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	<title>Intertextuality and the Writing of Social Research</title> 
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	  <first>Nicholas</first><middle>J</middle>
	  <last>Fox</last>
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	  <email>N.J.Fox@sheffield.ac.uk</email>
	  <organisation>University of Sheffield</organisation>
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	  <email>mikes@athabascau.ca</email>
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<p> 
This paper explores postmodern social theory approaches to research
writing. In particular I am interested in the possibilities which
an emphasis on <i>intertextuality</i> can offer in the production
of social research. Intertextuality is the process whereby one
text<endnotenumber>1</endnotenumber> plays upon other texts, the ways 
in which texts refer endlessly
to further elements within the realm of cultural production (Barthes,
1977). Intertextuality is a feature of every text. However I shall
suggest here that devices which consciously enhance and emphasize
intertextuality contribute a re-reading of the relationships between
the social, the writer and the reader, between researchers and
researched, students and teachers, theorists and practitioners.
I shall argue that intertextuality is a means to demonstrate the
limits of discourse, but also,  significantly, a stratagem by
which it becomes possible to challenge and resist discourse -
to open up the possibilities of becoming other (Bogue, 1989; Curt,
1994).
</p>

<p>
The concept of intertextuality articulates with post-structuralist
perspectives on language and knowledge (Game, 1991: 18).
Postmodern
analyses challenge the ontological status of modernist claims
to knowledgeability concerning the world. Consequently, when such
approaches are applied to social theory, the privilege which has
been claimed by modernist social scientific discourses is dissolved
(Atkinson, 1990; Bauman, 1988; Butler, 1990; Fox, 1993b; Game,
1991; Rosenau, 1992; Silverman, 1987; Stanley and Morgan, 1993;
Tyler, 1986). From within a framework of postmodern social theory,
an interest in writing and intertextuality rejects distinctions
between <i>&quot;</i>real<i>&quot;</i> and representation (Stanley
and Morgan, 1993; 3). All texts, in this view, are fabrications
and as such are subject to deconstructive re-writing and re-reading.
Social science texts, like any others, are to be read and re-read,
not as representations (accurate or flawed) of the social world,
but as contested claims to speak <i>&quot;</i>the truth<i>&quot;</i>
about the world, constituted in the play of disciplines of the
social. Social research writing becomes a narrative in which,
as Maines (1993; 17) has put it,
</p>
<blockquote>
... sociology's phenomena are seen as significantly 
constituted by stories and in which sociological work is
 seen as narrative work.
</blockquote>
<p>
Before exploring some ways in which intertextuality can contribute
a richness to our writing of social research, I want to situate
intertextuality more firmly within the context of some poststructuralist
and postmodern positions on knowledge, power and resistance. These
positions are not intended as <i>&quot;</i>justifications<i>&quot;</i>
of an intertextual approach, but I think provide a useful theoretical
context to the discussions.
</p>

<h2>DERRIDA: INTERTEXT AND DIFFERANCE</h2>

<p>
 
My first reading concerns Derrida's analysis of <i>differance</i>.
Briefly, <i>differance</i> concerns the fundamental <i>undecidability
</i>which resides in language and its continual <i>deferral</i>
of meaning, the slippage of meaning which occurs as soon as one
tries to pin a concept down (Derrida, 1976; 65). <i>Differance</i>
is unavoidable once one enters into a language or other symbolic
mode of representation in which signifiers (words, signs) refer
<i>not</i> to referents (the <i>&quot;</i>underlying reality<i>&quot;</i>)
but only to other signifiers. While trying to represent the real,
one finds that the meaning which one is trying to communicate
slips from one's grasp. We are left not with the reality, but
with an approximation which, however much we try to make it <i>&quot;</i>more
real<i>&quot;</i>, is always already deferred and irrecoverable
(Finlay, 1989).
</p>

