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Enacting objects and subjects in a children's rehabilitation clinic

Default and shifting ontological politics of muscular dystrophy care

Bibliographic Data

ID4218142
AuthorsPatricia Thille (0000-0003-1961-9818, University of Manitoba, corresponding author), Thomas Abrams (0000-0002-3908-4446, Queen's University), Barbara E Gibson (0000-0003-0429-8679, University of Toronto)
Year2022
Volume26
Issue4
Pages495-511
Publication date2022-07-01
Open AccessYes
TypeARTICLE
VenueHealth An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL)
Journal identifiersISSN: 1363-4593 • E-ISSN: 1461-7196
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363459320969783
PMID33135493
OpenAlexW3096311230
LanguageEN
References cited26

In health care clinics, problems are constructed through interactions, a choreography of human and non-human actors together enacting matters of concern. Studying the ways in which a body, person, family, or environment is objectified for clinical purposes opens discussion about advantages and disadvantages of different objectification practices, and exploration of creative ways to handle the diversity and tensions that exist. In this analysis, we explored objectifications in a Canadian neuromuscular clinic with young people with muscular dystrophy. This involved a close examination of clinical objectification practices across a series of 27 observed appointments. We identified the routinised clinical assessments, and argue these embed a default orientation to how to intervene in people's lives. In this setting, the routine focused on meeting demands of daily activities while protecting the at-risk-body, and working toward an abstract sense of an independent future for the person/body with muscular dystrophy. But the default could be disrupted; through our analysis of the routine and disruptions, we highlight how contesting visions for the present and future were consequential in ways that might be more than what is anticipated within rehabilitation practice

Muscular dystrophy · Physical medicine and rehabilitation · Physical therapy · Political science · Politics · Sociology · Art Therapy and Mental Health · Biomedical Ethics and Regulation · Law · Medicine · Occupational Therapy Practice and Research · Internal Medicine · Rehabilitation

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