Varieties of improvement expertise: Knowledge and contestation in health-care improvement.

The 'improvement' of health care is now established and growing as a field of research and practice. This article, based on qualitative data from interviews with 21 senior leaders in this field, analyses the growth of improvement expertise as not simply an expansion but also a multiplication of 'ways of knowing'. It illustrates how health-care improvement is an area where contests about relevant kinds of knowledge, approaches and purposes proliferate and intersect. One dimension of this story relates to the increasing relevance of sociological expertise-both as a disciplinary contributor to this arena of research and practice and as a spur to reflexive critique. The analysis highlights the threat of persistent hierarchies within improvement expertise reproducing and amplifying restricted conceptions of both improvement and 'better' health care.

Investigating the Social Network Structure of Physical Literacy Scholars to Advance a Paradigm for Physical Activity Promotion.

Purpose: Physical literacy has quickly gained global attention as a holistic approach to combat physical inactivity and obesity. However, research silos may limit the growth and application of the physical literacy paradigm for effective physical activity promotion. The purpose of this study was to measure the underlying network structure of scholars publishing on physical literacy (focusing on empirical research) through co-authorship analysis. Methods: Data collection resulted in 1,070 documents related to physical literacy retrieved. A total of 198 articles met inclusion criteria and were included in the full network, with authors operationalized as actors in the network. A total of 75 empirical studies were included in the sub-network for critical appraisal and further analysis. Social network analysis was then conducted at the macro- and component-level, using quantification and visualization techniques. Results: Results revealed a collaborative, yet fragmented physical literacy network with sub-groups representing substantive and geographically diverse scholars. The majority of scholarship lacked empirical evidence, suggesting a research-practice gap. Conclusion: Recommendations for advancing physical literacy research and practice include strategic collaborations that transcend geographic and disciplinary boundaries, cooperative efforts across scholars and practitioners, and productive discourse through professional avenues to progress knowledge generation, dispersion, and application.

Tempering hope with Intimate Knowledge: Contrasting emergences of the concept 'uninfectious' in HIV.

In this paper, we contrast two emergences of the concept of 'uninfectious' (that pharmaceuticals can render someone living with HIV non-infectious) in HIV. First, using Novas' framing of 'political economies of hope', we describe the deployment of 'uninfectious' as part of global health campaigns. Second, we draw on Raffles' (International Social Science Journal, 2002, 54, 325) concept of 'intimate knowledge' to theorise our own account of 'uninfectious' through a re-analysis of qualitative data comprising the intimate experiences of people living with or around HIV collected at various points over the last 25 years. Framed as intimate knowledge, 'uninfectious' becomes known through people's multiple engagements with and developing understandings of HIV over a prolonged period. As contingent and specific, intimate knowledge does not register within the biomedical/scientific ontological system that underpins discourses of hope employed in global campaigns. The concept of intimate knowledge offers the potential to critique discourses of hope in biomedicine problematising claims to universality whilst enriching biomedical understandings with accounts of affective, embodied experience. Intimate knowledge may also provide a bridge between different epistemological traditions in the sociology of health and illness.

Nathan H. Azrin: A Case Study in Research Translation in Behavior Science.

Nathan H. Azrin (1930-2013) contributed extensively to the fields of experimental and applied behavior analysis. His creative and prolific research programs covered a wide range of experimental and applied areas that resulted in 160 articles and several books published over a period of almost 6 decades. As a result, his career illustrates an unparalleled example of translational work in behavior analysis, which has had a major impact not only within our field, but across disciplines and outside academia. In the current article we present a summary of Azrin's wide ranging contributions in the areas of punishment, behavioral engineering, conditioned reinforcement and token economies, feeding disorders, toilet training, overcorrection, habit disorders, in-class behavior, job finding, marital therapy, and substance abuse. In addition, we use scientometric evidence to gain an insight on Azrin's general approach to treatment evaluation and programmatic research. The analysis of Azrin's approach to research, we believe, holds important lessons to behavior analysts today with an interest in the applied and translational sectors of our science. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s40614-020-00278-4.

'Built for expansion': the 'social life' of the WHO's mental health GAP Intervention Guide.

