J Pols
Dados Biográficos
| ID | 9248 |
|---|---|
| NOME | J Pols |
| PRENOMES | J |
| SOBRENOME | Pols |
| ASSINATURA | POLS J |
| AFILIAÇÕES | University of Amsterdam |
| ORCID | 0000-0003-0157-2388 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 52 |
| TOTAL DE CITAÇÕES | 329 |
| TOTAL COMO AUTOR | 52 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2003 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 11 |
The Pain of Replication
The replication crisis has led to more focus on methodology in psychological research. Meta-researchers urged for more direct replications, larger sample sizes, and preregistration of research plans. In this paper we point to two other aspects of research: the ontology of the research phenomenon and the emotions that are part of scientific work. We present an ethnographic case study of a replication in psychology and argue that these three aspect…
Complicated Interactions in Home Care
In this qualitative ethnographic study, we aimed at increasing understanding of what makes interactions between staff, users, and relatives in home care services complicated, how these interactions are experienced and how home care practice can be developed to better address these interactions. The study was conducted in Reykjavik, the capital of Iceland, and data were collected from January 2021 to February 2022. In this article we present findi…
Good chemistry and its interruptions
Science policy has increasingly organised science as if it were a training ground for excellent individual scientists who can be found through fierce competition for research money and publications. This focus on science as a competition for research excellence is embedded in a specific interpretation of what ‘good’ scientific practices are. Ethnographic analyses of scientific practices using the notion of care can elucidate what good science imp…
Replication after Collins
Ethnography and other empirical studies of replication played a significant role in the sociology of scientific knowledge (SSK) during the 1970s and 1980s. Collins and other proponents of SSK highlighted that exact replication was impossible, knowledge was often tacit and hard to explicate, and that results were always socially negotiated. We revisit these observations and compare them with our ethnography of current replication practices in psyc…
Making things specific
This paper is the English translation and adaptation of my inaugural lecture in Amsterdam for the Chair Anthropology of Everyday Ethics in Health Care. I argue that the challenges in health care may look daunting and unsolvable in their scale and complexity, but that it helps to consider these problems in their specificity, while accepting that some problems may not be solved but have become chronic. The paper provides reflections on how to devel…
Achieving good science
There are worries about the quality of scientific research, the validity of the knowledge it produces and the integrity of academics. What is lacking in the debate is what scientists have to say and what they do to create and safeguard what they see as ‘good science’. Using Dutch academia as a case, we show that the academics’ understandings of scientific practice differ in vital ways from those of policy makers. Policy maker's understanding of a…
Uncertainty Work
The quest for how to deal with a crisis in a community setting, with the aim of deinstitutionalizing mental health care, and reducing hospitalization and coercion, is important. In this article, we argue that to understand how this can be done, we need to shift the attention from acute moments to daily uncertainty work conducted in community mental health teams. By drawing on an empirical ethics approach, we contrast the modes of caring of two te…
Uma questão de gosto
Embora as pessoas frequentemente se refiram à qualidade de vida e haja uma respeitável tradição de pesquisa para estabelecê-la, o significado do termo não é claro. Neste artigo, estudamos qualitativamente um procedimento médico cujos efeitos quantitativos são documentados como incertos. Fazemos isso para aprender mais sobre o significado do termo qualidade de vida quando estudado na vida cotidiana. Com a ajuda desses achados, refletimos sobre os …
Lavando o cidadão
A participação na comunidade e a cidadania para os pacientes são ideais comuns que inspiram melhorias na assistência à saúde mental. Mas o que se entende por cidadania? Aqui é feita uma análise das práticas de banho, na enfermagem psiquiátrica, em instituições de saúde mental de longa permanência. São descritos quatro repertórios de banho, cada um orientado para uma noção específica de cidadania. No primeiro repertório, o banho faz parte da priva…
Cuidando de uma crise
