Time Clinic Technologies and the Making of Reflexive Longevity: The cultural work of ‘time left’ in an aging society

摘要

Developments in clinical intervention are having a profound impact on health and health behaviors in late life and on ideas about longevity and the appropriate time for death. The fact that the timing of death is even considered to be a controllable event is a relatively new cultural phenomenon. The activities that make up life extension, like other medical practices scrutinized by social scientists, constitute a site for the emergence of new forms of subjectivity. For older adults the clinical encounter forces a calculation about how much ‘time left’ is wanted in relation to age. The twin dimensions of the transformation of time highlighted in this essay -- the control over the timing of death and the creation of ‘time left’ -- both contribute to and are a widespread effect of biomedicalization in affluent sectors of society. Through three stories this essay begins to map the cultural work that the concept, ‘time left,’ does, the socio-medical ways in which that notion is talked about, organized and calculated in the American clinic today. It asks, what kind of subject emerges when longevity, imbued with the technological, becomes a reflexive practice and an object of intervention and apparent choice?