This article reports on ethnographic research into the practical and ethical consequences of the implementation and use of telecare devices for older people living at home in Spain and the United Kingdom. Telecare services are said to allow the maintenance of their users’ autonomy through connectedness, relieving the isolation from which many older people suffer amid rising demands for care. However, engaging with Science and Technology Studies (STS) literature on “user configuration” and implementation processes, we argue here that neither services nor users preexist the installation of the service: they are better described as produced along with it. Moving beyond design and appropriation practices, our contribution stresses the importance of installations as specific moments where such emplacements take place. Using Etienne Souriau’s concept of instauration, we describe the ways in which, through installation work, telecare services “bring into existence” their very infrastructure of usership. Hence, both services and telecare users are effects of fulfilling the “felicity conditions” (technical, relational, and contractual) of an achieved installation.
AkrichMadeleine. 1992. “The De-scription of Technical Objects.” In Shaping Technology/Building Society. Studies in Sociotechnical Change, edited by BijkerW.LawJ., 205–24. Cambridge, MA: MIT Press.
2.
AkrichMadeleine. 2002. “A Gazogene in Costa Rica: An Experiment in Techno-sociology.” In Technological Choices. Transformation in Material Cultures since the Neolithic, edited by LemonnierP., 289–337. London, UK: Routledge.
3.
AustinJohn L.1962. How to Do Things with Words. London, UK: Oxford University Press.
4.
BaradKaren. 2003. “Posthumanist Performativity: Toward An Understanding of How Matter Comes to Matter.”Signs: Journal of Women in Culture and Society28 (3): 801–31.
5.
BarryAndrew. 2001. “On Interactivity.” In Political Machines: Governing a Technological Society, 127–52. London, UK: Athlone Press.
6.
BotsisTaxiarchisDemirisGeorgePedersenSteinarHartvigsenGunnar. 2008. “Home Telecare Technologies for the Elderly.”Journal of Telemedicine and Telecare14 (7): 333–37.
7.
BourdieuPierre. 1991a. “Authorized Language: The Social Conditions for the Effectiveness of Ritual Discourse.” In Language and Symbolic Power, 107–16. Cambridge, UK: Polity Press.
8.
BourdieuPierre. 1991b. “Rites of Institution.” In Language and Symbolic Power, 117–26. Cambridge, UK: Polity Press.
9.
BrownsellSimonBlackburnSteveAldredHazelPorteusJeremy. 2006. “Implementing Telecare: Practical Experiences.”Housing, Care and Support9 (2): 6–12.
10.
BrownsellSimonBradleyDavidBlackburnSteveCardinauxFabienHawleyMark S.. 2011. “A Systematic Review of Lifestyle Monitoring Technologies.”Journal of Telemedicine and Telecare17 (4): 185–89.
11.
ButlerJudith. 1990. Gender Trouble: Feminism and the Subversion of Identity. New York: Routledge.
12.
CallonMichaelRabeharisoaVololona. 2008. “The Growing Engagement of Emergent Concerned Groups in Political and Economic Life: Lessons from the French Association of Neuromuscular Disease Patients.”Science, Technology, & Human Values33 (2): 230–61.
13.
CaplanJane. 2001. “This or that Particular Person”: Protocols of Identification in Nineteenth-Century Europe.” In Documenting Individual Identity: The Development of State Practices in the Modern World, edited by CaplanJ.TorpeyJ., 49–68. Princeton, NJ: Princeton University Press.
14.
CarstenJanet. 2004. After Kinship. Cambridge, UK: Cambridge University Press.
15.
DenisJérômePontilleDavid. 2010. “Placing Subway Signs: Practical Properties of Signs at Work.”Visual Communication9 (4): 441–62.
16.
DerridaJacques. 1971. “Signature, Event, Context.” In Margins of Philosophy, 307–30. Chicago: Chicago University Press.
17.
DerridaJacques. 1986. “Declarations of Independence.”New Political Science7 (1): 7–15.
18.
DoughtyKevin. 2008. “Lifestyle Monitoring—Extending Telecare Services into Prediction and Prevention.”Journal of Assistive Technologies2 (1): 35–41.
19.
FiskMalcolm F.2003. Social Alarms to Telecare. Older People’s Services in Transition. Bristol, UK: Policy Press.
20.
FraenkelBéatrice. 1992. La Signature: Genèse d’un Signe. Paris, France: Gallimard.