The focus of this study is the WHO's mhGAP-Intervention Guide (mhGAP-IG) 2.0 (2016), an evidence-based tool and guideline to help detect, diagnose and manage the most common mental disorders, designed for use by non-specialists globally but particularly in low- and middle-income countries. This research is a starting point in tracing the multiple 'doings' of mhGAP-IG - connecting questions of how it is 'done' and what does it 'do' - to the living histories and wider global mental health assemblages that make the tool possible and shape its global circulation. We examine the conditions of possibility that produce and legitimate mhGAP-IG, and the ways these are 'black boxed' through casting mhGAP-IG in technical rather than epistemological terms. The study illuminates how its explicit design for global expansion positions mhGAP-IG as open to questioning from those who are technical 'insiders' and setting the epistemological parameters of its own critique. It analyses mhGAP-IG as an 'inscription device' that inscribes and materialises algorithmic imaginaries of mental health that impact on design and local implementation. This study is one attempt at initiating dialogue with the WHO from perspectives and methodological approaches not usually included in the conversation.

'You must know what you mean when you say that': the morality of knowledge claims about ADHD in radio phone-ins.

Drawing on a corpus of radio phone-ins, we present a discursive psychological analysis of how mothers carefully tailor their knowledge claims regarding their children with Attention Deficit Hyperactivity Disorder (ADHD). Mothers typically claim knowledge about their children's good intentions, but not about the 'ADHD-ness' of their conduct. Whereas the former is seen as appropriate knowledge for a concerned parent, the latter is treated as a matter of expert knowledge. We show that as soon as problematic behaviour is treated as observable from the outside and describable by mothers and other lay persons, it becomes vulnerable to being formulated as 'normal disobedience', rather than symptomatic of a professionally administered, doctorable condition. We argue that it is important to be aware of the moralities hidden in knowledge claims, as they help sustain an unproductive perspective in which either the child's brain or his mother is blamed for behaviour perceived as problematic.

Scientific pluralism and the Chemical Revolution.

In a number of papers and in his recent book, Is Water H2O? Evidence, Realism, Pluralism (2012), Hasok Chang has argued that the correct interpretation of the Chemical Revolution provides a strong case for the view that progress in science is served by maintaining several incommensurable "systems of practice" in the same discipline, and concerning the same region of nature. This paper is a critical discussion of Chang's reading of the Chemical Revolution. It seeks to establish, first, that Chang's assessment of Lavoisier's and Priestley's work and character follows the phlogistonists' "actors' sociology"; second, that Chang simplifies late-eighteenth-century chemical debates by reducing them to an alleged conflict between two systems of practice; third, that Chang's evidence for a slow transition from phlogistonist theory to oxygen theory is not strong; and fourth, that he is wrong to assume that chemists at the time did not have overwhelming good reasons to favour Lavoisier's over the phlogistonists' views.

Medical constructions of long-term exhaustion, past and present.

Culture and history affect the ways in which medical knowledge is shaped, sustained and changed. The less knowledge we have, the larger the space for the cultural imprint becomes. Based on these assumptions, we ask: how have medical constructions of long-term exhaustion changed over time, and how are changing constructions related to societal change? To discuss these questions we conducted a comparative study of medical texts from two historical periods: 1860-1930 and 1970-2013. Our data are limited to two diagnoses: neurasthenia and encephalomyelitis. After comparing the two periods by identifying diverging and converging aspects, we interpreted observed continuities and interruptions in relation to historical developments. We found that in the medical literature, long-term exhaustion became transformed from a somatic ailment bred by modern civilisation to a self-inflicted psychiatric ailment. At the same time, it changed from being a male-connoted high-status condition to a female-connoted low-status condition. We interpret these changes as contingent upon culturally available modes of interpretations. Medical knowledge thereby becomes infused with cultural norms and values which give them a distinct cultural bias. The historical controversies surrounding this medically contested condition neatly display the socially contingent factors that govern the social construction of medical knowledge.

The terms 'autacoid', 'hormone' and 'chalone' and how they have shifted with time.

The increase of knowledge in a particular field (endocrinology) can be understood if one follows how certain key concepts were constructed and transformed over time. To explore such construction and transformation (shifts in meaning), we studied the use of the concepts 'autacoid' and 'chalone' in a period of one century (1916-2016), since the introduction of these concepts by the British professor of physiology Sir Sharpey-Schäfer. We could identify that the use of 'autacoid' shifted from a very broad category encompassing both stimulating and inhibiting hormones, in the period 1916-1960, to a much more specific use of the term for locally produced bioactive molecules, from the 1960s onwards. Histamine was the first compound seen as an 'autacoid', followed by prostaglandins, ATP, ADP and bradykinin, and from 1993 onwards, compounds such as 'palmitoylethanolamide' were also classified as 'autacoids'. For 'chalone', a comparable shift was noticed around the 1960s, when the concept suddenly changed from the category of inhibiting hormones into a substance that is produced within a tissue, inhibiting mitosis of the cells of that tissue. For both concept shifts, we could not find any argument. Around 1980, authors started to relate autacoids to various promising indications in the field of inflammation and immune modulation. The Nobel laureate Rita Levi-Montalcini gave an extra dimension to the concept autacoid in 1993, and introduced a new class of compounds modulating mast cells, the ALIAmides (from Autacoid Local Inflammation Antagonist), of which palmitoylethanolamide was the prototype. Our exploration demonstrates that biomedical concepts can be constructed and defined differently as time goes by, while concept transformations seem to emerge without arguments.

