Showing posts with label Mol. Show all posts
Showing posts with label Mol. Show all posts

Tuesday, September 30, 2008

Folding time CCK08

"For while the past has left ineradicable traces within you, the future is already present too. You try to juggle with the future....the logic ... does not unfold in time, it folds time."

While Annemarie Mol was talking of the logic of care, I suspect it is not only care that this is true of. I believe that this is also true of learning.
(And am repeatedly reminded that with health and education the separations are purely institutional, divided silos, but both are about helping people live to the best of their actual and or chosen abilities.)
In Lisa's post the spectre of networking dead people is raised, and I am aware in my study of 'networking' Marshal McLuhan. I am not sure if the medium is the message guru would take kindly to the medium innuendo in this case, however, the great man did have a sense of humour, so maybe.
And in attempting concept maps for CCK08, I was increasingly frustrated by the unidimensional, linear nature of these;

Mol points to this in the logic of choice, where time is linear... whereas in practice
with a logic of care, time twists and turns.
Practice is messy, attempting to make it neat and tidy in a concept map, just might be making a mess of it (refer to John Law, After method; Mess in social science research)
Targets move, when the unexpected occurs it is integrated, there is no logic of arrows. Time is not moment by moment.
And in the immortal words of David Bowie:
time may change me, but I can’t chase time.

In the spirit of raising the past, 1973 brought us this.
Discordance, dissent and clashing of culture create new 'knowledge'.
It is the criss crossings and intersections that matter.(further reading see; Johansson, F. (2006). The Medici effect. What elephants and epidemics can teach us about innovation. Boston: Harvard Business School Press.)

Wednesday, September 10, 2008

What connectivism and ANT may have in common (CCK08)

OK some rudiments of understanding first, and these are based on a limited reading of what George Siemens and Stephen Downes have put out there.
Connectivism is a theory of learning.
One that values highly the means of the learning.
Seems that knowledge is created and constructed in connection with others.
(Constuctivism methinks, so what makes connectivism different???)

"learning is a network phenomenon, influenced (aided) by socialization and technology"
“To 'know' something is to be organized in a certain way, to exhibit patterns of connectivity. To 'learn' is to acquire certain patterns” (Downes, 2005, Section O, ¶ 2).

Still not clearer.
So I am going to guess: Knowledge and learning are not static, there is continual learning/unlearning/reshaping at play. This occurs in connection with others and through channels that are deeply important. Here's where I think this is ANT. The others are not only human, the nonhuman others include technologies such as computers, IPS servers...the Internet. The local situated context of learning of the past has moved on.

To return to George, where learning is about making meaning, then this needs to take into account the means used and the context, because the context is now global.

This seems less a theory for understanding causality, but one for illuminating process. That connectivity via Internet has profound impact, yet to be recognised.

Knowledge not individually located but distributed; ok, still resides in indivisduals or in books, artefacts...but is not produced 'locally' the context is radically expanded, but is still produced in connection. Ok
But like communications what's written or saved as audio or blogged, wiki'd etc etc is not anything until it is shared in connection.

Still seems to be learning using a constructivist understanding that acknowledges an ANT mode in the practice.

If so whats important?
That non human actors have influence. That this influence is important, and not necessarily neutral. That inscribed in non human actors are ways of working that make certain things more and less likely. That in the making of new ways of working, we tend to surf on what has gone before and maybe this needs to be altered. That the grooves that form now or in the near past tend to make it harder to shift out of whats always been and maybe we need to.

Is it a theory?
Depends.
Could actor-network theory have explored this as a means to understanding new changes in education? I think so, but it doesn't sound quite so sexy as connectivism.

Tools change people. We adapt based on new affordances.
I agree, but this still would encompass a constructivist theory made relevant when informed by an ANT analysis.
Whats new; an emphasis on how knowledge, in practice, changes.
To this end, I would encourage further exploration in understanding change differently. I'd encourage looking at Bruno Latour and John Law as the work of actors(human and otherwise) create performances. Or Annmarie Mol as she describes ontologies of practice.