21.
FraenkelBéatrice. 2006. “Actes Écrits, Actes Oraux: La Performativité à l’Épreuve de l'Écriture.”Études De Communication29 (2006):69–93.
22.
GoffmanErving. 1956. “Regions and Region Behaviour.” In The Presentation of Self in Everyday Life, 66–86. Edinburgh, UK: University of Edinburgh.
23.
GoffmanErving. 1983. “Felicity’s Condition.”American Journal of Sociology89 (1): 1–53.
24.
GrahamStephenThriftNigel. 2007. “Out of Order: Understanding Repair and Maintenance.”Theory, Culture & Society24 (3): 1–25.
HasuMervi. 2000. “Blind Men and the Elephant: Implementation of a New Artifact as an Expansive Possibility Outlines.”The Journal of Critical Social Studies2 (1): 5–41.
27.
HenkeChristopher R.1999. “The Mechanics of Workplace Order: Toward a Sociology of Repair.”Berkeley Journal of Sociology44 (1): 55–81.
28.
HigginsVaughan. 2007. “Performing Users: The Case of a Computer-based Dairy Decision-support System.”Science, Technology, & Human Values32 (3): 263–86.
29.
HyysaloSampsa. 2004. “Technology Nurtured—Collectives in Maintaining and Implementing Technology for Elderly Care.”Science Studies17 (2): 23–43.
30.
HyysaloSampsa. 2007. “Versions of Care Technology.”Human Technology3 (2): 228–47.
31.
JacobMarie-Andrée. 2007. “Form-made Persons: Consent Forms as Consent’s Blind Spot.”Polar: Political and Legal Anthropology Review30 (2): 249–68.
32.
LatourBruno. 1990. “Drawing Things Together.” In Representation in Scientific Practice, edited by LynchM.WoolgarS., 19–68. Cambridge, MA: MIT Press.
33.
LatourBruno. 1999. “Piccola Filosofia dell’Enunciazione.” In Eloquio Del Senso. Dialoghi Semiotici Per Paolo Fabbri, edited by BassoP.CorrainL., 71–94. Milano, Italy: Costa & Nolan.
34.
LatourBruno. 2011. “Reflections on Etienne Souriau’s Les Différents Modes D’existence.” In The Speculative Turn: Continental Materialism and Realism, edited by BryantL.SrnicekN.HarmanG., 304–33. Melbourne, Australia: Re.Press.
35.
LatourBruno. 2013. An Inquiry into Modes of Existence: An Anthropology of the Moderns. Cambridge, MA: Harvard University Press.
LieMeretSorensenKaren H.. 1996. “Making Technology Our Own? Domesticating Technology into Everyday Life.” In Making Technology Our Own? Domesticating Technology into Everyday Life,” edited By LieM.SorensenK. H., 1–30. Oslo, Norway: Scandinavian University Press.
38.
LoeMeika. 2010. “Doing It My Way: Old Women, Technology and Wellbeing.”Sociology of Health & Illness32 (2): 319–34.
39.
LópezDanielCallénBlancaTiradoFrancisco JavierDomènechMiquel. 2010. “How to Become a Guardian Angel. Providing Safety in a Home Telecare Service.” In Care in Practice. On Tinkering in Clinics, Homes and Farms, edited by MolA.MoserI., and PolsJ., 71–90. Bielefeld, Germany: Transcript.
40.
LópezDanielDomènechMiquel. 2008. “On Inscriptions and Ex-Inscriptions. The Production of Immediacy in a Home Telecare Service.”Environment and Planning D: Society and Space26 (4): 663–75.
41.
LópezDanielDomènechMiquel. 2009. “Embodying Autonomy in a Home Telecare Service.”Sociological Review56 (S2): 181–95.
42.
LópezDanielSánchez-CriadoTomás. 2009. “Dwelling the Telecare Home: Placeness, Location, and Habitality.”Space and Culture12 (3): 343–58.
43.
MaussMarcel. 1973. “Techniques of the Body.”Economy & Society2 (1): 70–88.
44.
MilliganChristineRobertsCeliaMortMaggie. 2011. Telecare and Older People: Who Cares Where?Social Science & Medicine72 (3): 347–54.
45.
MortMaggieFinchTracyMayCarl. 2009. “Making and Unmaking Telepatients. Identity and Governance in New Health Technologies.”Science, Technology, & Human Values34 (1): 9–33.
