Unruly Bodies, Unruly Statistics: Thalidomide and the Birth of Reproductive Epidemiology in the Early 1960s
Sep 2024
| »
Get text
| Keywords: disease surveillance, infrastructures, social theory
This chapter interrogates the historical, infrastructural, and epistemic contexts that shaped the establishment of Sweden's Register of Congenital Malformations in 1964. Instituted in response to the global thalidomide catastrophe, the register emerged with a dual mandate: to detect emergent patterns and upticks in congenital malformations, and to act as a sentinel system for fetal damage. Placing the register within the broader international shift toward pharmaceutical oversight and standardized registries, this chapter underscores the situated nature of its creation. It probes into the classification problems posed by congenital malformations, showing how difficult it is to incorporate such anomalies into the dominant grid of medical classification. In a medical world fixated on standardization, key actors such as Bengt Källén devised novel mechanisms to grapple with the elusive nature of congenital malformations. By foregrounding the complex interplay between surveillance, standardization, and the unknown in medical practice, this chapter attends to some of the inherent contradictions in medical knowledge production.
Lee, Francis. 2024. "Unruly Bodies, Unruly Statistics: Thalidomide and the Birth of Reproductive Epidemiology in the Early 1960s." In Histories of Fetal Knowledge Production in Sweden: Medicine, Politics, and Public Controversy, 1530-2020, edited by Solveig Jülich, 306-328. Leiden: Brill.
Ontological overflows and the politics of absence: Zika, disease surveillance, and mosquitos
Dec 2023
| »
Get text
| Keywords: algorithms, social theory, disease surveillance, infrastructures, actor-network theory
This paper suggests that STS needs to start attending to what I dub ontological overflows. My argument is that the focus on construction and enactment stories in STS has led to us taking over the matters of concern of our interlocutors. Our informants' concerns and objects, becoming our concerns and objects. I argue that we have taken for granted which objects should be attended to, cared for, and analyzed. Thus, our theories and methods have constituted a particular blindness to those objects that our informants do not care for—the objects at the edges of the network, the smooth rhizomatic spaces, the blank figures, the neglected things, the undiscovered continents, the plasma. The paper thus joins in the ongoing discussion about the ontological politics of invisibility, partial knowledge, and fractionality, and asks how STS can attend to the making of the absent, weak, and invisible. What would happen if we start paying attention to these ontological overflows in practice? By tracing how multiple absences are produced, the paper shows the usefulness of caring for the othered objects, of following the making of alterity and otherness. The argument is that the tracing of ontological overflows opens up for understanding how tangential objects are dis-assembled, and consequently for tracing how absence, alterity, and otherness are made in practice.
Lee, Francis. 2024. "Ontological overflows and the politics of absence: Zika, disease surveillance, and mosquitos." Science as Culture 33(3): 417-442. https://doi.org/10.1080/09505431.2023.2291046
Detecting the unknown in a sea of knowns: Health surveillance, knowledge infrastructures, and the quest for classification egress
Nov 2023
| »
Get text
| Keywords: social theory, disease surveillance, valuations, infrastructures
The sociological study of knowledge infrastructures and classification has traditionally focused on the politics and practices of classifying things or people. However, actors' work to escape dominant infrastructures and pre-established classification systems has received little attention. In response to this, this article argues that it is crucial to analyze, not only the practices and politics of classification, but also actors' work to escape dominant classification systems. The article has two aims: First, to make a theoretical contribution to the study of classification by proposing to pay analytical attention to practices of escaping classification, what the article dubs classification egress. This concept directs our attention to—not only the practices and politics of classifying things—but also how actors work to escape or resist classification systems in practice. Second, the article aims to increase our understanding of the history of quantified and statistical health surveillance. In this, the article investigates how actors in health surveillance assembled a knowledge infrastructure for surveilling, quantifying, and detecting unknown patterns of congenital malformations in the wake of the Thalidomide disaster in the early 1960s.