Tuesday, August 12, 2008

reality is multiple

There is a tension between multiplicity and singularity.
In my research this singular:multiple tension is evident in considering the practice of counselling. It's called counselling when its face2face, f2multiple faces, verbal but not f2f, nonverbal and not f2f, synchronised or non-synchronised.
In order for counselling to occur, at least two people are required. The practice occurs in relationship.
One initiates the conversation, and one makes themselves available to hear the story of the other. If counselling is to be enacted, it is crafted from the story of the one and the communication skill embedded with the other.
In this agency, responses from those who 'do counselling' suggest a singular entity, a set of skills or processes that fit together. The skill set of listening, affirming, being client-centred, a strengths based approach. A single reality. Definite and singular.

What then of differences? Obviously not every story is the same, nor every skill set. How is listening shown when the conversation is non verbal? What is meant by being client-centred, does this extend to intervening when the counsellor identifies saftey trumps autonomy? There are hen examples of contradictions. Differences in counselling when the story differs, when the actors differ, when the actors might include non-human actors such as mobile phones, computer screens...

The inconsistency with what is counselling is altered. How then is difference contained?

Mol suggests the need to work with multiple possible truths. What counts as best depends on circumstance. And points to Wittgenstein on how rules do not make their own applications. Rather than an actual inconsistency, the scenario is described in terms of apparent inconsistency. In respecting autonomy but acting on a person's safety expressing concern by contacting emergency services despite the client asking you not to, gets described as "if they were in their right mind, less tunnel visioned, less distressed, less drunk, less depressed, they would appreciate it ... they are telling us for a reason...at least they will know that we take their safety seriously..."
The implication is that what is best, desirable, advised as best practice, depends on the circumstances. Thus inconsistency gets explained away. Such storytelling of practice help to sustain the singular version of a cohesive practice. Such an analysis would suggest that concern for inconsistencies is one of perspective. However this does not do enough to explain how the same actor tells of their own practice.

When the counsellor says:
"no difference, phone, text, health.
then 15 minutes later says
"I am aware of doing it differently, role of psychodrama. Everyone does it differently, brings different backgrounds.
I am the triage(insert name), phone counsellor (insert name), text/email (insert name )counsellor.
Such an example supports what Law describes as poorly coordinated realities. Or what Mol points to in distributed practice. Contradictions evolve in enactment, working out what to do. In shifting between medium there's a sense that some things change and some stay the same, and even described as the same and different. Law picks up on the implications brought about by this same and different discourse.
He identifies how the contradiction provides opportunity to work out best options where there are contradictions, in the less than perfect world of health practice the work involved requires adaptation. In addition, this requires an ability to make judgments. The craft of counselling growing out of past experience, conversations and reading.

At the site of this study, the past experience in counselling was predominantly to use the medium of choice of the target group, telephone counselling. With a shift to the target group using mobile phones, an attempt to provide a portal to counselling by text was also initiated. The standard for counselling comparisons is frequently made. A need for judgments being contingent led to policy development. A guide for judgments when the situations were contingent on the type of 'call' or on the medium being used. The decisions required are even more complex. As expressed by one counsellor:
"I worry of how young the caller might be, could be 10-11 not teens, and I might be affirming sexual activity and stuff and assuming [they're] old enough and sending a mesage that might be colluding with activity that might not be appropriate for the age....on verbal if they sounded young we would probably find a way of asking that. Definitely makes [me] text cautious. If i have a 10 yr old saying my boyfriend wants to have sex with me, that's very different than an 18 yr old."
The type of response is contingent, shaped by the realities experienced in the moment. In texting a cautious response is then given based on how little is known, this counsellor describes herself as not being able to work with instinct or intuition on a txt platform. Nor having enough knowledge to do more than affirm that the situation sounds difficult and inviting the person to phone up.

What this reflects is that difference is produced with difference assemblages, there is an overlap but it is not the same, there are some things that stay the same, such as affirming, but there is also difference, call us. A move away from being client centred, or a reinterpretation of what it means to be client-centred.

