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Little arrangements that matter. Rethinking autonomy-enabling innovations for later life

机译：无关紧要的安排。重新思考支持自主的创新，以延年益寿

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This paper explores the variety of socio-material arrangements that enable older people to continue living independently. Drawing on a collection of ethnographic observations and interviews with telecare users I conducted at their homes in 2004 and 2008,1 will analyse in detail how the process of adopting the service makes visible and puts to the test certain arrangements that already exist, providing room for their modification and the creation of new ones. Through the description of three types of arrangement resulting from this process, I will initially demonstrate how autonomy emerges as a materially heterogeneous and distributed attribute. I will then discuss literature on disability and ageing originating from the Science and Technology Studies (STS), which has strongly influenced this conception. By considering concern with these arrangements to be an ontological obligation, I propose approaching autonomy as the activity of constantly testing and attuning these arrangements. This will not only serve to problematise the notion of autonomy in active ageing policies, but also autonomy-enabling innovations. Rather than replacing existing arrangements with new solutions, I suggest maintenance infrastructures be devised to support the bounded and inalienable undertaking of caring for these arrangements which configure our autonomous, yet ageing lives. (C) 2014 Elsevier Inc. All rights reserved.
机译：本文探讨了使老年人能够继续独立生活的各种社会物质安排。根据我在2004年和2008年在家中对远程护理用户进行的人种学观察和访谈收集，1将详细分析采用该服务的过程如何可见并检验某些已经存在的安排，从而为他们的修改和新的创造。通过描述此过程产生的三种类型的安排，我将首先展示自治如何作为一种实质性的异质和分布式属性出现。然后，我将讨论源自科学和技术研究（STS）的有关残疾和衰老的文献，该文献对这一概念产生了重大影响。通过将对这些安排的关注视为一种本体论义务，我建议将自治作为不断测试和调整这些安排的活动。这不仅会给积极的老龄化政策中的自治概念带来问题，还会使具有自主性的创新成为可能。我建议不要设计维护基础结构，以支持照料这些安排，这些安排构成了我们的自主而老化的生活，而不是用新的解决方案代替现有的安排。 （C）2014 Elsevier Inc.保留所有权利。

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