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首页> 外文期刊>Knowledge Technology & Policy >'My Fitbit Thinks I Can Do Better!' Do Health Promoting Wearable Technologies Support Personal Autonomy?
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'My Fitbit Thinks I Can Do Better!' Do Health Promoting Wearable Technologies Support Personal Autonomy?

机译：“我的Fitbit认为我可以做得更好！”健康促进可穿戴技术是否支持个人自主权？

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摘要

This paper critically examines the extent to which health promoting wearable technologies can provide people with greater autonomy over their health. These devices are frequently presented as a means of expanding the possibilities people have for making healthier decisions and living healthier lives. We accept that by collecting, monitoring, analysing and displaying biomedical data, and by helping to underpin motivation, wearable technologies can support autonomy over health. However, we argue that their contribution in this regard is limited and that-even with respect to their 'autonomy enhancing' potential-these devices may deliver costs as well as benefits. We proceed by rehearsing the distinction that can be drawn between procedural autonomy (which refers to processes of psychological deliberation) and substantive-relational autonomy (which refers to the opportunities people have for exercising potential actions). While the information provided by wearable technologies may support deliberation and decision-making, in isolation these technologies do little to provide substantive opportunities to act and achieve better health. As a consequence, wearable technologies risk generating burdens of anxiety and stigma for their users and reproducing existing health inequalities. We then reexamine the extent to which wearable technologies actually support autonomous deliberation. We argue that wearable technologies that subject their users to biomedical and consumerist epistemologies, norms and values also risk undermining processes of genuinely autonomous deliberation.
机译：本文严格审查了健康促进可穿戴技术可以在多大程度上为人们提供健康自主权。这些设备经常被提出来扩大人们做出更健康的决定和生活更健康的可能性的手段。我们接受通过收集，监视，分析和显示生物医学数据，并通过帮助增强动力，可穿戴技术可以支持健康自主权。但是，我们认为，它们在这方面的贡献是有限的，即使就其“增强自主性”潜力而言，这些设备也可能带来成本和收益。我们将继续探讨在程序自主性（指心理审议过程）和实质性关系自主性（指人们有执行潜在行动的机会）之间可以区分的区别。尽管可穿戴技术提供的信息可能会支持审议和决策，但孤立地讲，这些技术几乎没有提供行动和实现更好健康的实质性机会。结果，可穿戴技术可能给用户带来焦虑和耻辱的负担，并重现现有的健康不平等现象。然后，我们重新检查可穿戴技术实际上支持自主协商的程度。我们认为，使用户受到生物医学和消费者主义认识论，规范和价值观约束的可穿戴技术也有可能破坏真正自主审议的过程。

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  • 来源
    《Knowledge Technology & Policy》 |2019年第1期|23-38|共16页
  • 作者

    John Owens; Alan Cribb;

  • 作者单位

    Centre for Public Policy Research, Faculty of Social Science & Public Policy, King's College London, Waterloo Bridge Wing, Franklin-Wilkins Building, Waterloo Rd, London SE1 9NH, UK;

    Centre for Public Policy Research, Faculty of Social Science & Public Policy, King's College London, Waterloo Bridge Wing, Franklin-Wilkins Building, Waterloo Rd, London SE1 9NH, UK;

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  • 正文语种 eng
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  • 关键词

    Autonomy; Ethics; Health; Procedural; Relational; Self-tracking; Substantive; Technology; Wearable;

    机译：自治;伦理;健康;程序;关系;自我跟踪;实质性;技术;可穿戴;

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