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                      | Knowledge Moves |   
                      | by Jack Boulton 
 
 Knowledge comes from, and is drawn into, different 
                        organisational structures. At the same time, the notion 
                        that knowledge travels
 Invites one to reconstruct 
                        communities in its wake, tracing connections after the 
                        fact. (Strathern 2004: 15).
 
 We are surrounded by knowledge in different forms. Although 
                        your own personal understanding of technology may not 
                        match that of, say, a computer programmer, the computer 
                        you are using to read this piece  or, indeed, the 
                        printer you used to print it  are the products of 
                        applied knowledge, products which become symbols in a 
                        particular context. Your computer may mean one thing  
                        or nothing  to you, but to someone else in a different 
                        place it means something else.
 
 The computer programmer is perhaps a good example of how 
                        one form of knowledge can be turned on its head and transformed 
                        into something else. The programmer uses the computer 
                        to metamorphose his knowledge of programming into a piece 
                        of software which in turn is used by another to transform 
                        their knowledge
 And so on. This transformation  
                        flow  of knowledge is common in contemporary society. 
                        We are part of a culture which is obsessed with information.
 
 I intend here to describe how information is produced, 
                        particularly scientific facts, using examples from Power 
                        (1997) and Latour and Woolgar (1979). I will also use 
                        evidence from Strathern (2004), Tsoukas (1997) and Latour 
                        (1999) to illustrate how knowledge changes meaning as 
                        it travels.
 
 Constructing Fact
 In Laboratory Life (1979), Latour and Woolgar apply sociological 
                        theory to their ethnography of a scientific laboratory. 
                        They successfully trace the construction of a scientific 
                        fact to the creation of order out of disorder. To them, 
                        the fundamental feature of a fact is that 
                        it does not appear to be constructed by any outside forces: 
                        it is a taken-for-granted statement unflawed by modality. 
                        However they point out that in the laboratory situation, 
                        the environment can be broken down into specific 
                        histories which have enabled items such as scientific 
                        equipment to become available at a certain point in time. 
                        Bachelard (1953) refers to laboratory equipment as reified 
                        theory, that is, that each piece of equipment is 
                        a construct of a theory that has been proven factual at 
                        a previous point in time.
 
 Auditing People
 The concept of the audit society was pinpointed 
                        by Michael Power (1996, 1997) and concerns a very particular 
                        pattern of knowledge designed to develop essentially 
                        similar measures or conclusions from an examination of 
                        the same evidence, data or records (American Accounting 
                        Association 1966: 10). Essentially the audit is a process 
                        by which information is gathered in order to verify that 
                        something is happening as it should do, and/or to suggest 
                        methods by which this activity can be adjusted in order 
                        to function more effectively.
 In the area of health and medicine, one use of audit data 
                        is to stimulate more effective use of increasingly 
                        limited resources by creating an element of competition 
                        between those who supply medical services
 And those 
                        who must purchase those services. (Power 1997: 104). 
                        Tsoukas (1997) also states that
 
 In a modern hospital the sick person is turned 
                        into an information-rich patient; information about his 
                        or her illness can be systematically gathered  the 
                        information speaks for, describes, represents the patient. 
                        And when the NHS computerises its files, a patient can 
                        be emailed, so to speak, from one part of the country 
                        to the other. (1997: 833).
 
 Here already we can see that information is on the move. 
                        From its origination with the patient, an illness is reduced 
                        to a number (for example, an ICD-10 [1] code) and then 
                        moved firstly to another part of the hospital and then 
                        to somewhere completely different. The illness itself 
                        will have significant meaning to the patient, whilst the 
                        ICD-10 code will have a different meaning depending on 
                        who is using the data. Another example is the QALY (Quality-Adjusted 
                        Life Year) which is calculated using patient-reported 
                        data obtained by using various measures and tests in interview 
                        situations [2] (Hyland 1997). The QALY is a figure between 
                        0 and 1, and is an indication of how good or bad a medical 
                        treatment is based solely on how long it keeps a patient 
                        alive for and at how high a quality of life. Whereas the 
                        experience of illness is likely to have a significant 
                        meaning in the life of the patient, it is equally likely 
                        that the QALY will have very little meaning to them. It 
                        will, however, be of significant interest to a health 
                        economist or to individuals working within the field of 
                        medicine. Of course I am not striving to point out that 
                        information is interesting to different people. What is 
                        important here that it is essentially the same information 
                        that is undergoing a process of change as it moves around. 
                        It is also worth pointing out that after it has undergone 
                        its first change it is unlikely to be of interest to the 
                        person responsible for reporting it.
 
