This paper focuses on recent developments in UK health research policy, which place new pressures on researchers to address issues of accountability and impact through the implementation of patient and public involvement (PPI). We draw on an in-depth interview study with 20 professional researchers, and we analyse their experiences of competing for research funding, focusing on PPI as a process of professional research governance. We unearth dominant professional narratives of scepticism and alternative identifications in their enactment of PPI policy. We argue that such narratives and identifications evidence a resistance to ways in which patient involvement has been institutionalised and to the resulting subject-positions researchers are summoned to take up. We show that the new subjectivities emerging in this landscape of research governance as increasingly disempowered, contradictory and fraught with unresolved tensions over the ethical dimensions of the researchers’ own professional identities.

本文重点关注英国卫生研究政策的最新发展，这给研究人员带来了新的压力，要求他们通过实施患者和公众参与 (PPI) 来解决问责制和影响问题。我们对 20 位专业研究人员进行了深入访谈研究，分析了他们争夺研究资金的经历，重点关注 PPI 作为专业研究治理的过程。我们在 PPI 政策的制定中发现了怀疑主义和替代认同的主要专业叙述。我们认为，这样的叙述和认同证明了对患者参与制度化的方式以及研究人员被要求采取的由此产生的主题立场的抵制。