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首页> 外文期刊>Sociology of health & illness >On the character and production of ‘active participation’ in neuro‐rehabilitation: an Actor‐Network perspective
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On the character and production of ‘active participation’ in neuro‐rehabilitation: an Actor‐Network perspective

机译：论神经康复中“积极参与”的性格和生产：演员 - 网络视角

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Abstract The importance of patients’ active involvement in neuro‐rehabilitation after acquired brain injury has been consistently emphasised in recent years. However, most approaches fail to show how ‘active participation’ is practically enacted, focusing on individualised explanations of patient choice and behaviours, or notions of inherent patient traits. Using actor‐network theory ( ANT ) as a sensitising concept, we investigated neuro‐rehabilitation practices, asking how participation is shaped through biological and socio‐material specificities, how rights to knowledge and expertise are constructed, and how a body acclimatises and adjusts within an order of participation and transformation. We analysed video‐recorded fieldwork extracts, examining the work of adjusting, testing and transforming; the construction of competence and incompetence; and material and social processes involved in the division of the body and its re‐composition. Our findings show how an ANT ‐sensitised approach provides a critical understanding and context‐specific characterisation of ‘active participation’, produced through the association of heterogeneous actors at any one time. Such specificity and the distribution of work suggest that efforts to account for optimum therapy ‘dosages’, and clinical attention to establishing individually‐located levels of ‘self‐efficacy’ or ‘motivation’ are misdirected. The performance of ‘active participation’, rather, should be re‐imagined as a product of diverse, mutually attuned entities. A Virtual Abstract of this paper can be viewed at: https://www.youtube.com/channel/UC_979cmCmR9rLrKuD7z0ycA
机译：摘要近年来一直强调患者积极参与神经康复后患者积极康复的重要性。然而，大多数方法都没有展示如何实际颁布“积极参与”，重点关注患者选择和行为的个性化解释，或固有患者特征的概念。使用演员 - 网络理论（ANT）作为敏感性概念，我们调查了神经康复实践，询问参与如何通过生物和社会材料的特异性，如何构建知识和专业知识，以及身体如何适应和调整参与和转型的顺序。我们分析了视频录制的实地工作提取物，检查调整，测试和转换的工作;竞争力和无能的建设;和物体划分的材料和社会流程及其重新组成。我们的调查结果显示了蚂蚁 - 敏感的方法如何提供通过在任何时候通过异构演员的关联产生的“积极参与”的关键理解和上下文特异性。这些特殊性和工作分配表明，致考虑最佳治疗剂量的努力，以及临床关注建立单独定位的“自我效能感”或“动机”的态度。相反，“积极参与”的表现应该被重新想象为各种相互调整的实体的产品。本文的虚拟摘要可以查看：https://www.youtube.com/channel/uc_979cmcmr9rlrkud7z0yca

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