<p>
This theory of <i>differance</i> supplies the basis from which
Derrida criticizes <i>logocentrism</i>. Derrida argues (1976)
that claims to be able to achieve the <i>logos</i>, an <i>unmediated</i>
knowledge of the world, are a feature of every discourse which
seeks to explain the world, be it philosophical, religious or
scientific. Such claims to have a route to such unmediated knowledge
simply put  being able to speak <i>&quot;</i>the truth<i>&quot;</i>
about something or other, is the basis for all authority and authenticity.
Such claims work by privileging certain aspects of the world
at the expense of others. Thus, in the modern period, social and
human sciences have gained legitimacy (although not incontestably)
for their particular claims to knowledge of reality. But this
<i>logocentrism</i>on the part of social science works only by
a denial (or bracketing) of other competing claims. As such it
is also a denial of intertextuality
</p>

<p>
 
Re-introducing a recognition of the intertext is implicitly a
critique of sociological logocentrism. As such, it clearly challenges
sociology's privilege to speak authoritatively about <i>&quot;</i>the
social<i>&quot;</i>. As Game (1991;18) has it, sociology's fiction
is that sociology is not fiction. But I would suggest that at
the same time, this analysis <i>opens up</i> the possibilities
for a social theory which is no longer obsessed by efforts to
attain some kind of (semi) transparent mediation of knowledge
of the world by the human observer (Flax, 1990; Hutcheon, 1989).
If no privilege is attached to particular discourses, social theorists
may explore far more widely texts which contribute to the fabrication
of the social. In short, it proffers a new richness of <i>&quot;</i>data<i>&quot;</i>
of the social, fabricated in intertextuality: the play of text
on text in novel and unending combinations of <i>differance</i>.
</p>

<h2>FOUCAULT: INTERTEXT IN GENEALOGY</h2>

<p>

Perhaps the fundamental difference between traditional historical
accounts and the genealogical method developed in Foucault's writing
(1976; 1979; 1984) and based in Nietzsche's explorations of a
genealogy of morals (Lash, 1991; 260), is that while the former
emphasizes continuity and the logic of events in terms of cause
and effect, genealogy discloses discontinuity and the continual
writing and rewriting of the world in discourse. As such, genealogy
is based in the intertextuality just described.  The violence
of discourse, as it plays out its games of power in the claims
it makes to know the world, is the subject matter of the genealogical
method. Rationality is no longer the force behind the evolution
of knowledge. Rather, knowledge is fabricated through the neverending
struggles for power to describe the social. Medicine, psychiatry,
sex therapy and other caring disciplines construct human subjects
in ways which supersede earlier versions, not for reasons of rationality,
but for strategic objectives concerned with power and control.
</p>

<p>
 
Genealogical texts can claim no privileged status for themselves.
They are the latest in the line of accounts which fabricate their
subject. This reflexivity  which for the modernist signifies the
bane of relativism  emphasizes the intertextual character of genealogy.
Genealogy does not provide the truth of how one discourse supersedes
another. Indeed, it admits itself to be incapable of anything
other than one version of this sequence, nor of being able to
discern the reasoning (or its absence) whereby it became possible
to speak about the world in particular ways at particular points
in time and space.
</p>

<p>
 
Thus genealogy is a method of intertextual exploration, which
while it must fail (but does not display anguish at its failure)
to explain the progress of ideas, offers insights into the technologies
of power/knowledge which inform discourses. The <i>&quot;</i>truth<i>&quot;</i>
of pan-opticism (Foucault, 1976) cannot be proven from genealogy.
Yet it provides us with an idea with which to toy as we explore
the texts of medicine, education or industrial organization. Genealogy
is thus fundamentally intertextual. Seen in this light, it is
clear just how radical is the Foucauldian poststructuralist method
and how great a challenge it poses to modernist social theory.
</p>

<p>
 
Yet, one is also struck - reading many genealogies  by how their
authors' selections of writings have continued to privilege particular
kinds of texts: usually those which appear to possess some kind
of authoritativeness or representativeness, to have been published,
to be academic or <i>&quot;</i>official<i>&quot;</i>. Such genealogical
writing should perhaps document discourses which failed to become
prominent, but nevertheless could still be thought/written/dreamt,
to finally reject the modernist privileging of particular kinds
of text (scientific, nonfiction, high culture and so on) over
others. 
</p>