No debate sobre coerção em psiquiatria, cuidado e controle são muitas vezes justapostos. Neste artigo, argumentamos que essa dicotomia não é útil para descrever as formas mais complexas de inter-relacionamento existentes entre usuários de serviços, profissionais de saúde e o cenário de cuidado específico em uma equipe de saúde mental comunitária (ESMC). Utilizando a abordagem etnográfica da ética empírica, contrastamos as formas como controle e c…
Praticidades de tirar o fôlego
Ao declarar a Biomedicina como o seu contradiscurso apolítico, as teorias sociais, incluindo os estudos da deficiência, encontram problemas ao discutir os corpos e os seus padecimentos. Este artigo explora as possibilidades de "trazer os corpos de volta" de formas politicamente relevantes, ao mesmo tempo que evita reduzi-los a "dados" singulares e naturais. Isto é feito explorando algumas das práticas em que pessoas com Doença Pulmonar Obstrutiva…
Você precisa criar vínculos com quem você treina
Este artigo aborda a reforma contemporânea da educação médica de pós-graduação que visa padronizar o treinamento. As reformas são orientadas por intervenções de políticas públicas para aumentar a qualidade do atendimento, objetivar o desempenho e preparar os residentes para as mudanças nas necessidades de assistência médica. Este artigo se baseia em estudos etnográficos feitos nos Países Baixos, estudando como novos padrões de treinamento foram i…
Bondade
Este artigo pretende incentivar que acadêmicos enviem trabalhos para um simpósio e para a próxima edição especial da Medische Antropologie, que tratará de estudos empíricos sobre questões normativas. Descrevemos a "virada empírica" na ética médica. A ética médica e a bioética em geral testemunharam um movimento da ética aplicada (a aplicação de regras e princípios para situações complexas) para um interesse renovado nas questões éticas práticas e…
"Trazendo corpos - e cuidados de saúde - "de volta
Grande parte da teoria social sobre pessoas com deficiência ou doenças crônicas se afasta das práticas e teorias médicas. As pesquisas que se consideram relevantes para a promoção da autonomia de pessoas com deficiência se estruturam desta forma: oferecendo um contradiscurso às formas médicas, assumidas como individualizantes, opressoras e objetificantes, de abordar pessoas que vivem com deficiência. Neste artigo, argumenta-se que a desconsideraç…
Cuidado
Este texto é uma tradução da Introdução do livro "Care in Practice: On Tinkering in Clinics, Homes and Farms", editado por Annemarie Mol, Ingunn Moser e Jeannette Pols (2010). Tradução de Luísa Muccillo. Revisão de Ana Carolina Lessa Dantas
Colocando apreciações em cena
A "perspectiva do paciente" serve como uma ferramenta analítica para apresentar os pacientes como sujeitos com conhecimento na pesquisa, e não como objetos conhecidos pela medicina. Este artigo analisa os problemas encontrados com o conceito da perspectiva do paciente aplicado aos cuidados de saúde mental a longo prazo. Um problema é que "ter uma perspectiva" requer uma percepção de si mesmo como um indivíduo além da capacidade de representar sua…
Telecare that works
In recent decades, policy makers around the world have been working on implementing various technologies into healthcare, and the Covid19 pandemic fueled this process. The specialized technological solutions for telecare - the use of technologies for care at a distance - are often adopted by users in different ways than intended, or are abandoned if the users cannot find applications that are meaningful to them. However, beyond specialized health…
Generative Hanging Out
Hanging out" with one's interlocutors generates ethnographic ways to creatively involve people in health care research. This special issue focusses on people who are difficult to engage in conventional research because they are not verbally fluent, such as people with dementia or learning disabilities, or who speak a language that the researcher does not understand. In this introduction I discuss how "Hanging out" shifts the goal-orientation of r…
Caring for a Crisis”
In the debate on coercion in psychiatry, care and control are often juxtaposed. In this article we argue that this dichotomy is not useful to describe the more complex ways service users, care professionals and the specific care setting interrelate in a community mental health team (CMHT). Using the ethnographic approach of empirical ethics, we contrast the ways in which control and care go together in situations of a psychiatric crisis in two CM…
The game is on!' Eventness at a distance at a livestream concert during lockdown
In many countries the lockdown measures in response to the Covid-19 pandemic forbade social gatherings, including for performing arts. Numerous artists developed projects, often attempting to reach audiences in cyberspace. We offer an ethnographic study of such a project: a jazz concert played live for a particular audience, who attended it from home. We seek to understand how musicians, audience, and the material setting made it possible to enga…
