1. The Promise of Poison: Life in the Field of Pediatric Cancer Treatment
- Author
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Wright, Anthony Gerard, Scheper-Hughes, Nancy1, Holmes, Seth, Wright, Anthony Gerard, Wright, Anthony Gerard, Scheper-Hughes, Nancy1, Holmes, Seth, and Wright, Anthony Gerard
- Abstract
The Promise of Poison: Life in the Field of Pediatric Cancer Treatment is an exploration of the ideologically mediated practices through which people are made into different kinds of participants in processes of pediatric cancer treatment. Since the 1950s, the field of pediatric cancer treatment in the United States has become organized around a multidisciplinary model that the oncologist Sidney Farber dubbed “total care.” In recognition of the various forms of havoc that cancer diagnosis and treatment wreaks on patients and their intimate networks, Farber’s vision calls for multidisciplinary teams of biomedical and psychosocial professionals to provide various caregiving services to both patients and their family members, particularly parents/guardians. Since the time of Farber, many cancer treatment centers throughout the world have adopted some version of his model. In this dissertation, I explore practices of total care at Bay Area Children’s Hospital, which is the site of a major pediatric cancer treatment center in the San Francisco Bay Area. In doing so, I show how models of pediatric cancer care intersect with models of communication and youth in ways that can produce multivalent effects that range from therapeutic to iatrogenic. As young people and their families become positioned as participants in the field of pediatric cancer treatment, their lives become spatially, temporally, and ideologically re-arranged around the demands of particular cancer treatment protocols. In the process, they are not only promised the possibility of healing, but they are also warned about the negative, or iatrogenic, effects of treatment. While the negative effects of biomedical cancer treatment practices are commonly recognized, here I show how psychosocial caregiving practices can also produce harmful effects. One common way in which this occurs is via the subjection of individuals who identify as teenagers to habitats, artifacts, standards, and practices that were designed
- Published
- 2019