Enacting is not then a matter of perspective, and includes more than a crafting by the people involved. The non-human actors too have influence. A combination of people, technique or skill, and text and technology evolves. The realities of practice are produced in relationship and these relationships extends beyond the people directly involved to include the technological actors. It also includes unseen actors, invisible actors and invisible work (and power differentials...all of which point to a new posting opportunity).

Friday, March 21, 2008

The ontological politics of voice

Reading for a PhD is an iterative process (the big words come thick and fast, my earlier reading let them slide past while I hoped that familiarity would one day lead to enlightenment. And repeated revisiting, rereading and reading the readings others have made of books i have read, does make understanding easier). Helen Verran pulls on the writing of Annemarie Mol, reminding me of Mol's intent of exploring the ontological politics of medicine.
And I am back to wondering: what am I doing?
I suspect half way through data collect is not the time for doubt, but it feels to me that there is no better time than this. My research does not follow a straight tangent regardless of the texts or the ethics application that suggest that this is so.
While exploring the actor network of a voluntary youth telephone counselling agency undergoing change with use of text, internet and message boards, I begin to appreciate that I am involved in a study that explores the ontological politics of voice.

Monday, January 28, 2008

Dont be polite, bite it.

Prelude: this blog is impolite, at least in academia.
I practice my writing style as if i were another.
I fully acknowledge that I lean heavily on the writing of Anne Marie Mol for providing ideas and structure as i explore the use of her writing as if it were to apply to text, email, or the Internet for counselling.
All errors of understanding are my own.

Section title: Telling it like it is.
This is a social science exploration of a network, one involved in youth oriented counselling. However before proceeding too far, the use of the word network needs to be clarified. the meaning called on here is less about "the net" or the links between people. The emphasis is instead on the network . That is, the work entailed in how counselling is shaped, what work goes into configuring counselling when the medium shifts: when it involves text, email and Internet for counselling. this is a story less about connecting wires or even wireless connections, it is instead a story about work practices. And one might not even want to call it a story for there is no smooth narrative, there is no one tangent of beginning to end, instead I present a juxtaposition of many stories, snapshots on a theme showing contrasts and performances of counselling.


Who is at work also needs unbundling. For counselling does not happen in a vacuum. 'Counsellor and counsellee' coexist in relationship and the 'work' is a dynamic that occurs in relationship. Contributing to this work are the participants, but also computer and communication technologies. In the use of such technologies, participants engage differently. Whether talking and listening, or by hand and type, reading and sight. The heterogeneous factors involved are further unbundled, the work involves more than the obvious players of counselor and counsellee, there is also the work involved in making the media available for using for counselling, the cellphones, the PCs. It is this unbundling of the work involved in supporting the counselling moment that the fuller picture of what it is to provide counselling using new media is able to be discerned. This matters because how counselling occurs is changing. And the changes are not always anticipated or known.

Discerning the heterogenous factors allows me to tell about counselling. The stories told will not be about social causes resulting in social needs, or about pathology, diseases or disabilities as requiring healthcare. Nor about any specific form of counselling having precedence over another. There are those who have gone to a lot of trouble in arguing the supremacy of one over another. This thesis will not contribute to such debate of domains conquered or of forms of counselling deemed to be holding supermacy. Instead i will talk of practice. Practice as it is experienced.

This shift to praxiology is not a naive abandonment of epistemology but is an appreciation of reality; "telling it like it is". Telling it like it is, is situated. I do not talk of what counselling is by nature, nor what form it could or should take. I will not bracket what is counselling from what is not, nor focus on the counselling skills. For in practice what is counselling shifts. In practice 'what is' is altered. The ontological genre of 'what is' shape shifts. In part this is altered in response to the media utilized. It is this shapeshifting that is therefore explored.

The praxiographic 'is' is not universal, it is situated, it is local, and it requires spatial specification. What is empathy when it is experienced face to face is different to when conveyed audibly by phone and different again when conveyed by text. How do I experience being heard or listened to when the conversation is inaudible, when the conversation only occurs in text? the trouble taken by counselling texts and authors is not wasted but is absorbed into enactments. The enactment of counselling practice via phone, text and Internet is then explored as situated relationships. What the is the art of the spoken or written form, the act of counselling when it is shaped by the media used and the actors involved? This is the substance explored in this thesis.

