Selective Reproduction: Social and Temporal Imaginaries for Negotiating the Value of Life in Human and Animal Neonates

Making organ donation after circulatory death routine: Preserving patienthood and reproducing ways of dying in the intensive care unit

Controlled organ donation after circulatory death (DCD) was re-introduced in the UK in 2008, in efforts to increase rates of organs for transplant. Following reintroduction, there were debates about the ethics of DCD, including whether potential DCD donors receive end-of-life care which is in their best interests. Since this time, DCD has become a routine donor pathway in the NHS. In this article, we present findings from an ethnographic study examining the everyday practices of DCD in two English Trusts. Drawing on the concept of death brokering and Bea's (2020) call to consider organ donation as embedded and routine practice within health care, we look at how DCD is integrated into end-of-life care in intensive care units. We show how DCD is made routine at the end-of-life via the practices of health professionals who create an active separation between discussions about death and donation; reproduce usual ways of doing things in end-of-life care; and respect the distinction between patient/donor, dying and death. In doing so, we argue these function to preserve the patienthood of the potential donor, ensuring DCD operates as an integrated part, and culturally accepted form of, good end-of-life care for potential donors, their relatives, and health professionals alike.

"I Could See Little Bits of How I Progressed": Coordinating Rhythms in a Midwest Gender-affirming Health Clinic

This article examines how staff and patients worked to reconcile the rhythms of the body with those of gender-normative health care bureaucracy in a U.S. Midwest gender-affirming health clinic. Drawing from observations of clinical appointments and routine bureaucratic practice, as well as debriefing interviews with transgender and gender-expansive patients, this article applies Laura Bear's theory of "time-maps" and a new materialist approach to bodily agency that recognizes the variability of the body's responses to gender-affirming health care. This evidence demonstrates how health care staff and patients' labor practices structured patients' abilities to embody their plans for medical transition. Anticipating the varied trajectories bodies take during medical transition can interrupt the reproduction of harmful cultural assumptions about sex difference in U.S. health care bureaucracy.

Animal research unbound: The messiness of the moral and the ethnographer's dilemma

Interspecies intimacy defines an inescapable reality of lab animal research. This essay is an effort to disentangle this reality's consequences-both in and outside the lab-as framed by the quandaries of ethnographic engagement. Encounters with lab staff and, in turn, with audiences unfamiliar with laboratory life, together provide crucial entry points for considering how the "messiness of the moral" might facilitate an "unbounded" approach to lab animal worlds. Within the lab, one encounters specialized ethical principles-often codified as law-that delimit strict boundaries of in/appropriate human thought and action. Such principles determine quotidian practices of welfare and care that, in peculiar ways, privilege animal health (as key to reliable data) while obscuring, erasing, or denying human forms of self care. As such, they presuppose a regulatory ability to formulate, shape, and (re)direct human action. Yet attentiveness to the "messiness of the moral" of lab work exposes other realities: indeed, lab personnel regularly engage in a host of subversive responses that test or cross the boundaries of mandated behavior that (re)invigorate the meaning of moral acts of care as interspecies responsibility. The ethnographer's ability to witness, record, and write about these actions within the lab rests comfortably on the relativist principle of suspended judgment. Once one moves outside the lab, however, I ask, wherein lies ethnographic responsibility, when one's accounts of the moral messiness of quotidian lab practices become unbounded and go public? I argue that a dialectical inter- and intraspecies framework-inspired by the existential anthropologist Michael Jackson-offers the ethnographer (and still other scholars) possibilities for forging a productively "unbounded" methodological analytic in and beyond domains of animal science.

Taming Time: Configuring Cancer Patients as Research Subjects

This article explores how incurable cancer patients in the affluent Danish welfare state are recruited to clinical trials. We show that patients' impending death constitutes their potential for being configured as research subjects. To produce valuable data, patients who enroll in trials and health care professionals must engage in daily "time practices" that prolong the threshold between life and death. When death becomes inevitable, the limit of configuring dying cancer patients as research subjects is reached. Navigating this temporal logic, health care professionals balance the boundary between patients' instrumental worth as research subjects and their intrinsic worth as dying cancer patients. Whereas previous studies have critically uncovered how clinical trials operate at socioeconomic margins, we point to the ways in which clinical trials operate through temporal margins. We argue that clinical trials are dependent on configuring marginal societal spaces and marginal bodies from which to produce knowledge.

Life in the cryo-kennel: The 'exceptional' life of frozen pet DNA

This article employs a feminist science and technology studies perspective to investigate how the cryo-vitality of frozen pet DNA is potentialized and animated. This is accomplished by empirically foregrounding the marketing material and online presence of two genetic pet preservation companies: PerPETuate and ViaGen Pets. While the allure of cryopreservation for pet owners is situated in light of the ability to re-animate and re-entangle biological matter into future (old) pets, the preservation of pet DNA is potentialized through the logics of love, sameness, purity, and kinship. The article shows how preserved dog DNA moves from a rescue discourse in which exceptional kinds of dogs are preserved to a preservation-of-kin discourse in which the preserved pet DNA is narrated in humanist kinship terms. Exploring the ways that pet DNA preservation and culturing is articulated from kin(d) to brand, the study speaks to the human-animal cryo-interface calling for scholarly attention to the emergent businesses in preserving biological material for one's future use.

The Attachment Imperative: Parental Experiences of Relation-making in a Danish Neonatal Intensive Care Unit

In this article, we explore how parents establish relations with extremely premature infants whose lives and futures are uncertain. Drawing on ethnographic fieldwork in a Danish Neonatal Intensive Care Unit (NICU), we engage recent discussions of the limits of conventional anthropological thinking on social relations and point to the productive aspects of practices of distance and detachment. We show that while the NICU upholds an imperative of attachment independently of the infant's chances of survival, for parents, attachment is contingent on certain hesitations in relation to their infant. We argue that there are nuances in practices of relationmaking in need of more attention (i.e., the nexus of attachment and detachment). Refraining from touching, holding, and feeding their infants during critical periods, the parents enact detachment as integral to their practices of attachment. Such "cuts" in parent-infant relations become steps on the way to securing the infant's survival and making kin(ship). We conclude that although infants may be articulated as "maybe-lives" by staff, in the NICU as well as in Danish society, the ideal of attachment appears to leave little room for "maybe-parents."

Humanity at the Edge: The Moral Laboratory of Feeding Precarious Lives

At the heart of anthropology and the social sciences lies a notion of human existence according to which humans and animals share the basic need for food, but only humans have the capacity for morality. Based on fieldwork in a pig laboratory, a neonatal intensive care unit (NICU), and a dementia nursing home, we follow practices of feeding precarious lives lacking most markers of human personhood, including the exercise of moral judgment. Despite the absence of such markers, laboratory researchers and caregivers in these three sites do not abstain from engaging in questions about the moral status of the piglets, infants, and people with dementia in their care. They continually negotiate how their charges belong to the human collectivity and thereby challenge the notion of 'the human' that is foundational to anthropology. Combining analytical approaches that do not operate with a fixed boundary between human and animal value and agency with approaches that focus on human experience and virtue ethics, we argue that 'the human' at stake in the moral laboratory of feeding precarious lives puts 'the human' in anthropology at disposal for moral experimentation.