The impact of physical distancing on socially vulnerable people needing care during the Covid-19 pandemic in the Netherlands
What was the impact of physical distancing on socially vulnerable groups needing care during the first COVID-19 pandemic lockdown in the Netherlands? We conducted repeated qualitative interviews with 141 people in care relationships and 106 professionals, and two repeated surveys among older populations outside ( n = 1697) and inside long-term care facilities ( n = 2619). Findings show a diversity of experiences, ranging from relative calmness an…
Frying eggs or making a treatment plan? Frictions between different modes of caring in a community mental health team
In this article, we conduct an empirical ethics approach to unravel the different perspectives on good care that are present in a community mental health team (CMHT) in Utrecht. With the deinstitutionalisation of mental health care, the importance of a close collaboration between the social and medical domains of care on the level of the local community is put in the foreground. Next to organisational thresholds or incentives, this collaboration …
The Shifting Arrangements We Call Home
Between Choice, Necessity, and Comfort
This is an ethnographic study of decision-making concerning tube feeding in the acute phase after a severe stroke. It is based on 6 months of ethnographic research in three stroke units in the Netherlands, where the decision-making on life-sustaining treatment was studied in 16 cases of severe stroke patients. Data were collected through participant observation and interviews. For this article, the analysis was narrowed down to the decision wheth…
Working on and with Relationships
Deinstitutionalization is often described as an organizational shift of moving care from the psychiatric hospital towards the community. This paper analyses deinstitutionalization as a daily care practice by adopting an empirical ethics approach instead. Deinstitutionalization of mental healthcare is seen as an important way of improving the quality of lives of people suffering from severe mental illness. But how is this done in practice and whic…
Enacting Appreciations
Knowing Patients
Science and technology studies concerned with the study of lay influence on the sciences usually analyze either the political or the normative epistemological consequences of lay interference. Here I frame the relation between patients, knowledge, and the sciences by opening up the question: How can we articulate the knowledge that patients develop and use in their daily lives (patient knowledge) and make it transferable and useful to others, or,…
Innovation and evaluation
Telecare is advocated in most European countries with great, if not grandiose, promises: improving healthcare, lowering costs, solving workforce shortage. This paper does not so much question these specific promises, but rather the 'register of promising' as such, by comparing the promises with actual processes of incorporating technologies in healthcare practices. The case we study is the use of webcams in follow-up care from a Dutch rehabilitat…
Enforcing patient rights or improving care? The interference of two modes of doing good in mental health care
New state laws are intended to bring about formal changes. These juridical activities inevitably interfere with the content of care of substantially changing health care practice. The case is argued by means of an analysis of ethnographic material gathered in the long-stay wards of two psychiatric hospitals in the Netherlands. The question raised by the ethnography is which 'mode of doing good', juridical or caring, is relevant to daily practice.…
Shining trinkets and unkempt gardens
The increasing use of telecare will profoundly change nursing care. How to understand these changes is, however, far from clear. This is because (i) studies on telecare seldom consider the situation it replaces, and (ii) current concepts and methods used to study the impact of telecare may not allow us to fully grasp these changes. We suggest that an analysis of the changing materiality of care practices is a suitable way to articulate and reflec…
Accounting and Washing
This article analyzes how the recent call for accounting in health care interferes with daily care practice and raises the question of how accounting practices relate to the aim of good care. The most influential accounting methods in the Netherlands suggest ways for professionals to legitimize their activities. The analysis of washing patients in long-term mental health care shows that different styles of accounting evaluate and legitimize care …
