Personal health technologies, micropolitics and resistance: A new materialist analysis

Personal health technologies (PHTs) are near-body devices or applications designed for use by a single individual, principally outside healthcare facilities. They enable users to monitor physiological processes or body activity, are frequently communication-enabled, and sometimes also intervene therapeutically. This paper explores a range of PHTs, from blood pressure or blood glucose monitors purchased in pharmacies, fitness monitors such as FitBit and Nike+ Fuelband, through to drug pumps and implantable medical devices. It applies a new materialist analysis, first reverse engineering a range of PHTs to explore their micropolitics, and then forward-engineering PHTs to meet, variously, public health, corporate, patient and resisting-citizen agendas. The paper concludes with a critical discussion of PHTs, and the possibilities of designing devices and apps that might foster a subversive micropolitics and encourage collective and resisting ‘citizen-health’.