Abstract
Hundreds of thousands of apps are now available that have been designed to monitor, manage or improve users’ health. In this article, I draw on feminist new materialist perspectives, and particularly the vital materialism offered by Jane Bennett, to consider the affordances, relational connections, affective forces and agential capacities that contribute to the thing-power of the human-app health assemblage. The discussion is underpinned by the assumption that digital technologies such as health apps are part of a more-than-human world, in which they generate forces and capacities only with and through their associations and relations with the humans who create and use them—or in some cases, relinquish or resist their use. To demonstrate how this approach can be applied to the analysis of empirical material, I discuss the findings of several of my recent projects involving people talking about their use of health apps. Drawing on these materials, I show that the vibrancy of the thing-power of the human-app assemblage is a complex admixture of affective forces, personal biographies and life trajectories, human and nonhuman affordances and cultural imaginaries. All of these elements contribute to a greater or lesser degree to the agential capacities generated by this assemblage.
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References
Barad, K. 2003. Posthumanist performativity: Toward an understanding of how matter comes to matter. Signs 28: 801–831.
Barad, K. 2007. Meeting the universe halfway: Quantum physics and the entanglement of matter and meaning. Durham: Duke University Press.
Bardini, T. 2014. Apps as ‘charming junkware’? In The imaginary app, ed. P.D. Miller and S. Matviyenko, 205–216. Cambridge, MA: The MIT Press.
Bennett, J. 2001. The enchantment of modern life: Attachments, crossings, and ethics. Princeton: Princeton University Press.
Bennett, J. 2004. The force of things: Steps toward an ecology of matter. Political Theory 32: 347–372.
Bennett, J. 2005. The agency of assemblages and the North American blackout. Public Culture 17: 445–465.
Bennett, J. 2009. Vibrant matter: A political ecology of things. Durham: Duke University Press.
Berg, M. 2017. Making sense with sensors: Self-tracking and the temporalities of wellbeing. Digital Health. https://doi.org/10.1177/2055207617699767.
Braidotti, R. 2016. Posthuman critical theory. In Critical posthumanism and planetary futures, ed. D. Banerji and M. Paranjape, 13–32. Berlin: Springer.
Braidotti, R. 2018. A theoretical framework for the critical posthumanities. Theory, Culture & Society. https://doi.org/10.1177/0263276418771486.
Crellin, R.J. 2017. Changing assemblages: vibrant matter in burial assemblages. Cambridge Archaeological Journal 27: 111–125.
Dennison, L., L. Morrison, G. Conway, et al. 2013. Opportunities and challenges for smartphone applications in supporting health behavior change: qualitative study. Journal of Medical Internet Research. https://www.jmir.org/2013/4/e86/.
Depper, A., and P.D. Howe. 2017. Are we fit yet? English adolescent girls’ experiences of health and fitness apps. Health Sociology Review 26: 98–112.
Didžiokaitė, G., P. Saukko, and C. Greiffenhagen. 2018. The mundane experience of everyday calorie trackers: Beyond the metaphor of Quantified Self. New Media & Society 20: 1470–1487.
Fotopoulou, A., and K. O’Riordan. 2017. Training to self-care: fitness tracking, biopedagogy and the healthy consumer. Health Sociology Review 26: 54–68.
Fox, N. 2017. Personal health technologies, micropolitics and resistance: A new materialist analysis. Health 21: 136–153.
Fox, N.J., and P. Alldred. 2017. Sociology and the new materialism: Theory, research, action. London: Sage.
Frissen, V., S. Lammes, M. de Lange, et al. 2015. Homo ludens 2.0: Play, media and identity. In Playful identities: The ludification of digital media cultures, ed. V. Frissen, S. Lammes, M. de Lange, et al., 9–50. Amsterdam: University of Amsterdam Press.
Fullagar, S., E. Rich, J. Francombe-Webb, et al. 2017. Digital ecologies of youth mental health: apps, therapeutic publics and pedagogy as affective arrangements. Social Sciences. https://www.mdpi.com/2076-0760/6/4/135.
Goodyear, V.A., C. Kerner, and M. Quennerstedt. 2019. Young people’s uses of wearable healthy lifestyle technologies; surveillance, self-surveillance and resistance. Sport, Education and Society 24: 212–225.
Gregson, N., H. Watkins, and M. Calestani. 2010. Inextinguishable fibres: Demolition and the vital materialisms of asbestos. Environment and Planning A 42: 1065–1083.
Haraway, D. 2015. Anthropocene, capitalocene, plantationocene, chthulucene: Making kin. Environmental Humanities 6: 159–165.
Haraway, D. 2016. Staying with the trouble: Making kin in the chthulucene. Durham: Duke University Press.
Jackson, A.Y., and L.A. Mazzei. 2012. Thinking with theory in qualitative research. New York: Taylor & Francis.
Johnston, R. 2016. Australians only use most apps for two weeks, tops. Gizmodo. https://www.gizmodo.com.au/2016/05/australians-only-use-most-apps-for-two-weeks-tops/.
