Ранние работы Рене Фокс: связь заботы и неопределенности в медицинских практиках
Ключевые слова:
социология медицины, медицинская неопределенность, забота, Experiment PerilousАннотация
Статья переосмысляет ранние работы Рене Фокс — в первую очередь ее монографию «Experiment Perilous» (1959) — сквозь призму связи важных для нее тем неопределенности и заботы в клинической практике и производстве научного знания. Стандартная рецепция Фокс как исследовательницы профессиональной социализации и ролевых ожиданий в медицинской работе редуцирует эту тематику, игнорируя эпистемическую и аффективную проблематику практических процессов клинико-исследовательской работы. Реконструируя влияние Мертона, проявляющееся в методологической рамке ролевых конфликтов, статья показывает, что Фокс уже в ранних работах смещает фокус с воспроизводства норм на механизмы эмоциональной регуляции, возникающие в условиях многоуровневой неопределенности: непрозрачности индивидуального и коллективного медицинского знания, онтологической нестабильности исследуемых объектов, а также сложности аффективных взаимодействий между врачами и пациентами. Работая с заложенными Парсонсом понятиями двойной контингентности и роли больного, Фокс рассматривает болезнь как моральный процесс, в котором от различных форм заботы о пациенте и от его поведения зависит не только его состояние, но и формирование нового знания в ходе научных экспериментов. Описанные Фокс аспекты заботы рассматриваются в статье как неотъемлемая часть как эмоциональной регуляции врачей, так и конструирования научных фактов. Статья помещает ранние работы Фокс в контекст традиции функционализма, освещая те моменты, в которых ее внимание к неопределенности, заботе и производству знания выходит за рамки мертоновского проекта, открывая путь к дальнейшему изучению как аффективной проблематики в медицине, так и процессов конструирования медицинских фактов.Скачивания
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