<h2>CIXOUS: WRITING, GENEROSITY AND THE INTERTEXT</h2>

<p>
Genealogies which document the discourses which <i>make it</i>,
document the ways that power and authority have fabricated reality,
but rarely the resistances to domination and power. In this section
and the next I want to look more closely at the political potential
of intertextuality, firstly as illustrated in the writing of the
feminist poststructuralist Helene Cixous (1986; 1990), who has
emphasized the significance of writing as resistance. In Cixous'
position on feminine writing <i>(ecriture feminine),</i> the relationship
with intertextuality is clear. <i>Ecriture feminine</i> is a writing
practice which is concerned with the openness of texts and multiplicity,
in place of closure and univocality (Game, 1991; 80), and as such
is closely related to the Derridean concept of <i>differance</i>
examined earlier. <i>Feminine texts</i> strive to undermine oppositions,
to deconstruct textuality itself.
</p>

<p> The politics of resistance in <i>ecriture feminine</i> rests in
it being not <i>&quot;</i>just writing,<i>&quot;</i> but also
a <i>&quot;</i>writing of the body,<i>&quot;</i> which is the
locus of resistance to (patriarchal) discourse.</p>
<blockquote>
By writing her self, woman will return to the body which has 
been more than confiscated from her, which has been turned into 
the uncanny stranger on display.... Censor the body and you censor
breath and speech at the same time. .... To write. An act which will 
not only <i>&quot;</i>realize<i>&quot;</i> the decensored relation of 
woman to her sexuality, to her womanly being, giving her access to her
native strength: it will give her back her goods, her pleasures, her
organs, her immense bodily territories which have been kept under
seal  tear her away by means of this research, this job of analysis
and illumination, this emancipation of this marvelous text of her
self that she must urgently learn to speak. (Cixous 1990; 3201)
</blockquote>
<p>

If this is to romanticize <i>&quot;</i>the feminine<i>&quot;</i>,
then perhaps a <i>&quot;</i>feminine text<i>&quot;</i> might more
generally be defined as one which encourages a play of textuality,
which will deconstruct its own claims to authority and authenticity.
Feminine texts are not necessarily the product of women (Moi,
1985; 108), although Cixous (1990; 318) writes</p>
<blockquote>
I write woman: woman must write woman. And man, man .... it's
 up to him to say where his masculinity and femininity are at: this
 will concern us when men have opened their eyes and seen themselves
 clearly. 
</blockquote>
<p>
 
I would suggest that what is argued for as <i>ecriture feminine</i>
by Cixous is concerned implicitly with the intertextual: the play
of one text as de-constructive of another, itself in turn dissolved
or reread. Cixous elsewhere (1986) makes a distinction between
<i>&quot;</i>Gift<i>&quot;</i> relations based in generosity,
and the those of the <i>&quot;</i>Proper<i>&quot;</i>, based in
control and appropriation. <i>Ecriture feminine</i> relates to
the former category, offering not identity and repetitions, but
trust, love, affirmation, confidence and a generosity of spirit.
It challenges such <i>&quot;</i>masculine<i>&quot;</i> concerns
as property and propriety, and can <i>&quot;</i>... shatter the
framework of institutions .... break up the 'truth' with laughter<i>&quot;</i>
(Cixous, 1990; 326).
</p>

<p>
 
There is a continuity here with post-structuralism's concern with
difference in this feminist politics of resistance. Unlike philosophies
of resistance, including Marxism and modernist feminism, which
have grounded their logic of resistance in identity (membership
of a class or a gender), a concern with the intertext is a celebration
of difference and the possibility that things can be otherwise.
Such a politics of difference goes far beyond feminism and suggests
the potential for resisting discourse, knowledge and power through
intertextual practices. In the context of writing social research,
it replaces objectivity with indeterminacy and the search for
control and closure with generosity and openness.
</p>