Kamel Boulos, M., and S. Yang. 2013. Exergames for health and fitness: the roles of GPS and geosocial apps. International Journal of Health Geographics. https://ij-healthgeographics.biomedcentral.com/articles/10.1186/1476-072X-12-18.
Khan, G. 2009. Agency, nature and emergent properties: An interview with Jane Bennett. Contemporary Political Theory 8: 90–105.
Lister, C., J.H. West, B. Cannon, et al. 2014. Just a fad? Gamification in health and fitness apps. JMIR Serious Games. https://games.jmir.org/2014/2/e9/.
Lupton, D. 2014. Apps as artefacts: towards a critical perspective on mobile health and medical apps. Societies 4: 606–622.
Lupton, D. 2015. Quantified sex: a critical analysis of sexual and reproductive self-tracking using apps. Culture, Health & Sexuality 17: 440–453.
Lupton, D. 2016. The quantified self: A sociology of self-tracking. Cambridge: Polity Press.
Lupton, D. 2017. Digital bodies. In Routledge handbook of physical cultural studies, ed. D. Andrews, M. Silk, and H. Thorpe, 200–208. London: Routledge.
Lupton, D. 2018a. ‘I just want it to be done, done, done!’ Food tracking apps, affects and agential capacities. Multimodal Technologies and Interaction. http://www.mdpi.com/2414-4088/2/2/29/htm.
Lupton, D. 2018b. ‘Better understanding about what’s going on’: young Australians’ use of digital technologies for health and fitness. Sport, Education and Society. https://doi.org/10.1080/13573322.2018.155566.
Lupton, D. 2019. Vitalities and visceralities: alternative body/food politics in digital media. In Alternative food politics: from the margins to the mainstream, eds. M. Phillipov, and K. Kirkwood, 151–168. London: Routledge.
Lupton, D., and A. Jutel. 2015. ‘It’s like having a physician in your pocket!’ A critical analysis of self-diagnosis smartphone apps. Social Science and Medicine 133: 128–135.
Lupton, D., and S. Maslen. 2018. The more-than-human sensorium: sensory engagements with digital self-tracking technologies. The Senses and Society 13: 190–202.
Lupton, D., and S. Maslen. 2019. How women use digital technologies for health: qualitative interview and focus group study. Journal of Medical Internet Research. https://www.jmir.org/2019/1/e11481/.
Lupton, D., and G.M. Thomas. 2015. Playing pregnancy: the ludification and gamification of expectant motherhood in smartphone apps. M/C Journal. http://journal.media-culture.org.au/index.php/mcjournal/article/view/1012.
Maturo, A., L. Mori, and V. Moretti. 2016. An ambiguous health education: The quantified self and the medicalization of the mental sphere. Italian Journal of Sociology of Education. https://ijse.padovauniversitypress.it/2016/3/12.
Maturo, A., and F. Setiffi. 2016. The gamification of risk: How health apps foster self-confidence and why this is not enough. Health, Risk & Society 17: 477–494.
Miller, P.D. 2014. Preface. In The Imaginary App, ed. P.D. Miller and S. Matviyenko. Cambridge, MA: The MIT Press.
Millington, B. 2014. Smartphone apps and the mobile privatization of health and fitness. Critical Studies in Media Communication 31: 479–493.
Morris, J.W., and E. Elkins. 2015. There’s a history for that: apps and mundane software as commodity. The Fibreculture Journal. https://doi.org/10.15307/fcj.25.181.2015.
Research2Guidance. 2017. mHealth App Economics 2017: Current status and future trends in mobile health. Berlin: Research2Guidance.
Rose, D. 2014. Enchanted objects: Design, human desire, and the internet of things. New York: Scribner.
Sherbine, K. 2018. Track Star + thing power: Be (com) ing in the literacy workshop. Journal of Early Childhood Literacy. https://doi.org/10.1177/1468798418777847.
Thomas, G.M., and D. Lupton. 2016. Threats and thrills: pregnancy apps, risk and consumption. Health, Risk and Society 17: 495–509.
Trnka, S.H. 2016. Digital care: Agency and temporality in young people’s use of health apps. Engaging Science, Technology, and Society 2: 248–265.
Tucker, I., and L. Goodings. 2015. Managing stress through the Stress Free app: Practices of self-care in digitally mediated spaces. Digital Health. https://doi.org/10.1177/2055207615580741.
Watson, J., and J. Bennett. 2013. Eco-sensibilities: An interview with Jane Bennett. The Minnesota Review 2013: 147–158.
Williams, S.J., C. Coveney, and R. Meadows. 2015. ‘M-apping’ sleep? Trends and transformations in the digital age. Sociology of Health & Illness 37: 1039–1054.
Witkowski, E. 2018. Running With zombies: Capturing new worlds through movement and visibility practices With Zombies, Run! Games and Culture 13: 153–173.
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Lupton, D. The thing-power of the human-app health assemblage: thinking with vital materialism. Soc Theory Health 17, 125–139 (2019). https://doi.org/10.1057/s41285-019-00096-y
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DOI: https://doi.org/10.1057/s41285-019-00096-y