Tampere University, Finland.
University of Turku, Finland.
Public Underst Sci. 2020 Jul;29(5):508-523. doi: 10.1177/0963662520934752. Epub 2020 Jun 27.
The contestation of expertise is perhaps nowhere more pronounced than in the field of health and well-being, on which this article focuses. A multitude of practices and communities that stand in contentious relationships with established forms of medical expertise and promote personalised modes of self-care have proliferated across Euro-American societies. Drawing on multi-sited ethnography in three domains - body-mind-spirit therapies, vaccine hesitancy and consumer-grade digital self-tracking - we map such practices through the concept of 'everyday fringe medicine'. The concept of everyday fringe medicine enables us to bring together various critical health and well-being practices and to unravel the complex modes of contestation and appreciation of the medical establishment that are articulated within them. We find three critiques of the medical establishment - critiques of medical knowledge production, professional practices and the knowledge base - which make visible the complexities related to public understandings of science within everyday fringe medicine.
专业知识的争议在健康和福祉领域或许最为明显,本文聚焦于此。在欧美社会,大量与既定医学专业知识存在争议并倡导个性化自我保健模式的实践和社区如雨后春笋般涌现。本文通过“日常边缘医学”这一概念,对三个领域——身心疗法、疫苗犹豫和消费者级别的数字自我追踪——的多点民族志进行研究,以此描绘这些实践。“日常边缘医学”这一概念使我们能够将各种重要的健康和保健实践联系起来,并揭示出其中所体现的、对医疗体系的复杂争议和赞赏模式。我们发现了对医疗体系的三个批判——对医学知识生产、专业实践和知识库的批判——这些批判使日常边缘医学中与公众对科学的理解相关的复杂性变得可见。