Lee, Francis. 2023. "Detecting the unknown in a sea of knowns: Health surveillance, knowledge infrastructures, and the quest for classification egress." Science in Context 36(2): 127-150. https://doi.org/10.1017/S0269889723000133
Sensing Salmonella: Modes of Sensing and the Politics of Sensing Infrastructures
Aug 2021
| »
Get text
| Keywords: social theory, disease surveillance, valuations, infrastructures
The intent with this chapter is dual: First, it aims to add to the vocabulary for analyzing the politics sensing infrastructures. Drawing on post actor-network theory sensibilities, the chapter introduces the concept of style of inference in order to analyze the politics of how different sensing infrastructures apprehend the world (cf. Fujimura & Chou; Hacking). Paraphrasing Adrian Mackenzie: different sensing infrastructures have very different ways of navigating the steadily increasing tidal wave of data—and we need to understand how these differences are integrated with society at large (Mackenzie). An important argument of the chapter is thus that different styles of inference are more or less compatible with a wider political and organizational context. For example, the value of web searches on flu symptoms are not fully trusted as evidence of flu outbreaks in the healthcare system. The style of inferring flu intensity is not stabilized. The chapter therefore contends that there is a need to understand how sensing infrastructures have different styles of inference, and how these are differently compatible with governmental action and politics. Thus, the argument is that different styles of inference are deeply implicated in a politics of sensing.
Lee, Francis. 2021. "Sensing Salmonella: Modes of Sensing and the Politics of Sensing Infrastructures." In Sensing In/Security: Sensors as Transnational Security Infrastructures, edited by Nina Witjes, Nikolaus Pöchhacker, and Geoffrey C. Bowker, 97-131. London: Mattering Press. http://doi.org/10.28938/9781912729111
Enacting the Pandemic: Analyzing Agency, Opacity, and Power in Algorithmic Assemblages
Feb 2021
| »
Get text
| Keywords: algorithms, social theory, disease surveillance, infrastructures, bioscience, actor-network theory
This article has two objectives: First, the article seeks to make a methodological intervention in the social study of algorithms. Second, the article traces ethnographically how an algorithm was used to enact a pandemic, and how the power to construct this disease outbreak was moved around through an algorithmic assemblage. The article argues that there is a worrying trend to analytically reduce algorithms to coherent and stable objects whose computational logic can be audited for biases to create fairness, accountability, and transparency (FAccT). To counter this reductionist and determinist tendency, the article proposes three methodological rules that allows an analysis of algorithmic power in practice. Empirically, the article traces the assembling of a recent epidemic at the European Centre for Disease Control and Prevention—the Zika outbreak starting in 2015—and shows how an epidemic was put together using an array of computational resources, with very different spaces for intervening. A key argument is that we, as analysts of algorithms, need to attend to how multiple spaces for agency, opacity, and power open and close in different parts of algorithmic assemblages. The crux of the matter is that actors experience different degrees of agency and opacity in different parts of any algorithmic assemblage. Consequently, rather than auditing algorithms for biased logic, the article shows the usefulness of examining algorithmic power as enacted and situated in practice.
Lee, Francis. 2021. "Enacting the Pandemic: Analyzing Agency, Opacity, and Power in Algorithmic Assemblages." Science & Technology Studies 34(1): 65-90. https://doi.org/10.23987/sts.75323
How should we theorize algorithms? Five ideal types in analyzing algorithmic normativities
Aug 2019
| »
Get text
| Keywords: algorithms, social theory, infrastructures
The power of algorithms has become a familiar topic in society, media, and the social sciences. It is increasingly common to argue that, for instance, algorithms automate inequality, that they are biased black boxes that reproduce racism, or that they control our money and information. Implicit in many of these discussions is that algorithms are permeated with normativities, and that these normativities shape society. The aim of this editorial is double: First, it contributes to a more nuanced discussion about algorithms by discussing how we, as social scientists, think about algorithms in relation to five theoretical ideal types. For instance, what does it mean to go under the hood of the algorithm and what does it mean to stay above it? Second, it introduces the contributions to this special theme by situating them in relation to these five ideal types. By doing this, the editorial aims to contribute to an increased analytical awareness of how algorithms are theorized in society and culture. The articles in the special theme deal with algorithms in different settings, ranging from farming, schools, and self-tracking to AIDS, nuclear power plants, and surveillance. The contributions thus explore, both theoretically and empirically, different settings where algorithms are intertwined with normativities.
Lee, Francis, and Lotta Björklund Larsen. 2019. "How Should We Theorize Algorithms? Five Ideal Types in Analyzing Algorithmic Normativities." Big Data & Society 6(2). https://doi.org/10.1177/2053951719867349
Algorithms as folding: Reframing the analytical focus
Aug 2019
| »
Get text
| Keywords: algorithms, social theory, infrastructures
This article proposes an analytical approach to algorithms that stresses operations of folding. The aim of this approach is to broaden the common analytical focus on algorithms as biased and opaque black boxes, and to instead highlight the many relations that algorithms are interwoven with. Our proposed approach thus highlights how algorithms fold heterogeneous things: data, methods and objects with multiple ethical and political effects. We exemplify the utility of our approach by proposing three specific operations of folding—proximation, universalisation and normalisation. The article develops these three operations through four empirical vignettes, drawn from different settings that deal with algorithms in relation to AIDS, Zika and stock markets. In proposing this analytical approach, we wish to highlight the many different attachments and relations that algorithms enfold. The approach thus aims to produce accounts that highlight how algorithms dynamically combine and reconfigure different social and material heterogeneities as well as the ethical, normative and political consequences of these reconfigurations.