PUS in turbulent times II - A shifting vocabulary that brokers inter-disciplinary knowledge.

To reflect further on 20 years of the journal, we present a lexicographic and bibliometric study of all papers published in Public Understanding of Science (PUS). Lexicographical analysis of the vocabulary of 465 abstracts shows five classes of associated concepts in two periods, 1992-2001 and 2002-2010. The concern for public attitudes and mass media coverage remains on the card; while language has shifted from 'public understanding' to 'public engagement' and environmental concerns have waned then waxed. The bibliometric analysis traces the position of PUS in the inter-citation network of 165 related journals (ISI Web of Science citation database), grouped into 10 disciplines for the purpose of this analysis. Indicators derived from network logic show that the established position of PUS has been stable since 1997. PUS serves a varied brokerage role as gatekeeper into and liaison maker between disciplines. Its inter-citation network position allows PUS to perform inter-disciplinary boundary spanning work that offers a safe space for experimentation with ideas.

Geschichte ohne Kausalität. Abgrenzungsstrategien gegen die Wissenschaftssoziologie in zeitgenössischen Ansätzen historischer Epistemologie.

History Without Causality. How Contemporary Historical Epistemology Demarcates Itself From the Sociology of Scientific Knowledge. Contemporary proponents of historical epistemology often try to delimit their enterprise by demarcating it from the sociology of scientific knowledge and other sociologically oriented approaches in the history of science. Their criticism is directed against the use of causal explanations which are deemed to invite reductionism and lead to a totalizing perspective on science. In the present article I want to analyse this line of criticism in what I consider are two paradigmatic works of contemporary historical epistemology: Lorraine Daston's und Peter Galison's Objectivity and Hans-Jörg Rheinberger's Toward a History of Epistemic Things. I first present their arguments against the sociological and causal analysis of scientific knowledge and practice and then try to defend sociological work in the history of science against their charges. I will, however, not do so by defending causal explanations directly. Rather, I will show that the arguments against sociological analysis put forward in contemporary historical epistemology, as well as historical epistemology's own models of historical explanation and narration, bear problematic consequences. I argue that Daston, Galison and Rheinberger fail to create productive resonances between macro- and microhistorical perspectives, that they reproduce an internalist picture of scientific knowledge, and finally that Rheinberger's attempt to deconstruct the dichotomy between subject and object leads him to neglect questions about the political dimension of scientific research.

Reconstruyendo el objeto de la crítica: sobre las posibles confluencias entre psicología crítica y estudios sociales de la ciencia y la tecnología / Reconstructing the object of the critic: on intersections between critical psychology and social studies of science and technology

En su calidad de recursos metodológicos y conceptuales que pueden apoyar el propósito de la psicología crítica, se presentan algunos aspectos generales de los estudios sociales de la ciencia y la tecnología (ESCT), los cuales han abierto promisorias sendas para el abordaje de la recíproca constitución entre ciencia y sociedad. Las directrices del llamado programa fuerte de sociología del conocimiento científico, los métodos y líneas de acción de las etnografías del laboratorio, y el abordaje de análisis retórico a los textos científicos, son los tres principales modelos metodológicos derivados de los ESCT, expuestos y relacionados con las posibles líneas de investigación dentro de la psicología crítica. Además de tales metodologías, los ESCT aportan ciertas consideraciones teóricas que son sometidas aquí a discusión con el fin de contribuir a replanteamientos creativos al interior de la psicología crítica.

As methodological and conceptual resources that can support the purpose of critical psychology, this paper presents some general aspects of the social studies of science and technology (STS), which have opened promising avenues for addressing the mutual constitution of science and society. Derived from the STS and related to possible research lines within critical psychology, three major methodological contributions are introduced: the principles of the so-called strong program of the sociology of scientific knowledge, the methodologies and guidelines of laboratory ethnographies, and the rhetorical analysis of scientific texts. Additionally, some theoretical considerations provided by the STS are discussed in order to contribute to a creative rethinking of critical psychology.