Doing Distinctions

Abstract

The transformations in radiology induced by new imaging technology can be understood as instances of `doing distinctions' by both technology and human actors. This paper combines the analytical frameworks of Gieryn and Bourdieu to understand the reconfigurations engendered by the medical implementation of visualization apparatuses such as magnetic resonance imaging (MRI). It examines the reactions of radiologists to these transformations, which forced them to renegotiate visual expertise and to reconstitute their professional and disciplinary identity. The paper argues that imaging practices are practices of boundary work and distinction, aimed at regaining professional authority and accumulating symbolic capital within the professional field. Boundary work and distinction practices are thus means to improve both the prestige of the profession and the actors' individual status within the scientific or hospital community. The paper further argues that visualization machines and images are not exclusively used for diagnostic and research purposes but are also material and epistemic resources that are deployed in practices of boundary work and distinction. Technology and pictures serve as tools to demonstrate professional skills and power, to increase one's reputation, and to renegotiate identity. Drawing on interviews, documents and fieldwork in several radiology departments and MRI centres in Europe and the USA, the paper reconstructs processes of `doing distinctions' related to the implementation of MRI and other imaging technologies in medicine. It explores the identity and accumulation strategies of radiologists and other medical specialists through an examination of their boundary work and distinction practices, which are focused on material, social and epistemic resources, and boundaries.