Section of Medical Ethics, Amsterdam University Medical Centre, and Department of Anthropology, University of Amsterdam, Amsterdam, The Netherlands.
Section of Medical Ethics, Amsterdam University Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Sociol Health Illn. 2019 Oct;41 Suppl 1(Suppl 1):98-115. doi: 10.1111/1467-9566.12894.
Prevention enthusiasts show great optimism about the potential of health apps to modify peoples' lifestyles through the tracking and quantification of behaviours and bodily signs. Critical sociologists warn for the disciplining effects of self-tracking. In this paper we use an empirical ethics approach to study the characteristics and strivings of the various types of 'ethico-psychological subjects' that emerge in practices of self-quantification by analysing how people and numbers relate in three cases of self-quantification: in prevention discourse, in testimonies from the quantified self (QS) movement and in empirical work we did with people with Diabetes type I and with 'every day self-trackers'. We show that a free subject that needs support to enact its will is crucial to understand the optimism about prevention. In the QS-movement the concern is with a lack of objective and personalised knowledge about imperceptible processes in the body. These subjects are decentered and multiplied when we trace how numbers in their turn act to make sense of people in our empirical study. We conclude that there are many different types of ethico-psychological subjects in practices of self-tracking that need to be explored in order to establish what good these practices of self-quantification might do.
健康应用程序通过跟踪和量化行为和身体信号,改变人们的生活方式,这让预防爱好者们对其充满了极大的乐观。批判社会学家则警告说,自我追踪具有规训效应。本文通过分析自我量化实践中不同类型的“伦理心理主体”的特征和诉求,运用实证伦理方法,研究了自我量化的三个案例:预防话语、“量化自我”运动中的证词以及我们与 I 型糖尿病患者和“日常自我追踪者”所做的实证工作中,人与其数字之间的关系。我们表明,理解预防的乐观主义,关键在于关注需要支持才能实现意愿的自由主体。在“量化自我”运动中,人们关注的是缺乏关于身体内不可感知过程的客观和个性化知识。当我们追踪数字如何反过来作用于我们的实证研究中的人以理解他们时,这些主体被去中心化和倍增。我们的结论是,在自我追踪实践中有许多不同类型的伦理心理主体,需要加以探索,以确定自我量化实践可能带来的好处。