Thursday, December 20, 2007

shaped 'for good'

Annemarie Mol's Keynote address at the 11th annual qualitative research conference provides the basis for this blog.
Instead of the random control trial (rct) being the gold std to prove that care practices studied are good, we would do better to develop research methods that work to improve care practices. She argues against foregrounding effectiveness but instead that we investigate the various effects of interventions. The effects on the bodily parameters and on the intricacies of daily life should not be separated out but studied in connection.

Now here lies a good idea because the faults in studying effectiveness are numerous. Through reading several horrible articles i have learned how to survive 'best practice.' The following articles should come with warning that they may be damaging to your health:
'Best Practice' for restraining people
(Evidence Based Practice Information Sheets for Health Professionals. Volume 6, Issue 3, 2002 ISSN 1329 - 1874 Physical Restraint -Part 1:
Use in Acute and Residential Care Facilities)
'Best Practice' in wound care demonstrating potable water is good enough for wound care
(Evidence Based Practice Information Sheets for Health Professionals. Volume 7, Issue 1, 2003 ISSN 1329 - 1874 Solutions, Techniques and Pressure for
Wound Cleansing.)

These articles, widely disseminated, fail to take into account
1. the purpose of care
and
2. not doing harm (saline doesn't hurt, water does).


Mol discusses this because what is 'for the better' is often not known.
This reading -in combination with it being Christmas and my having a pine tree in my lounge- reminds me of other reading, of E.M. Rogers, and of how the repercussions of change are oftentimes unexpected. p440 a story of Lapps and loss of reindeer and establishing a culture of dependence and poverty following the introduction of snowmobiles.
The effects of adopting innovations are oftentimes not known in advance, and maybe shouldn't wait for full implementation and formal evaluation before being revisited.

Effective and good practice are not unequivocal- Mol draws on examples from arteriosclerosis treatments and of type 1. diabetes.
She demonstrates how control needs to be social and material.
I remember a friend who killed herself. She too had type 1 diabetes, but she also had genital herpes. The diabetes would go out of control whenever the herpes flared up. Living between metabolic wards and gynae wards and the mental health unit for most of a year, she decided if this is life it sucks. Such control needed in her life made life unlivable. She killed herself.

Mol questions the notion of the good, 'what is good care?' Is the management so tight it risks hypoglycamia? This risks relationships as it tends to make people aggressive. There is a concurrent risk to brain cells; hypoglycaemia kills brain cells. The body and the social are implicated throughout. She concludes we cannot tell what good health care is, not simply, not in general. And so argues that it has to be established closer to home: in practice- in day to day life.

I concur.

If what is good care cannot be answered in effectiveness measures, an urgency still remains in providing an evidence base for practice. It is not a case that one treatment is better than another, as they come with different 'goods' and 'bads', qualitatively. How then to handle these? If there is trade off long term vs short term, what is more important? What is it you- as client- need /want to achieve...?
Clinical trials have a tendency to evaluate what is, what exists, what is known and market conditions support this. She argues though, that the market alone is not enough to improve health care. Treatments do not suddenly materialize of themselves. and treatment options are not linear. Goals+treatment+evaluation is not the only care trajectory that can or does unfold. The devil may be in all the details, but people are not automatons, almost every variable in a person's life is subject to change. Professional care involves tinkering, negotiating, and 'doctoring' to fit.

She further argues that this becomes obvious over time and not in snapshots or vignettes. The rct evidence to convince of best options, of funding, of external persons, of outsiders, of the quality of existing care, would do better to focus on insider issues. In tinkering and adapting, in calibrating. Such research is not in prooving rightness or wrongness but adaptability, of improving practices. Such unravelling of the tensions involved.

I wish i had written this myself. She's clever.
To further paraphrase:

A lot goes on without being sharply articulated, this then is our job as researchers: to unravel and to articulate, casting practice into words that allows them to travel, so that they might be more widely reflected on. Reality becomes foregrounded, and the intricacies of hopes and fears negotiated alongside the material technologies involved. The sociotechnical comes as a package, so it is better to study them together. In doing so we may come to discover how one form of practice differs from another, how practice is shaped 'for good.'

