Davies Elspeth
Department of Social Anthropology, University of Cambridge, Cambridge, UK.
Med Anthropol. 2024 Aug 2:1-14. doi: 10.1080/01459740.2024.2376004.
Drawing on fieldwork in Facebook support groups, in this article I explore how people, now patients, learnt to live with Barrett's esophagus, a risk state or "precancer" for a type of esophageal cancer. This diagnosis brought the possibility of both facing and averting cancerous futures into the present. Far from passive recipients, members worked to foreground speculations of "wanted futures" in which prompt surveillance successfully prevented cancer deaths, transforming cancer risk into an opportunity for hope. Speculation here was an ambivalent and active process, involving not only the "observation of potentiality," but the opening up and foreclosing of both desirable and undesirable potentialities.
基于在脸书支持小组的实地调查,在本文中我探讨了人们(如今已成为患者)是如何学会与巴雷特食管共存的,巴雷特食管是一种食管癌的风险状态或“癌前病变”。这一诊断将直面和避免癌症未来的可能性带入了当下。成员们远非被动接受者,他们努力将对“理想未来”的猜测置于突出位置,在这种未来中,及时的监测成功预防了癌症死亡,将癌症风险转化为了希望的机会。这里的猜测是一个矛盾且积极的过程,不仅涉及“对可能性的观察”,还包括对 desirable 和 undesirable 可能性的开启与排除。 (注:原文中“desirable”和“undesirable”未翻译,是因为不清楚具体所指含义,需结合上下文确定准确中文表述)