 Knowledge Moves
 Strathern (2004) points out that knowledge moves by virtue 
                        of being embedded within the objects that it is used to 
                        create. Therefore, for example, the price of buying a 
                        computer includes not only the metal and plastic box that 
                        you look at, but also the price of the research and development 
                        that went into creating it. This is also extensible to 
                        the creation of knowledge in the scientific community. 
                        Embedded into any scientific paper is not only the immediate 
                        knowledge that it purports to show, but also the information 
                        contained in the papers that were used to produce the 
                        hypothesis on which it is based.
 
 We can return to the work of Latour for a clearer example 
                        of how information changes as it shifts location. In Pandoras 
                        Hope (1999) he describes a field trip by a group of scientists 
                        to the Amazon, designed to investigate a botanical mystery 
                        at the edge of the rainforest. Several small trees that 
                        usually grow only in the savannah around the forest had 
                        been found a few metres inside the wood, and there was 
                        some debate as to whether this was a sign that the forest 
                        was advancing (the tree was a scout) or retreating (the 
                        tree was left over by a shrinking forest).
 Latour traces the plot of a group of soil samples from 
                        their position at the edge of the Amazonian jungle to 
                        their eventual resting place in the academic literature. 
                        From the ground, a sample is moved to a pedocomparator 
                        (a briefcase-sized grid) whereby it can be compared to 
                        other samples. Then via a process of inscription the same 
                        soil sample becomes a figure in a chart. Latour likens 
                        the process to a movement from thing to sign. 
                        Once the soil sample has become a sign, it 
                        can be transmitted and reproduced with ease (ibid 1999: 
                        54).
 Information then, is transformed as it moves through both 
                        time and space. Latour and Woolgars ethnography 
                        demonstrates that as historical information (in the form 
                        of facts) is used by people it becomes part of something 
                        else, a new fact, in the present day. Tsoukas 
                        points out that the individual is a rich source of data 
                        which almost immediately becomes decontextualised and 
                        readily moved about. As it moves, information takes on 
                        new meanings dependent on the situation it is used in 
                        and the person that is using it.
 
 Notes
 
 [1]International Classification of Diseases Revision 10. 
                        This is used be hospitals to classify patients according 
                        to the illness, disease or accident that they are admitted 
                        for.
 [2]Commonly used tests include the standard gamble, feeling 
                        thermometer and time trade-off techniques. The Health 
                        Technology Assessment Programme has published a review 
                        of all of these measures (see references).
 
 References
 
 American Accounting Association. A Statement of Basic 
                        Accounting Theory. 1966; Sarasota, Florida: American Accounting 
                        Association.
 
 Bachelard G. Le Materialisme Rationnel. 1953; Paris, PUF.
 
 Brazier J, Deverill M, Green C et al. A Review of the 
                        Use of Health Status Measures in Economic Evaluation. 
                        Health Technology Assessment 1999; 3: 9.
 
 Hyland ME. Quality-of-Life Measures as Providers of Information 
                        on Value-for-Money of Health Interventions  Comparisons 
                        and Recommendations for Practice. Pharmacoeconomics 1997; 
                        11 (1): 19-31.
 
 Latour B. Pandoras Hope - Essays on the Reality 
                        of Science Studies. 1999; London, Harvard University Press.
 
 Latour B and Woolgar S. Laboratory Life - The Construction 
                        of Scientific Facts. 1979; New Jersey, Princeton University 
                        Press.
 
 Power M. Making Things Auditable. Accounting, Organisations 
                        and Society 1996; 21 (2/3): 289-315.
 
 Power M. The Audit Society  Rituals of Verification. 
                        1997; Oxford, Oxford University Press.
 
 Strathern M. Commons and Borderlands - Working Papers 
                        on Interdisciplinarity, Accountability and the Flow of 
                        Knowledge. 2004; Oxon, Sean King Publishing.
 
 Tzoukas H. The Tyranny of Light - The Temptations the 
                        and Paradoxes of the Information Society. Futures 1997; 
                        9: 827-843.
 
 About the Author
 Jack Boulton is the editor of Stimulus Respond, the E-Zine 
                        for Urban Anthropologists (www.stimulusrespond.com). You 
                        may reproduce this article with permission (obtained by 
                        emailing jack@stimulusrespond.com) and on the condition 
                        that the author is credited along with a link to Stimulus 
                        Respond.
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