜被描述为一个持续且偶然的过程,它通过人类(患者、医疗服务提供者)与非人类(技术、算法、软件)行为体之间的情感性和相互影响的相遇而演变。我表明,尽管责任被委托给了技术,但它无法使身体自行移动。相反,决定“它”成为什么以及“它”如何行动的是更广泛的护理安排的构成以及该安排影响和回应特定身体的能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4b1/6001258/8e70f4f0f522/10.1177_2055207617725231-fig1.jpg

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