Displacement of Agency: The Enactment of Patients’ Agency in and beyond Haemodialysis Practices

Science, Technology, and Human Values 38 (3):421-443 (2013)
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Abstract

How might the agency of the subaltern be conceptualized within the intersection of multiple worlds? Actor-network theory’s translation framework for understanding agency portraying this as entrepreneur and talking of a world in the making is arguably “imperialist,” “managerial,” and “monolithic.” Draws from the enactment turn of ANT and insights into the politics of representation, this article elaborates an alternative framework which focuses on displacement. By examining the case of dialysis patients, the article explores the displacing practices that follow the disruption of routines in dialysis. Patients have to go through a process of problematization, distribution, hybridization, and restabilization, in order to sustain the coexistence of their alternative practices with dialysis. Unlike entrepreneurs in the translation model who transform the world by interesting others, enduring trials, and becoming spokespersons for all, those patients who manage to displace and sustain the coexistence of multiple worlds avoid interesting, still less confronting, the hegemonic actors and claiming representation for themselves. This article suggests the displacement of agency as a generic alternative.

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Citations of this work

Shi (勢), STS, and Theory: Or What Can We Learn from Chinese Medicine?Wen-Yuan Lin - 2017 - Science, Technology, and Human Values 42 (3):405-428.

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References found in this work

Reassembling the Social: An Introduction to the Actor-Network Theory.Bruno Latour - 2005 - Oxford, England and New York, NY, USA: Oxford University Press.
We have never been modern.Bruno Latour - 1993 - Cambridge, Mass.: Harvard University Press.
Can the Subaltern Speak?Gayatri Chakravorty Spivak - 1988 - Die Philosophin 14 (27):42-58.
Can the Subaltern Speak?Gayatri Chakravorty Spivak - 2003 - Die Philosophin 14 (27):42-58.

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