Making sense with numbers. Unravelling ethico-psychological subjects in practices of self-quantification
Prevention enthusiasts show great optimism about the potential of health apps to modify peoples' lifestyles through the tracking and quantification of behaviours and bodily signs. Critical sociologists warn for the disciplining effects of self-tracking. In this paper we use an empirical ethics approach to study the characteristics and strivings of the various types of 'ethico-psychological subjects' that emerge in practices of self-quantification…
Breathtaking practicalities
By declaring biomedicine as its apolitical counter-discourse, social theory, including disability studies, experiences problems discussing bodies and their ailments. This paper explores possibilities to ‘bring bodies back in’ in politically relevant ways, while avoiding reducing bodies to singular, natural ‘givens’. This is done by exploring some of the practices in which people with severe Chronic Obstructive Pulmonary Disease (COPD) attempt to …
Wonderful Webcams
How do technologies such as webcams influence health care and what concepts may describe this? This article explores the literature and analyses what people looking through webcams do within a particular health care practice in the Netherlands, that is, within the rehabilitation of people suffering from severe chronic obstructive pulmonary disease (COPD) or asthma. Several ways to describe the activities webcams support and perform are identified…
The Limits of Autonomy
In the Netherlands, autonomy is a key ideal in visions of care for people with learning disability. This ideal can lead to tension when clients, in the opinion of their caregivers, overuse alcohol or drugs. In this article, we analyze how professional caregivers understand the ideal of autonomy in care for people with learning disability, and articulate the tacit attempts of caregivers to provide good care, which can be understood as care for rel…
Analyzing Social Spaces
Citizenship" is a term from political theory. The term has moved from the relationship between the individual and the state toward addressing the position of 'others' in society. Here, I am concerned with people with long-term mental health problems. I explore the possibilities of ethnographically studying this rather more cultural understanding of citizenship with the use of the concept of relational citizenship, attending to people who leave Du…
Frying eggs or making a treatment plan? Frictions between different modes of caring in a community mental health team
In this article, we conduct an empirical ethics approach to unravel the different perspectives on good care that are present in a community mental health team (CMHT) in Utrecht. With the deinstitutionalisation of mental health care, the importance of a close collaboration between the social and medical domains of care on the level of the local community is put in the foreground. Next to organisational thresholds or incentives, this collaboration …
You need to bond with the ones you train’
This paper addresses contemporary reform in postgraduate medical education that aims to standardise training. The reforms are guided by public policy interventions to increase quality of care, objectify performance, and to prepare residents for changing health care needs. This paper draws on an ethnographic study in the Netherlands, studying how new training standards have been incorporated in everyday gynaecology and surgery residency training. …
Where is the citizen? Comparing civic spaces in long-term mental healthcare
Generative Hanging Out
Hanging out" with one's interlocutors generates ethnographic ways to creatively involve people in health care research. This special issue focusses on people who are difficult to engage in conventional research because they are not verbally fluent, such as people with dementia or learning disabilities, or who speak a language that the researcher does not understand. In this introduction I discuss how "Hanging out" shifts the goal-orientation of r…
The impact of physical distancing on socially vulnerable people needing care during the Covid-19 pandemic in the Netherlands
What was the impact of physical distancing on socially vulnerable groups needing care during the first COVID-19 pandemic lockdown in the Netherlands? We conducted repeated qualitative interviews with 141 people in care relationships and 106 professionals, and two repeated surveys among older populations outside ( n = 1697) and inside long-term care facilities ( n = 2619). Findings show a diversity of experiences, ranging from relative calmness an…
Pourquoi les attentes suscitées par la télésurveillance sont souvent déçues
