Centre for Biomedicine, Self and Society, Edinburgh Medical School, University of Edinburgh, Edinburgh, UK.
Sociol Health Illn. 2019 Oct;41 Suppl 1(Suppl 1):16-30. doi: 10.1111/1467-9566.12811. Epub 2018 Sep 2.
Digital artefacts and infrastructures have been presented as ever more urgent and necessary for mental health research and practice. Telepsychiatry, mHealth, and now digital psychiatry have been promoted in this regard, among other endeavours. Smartphone apps have formed a particular focus of promissory statements regarding the improvement of epistemic and clinical work in psychiatry. This article contextualises and historicises some of these developments. In doing so, I show how purportedly novel fields have been constituted in part through practices of 'performative nominalism' (whereby articulations of a neologism in relation to established and recent developments participate in producing the referent of the new term). Central to this has been implicit and explicit extolment of what I term biomedical virtues in public-facing and professionally orientated discourse. I document how emphases on various virtues have shifted with the attention of psychiatry to different digital modalities, culminating with knowledge-production in mental health as one significant focus.
数字人工制品和基础设施被认为对心理健康研究和实践越来越重要和必要。在这方面，除其他努力外，还推广了远程精神病学、移动医疗和现在的数字精神病学。智能手机应用程序成为改善精神病学中认识论和临床工作的有希望的声明的特别关注点。本文对其中的一些发展进行了背景化和历史化。在这样做的过程中，我展示了所谓的新领域是如何部分通过“表现主义唯名论”的实践构成的（即通过与既定和最新发展相关的新词的表述来参与产生新词的指称）。这其中的核心是在面向公众和面向专业人员的话语中，我所称的生物医学美德的隐含和明确的赞扬。我记录了随着精神病学对不同数字模式的关注，对各种美德的强调是如何变化的，最终以心理健康的知识生产为一个重要焦点。