I am in awe.
I am not studying effectiveness of counselling in its various forms, but i am studying practice; practice as it unfolds and is un/told.

Tuesday, December 18, 2007

Proving or improving



The joys of being a PhD student! Just as I find my voice on an issue, I find I am not alone, my fumbled thoughts have found their way into words eloquently writ elsewhere.

‘Anyone can have big ideas”, said Concepcion. “I have had some big ideas, and most of them I thought of for myself, and then I found out that others have thought the same, and then I found out that other people have big ideas that are exactly the opposite, and when I think about it even more, I decide that only small ideas can be true, and the big ideas are too big to fit inside anybody’s mind, so there is no point in trying to have them. You know what my mother used to say when I asked her a question like “why does God let babies die?” She said “Pregunta a las mariposas”. Go and ask the butterflies, because they don’t know any better than anyone else.’
(de Bernieres, 1993, p 278)
Whether to prove or improve practices in health care research is well discussed by Annemarie Mol. I discovered this article while clearing a backlog of reading:
As it is, clinical trials are the gold standard of health care research, employed to prove that the care practices they study are good. Here, the author suggests that we would do better to develop research methods that work toward another goal: to improve care practices. This requires that we no longer foreground the effectiveness but, instead, investigate the various effects of interventions. If undesirable, they might then be tinkered with. As a part of this, the effects on bodily parameters and on the intricacies of daily lives should not be separated out but studied in connection. With examples drawn from studies into care practices for patients with diabetes or atherosclerosis, the author argues that instead of trying to turn the clinic into a laboratory, we should strive to support and strengthen clinical ways of working.
Annemarie Mol (2006),
Proving or Improving: On Health Care Research as a Form of Self-Reflection

This approach also encompasses the issues raised by cj:
... in new ways of doing things (aka technology)... for the most part, the original intent of the gizmo is rarely the use that is taken up....this points to an interesting habit where we tend to assume that gizmo X was actually designed to do what it is now being used for, i.e. the myth of design, make and appraise of technology as it is often taught in schools.
We also know that the making life easier line plays out interestingly when you, for example, have say two online information sources, one which is has richer resources but devilishly difficult to use, the other much poorer resources but dead simple to use. The easier to use resource wins. Then there is the small initial advantage a particular technology may develop, perhaps randomly, which is then amplified quickly over time. The Beta vs. UHS video format comes to mind. There are others.
For me, all of this underlines that we are always considering the sociotechnical, not just the technical that somehow gets taken up or adopted as diffusion theory suggests. It's all about negotiation between people and things. Delegation of work to a thing which is never a simple matter as Latour elegantly demonstrated a long time ago.

There is richness to be had in investigating the practices as they unfold, rather than attempting an evaluation of goodness, badness, rightness or wrongness.

It seems i need to take several steps forward to find myself standing in the same place and I am finding an essential ingredient for a Phd student is the ability to laugh at myself ;)

It works by magic

I don't know, and will never know, how come the funding application fell over.
However, it may have been the answer to the question on whether txt counselling is a good thing.
In some way i said that it was a difficult question to address in this way as the variables could not be controlled for and therefore a qualitative analysis on the perspectives of those involved would be important in informing future practice. (Reminds me of a poem, I will include at foot of this posting)
I didn't get the funding so maybe the answer didnt work.
And i don't know, but suspect risk aversive funding people just like sure things.
I also suspect the gold standard of randomized control trials was the only way to go for one panel member.
But the older i get, the less sure i am of rightness and wrongness.
When i was younger, i saw decisiveness as a good thing, and fence sitting as an inability to draw a conclusion.
In psychotherapy from an Assagioli tradition, it was about collapsing the point of tension too quickly. I personally found it uncomfortable to the point of distressing, to hold a point of tension.

I think about this differently now.
I have mellowed.