Lee, Francis, Jess Bier, Jeffrey Christensen, Lukas Engelmann, Claes-Fredrik Helgesson, and Robin Williams. 2019. "Algorithms as Folding: Reframing the Analytical Focus." Big Data & Society 6(2). https://doi.org/10.1177/2053951719863819
Styles of Valuation: Algorithms and Agency in High-throughput Bioscience
Jul 2019
| »
Get text
| Keywords: algorithms, valuations, infrastructures, bioscience
In science and technology studies today, there is a troubling tendency to portray actors in the biosciences as "cultural dopes" and technology as having monolithic qualities with predetermined outcomes. To remedy this analytical impasse, this article introduces the concept styles of valuation to analyze how actors struggle with valuing technology in practice. Empirically, this article examines how actors in a bioscientific laboratory struggle with valuing the properties and qualities of algorithms in a high-throughput setting and identifies the copresence of several different styles. The question that the actors struggle with is what different configurations of algorithms, devices, and humans are "good bioscience," that is, what do the actors perform as a good distribution of agency between algorithms and humans? A key finding is that algorithms, robots, and humans are valued in multiple ways in the same setting. For the actors, it is not apparent which configuration of agency and devices is more authoritative nor is it obvious which skills and functions should be redistributed to the algorithms. Thus, rather than tying algorithms to one set of values, such as "speed," "precision," or "automation," this article demonstrates the broad utility of attending to the multivalence of algorithms and technology in practice.
Lee, Francis, and Claes-Fredrik Helgesson. 2020. "Styles of Valuation: Algorithms and Agency in High-Throughput Bioscience." Science, Technology, & Human Values 45(4): 659-685. https://doi.org/10.1177/0162243919866898
Analyzing algorithms: some analytical tropes
Nov 2016
| »
Get text
| Keywords: algorithms, social theory, infrastructures
Algorithms are everywhere. Hardly a day passes without reports on the increased digitalization and automation of society and culture. As we know these processes are fundamentally based on algorithms (Kichin 2012). Today, there is also a proliferation of research on the social aspects of algorithms: on census taking (Ruppert 2012), predicting and preventing crime (Ferguson 2017), credit assessment (DeVille & Velden 2015), pricing water (Ballestero 2015), machine-learning (Burrell 2016), email spam filters (Maurer 2013), dating services (Roscoe & Chillas 2014) to mention a few. The focus of these researchers have in different ways been algorithms and their profound impact (cf. Kockelman 2013). However, in this algorithmic world, it seems to us that we are moving in a landscape where we find familiar tropes of technological hype, determinism, and of evil technology run wild.
Lee, Francis, and Lotta Björklund Larsen. 2016. "Analyzing algorithms: some analytical tropes." Second Algorithm Studies Workshop, Stockholm, Sweden, 23-24 February.
A Sociology of Treason: The Construction of Weakness
Jan 2014
| »
Get text
| Keywords: social theory, infrastructures, actor-network theory
The process of translation has both an excluding and including character. The analysis of actor networks, the process of mobilizing alliances, and constructing networks is a common and worthwhile focus. However, the simultaneous betrayals, dissidences, and controversies are often only implied in network construction stories. We aim to nuance the construction aspect of actor–network theory (ANT) by shining the analytical searchlight elsewhere, where the theoretical tools of ANT have not yet systematically ventured. We argue that we need to understand every process of translation in relation to its simultaneous process of treason, and to add antonyms for Callon's problematization, intressement, enrollment, and mobilization. This enables us to describe powerlessness not as a state but as a process. Our case focuses on the network building around measures for disabled people in the construction of the Athens Metro, during the period 1991-1993. The discussion highlights the efforts of disability organizations to intervene in the initial construction works of the metro project and the simultaneous actions of the Greek government to exclude disability organizations from the design process and to disrupt the accessibility-metro actor network.
Galis, Vasilis, and Francis Lee. 2014. "A Sociology of Treason: The Construction of Weakness." Science, Technology, & Human Values 39(1): 154-179. https://doi.org/10.1177/0162243913512681
Publications updated in Jan 2026