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      Digitising psychiatry? Sociotechnical expectations, performative nominalism and biomedical virtue in (digital) psychiatric praxis

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          Abstract

          Digital artefacts and infrastructures have been presented as ever more urgent and necessary for mental health research and practice. Telepsychiatry, mHealth, and now digital psychiatry have been promoted in this regard, among other endeavours. Smartphone apps have formed a particular focus of promissory statements regarding the improvement of epistemic and clinical work in psychiatry. This article contextualises and historicises some of these developments. In doing so, I show how purportedly novel fields have been constituted in part through practices of ‘performative nominalism’ (whereby articulations of a neologism in relation to established and recent developments participate in producing the referent of the new term). Central to this has been implicit and explicit extolment of what I term biomedical virtues in public‐facing and professionally orientated discourse. I document how emphases on various virtues have shifted with the attention of psychiatry to different digital modalities, culminating with knowledge‐production in mental health as one significant focus.

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          The Politics of Life Itself

          N Rose (2001)
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            A Sociology of Expectations:Retrospecting Prospects and Prospecting Retrospects

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              The application of mHealth to mental health: opportunities and challenges.

              Advances in smartphones and wearable biosensors enable real-time psychological, behavioural, and physiological data to be gathered in increasingly precise and unobtrusive ways. Thus, moment-to-moment information about an individual's moods, cognitions, and activities can be collected, in addition to automated data about their whereabouts, behaviour, and physiological states. In this report, we discuss the potential of these new mobile digital technologies to transform mental health research and clinical practice. By drawing on results from the INSIGHT research project, we show how traditional boundaries between research and clinical practice are becoming increasingly blurred and how, in turn, this is leading to exciting new developments in the assessment and management of common mental disorders. Furthermore, we discuss the potential risks and key challenges associated with applying mobile technology to mental health.
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                Author and article information

                Contributors
                martyn.pickersgill@ed.ac.uk
                Journal
                Sociol Health Illn
                Sociol Health Illn
                10.1111/(ISSN)1467-9566
                SHIL
                Sociology of Health & Illness
                John Wiley and Sons Inc. (Hoboken )
                0141-9889
                1467-9566
                02 September 2018
                October 2019
                : 41
                : Suppl 1 , Digital Health: Sociological Perspectives ( doiID: 10.1111/shil.v41.s1 )
                : 16-30
                Affiliations
                [ 1 ] Centre for Biomedicine, Self and Society Edinburgh Medical School University of Edinburgh Edinburgh UK
                Author notes
                [*] [* ]Address for correspondence: Martyn Pickersgill, Centre for Biomedicine, Self and Society, Edinburgh Medical School, University of Edinburgh. E‐mail: martyn.pickersgill@ 123456ed.ac.uk
                Author information
                http://orcid.org/0000-0001-9807-9148
                Article
                SHIL12811
                10.1111/1467-9566.12811
                6849545
                30175439
                63c3046e-1355-4b39-bd4e-e8b9e13b3a7c
                © 2018 The Author. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for SHIL.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                Page count
                Figures: 0, Tables: 0, Pages: 15, Words: 8649
                Funding
                Funded by: Wellcome Trust , open-funder-registry 10.13039/100004440;
                Award ID: 209519/Z/17/Z
                Award ID: 106612/Z/14/Z
                Award ID: 094205/Z/10/Z
                Funded by: Wellcome Trust Seed Award
                Award ID: 201652/Z/16/Z
                Categories
                Chapter 2
                Promissory Digital Health
                Chapter 2
                Custom metadata
                2.0
                October 2019
                Converter:WILEY_ML3GV2_TO_JATSPMC version:5.7.1 mode:remove_FC converted:12.11.2019

                Sociology
                e‐health,health technology/technology assessment,mental health and illness,psychiatry/psychiatric care,sts (science and technology studies)

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