Citizen Science in News Media: Boundary Mediation of Public Participation in Health Expertise
Abstract
Citizen Science and Networks of Expertise
Methods and Data
| Speaker | Total Number of Articles | Number of Articles Only Speaker | Total Number of Quotes |
|---|---|---|---|
| Professional scientist | 34 | 15 | 107 |
| Other professional | 13 | 3 | 24 |
| Adult participant | 9 | 0 | 22 |
| Student | 7 | 1 | 15 |
Discursive Boundary Work in Citizen Science News Media
Citizen Subservience
The subservient framing is therefore not dismissive of the capacity of citizen science to contribute to knowledge processes. Instead, it is highly constrained. Citizen science is more like a means to an end, where the decisions about the ends and the means were previously determined and implemented by professional actors. Unlike classical models of public participation in science, which have defined a spectrum of interaction spanning separation, debate, and coproduction (Callon 1999), the subservient framing invites collaboration but not necessarily conversation. Nonprofessionals are not excluded from the world of scientific practice but nor are they advising research programs or participating as equal contributors at the table. Rather, citizen science in this frame is incorporated into institutional science almost like a labor-saving device, making it possible for professionals to gather data or conduct analyses at a scale that is otherwise impossible to replicate.Four scientists at The Scripps Research Institute in La Jolla are seeking the public’s help to find cures for rare diseases. They’re not looking for money, but something even more precious to scientists backlogged with work—your time. A team led by Andrew Su is recruiting volunteers to serve as “citizen scientists” who would spot useful information in the ever-growing mountain of biomedical research. His team can’t keep up on its own. (Fikes 2015)
This framing does, however, situate citizen science within a quantitative rather than qualitative shift to the practice of science. While citizen scientists may contribute new data to a knowledge network, in the subservient framing, those contributions do not necessarily extend to new ideas. Citizen science contributions are additive rather than dynamic and interactive; they are fitted to predetermined purposes that noninstitutional participants are then invited to complete. These contributions follow invited pathways that reaffirm, rather than reconceptualize, a hierarchy of knowledge and authority between institutional experts and the public (Mahr and Dickel 2019).This is not window dressing. Folks are collecting real scientific data, and doing something that would be pretty impossible otherwise, Skelly said. A handful of scientists cannot do it on their own. You need an army. (Ruth 2011)
Here, the work completed by citizen scientists is juxtaposed to “insight,” with the increasing specialization of scientific fields portrayed as a key intervening factor separating the labor of public participants from the knowledge outcomes of research. This contrast between labor and knowledge devolves specifically on the implied substance of expertise, which noninstitutional collaborators are presumed to not have—scientific knowledge is imagined to be so increasingly esoteric as to exclude nonprofessionals from “insightful” opportunities.As disciplines become increasingly complex and require ever more specific knowledge, citizen scientists will be contributing mostly labor to the fight—but not necessarily insight. You can call yourself a scientist and spend your weekend tagging chromosome data, but someone else’s name will go on the final paper. (Tucker 2013)
The characterizations of labor in these descriptions, I argue, position the contributions of nonprofessionals within an implicitly subjugated role. Subservient framings of citizen science recognize the power of an extended knowledge network and encourage its creation, but in a manner that enrolls nonprofessional contributors into research structures dictated by an existing institutional network. Even though lay participants here are often directly acknowledged as providing something that enclosed, institutional processes of research cannot fulfill on their own, they are also portrayed as performing limited and institutionally dependent tasks. The subservient framing appropriates public participation as a service, conceptualizing it within an institutionally oriented structure that the contributions of nonprofessionals do not normatively challenge.There are many tasks that are beyond the grasp of even today’s computers, particularly those which involve interpreting complex images…. The Internet, it turns out, is a brilliant way to feed those problems into an array of the planet’s true supercomputers—human brains. (Cook 2011)
Corrective Citizen Science
But corrective citizen science framings also called out institutional scientific structures for actually overlooking expertise by not engaging with the public. A major distinction between the corrective frame and the subservient frame concerned the content of the research projects: initiatives that did not make use of personal health information tended to segregate nonprofessional contributions into labor without insight. Initiatives that did utilize participants’ health information, however, or encouraged participation on the grounds of personal or community health concerns, often explicitly cited nonprofessional perspectives as missing, essential components of health and biomedical knowledge. For example, one article described a researcher’s shift in perspective about patient engagement, from something that would primarily benefit an individual’s personal health to something that could actually expand medical knowledge:Empowerment through hands-on knowledge is particularly important for those—such as women and African-Americans—who have not been served well by genetics discussions in the past. Public forums where scientists attempt to educate from a position of more knowledge can sometimes create hostility and an us versus them dynamic, whereas participatory science does not. (Jorgensen 2016)