Applying a concept from Annemarie Mol's 'The body multiple' - reality is different for different players. I see this reflected in a review of elearning by Graham Attwell (2006).
Approaches re evaluation differ fundamentally with purpose, underpinning philosophy and ideological base. Different evaluations theories will be based on different assumptions about the way the world works and so models and practices based on those theories will be different as well. Despite this, the client base and majority of evaluation consumers, particularly in education are still wedded to the idea of objective evaluation and "finding the facts".
Attwell expands on this in several ways, one is about how the evaluator role is perceived, eg if seen as a judge or critical friend; how they conduct any evaluation and the conclusions drawn will vary.
In using ANT, my role is different again, I get to tell the stories, the performances witnessed.
"Evaluation theory also develops in a social context and practitioners work in different ways in different cultures, different sectors with different target groups, and different audiences. Consequently different approaches and models have tended to emerge based on these factors. For example, educational evaluation has developed along a different trajectory than for example health services. Theory in practice is a powerful determinant of evaluation approach and stakeholder perceptions and expectations of the evaluation process." (Attwell, 2006, p.19)
Here too, the performative turn is evident.

She asked me

She asked me if she took one pill for her heart
and one pill for her hips and one pill for her chest
and one pill for her blood
how come they would all know
which part of her body
they should go to?

I explained to her
That active metabolites in each pharmaceutical
would adopt spatial configuration
leading to an exact interface with receptor molecules
on the cellular surfaces of the target structures involved.

She told me not to bullshit her.

I told her that each pill had a different shape
And that her pills
could only work when both these shapes fit together.
She said I had no right
to talk about the shape of her body.

I said that each pill was a key
and that her body was ten thousand locks.

She said she was not going to swallow that!

I told her they worked by magic.

She asked me why I didn't say that in the first place.

Glenn Colquhoun (2002)

Thursday, December 13, 2007

evocative objects

In reading Sherry Turkle's (2007) book, Evocative objects. Things we think with. I am provoked; the essay on cell phones has yet to be written. In its absence i write the chapter myself. Fanfiction for the Fanfact world?

Objects speak in ways that destroy the simple stories of relating. This theme is enlarged upon in the writing of Bruno Latour (1996). In my own story, i too find complexity; a not so simple story of relating. In Turkle's book, each narrative is paired with a short excerpt drawn from theory, talking philosophy down to earth. The excerpt I have chosen is taken from Annmarie Mol's, "The body multiple."

...a philosophical narrative. If we focus on foregrounding the practices inside of which objects are handled, the far reaching effect is reality multiplies. If practices are foreground there is no longer a single passive object, instead objects come into being, and disappear, with the practices in which they are manipulated. This begs the question of how they are related. For even if objects differ from one practice to another, there are relations between these practices. Far from being fragments, these objects hang together, somehow. The question rather than uncovering some truth, is how are objects handled in practice. The objects handled in practice are not the same from one site to another; so how does the coordination between such objects proceed? And how do different objects that go under a single name avoid clashes and explosive confrontations? And might it be if there are tensions between them, various versions of an object sometimes depend on one another.
"If it is not removed from the reality that sustains it, reality is multiple."
Paraphrasing Ann Marie Mol, The body multiple. Ontology in medical practice.

My cell (mobile phone) is a bridge crossing distance, time, relationships and is integral in my transition.
She helps me manage my life, my engagements and disengagements.

The first cell (phone) was a present, then the present got a present, dressed up and personalised both on the inside (with her own directory of contacts, ringtones to differentiate mine from others...and also on the outside. A pretty cover to shelter her from an inclement environment such as being dropped, or the tortures of being stuffed in a pocket,a handbag or chucked in the car. Personalisation also decreased the risk of mistaken ownership; accidental or by theft.

