University of Edinburgh, Usher Institute of Population Health Sciences and Informatics, Medical School, Teviot Place, Edinburgh EH8 9AG, United Kingdom.
Neuroimage. 2021 Aug 1;236:118086. doi: 10.1016/j.neuroimage.2021.118086. Epub 2021 Apr 23.
Drawing on insights from sociology, anthropology, and the history of science and medicine, this paper considers some of the social dimensions and implications for neuroimaging research undertaken within low- and middle-income countries (LMICs). It highlights three key inter-connected issues: (1) technologies for enhancing understandings of ill-health are theory-laden; (2) such technologies are theory-generating; and (3) studies of mental ill-health can also introduce new idioms for understanding subjective distress. The paper unpacks and explores these issues. It argues that the use of neuroimaging technologies in population research has the potential to contribute to solidifying - or even introducing - a biological (and specifically brain-based) understanding of mental ill-health within the communities under study. Examples from studies of neuroscience and society in various high-income countries (HICs) where neuroimaging is popular within public discourse illustrates how this can happen, and with what effects. The social dimensions and implications of neuroimaging are issues that all researchers using these technologies need to not only anticipate, but also explicitly plan for (and potentially seek to mitigate). Without adequate consideration, neuroimaging research carries with it particular risks in relation to extending the epistemological coloniality associated with HIC-sponsored studies conducted within LMIC settings.
本文借鉴社会学、人类学以及科学和医学史的研究成果,探讨了在中低收入国家(LMICs)开展的神经影像学研究的一些社会层面问题及其影响。本文强调了三个关键的相互关联的问题:(1)用于增强对健康不良的理解的技术带有理论倾向;(2)此类技术具有生成理论的能力;(3)对精神健康问题的研究也可以引入理解主观痛苦的新习语。本文对这些问题进行了解构和探讨。本文认为,在人群研究中使用神经影像学技术有可能有助于在研究社区中巩固——甚至引入——对精神健康不良的生物学(特别是基于大脑的)理解。来自各种高收入国家(HICs)神经影像学在公共话语中很流行的神经科学和社会研究的例子说明了这是如何发生的,以及会产生什么影响。神经影像学的社会层面问题和影响是所有使用这些技术的研究人员不仅需要预见,而且还需要明确计划(并可能寻求减轻)的问题。如果没有充分的考虑,神经影像学研究可能会带来特定的风险,因为它会扩大与 HIC 赞助的在 LMIC 环境中开展的研究相关的认识论殖民主义。