<h2>DELEUZE AND GUATTARI: RESISTANCE AND INTERTEXTUALITY</h2>

<p>
 
The conception of a <i>feminine,</i> openended, generous text
which can be the vehicle for resisting rather than inscribing
discourse resonates with the work of Gilles Deleuze and Felix
Guattari whose <i>&quot;</i>schizanalysis<i>&quot;</i> similarly
argues the possibility of resistance (Deleuze and Guattari, 1984;
1988). These writers conceive of human subjectivity as inscribed
upon a philosophical surface which they call the <i>Body-without-Organs</i>
(BwO). With Foucault, they see this surface as <i>&quot;</i>totally
inscribed by history<i>&quot;</i> (i.e. the discourses of <i>&quot;</i>the
social<i>&quot;</i>), yet they break with Foucault's ontological
skepticism concerning the possibility of resistance to the subjectivities
thus inscribed (Lash, 1991; 270). For them, 
the BwO can be <i>&quot;</i>deterritorialized<i>&quot;</i>
by what they call <i>&quot;</i>positive desire<i>&quot;</i>, and
for subjectivity to become <i>&quot;</i>nomadic<i>&quot;</i>,
if only for a moment untrammeled by discourse, able to become
other.
</p>

<p>
 
My reading of this difficult and problematic concept of positive
desire <endnotenumber>2</endnotenumber> focuses upon Deleuze and Guattari's interest in
the process of enabling another human being which we can supply
in investments of care, love, trust, giving  whether these be
material, affective or spiritual, and leading to some kind of
<i>&quot;</i>becoming other<i>&quot;</i>, liberation or emancipation
from discourses of control and domination. Understood in this
way, <i>&quot;</i>de-territorialization<i>&quot;</i> is equivalent
to the objective identified by Cixous in the investments of the
Gift relationship: a breaking free, an opening up to new possibilities
to act and think <endnotenumber>3</endnotenumber>. In 
place of the discourses of the social,
which create identity and repetition, positive desire blasts the
BwO out of the subjectivity which has been inscribed<b></b>upon
its surface by the social.<b></b>For a moment, the subjectivity
is freed to wander upon the BwO  the <i>&quot;</i>nomad<i>&quot;</i>
subject becomes other. Then it settles back, but maybe in a new
configuration, as the process of signification seizes upon a new
patterning of the intensities on the surface of the BwO. Sometimes,
this deterritorialization may move the 
subjectivity to a new <i>&quot;</i>plateau<i>&quot;</i>,
a more <i>&quot;</i>radically other<i>&quot;</i> subjectivity.
</p>

<p>
 
I want to suggest here that <i>intertextuality</i>, understood
in a wider sense than hitherto developed in this paper, is at
the heart of this deterritorialization of subjectivity and the
freeing of the nomad subject. Deleuze and Guattari's book, <i>A
Thousand Plateaus</i> (1988), recognizes the significance of the
intertext. It is a book designed as a <i>&quot;</i>rhizome<i>&quot;</i>,
ceaselessly achieving multiplicity, refusing to follow a single
chain of signification (1988; 79).
As they write (1988:22),</p>
<blockquote>
We call a plateau any multiplicity connected to any other 
multiplicities by superficial underground stems in such a way to form or 
extend a rhizome. We are writing this book as a rhizome. It is composed of 
plateaus. .... Each plateau can be read starting anywhere and can be related 
to any other plateau.
</blockquote>
<p>
 
Their objective  maybe  is to orchestrate enough intensities upon
the reader's BwO that new connections become possible, a new plateau
is achieved, so the reader can say <i>&quot;</i>So that's what
it's about<i>&quot;</i>. (Is this <i>the secret</i> of all <i>good
</i>books?) Deleuze and Guattari's (1988: 11) book is also explicitly
an incitement to write:</p>
<blockquote>
Conjugate deterritorialized flows. Follow the plants: you 
start by delimiting a first line consisting of circles of 
convergence around successive singularities; then you see whether
 inside that line new circles of convergence establish themselves,
 with new points located outside the limits and in other directions.
 Write, form a rhizome, increase your territory by de-territorialization,
 extend the line of flight to the point where it becomes an abstract machine 
covering the entire plane of consistency.
</blockquote>
<p>
 