46.
MortMaggieRobertsCeliaMilliganChristine. 2011. “Telecare and Older People: Re-ordering Social Relations.” In Towards Responsible Research and Innovation in the Information and Communication Technologies and Security Technologies Fields, edited by Von SchombergR., 149–64. Luxembourg: Publications Office of the European Union.
47.
OrrJulian E.1996. Talking about Machines: An Ethnography of a Modern Job. Ithaca, NY: Cornell University Press.
48.
OudshoornNelly. 2011. Telecare Technologies and the Transformation of Healthcare. New York: Palgrave Macmillan.
49.
OudshoornNellyPinchTrevor. 2005. “Introduction: How Users and Non-users Matter.” In How Users Matter: The Co-construction of Users and Technology, edited by OudshoornN.PinchT., 1–25. Cambridge, MA: MIT Press.
50.
OudshoornNellyRommesElsStienstraMarcelle. 2004. “Configuring the User as Everybody: Gender and Design Cultures in Information and Communication Technologies.”Science, Technology, & Human Values29 (1): 30–63.
51.
PolsJeannetteWillemsDick. 2011. “Innovation and Evaluation: Taming and Unleashing Telecare Technology.”Sociology of Health & Illness33 (3): 484–98.
52.
PottageAlain. 2004. “Introduction: The Fabrication of Persons and Things.” In Law, Anthropology, and the Constitution of the Social: Making Persons and Things, edited by PottageA.MundyM., 1–39. Cambridge, UK: Cambridge University Press.
53.
PotterJonathan. 1996. Representing Reality: Discourse, Rhetoric, and Social Construction. Thousand Oaks, CA: Sage.
54.
RobertsCeliaMortMaggieMilliganChristine. 2012. “Calling for Care: ‘Disembodied’ Work, Teleoperators and Older People Living At Home.”Sociology46 (3): 490–506.
55.
RoseNikolas. 1999. Powers of Freedom. Cambridge, UK: Cambridge University Press.
56.
RyanD.CobernW.WheelerJ.PriceD.TarassenkoL.. 2005. “Mobile Phone Technology in the Management of Asthma.”Journal of Telemedicine and Telecare11 (S1): 43–6.
57.
Sánchez-CriadoTomásDomènechMiquel. 2011. “The Craft of ‘Connected Autonomy’ in Home Telecare for Older People.”Paper presented at the 110th Annual Meeting of the American Anthropological Association, Montreal, Canada, November16–20.
58.
SchegloffEmanuel A.SacksHarvey. 1973. “Opening Up Closings.”SemioticaVIII (4): 289–327.
59.
SchillmeierMichaelDomènechMiquel, eds. 2010. New Technologies and Emerging Spaces of Care. Surrey, UK: Ashgate.
60.
SouriauÉtienne. 2009. “Du Mode d’Existence de l’Œuvre à Faire.” In Les Différents Modes d’Existence (Suivi de Du Mode d’Existence de l’Œuvre à Faire), 195–217. Paris, France: Presses Universitaires De France.
61.
StarSusan Leigh. 1999. “The Ethnography of Infrastructure.”American Behavioral Scientist43 (3): 377–91.
62.
StengersIsabelleLatourBruno. 2009. “Présentation: Le Sphynx et l’Œuvre.” In É. Souriau Les Différents Modes d’Existence (Suivi de Du Mode d’Existence de l’Œuvre à Faire), 1–75. Paris, France: Presses Universitaires De France.
63.
StennerPaulMcfarquharTaraBowlingAnn. 2011. “Older People and ‘Active Ageing’: Subjective Aspects of Ageing Actively.”Journal of Health Psychology16 (3): 467–77.
64.
SuchmanLucy. 2007. Human-Machine Reconfigurations. Plans and Situated Actions. 2nd ed. Cambridge, UK: Cambridge University Press.
65.
WilkieAlex. 2010. “User Assemblages in Design: An Ethnographic Study.”PhD Thesis Dissertation, Goldsmiths, University of London, UK.
66.
WilkieAlexMichaelMike. 2009. “Expectation and Mobilisation. Enacting Future Users.”Science, Technology, & Human Values34 (4): 502–22.
67.
WinanceMyriam. 2006. “Trying out the Wheelchair: The Mutual Shaping of People and Devices through Adjustment.”Science, Technology, & Human Values31 (1): 52–72.
