socofpowerСоциология властиSociology of Power2074-04922413-144XThe Russian Presidential Academy of National Economy and Public AdministrationOQEHOOsocofpower-393Research ArticleСТАТЬИ. СОЦИОЛОГИЯ ЗАБОТЫARTICLES. SOCIOLOGY OF CAREРанние работы Рене Фокс: связь заботы и неопределенности в медицинских практикахThe Early Works of Renée Fox: Linking Care and Uncertainty in Medical Practiceshttps://orcid.org/0009-0006-8522-8152ЯковлевК. И.YakovlevK. I.

Яковлев Кирилл Игоревич — аспирант, Департамент социологии

Санкт-Петербург

Kirill I. Yakovlev — PhD student, Department of Sociology

St. Petersburg

kiyakovlev@edu.hse.ruНациональный исследовательский университет «Высшая школа экономики»РоссияNational Research University Higher School of EconomicsRussian Federation202625032026381175198Copyright © Яковлев К.И., 20262026Яковлев К.И.Yakovlev K.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://socofpower.ranepa.ru/jour/article/view/393

Статья переосмысляет ранние работы Рене Фокс — в первую очередь ее монографию «Experiment Perilous» (1959) — сквозь призму связи важных для нее тем неопределенности и заботы в клинической практике и производстве научного знания. Стандартная рецепция Фокс как исследовательницы профессиональной социализации и ролевых ожиданий в медицинской работе редуцирует эту тематику, игнорируя эпистемическую и аффективную проблематику практических процессов клинико-исследовательской работы. Реконструируя влияние Мертона, проявляющееся в методологической рамке ролевых конфликтов, статья показывает, что Фокс уже в ранних работах смещает фокус с воспроизводства норм на механизмы эмоциональной регуляции, возникающие в условиях многоуровневой неопределенности: непрозрачности индивидуального и коллективного медицинского знания, онтологической нестабильности исследуемых объектов, а также сложности аффективных взаимодействий между врачами и пациентами. Работая с заложенными Парсонсом понятиями двойной контингентности и роли больного, Фокс рассматривает болезнь как моральный процесс, в котором от различных форм заботы о пациенте и от его поведения зависит не только его состояние, но и формирование нового знания в ходе научных экспериментов. Описанные Фокс аспекты заботы рассматриваются в статье как неотъемлемая часть как эмоциональной регуляции врачей, так и конструирования научных фактов. Статья помещает ранние работы Фокс в контекст традиции функционализма, освещая те моменты, в которых ее внимание к неопределенности, заботе и производству знания выходит за рамки мертоновского проекта, открывая путь к дальнейшему изучению как аффективной проблематики в медицине, так и процессов конструирования медицинских фактов.

The article reinterprets the early works of Renée Fox—primarily her monograph Experiment Perilous (1959)—through the lens of the connectionand  thebetween production the key of  themesscientific of knowledge uncertainty. The and standard care in  clinicalreception practice of Fox as a researcher of professional socialisation and role expectations in medical work reduces this subject matter, overlooking the epistemic and affective issues inherent in the practical processes of clinical and research work. Reconstructing Merton’s influence, evident in her methodological framework of role conflicts, the article demonstrates that even in her early works, Fox shifts the focus from the reproduction of norms to the mechanisms of emotional regulation arising under conditions of multi-layered uncertainty: the opacity of individual and collective medical knowledge, the ontological instability of the research objects, and the complex affective interactions between doctors and patients. Drawing on Parsons’ concepts of double contingency and the sick role, Fox examines illness as a moral process, where various forms of care and the patient’s behavior affect not only their condition but also the generation of new knowledge through scientific experiments. The aspects of care described by Fox are considered as an integral part of both physicians’ emotional regulation and the construction of scientific facts. The article situates Fox’s early work within the tradition of functionalism, highlighting those moments where her attention to uncertainty, care, and knowledge production transcends Merton’s project, opening avenues for further exploration of both affective issues in medicine and the processes of constructing medical facts.

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The authors declare that there are no conflicts of interest present.