'Hallucination': Hospital Ecologies in COVID's Epistemic Instability.
COVID-19
Cognitive ecology
Hospital ethnography
Practice theory
United States
Journal
Culture, medicine and psychiatry
ISSN: 1573-076X
Titre abrégé: Cult Med Psychiatry
Pays: Netherlands
ID NLM: 7707467
Informations de publication
Date de publication:
28 Sep 2023
28 Sep 2023
Historique:
accepted:
28
08
2023
medline:
28
9
2023
pubmed:
28
9
2023
entrez:
28
9
2023
Statut:
aheadofprint
Résumé
Historians and ethnographers have described biomedicine as a modernist project that imagines accumulating ever-more stable knowledge over time. This project broke down in heavily hit hospitals at the onset of the COVID-19 pandemic in the U.S., when bureaucratic, physical and knowledge structures collapsed. A combination of terror, a partially characterized disease entity and clinicians' inability to operate without disease models drove them to draw on rapidly changing and contradictory information via social media, changing medical practice minute-to-minute. The result was a unique form of knowing described as "hallucination": a hyperreal, unstable ecology of imagined viral particles distributed in physical spaces, transforming with each text message and tweet. The nature, experience and practice of this ecology sheds light on what happens when instability comes to otherwise stable places.
Identifiants
pubmed: 37768494
doi: 10.1007/s11013-023-09834-4
pii: 10.1007/s11013-023-09834-4
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.
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