Read as an argument for intertextual practice, Deleuze and Guattari's
notion of positive desire is shriven of its foundationalism (maybe
even biologism). But it also makes the vital point that intertextuality;
it is not simply some dry academic or intellectual claim concerning
the power of the pen. Rather, writing is <i>one</i>way to become
other, and intertextuality is about the interplay of all kinds
of texts, not just written, but the range of meaningful activities
in which human beings engage, and which  if constituted in a relationship
of the <i>Gift</i>, celebrating <i>love</i> and <i>difference
</i>- can be a force for liberation.
</p>

<h2>SOCIAL THEORY AND INTERTEXTUAL PRACTICE</h2>

<p>
 
Thus far I have drawn (intertextually) upon various postmodern
writers to explore aspects of intertextuality and its relations
to the social and to resistance. Derrida supplies the position
from which to examine authenticity, authority and authorship,
while Foucault's genealogies document changing authenticities.
Cixous, and Deleuze and Guattari, from different theoretical positions,
both explore the inscription of the body by the social and ways
in which this inscription can be turned away from control and
towards resistance and becoming-other.
</p>

<p>
 
I want to turn now to what these aspects of intertextuality mean
for the practice of writing social research. Many social scientists
(and maybe natural scientists too  I don't know) will have had
the experience of only finding the interpretation of their research
data or their theoretical reasoning during the process of writing
up for publication, report or thesis. Similarly, many of us will
know, either as authors or referees, the subtleties entailed in
fabricating authentic accounts for journal publication (I use
the term <i>&quot;</i>authentic<i>&quot;</i> here in a postmodern
way  to mean credible, convincing and/or internally coherent).
Ethnomethodologists might call  this <i>&quot;</i>doing getting
published<i>&quot;</i>.
</p>

<p>
 
Postmodern writing has begun to unpack some of these fabrications.
Ashmore, Mulkay and Pinch (1989)  provide an interesting analysis
of health economic writing which is at the same time reflexive
about its own production within the framework of the sociology
of science. Press cuttings concerning the arguments over the ethics
of QALYs (Quality Adjusted Life Years)  a health economic instrument
 are followed by a spoof press report about the authors' own work.
Elsewhere different readings (economic, sociological, lay) of
the book's conclusions are juxtaposed.
</p>

<p>
 
Ashmore et al (1989) also adopt the strategy of introducing a
<i>&quot;</i>commentator<i>&quot;</i> who engages with the authors
in dialogue. This strategy to enhance intertextuality was also
used by Mulkay (1985). In addition, this author included a <i>&quot;</i>oneact
play<i>&quot;</i> as part of his explorations. Curt (1994) utilizes
an <i>&quot;</i>interrupter<i>&quot;</i> while I brought in <i>&quot;</i>another
voice<i>&quot;</i> (Fox 1992) to introduce a fragmentation into
an otherwise linear text. Curt's writing is also marked by the
fact (?) that the author possesses congenital acorporeality: <i>&quot;</i>Beryl
C Curt<i>&quot;</i> being the pseudonym for a group of writers.
Beryl herself engages with the text as a further dissonant voice.
Tyler (1986: 125), in postulating 
a <i>&quot;</i>postmodern ethnography<i>&quot;</i>,
advocates</p>

<blockquote>
... a cooperatively evolved text consisting in fragments of discourse 
intended to evoke in the minds of both reader and writer an emergent fantasy 
of a possible world of commonsense reality, and thus to provoke an aesthetic 
integration which will have a therapeutic effect.
</blockquote>
<p>
 