La télésurveillance est de plus en plus utilisée dans le suivi des patients, car on attend d'elle qu'elle apporte des améliorations substantielles concernant les relevés de mesures, la collecte de données, l'efficience thérapeutique et les options de communication dont disposent les patients. Cependant, les études en STS ( Science and Technology Studies ) ont montré que, fréquemment, les nouvelles technologies ne sont pas à la hauteur des attente…
Fabuleuses webcams
Comment des technologies telles que les webcams modifient-elles le domaine de la santé, et quels concepts pourraient en décrire les effets ? Cet article explore la littérature sur le sujet et analyse ce que les personnes regardant à travers une webcam font, dans le cadre d'une pratique de santé particulière aux Pays-Bas, à savoir la réadaptation de personnes souffrant de broncho-pneumopathie chronique obstructive (BPCO) ou d'asthme. On relève plu…
Enforcing patient rights or improving care? The interference of two modes of doing good in mental health care
New state laws are intended to bring about formal changes. These juridical activities inevitably interfere with the content of care of substantially changing health care practice. The case is argued by means of an analysis of ethnographic material gathered in the long-stay wards of two psychiatric hospitals in the Netherlands. The question raised by the ethnography is which 'mode of doing good', juridical or caring, is relevant to daily practice.…
Enacting Appreciations
Washing the Citizen
Accounting and Washing
This article analyzes how the recent call for accounting in health care interferes with daily care practice and raises the question of how accounting practices relate to the aim of good care. The most influential accounting methods in the Netherlands suggest ways for professionals to legitimize their activities. The analysis of washing patients in long-term mental health care shows that different styles of accounting evaluate and legitimize care …
Cold technologies versus warm care?
“Warm care” is often contrasted with “cold technology.” But is this a meaningful opposition? Much research into healthcare technology frames the relation between humans and their technologies as purely rational and instrumental, where technologies are functional means to a human end. Other studies, however, foreground how technologies and users (re)configure each other in particular use practices. In this paper, we build on the latter work by stu…
Care
Breathtaking practicalities
By declaring biomedicine as its apolitical counter-discourse, social theory, including disability studies, experiences problems discussing bodies and their ailments. This paper explores possibilities to ‘bring bodies back in’ in politically relevant ways, while avoiding reducing bodies to singular, natural ‘givens’. This is done by exploring some of the practices in which people with severe Chronic Obstructive Pulmonary Disease (COPD) attempt to …
Wonderful Webcams
How do technologies such as webcams influence health care and what concepts may describe this? This article explores the literature and analyses what people looking through webcams do within a particular health care practice in the Netherlands, that is, within the rehabilitation of people suffering from severe chronic obstructive pulmonary disease (COPD) or asthma. Several ways to describe the activities webcams support and perform are identified…
Innovation and evaluation
Telecare is advocated in most European countries with great, if not grandiose, promises: improving healthcare, lowering costs, solving workforce shortage. This paper does not so much question these specific promises, but rather the 'register of promising' as such, by comparing the promises with actual processes of incorporating technologies in healthcare practices. The case we study is the use of webcams in follow-up care from a Dutch rehabilitat…
Care at a Distance
Often the switch to telecare technology used to help caretakers provide treatment to their patients off-site is portrayed as either a nightmare scenario or a much needed panacea for all our healthcare woes. This widely researched study probes what happens when technologies are used to provide healthcare at a distance. Drawing on ethnographic studies of both patients and nurses involved in telecare, Jeannette Pols demonstrates that instead of resu…
Opening the Gift
The Patient 2. Many
The emancipation of patients, their organisation and their participation in medical research and health care policy has expanded tremendously. With these successful attempts at participation, however, there is one problem that has so far hardly been articulated and seems to be unrecognized in conceptions of the Patient 2.0 as an informed and active patient. This is the assumption that there is only one kind of knowledge that matters to patients, …
Where is the citizen? Comparing civic spaces in long-term mental healthcare