I found she extended my reach; no more waiting by a phone for a call. Such a quaintness associated with memories of aged love.
Though the expectations of being forever available to the reach of others became a source of contention. "I tried to call you, turn your phone on." I wanted to throw her off the harbour bridge. I liked the convenience of calling out, I resented the intrusive beck and call nature it placed on my relationship. "Leave me messages that would make me want to hear you, i would reply. But I kept her; the ph. that is. And the relationship :)

She evolved, I still use prepay, and so there are reasonably frequent times when she's not topped up and i cant call or txt. Her charge holds fairly well- a few days at least, and her reception is considerably better than earlier incarnations. She's evolved, newer renditions have made her smaller, though her functionality is considerably enhanced. My functionality too has increased. I am more intune with her, I keep her on, she's almost always with me: keys, money, cell phone.
I am dependent; I have handed over part of my brain to her, she is now part of my external memory: for phone numbers, addresses, hairdressing appointments.... She is my surrogate timekeeper, alarm, clock, mini sized torch, camera... And security blanket.

I had a miscarriage while away on a writing retreat, and my cell became my best friend. Supported, she enabled me. I could stay in contact with the people i cared about, and who cared for me, as i got myself home the 200km needed. She contributed to my safety but also bridged love and belonging.

For my daughter, her cell too provides a sense of belonging, enhancing what it is to be human. Always tethered Turkle says, but there is also a knowing; a comfort that others are there. Anytime, always. She has friends, many of them, affirmed by a contact list. Security comes in a slim purple chic package of sophistication and aesthetic beauty. I feel safer in trusting the cell connection that our daughter can go further; do more. Tethered risk enhancement.

My cell has taught me a new language, txt. 160 characters or less shapes each message. I use even fewer:
c u soon.
am l8.
call me.
Am at *bucks
Each txt demonstrating variations on a theme:
I don't want to speak to you but will leave you a message.
I don't want to speak to you; either you or this message is of less financial value, than the pittance a call would cost.
I don't want to speak to you, but i need you to get it right- i txt what i want you to remember: there's the shopping list, the address, the time, there is no room for denial.
I want to know what you're doing, I remind you of my 'presence'. Do you respond? Do i still matter? i want you to know that i matter, im here, i care, i want you to care, notice me!

4 me 2 txt takes 2 hands, and reading glasses. I know im old when I txt. A default grammatical correction corrects me now in the use of my first language; i becomes I, but she does not know what to do with im. I choose to ignore the niceties of language construction. My sentences get shorter. My words shorten, was ok not short enough? K. My punctuation worsens and predictive txt brings a whole new level of confused relating.
"Dad has alot me rain"
Half a world away an answer, huh?

My cell is moody, she can be quiet in meetings, if I engage with her according to her rules. There is need to demonstrate the correct etiquette to make this happen. Neglected, she has a life of her own. She can at inopportune times draw attention to herself; our initial appointment with the school principal was interrupted by the attention seeking chirruping incoming txt message. At other times she spontaneously elects not to function. I nurture her, feed her with prepay, charge her up. In an act reminiscent of open heart surgery I open her up investigate her internal workings, take the battery out, remove her sim card, put her back together, watch for life to spring forth. She needs my care. And I am careful of her (one of her relatives was killed in a horrible washing machine incident). Smallness paradoxically increases some vulnerabilities but decreases others. She has learned to manage me better.
Our symbiotic relationship works. I am/We are technically co-dependent. Technologically enhanced, I am provocatively cyborg Donna Haraway (1991) expands on this shifting quality of the human species. A hybrid of machine and organism; we are shaped in relation to each other.

Having fun in the funhouse, with mirrors reflecting on mirrors on mirrors, I thought I had a cell phone, but now she has me.
"You think you have an organizer, but in time, your organizer has you" (Turkle, 2007, p. 310).
And you, reader...you thought you were reading a blog?
Has it taken you?
Reality is multiple.

References
Latour, B. (1996). Aramis: or the love of technology (C. Porter, Trans.). Cambridge: Harvard University Press.
Haraway, D. (1991). "A Cyborg Manifesto: Science, Technology, and Socialist-Feminism in the Late Twentieth Century" in Simians, Cyborgs and Women: The Reinvention of Nature New York; Routledge.
Mol, A. (2002). The body multiple: ontology in medical practice. London: Duke University Press.
Turkle, S. (2007). Evocative objects. Things we think with. London; MIT Press.