Other authors who have reflected on the production of sociological
texts include Atkinson (1990), whose  deconstruction of ethnographic
writing exposes the intertextuality within such reports and the
efforts made by writers to obscure its social production. Atkinson
(1990; 106) points to the narrative element in some such writing
and while he is concerned to demonstrate how this is a strategem
for fabricating authenticity, Maines (1993) sees in narrative
an opportunity for sociology to explore a wide range of texts
in its research. A conference and subsequent collection of articles
on the topic of Auto/biography in the journal <i>Sociology</i>
similarly identified the stories told about people and about themselves
as valuable research data for sociology [see papers by Aldridge,
Cotterill and Letherby, Davies, Erben and Stanley (all 1993)].
</p>

<p>
 
Taking the further step of accepting that all there are are stories
is a hard one for modernist sociology to swallow. But this is
the necessary lesson of intertextuality and one which perhaps
can move writing social research into the arenas of resistance
and liberation discussed above. So, to complete this discussion,
and to suggest the possibilities of a self-conscious intertextuality,
I will now offer a brief piece of <i>&quot;</i>data<i>&quot;</i>
from my own work to serve both as a substantive contribution and,
more importantly, as an example of how the intertextuality within
writing social research/theory can deepen and broaden the experience
of the phenomenon being written.
</p>

<p>

With the benefit of this illustration of a more open-ended approach
to writing research, readers may wish to reflect further upon
the various perspectives explored in the first part of the paper,
in particular upon writing as resistance, and upon the need for
trust within the research community to enable such writing. However,
with the desire for open-endedness in mind, I shall not attempt
subsequently to draw everything neatly together to supply closure,
the <i>right</i>balance of theory and data or any other attribute
of modernist social science writing.
</p>

<h2>RESEARCHING SURGERY: TOWARDS ENGAGEMENT</h2>

<p>
 
During the late 1980s, I undertook an ethnography of surgery at
a number of UK hospitals. This was later published (Fox, 1992)
as a monograph and continued to be recycled in various forms as
part of my efforts to explore postmodern social theory (Fox, 1991;
1993a; 1993b). Reflecting upon this research some years on, I
think that a richness can be brought to this kind of writing of
the social by exploring the play of a range of texts <i>in addition</i><b>
</b>to the <i>straight</i> ethnographic report which I originally
produced in an effort to describe events in the operating theatre
or on the surgical wards.
</p>

<p> The first text I draw on in this exercise in intertextuality is
the fabricated field notes which formed the basis of the ethnographic
report. For example, here is an extract which formed part of a
discussion of the organization of the surgical list.</p>
<blockquote>
10.30 a.m. There is a delay between patients. 
<i>Anaesthetic nurse</i>: <i>&quot;</i>Orthopaedic surgeons are the worst,
 they arrange things at the last minute, and then they're not organized properly.<i>&quot;</i> 
<i>Researcher</i>: <i>&quot;</i>Why is that?<i>&quot;</i> 
<i>A.N.:</i> <i>&quot;</i>They don't communicate. It's probably because
 most of them are foreign  they don't understand each other.<i>&quot;</i> 
The delay continues. The registrar has been sent to look for a patient who 
cannot be found, but then is found in a different ward. 
In the meantime another patient has been added to the list  a 16 year old 
accident victim, who has had his pelvis pinned a week earlier, and now is to 
have the pins out. However he has not been seen that day by the house doctor 
and he has not signed a consent form, and may not have been starved prior to 
general anaesthetic. The surgeon and registrar are not happy: the registrar 
is sent to the ward to sort things out. 
Fifteen minutes later, the registrar returns. 
<i>Registrar</i>:&quot; He had been consented. The 
staff nurse thought the age of consent was 18, but he's 
signed himself. His father has been waiting around to sign a consent.&quot; 
<i>Surgeon</i>: (to researcher)&quot; This is the sort of 
thing that happens. The consultant tells the staff nurse
who tells the houseman, and the houseman forgets or is too busy.&quot; 
11.20. a.m. The patient finally arrives, and is very upset
 as he does not want a general anaesthetic after one the previous
 week had made him sick. Eventually he is persuaded by the surgeon, 
in the anaesthetic room. (Fox 1992: 378)
</blockquote>
<p>
 
