TY - JOUR
T1 - Digital fairground the virtualization of health, illness, and the experience of "becoming a patient" as a problem of political ontology and social justice
AU - Stingl, Alexander I.
N1 - Publisher Copyright:
Copyright © 2014 by Emerald Group Publishing Limited.
PY - 2014
Y1 - 2014
N2 - An inquiry into the constitution of the experience of patienthood. It understands "becoming a patient" as a production of a subjectivity, in other words as a process of individuation and milieu that occurs through an ontology of production. This ontology of production can, of course, also be understood as a political ontology. Therefore, this is, first of all, an inquiry into a mode of production, and, secondly, an inquiry into its relation to the issue of social justice because of effects of digital divisions. In these terms, it also reflects on how expert discourses, such as in medical sociology and science studies (STS), can (and do) articulate their problems. Approach An integrative mode of discourse analysis, strongly related to discursive institutionalism, called semantic agency theory: it considers those arrangements (institutions, informal organizations, networks, collectivities, etc.) and assemblages (intellectual equipment, vernacular epistemologies, etc.) that are constitutive of how the issue of "patient experience" can be articulated form its position within an ontology of production. Findings The aim not being the production of a finite result, what is needed is a shift in how "the construction of patient experience" is produced by expert discourses. While the inquiry is not primarily an empirical study and is also limited to "Western societies," it emphasizes that there is a relation between political ontologies (including the issues of social justice) and the subjectivities that shape the experiences of people in contemporary health care systems, and, finally, that this relation is troubled by the effects of the digital divide(s). Originality A proposal "to interrogate and trouble" some innovative extensions and revisions even though it will not be able to speculate about matters of degree to contemporary theories of biomedicalization, patienthood, and managed care..
AB - An inquiry into the constitution of the experience of patienthood. It understands "becoming a patient" as a production of a subjectivity, in other words as a process of individuation and milieu that occurs through an ontology of production. This ontology of production can, of course, also be understood as a political ontology. Therefore, this is, first of all, an inquiry into a mode of production, and, secondly, an inquiry into its relation to the issue of social justice because of effects of digital divisions. In these terms, it also reflects on how expert discourses, such as in medical sociology and science studies (STS), can (and do) articulate their problems. Approach An integrative mode of discourse analysis, strongly related to discursive institutionalism, called semantic agency theory: it considers those arrangements (institutions, informal organizations, networks, collectivities, etc.) and assemblages (intellectual equipment, vernacular epistemologies, etc.) that are constitutive of how the issue of "patient experience" can be articulated form its position within an ontology of production. Findings The aim not being the production of a finite result, what is needed is a shift in how "the construction of patient experience" is produced by expert discourses. While the inquiry is not primarily an empirical study and is also limited to "Western societies," it emphasizes that there is a relation between political ontologies (including the issues of social justice) and the subjectivities that shape the experiences of people in contemporary health care systems, and, finally, that this relation is troubled by the effects of the digital divide(s). Originality A proposal "to interrogate and trouble" some innovative extensions and revisions even though it will not be able to speculate about matters of degree to contemporary theories of biomedicalization, patienthood, and managed care..
KW - Biomedicalization
KW - Digital divide
KW - Patient governmentality
KW - Political ontology
KW - Social justice
KW - Subjectivities
UR - https://www.scopus.com/pages/publications/84914107400
U2 - 10.1108/S0278-120420140000032004
DO - 10.1108/S0278-120420140000032004
M3 - Article
AN - SCOPUS:84914107400
SN - 0278-1204
VL - 32
SP - 53
EP - 92
JO - Current Perspectives in Social Theory
JF - Current Perspectives in Social Theory
ER -