Laver le citoyen
Traduction de l’anglais par Nathalie Zaccaï-Reyners de l’article paru en 2006 « Washing the citizen: washing, cleanliness and citizenship in mental health care », Culture, Medicine and Psychiatry, n° 30, pp. 77-104, avec l’autorisation des éditions SpringerLa participation à la communauté et l’accès à la citoyenneté pour les patients sont des idéaux répandus qui inspirent des améliorations dans le secteur de la santé mentale. Mais on peut se dema…
Knowing Patients
Science and technology studies concerned with the study of lay influence on the sciences usually analyze either the political or the normative epistemological consequences of lay interference. Here I frame the relation between patients, knowledge, and the sciences by opening up the question: How can we articulate the knowledge that patients develop and use in their daily lives (patient knowledge) and make it transferable and useful to others, or,…
Towards an empirical ethics in care
Ethical implications of home telecare for older people
CONTEXT: Telecare and telehealth developments have recently attracted much attention in research and service development contexts, where their evaluation has predominantly concerned effectiveness and efficiency. Their social and ethical implications, in contrast, have received little scrutiny. OBJECTIVE: To develop an ethical framework for telecare systems based on analysis of observations of telecare-in-use and citizens' panel deliberations. DES…
You need to bond with the ones you train’
This paper addresses contemporary reform in postgraduate medical education that aims to standardise training. The reforms are guided by public policy interventions to increase quality of care, objectify performance, and to prepare residents for changing health care needs. This paper draws on an ethnographic study in the Netherlands, studying how new training standards have been incorporated in everyday gynaecology and surgery residency training. …
Shining trinkets and unkempt gardens
The increasing use of telecare will profoundly change nursing care. How to understand these changes is, however, far from clear. This is because (i) studies on telecare seldom consider the situation it replaces, and (ii) current concepts and methods used to study the impact of telecare may not allow us to fully grasp these changes. We suggest that an analysis of the changing materiality of care practices is a suitable way to articulate and reflec…
A Matter of Taste? Quality of Life in Day-to-Day Living with ALS and a Feeding Tube
Although people often refer to quality of life and there is a respectable research tradition to establish it, the meaning of the term is unclear. In this article we qualitatively study an intervention of which the quantitative effects are documented as indecisive. We do this in order to learn more about what the meaning of the term quality of life means when it is studied in daily life. With the help of these findings we reflect on the intricacie…
Analyzing Social Spaces
Citizenship" is a term from political theory. The term has moved from the relationship between the individual and the state toward addressing the position of 'others' in society. Here, I am concerned with people with long-term mental health problems. I explore the possibilities of ethnographically studying this rather more cultural understanding of citizenship with the use of the concept of relational citizenship, attending to people who leave Du…
Critical Approaches in Nursing Theory and Nursing Research
Chapter Two
The Limits of Autonomy
In the Netherlands, autonomy is a key ideal in visions of care for people with learning disability. This ideal can lead to tension when clients, in the opinion of their caregivers, overuse alcohol or drugs. In this article, we analyze how professional caregivers understand the ideal of autonomy in care for people with learning disability, and articulate the tacit attempts of caregivers to provide good care, which can be understood as care for rel…
Pourquoi les attentes suscitées par la télésurveillance sont souvent déçues
La télésurveillance est de plus en plus utilisée dans le suivi des patients, car on attend d'elle qu'elle apporte des améliorations substantielles concernant les relevés de mesures, la collecte de données, l'efficience thérapeutique et les options de communication dont disposent les patients. Cependant, les études en STS ( Science and Technology Studies ) ont montré que, fréquemment, les nouvelles technologies ne sont pas à la hauteur des attente…
Political science (32 obras) · Psychology (28 obras) · Sociology (26 obras) · Medicine (25 obras) · Health care (18 obras) · Nursing (16 obras) · Mental Health and Patient Involvement (15 obras) · Computer Science (14 obras) · Epistemology (12 obras) · Ethnography (12 obras)