Extracts such as this formed the <i>&quot;</i>official<i>&quot;</i>
text in which I attempted to represent what I perceived as the
part of the social which is called <i>&quot;</i>doing surgery<i>&quot;</i>.
Methodologically, its claim to authority rested upon the representation
of observations conducted during fieldwork. It is hardly necessary
to make the point that the relationship between the observed and
this account of it is the outcome of interpretative and representational
work which renders it no more than a plausible fiction (for cogent
critiques of the relationship between the social and such accounts,
see Atkinson, 1990; Tyler, 1986). But, while I was writing up
these notes, I was also reading a variety of texts which were
relevant to the phenomena I was studying. Some, like Katz (1984)
and Atkinson (1981), were social science ethnographies. But I
was reading fictional accounts of surgery alongside and the televising
of Colin Douglas' book <i>The Houseman's Tale</i> coincided with
the fieldwork. Here is an extract from another of Douglas's books,
<i>Bleeders Come First</i>(1979).</p>
<blockquote>
The nurse held Miss Warrender's arm back as Campbell gripped the 
wrist with both hands, palms downwards and pulled. There was an 
uneasy, crunchy feel as the ends of the fracture came apart, 
then he bent the wrist backwards and outwards a little and let
the lower fragment of the broken bone settle gently back into 
place, or rather into what he hoped was its right place.
There was soft tissue swelling round the site of the fracture,
which made the result of his efforts harder to assess, but in general 
it was a betterlooking wrist than it had been. the hollow and step had gone, and if there was any resemblance not to an oldfashioned dinner fork, it was now only a very slight one.
<i>&quot;</i>That might be it,<i>&quot;</i> said Campbell. <i>&quot;</i>Like to 
feel it, nurse, before we put the slab on?<i>&quot;
&quot;</i>Yes please.<i>&quot;</i> The nurse ran her fingers over the 
straightened forearm. <i>&quot;</i>I see.<i>&quot;
</i>The gasman, holding the mask on the patient's face with one 
hand, and keeping a finger on the carotid pulse in the neck at the same 
time, was beginning to look impatient. (Douglas, 1979; 89)
</blockquote>
<p>
 
The fictional patient subsequently had a cardiac arrest on the
operating table and died, despite having come to casualty for
a very minor procedure. Such tales, (and more recent visualizations
such as the TV fictions <i>ER</i> and <i>Cardiac Arrest)</i> paradoxically
bring back to me now some of the <i>&quot;</i>realness<i>&quot;</i>
of surgery - the blood, the smells of the operating theatre, and
the tragedy of individual cases which go badly. Fictional writings
bring together elements which do not necessarily coincide conveniently
in ethnographic observations of <i>reality</i>. Many of these
elements  which fabricate that part of the social called surgery
 are consequently lost in my official account. For instance, Douglas'
text reminds me not to overlook the uncertainty involved in surgery
and the unpredictability of patients' responses to surgical interventions.
Such reminders serve as a counterpoint to the standard analyses
of power imbalances and control in sociological readings of the
medical, and offer further readings for the kinds of chaotic organization
which I described (Fox, 1992).
</p>

<p>
 
Perhaps other elements are submerged or denied. Looking at a third
text related to the study suggests such possible absences. This
text is my own fieldwork diary which documented my impressions
and thoughts<b></b>during fieldwork and in which I reflected
on my own experience of sometimes distressing events, or merely
the embarrassments of being a supernumerary. Here is an extract
(never before disclosed) concerning an episode in neurosurgery.</p>
<blockquote>
(Date label) After the fiasco yesterday I was relieved that 
everyone seemed to know who I was. The neurotheatre complex had a 
very different feel to it  different layout from the others, and 
seems more cut off from the rest of the hospital. This needs 
working on. ...... The case which followed really affected me. It was a 
boy of about 10 with a tumour on his brain, and some injury to his neck. 
He was in pain and was crying because he had been hurt while being brought 
from the Children's Hospital in an ambulance. It was really awful, and I 
walked out of the room until he was unconscious. This is the first operation 
on a child I have seen, and it made me realize what people go through in 
surgery. I cannot bring myself to write this up in the log, and don't 
know if I want to include it in the thesis.
</blockquote>
<p>
 