Like the DIY biology movement and community biology labs discussed above, here a reference is made to the “democratization” of research by extending the environment of knowledge production to include nonprofessionals. Distinctively, democratization is also linked to an expanded sphere of expertise; nonprofessionals are needed components of a knowledge network not only to repair or reinforce lay understandings of science but also to contribute information that professionals cannot obtain on their own. Situating the patient as another kind of expert implicitly draws upon the idea that patients are the most knowledgeable actors concerning their own health; they are “informed” because they have the capacity and the responsibility to generate personal health expertise. Whereas in the subservient frame, public participation quantitatively expanded the capacity for knowledge generation, in the corrective framing, public participation qualitatively changed the knowledge inputs themselves. Nonprofessionals were characterized even as “missing experts” (Carlson 2016).Until a few years ago, he said, he saw efforts to share patient data as mainly a step to get people more engaged in their own health, but not something that could improve medical research. Today, Dr. Friend said, his perspective is very different. “The patient, doctor and researcher—each is a different kind of expert,” he said. The promise, Dr. Friend said, is to “democratize medical discovery.” (Lohr 2015)
Normativity and Autonomy: Crossing Boundaries
The contrast within this article presents two different faces of citizen science: one in which lay contributors are a necessary component to the future of biomedicine and another in which patients who pursue their own research or treatment programs pose a danger to themselves. Here, the possibility that nonscientists will conduct research independently of institutional norms may disqualify this work from being recognized by scientific professionals as research and positions these activities as both suspect and categorically separated from traditional science. Even though Yoshiro Nakamatsu has a form of professional status in the form of a doctorate, he is very distinctively treated here as outside of, if not outright disobeying, professional scientific norms. Indeed, his own professional status seems to increase the suspect nature of his work, in the insinuation that his relatively high profile could propel citizen science as a serious alternative to traditional expertise.It is truly inspiring to see what patients can do for themselves, and for others. That is the promise of citizen science. But there are also perils,” said Kingshuk Sinha, a professor at the U’s Carlson School of Management. Sinha cited the example of Japan’s “patent king” Yoshiro Nakamatsu, known as Dr. NakaMats in the press, who has raised concerns among researchers worldwide with the announcement that Nakamatsu plans to self-treat his cancer without radiation, using foods and teas said to boost cancer immunity, among other nontraditional remedies. But Sinha noted that citizen-driven science doesn’t have to be seen as an alternative to traditional science. “It’s not an either/or,” he said. (Carlson 2016)
Articles concerning DIY biology programs and community biology labs were particularly heightened spaces of boundary work concerning participant or nonprofessional autonomy. In the example above, the language of amateurs calls attention to the lack of specialized training that participants in these programs are assumed to have, while also alluding to the possibility that nonprofessionals may have ulterior or harmful motives in pursuing scientific research. The community lab referenced, Genspace, had therefore adopted precautionary measures that foreclosed any opportunity of nonprofessional malfeasance by simply ensuring that “amateurs” were only given access to tools that the professionals leading Genspace had precleared.The idea of amateurs doing their own biology has raised fears about both deliberate bioterrorism and the unintentional creation of a deadly disease. But making a new and virulent pathogen is far from easy, and the DIYbio community has adopted a set of safety standards to minimize such risks. “Within a very narrow scope, it’s possible that somebody could cause harm,” Mr. Garvey said. “But they could only cause a disease to emerge if they were working with disease.” Genspace has a strict policy against working with anything that can infect humans, and it has established a safety review board of experts from the Massachusetts Institute of Technology, the United States Department of Health and Human Services and other institutions to approve proposals for new experiments. (King 2012)
