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Enacting objects and subjects in a children’s rehabilitation clinic: Default and shifting ontological politics of muscular dystrophy care
Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine ( IF 1.9 ) Pub Date : 2020-11-02 , DOI: 10.1177/1363459320969783
Patricia Thille 1 , Thomas Abrams 2 , Barbara E Gibson 3
Affiliation  

In health care clinics, problems are constructed through interactions, a choreography of human and non-human actors together enacting matters of concern. Studying the ways in which a body, person, family, or environment is objectified for clinical purposes opens discussion about advantages and disadvantages of different objectification practices, and exploration of creative ways to handle the diversity and tensions that exist. In this analysis, we explored objectifications in a Canadian neuromuscular clinic with young people with muscular dystrophy. This involved a close examination of clinical objectification practices across a series of 27 observed appointments. We identified the routinised clinical assessments, and argue these embed a default orientation to how to intervene in people’s lives. In this setting, the routine focused on meeting demands of daily activities while protecting the at-risk-body, and working toward an abstract sense of an independent future for the person/body with muscular dystrophy. But the default could be disrupted; through our analysis of the routine and disruptions, we highlight how contesting visions for the present and future were consequential in ways that might be more than what is anticipated within rehabilitation practice.



中文翻译:

在儿童康复诊所中扮演对象和对象:肌营养不良症护理的默认和转移的本体论政治

在医疗保健诊所,问题是通过互动构建的,人类和非人类行为者共同制定关注的问题。研究身体、人、家庭或环境为临床目的而被客观化的方式,开启了关于不同客观化实践的优缺点的讨论,并探索了处理存在的多样性和紧张局势的创造性方法。在这项分析中,我们探讨了加拿大神经肌肉诊所对患有肌肉萎缩症的年轻人的客观化。这涉及对一系列 27 次观察到的预约中的临床客观化实践进行仔细检查。我们确定了常规的临床评估,并认为这些评估嵌入了如何干预人们生活的默认方向。在这种设定下,该例程的重点是满足日常活动的需求,同时保护处于危险中的身体,并努力为患有肌肉萎缩症的人/身体提供独立未来的抽象意义。但是默认可能会被破坏;通过我们对常规和干扰的分析,我们强调了对现在和未来的竞争愿景如何以可能超出康复实践中预期的方式产生影响。

更新日期:2020-11-02
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