And indeed, this case <i>was</i> never written.
</p>

<p>
 
I have suggested that reading these various texts together supplies
a new richness to the exploration of this aspect of the social.
Many other texts could be introduced, and the process of intertextual
reading is consequently never ending. But for the sake of this
short discussion, what can be made of the play of these three
texts? Certainly something further in terms of <i>&quot;</i>evoking<i>&quot;</i>
(Tyler, 1986) surgery is made available for reading and writing.
But also, I can see here my desire to produce an objective account,
my inability to cope with some of the emotional aspects of surgical
care, maybe suppressing or excluding exploration of how surgical
staff cope, a need to explore how staff engage with their patients.
These readings are all available for fabrication, and they in
turn constitute new texts (for instance - this one). The potency,
for the writer or the reader, inheres in the possibility always
to read another text, or to reread it in a new way. This text
is a version of a paper given at the British Sociological Association
conference, and a further text exists in the form of a taperecording
I made of my presentation at that conference. And as I write <i>this</i>,
I can read my efforts back then  to reintroduce a <i>&quot;</i>lost<i>&quot;</i>
emotional aspect of my research  as part of a more general recognition
of the suppression of the emotional in my life, which I was facing
up to at the time the conference paper was written. There can
always be a further text.
</p>

<h2>CONCLUDING REFLECTIONS</h2>

<p>
 
I wish to conclude (stop writing) this paper with some brief thoughts
on the implications for social theory of admitting as <i>&quot;</i>legitimate<i>&quot;</i>
a much wider and more eclectic range of texts, in an effort to
read and to write the social. I would suggest that:</p>

<ol><li>Intertextual approaches break the distinction between researcher
and researched, in as much as the researcher becomes part of the
social which is being explored. The contribution of social theory
to fabricating the social which it once claimed to dispassionately
describe and explain, must be recognized.  Distinctions between
the personal and professional responses of researchers in field
settings are elided. The researcher may find her/himself in situations
where it is unclear if the relationship with social actors is
one of research or of therapy (Darbyshire, 1991).</li>
<li>Consequently, the social theorist must adopt an ethical
and political position which will structure the engagement which
s/he has with the social. A commitment to intertextuality is also
a commitment to difference and to becoming Other. The politics
of intertextuality and the postmodern are radical and concerned
with resistance and change.</li>
<li>The significance of writing research reports changes from
efforts to represent or to persuade, to a reflection upon the
relationship between that text and other texts, to the possibilities
of deterritorialization. Social theorists may choose a fictional
genre in preference to factual accounts, where this seems to offer
the greatest potential to question the discourses of the social.
At other times, texts in the form of social practice (teaching,
therapy, protest, worship, prayer) may be chosen in place of a
narrower sense of <i>&quot;</i>writing<i>&quot;</i>. Whatever
form is chosen, the text becomes the subject and the object of
social theory.</li>
</ol>
</body>

<endnotes>

<endnotetext><num>1</num><p>Texts are not necessarily written. Any culturally produced
object or social practice capable of symbolic interpretation and
reinterpretation can be considered as a text.</p></endnotetext>

<endnotetext><num>2</num><p>Positive desire for Deleuze and Guattari is something which
inheres in every human being and is like the Freudian <i>id</i>
and the Nietzschean <i>Will to Power</i>. It can act on one's
own BwO, or upon that of others. It is only with the latter that
I am concerned here. For a full discussion see Fox (1993b).</p></endnotetext>

<endnotetext><num>3</num><p>These ideas supply the possibility for an ethics of engagement
with others. I find a potential for such an ethics in investments
of love and a celebration of difference (Fox, 1993b; 130141),
while Bauman (1993) is pessimistic about it as a sustainable project
for human actors. The resonance with Christian ideas of love for
our neighbours is also quite clear. What this contributes is the
recognition that what is not possible for humans on their own
is possible with God's help.</p></endnotetext>

</endnotes>

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</ixml>

