Interacting Minds Centre, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Elective Surgery Center, Silkeborg Regional Hospital, Silkeborg, Denmark.
Med Anthropol. 2024 Feb 17;43(2):115-129. doi: 10.1080/01459740.2023.2300080. Epub 2024 Jan 11.
Healthcare professionals use various technologies to evaluate and support patients who have suffered severe brain injuries. They integrate monitoring and sensory assessments into their clinical practice, and these assessments can have an impact on treatment decisions and prognostication. Responses from patients during different interactions are interpreted as "signs of consciousness" when considered contextually relevant. This study is based on anthropological fieldwork conducted in specialized Danish intensive care units, where we explore how signs of consciousness are made to count through practices of enactment. We ethnographically trace how the clinical concept of potential influences the interpretation of signs of consciousness as a complex biosocial practice based on the biomedical assumption that consciousness is a vital indicator of what makes a life. The article provides insights into the potential for recovery as an emergent biosocial practice and contributes to a broader discussion within medical anthropology of the moral landscapes of clinical and experimental borderlands.
医疗专业人员使用各种技术来评估和支持遭受严重脑损伤的患者。他们将监测和感官评估纳入临床实践中,这些评估会对治疗决策和预后产生影响。当被认为具有上下文相关性时,患者在不同互动中的反应被解释为“意识迹象”。这项研究基于在丹麦专门的重症监护病房进行的人类学实地工作,我们探讨了如何通过实施实践使意识迹象具有重要意义。我们从民族志上追踪了潜在临床概念如何影响意识迹象的解释,将其作为一种复杂的生物社会实践,其基础是生物医学假设,即意识是生命的重要指标。本文深入探讨了恢复的可能性,将其作为一种新兴的生物社会实践,并为医学人类学中关于临床和实验边界的道德景观的更广泛讨论做出了贡献。