Microbiome research shows that human health is foundationally intertwined with the ecology of microbial communities living on and in our bodies. This challenges the categorical separation of organisms from environments that has been central to biomedicine, and questions the boundaries between them. Biomedicine is left with an empirical problem: how to understand causal pathways between host health, microbiota and environment? We propose a conceptual tool – environmentality – to think through this problem. Environmentality is the state or quality of being (...) an environment for something else in a particular context: a fully perspectival proposition. Its power lies partly in what Isabelle Stengers has called the efficacy of the word itself, contrasting the dominant sense of the word environment as something both external and fixed. Through three case studies, we argue that environmentality can help think about the causality of microbiota vis-a-vis host health in a processual, relational and situated manner, across scales and temporalities. We situate this intervention within historical trajectories of thought in biomedicine, focusing on the challenge microbiome research poses to an aperspectival body. We argue that addressing entanglements between microbial and human lives requires that the environment is brought into the clinic, thus shortening the conceptual gap between medicine and public health. (shrink)

Museums might seem to be the enemy of metabolism: mausoleums that preserve collections and their knowledge-producing potential, out of time. We argue that museums are in fact intensely metabolic: in their attempts to manipulate the life course and temporalities of objects they proliferate metabolic processes, limits, and potentials. We suggest that looking at the museum in this way can help articulate pressing practical as well as theoretical issues: storage rooms are “constipated,” as traditional practices of disposal cannot keep pace with (...) rapidly growing collections from an over-productive present. The paper consists of three main sections. First, we follow imaginations of the museum as preserver, contrasting these with more recent descriptions of the museum as metabolism, and highlighting the intimate relationship between the two. We describe the material and metaphorical ways in which objects and their meanings are transformed within a “museum metabolism,” and suggest that cultivating such transformations might help to imagine new approaches to problems of proliferation and disposal. This leads us to The Living Room, a workshop and installation at Medical Museion in Copenhagen, where we encourage fringe objects destined for disposal to metabolize, entangled with living heritage eaters such as fungi and worms. Following Ian Bogost, this is a piece of “metabolic carpentry”; a thinking machine that explores ontology by practicing it. In the third main section, we reflect on this approach, and on how materially producing metabolic paradoxes might open new avenues for thinking about their concrete consequences, within an ethos of hospitality. We conclude by arguing for the creative potential of metabolism to link objects, organisms, and environments, emphasizing exchanges between transformation and stability at co-constituting interfaces. (shrink)

We agree that the relationship between phenomenology and accessibility can be fruitfully investigated via meshing, but we want to emphasise the importance of proper comparison between meshes, as well as considerations that make comparison especially difficult in this domain. We also argue that Block's interpretation of the neural data in his exemplar mesh is incorrect, and propose an alternative.

The Internet has quickly gained popularity as a major source of health-related information, but its impact is unclear. Here, we investigate the extent to which advocacy websites for three neurodevelopmental disorders—cerebral palsy (CP), autism spectrum disorder (ASD) and fetal alcohol spectrum disorder (FASD)—inform stakeholders about treatment options, and discuss the ethical challenges inherent in providing such information online. We identified major advocacy websites for each disorder and assessed website accountability, the number, attributes, and accessibility of treatments described, and the valence (...) of treatment information. With the exception of FASD websites, we found that advocacy websites provide a plethora of information about a wide variety of readily available products and services. Treatment information is primarily targeted at families and is overwhelmingly encouraging, regardless of the type or conventionality of treatments. Many websites acknowledge corporate sponsors. While the majority do not overtly advertise or endorse specific brands, they also do not prominently display disclaimers about the nature and intent of treatment information. Thus, while advocacy websites are organized to serve as information clearinghouses, they implicitly appear to provide endorsement of selected treatments and services. We conclude with recommendations for new partnerships between government-funded health organizations, advocacy and investigators to make more transparent the role of online information in informing treatment options and improving the evaluation of information. (shrink)