Like in the discussion of Yoshiro Nakamatsu, the issue of self-experimentation is raised as a potential consequence of allowing nonprofessionals too much autonomy in their engagement with science. But while Dr. Nakamatsu was singled out as an example of a nonscientist operating outside the norms of traditional science, here, a scientific professional is responding to perceived deviation from their own professional community. Although the Genspace editorial did include corrective elements, as described above, these elements are part of a larger context of responding to critiques of the tools Genspace allows its participants to access. In other words, the appeal to participant empowerment through hands-on experience of science is embedded in an environment of skepticism about what technologies participants will be enabled to get their hands on, and specifically, whether this access by nonprofessionals is safe.I take heart in the fact that, while conventional gene therapy is growing as a medical practice, people do not attempt it in the comfort of their own homes. I don’t think the availability of CRISPR will change this…. Just because it could potentially be put to work for “edgier” purposes does not mean that citizen-scientists should be prevented from using it. (Jorgensen 2016)
While the corrective framing situated patients as “missing experts” in research processes, here a project that intentionally returned personal information to participants nonetheless discouraged them from deploying that information to intervene on or manage their health. The research itself was downplayed as too new to be medically utilized, “in its infancy,” and therefore, off limits as a form of health information that participants could translate into health changes. Simultaneously, however, the eventual significance of this research for personal health was still maintained, indicating that participation in microbiome studies is still warranted and worthwhile for health-conscious individuals to pursue. In one sense, this contradiction reveals the overlapping, “hybrid” nature of biomedicine (Keating and Cambrosio 2006), wherein the boundaries between research and clinical interventions become fluid. But these forms of boundary work also suggest professional discomfort with nonprofessional autonomy over the process and products of science, and an unwillingness to recognize knowledge or activities as legitimate that do not conform to the norms of institutional scientific networks.Individual bug maps are not (yet) medically critical information. The science that might someday tell an individual what microbes to take, and which ones to avoid, is in its infancy. Still, American Gut researchers aren’t the only people thinking about microbes. In fact, many people increasingly are interested in what’s inside them, and some are venturing into risky, do-it-yourself techniques to get answers…. “As much as I’m excited about this field, and I love it when others are excited too, I find it important to continue to urge caution,” McDonald said. “I encourage people to be careful. This is a new area of research (and) there are a lot of questions we’re working on answering…. I don’t want to see people get harmed. (Williams 2018)
The paradoxical narrative of this piece, that of a lay participant in a citizen science project who desired to partake in personal interventions yet was confronted by professional gatekeeping of such activities, emphasizes the demarcation between professional expertise and public enthusiasm. Like the example of Genspace, this boundary work reflects intraprofessional scrutiny, such that professionals who are extending access to tools with interventional capacities may feel obliged to defend the extension or demonstrate that precautionary gatekeeping is in place. The author’s direct interest in interventional activities is met by clear acknowledgment of the public audience and space of communication; professionals must “manage expectations” lest potential participants express similar desires to self-experiment. Strikingly, although the applications of microbiome research are stated to require “more science,” the limitations of this knowledge are circumscribed for the audience, but not the researchers. Boundary work concerning self-interventions and self-experimentation demonstrates anxieties that nonprofessionals may jeopardize their health if they are not constrained in their activities and additionally suggests doubts among professionals that members of the public can be trusted with certain information or technologies without professional direction. By situating self-interventions as risky behaviors that might go “too far,” professionals are negotiating boundaries between encouraged participation in research and discouraged appropriation of research that are nonetheless differently applied to themselves. Nonprofessionals are invited to participate on the grounds that they have something new and unique to offer science, including expertise of their own, but their autonomy is circumscribed by professional adjudications of what activities are “safe” for nonprofessionals.When I asked Gordon about do-it-yourself microbiome management, he said he looked forward to a day “when people can cultivate this wonderful garden that is so influential in our health and well-being”—but that day awaits a lot more science. So he declined to offer any gardening tips or dietary advice. “We have to manage expectations,” he said. Alas, I am impatient. So I gave up asking scientists for recommendations and began asking them instead how, in light of what they’ve learned about the microbiome, they have changed their own diets and lifestyles. Most of them have made changes. (Pollan 2013)
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