How should we understand postphenomenological methodology? Postphenomenology is a research perspective which builds on phenomenological and pragmatist philosophy to explore human–technology relations, but one with open methodological questions. Here, I offer some thoughts on the epistemological processes that should be (and often implicitly may be) at work in this research. In particular, I am concerned with postphenomenological research on technological “multistability,” i.e., a device’s ever-present capacity to be used for a variety of purposes, and to always be meaningful in multiple (...) ways. I develop a methodology called “variational cross-examination,” which entails the critical contrast of a device’s various stabilities. As a set of instructive examples, I draw on my own line of research on the politics of public spaces, and especially the critique of anti-homeless design. (shrink)

Use of electronic health records within clinical encounters is increasingly pervasive. The digital record allows for data storage and sharing to facilitate patient care, billing, research, patient communication and quality-of-care improvement—all at once. However, this multifunctionality is also one of the main reasons care providers struggle with the EHR. These problems have often been described but are rarely approached from a philosophical point of view. We argue that a postphenomenological case study of the EHR could lead to more in-depth insights. (...) We will focus on two concepts—transparency and multistability—and translate them to the specific situation of the EHR. Transparency is closely related to an embodiment relation in which the user becomes less aware of the technology: it fades into the background, becoming a means of experience. A second key concept is that of multistability, referring to how a technology can serve multiple purposes or can have different meanings in different contexts. The EHR in this sense is multistable by design. Future EHR design could incorporate multistable information differently, allowing the provider to focus on patient care when interacting with the EHR. Moreover we argue that the use of the EHR in the daily workflow should become more transparent, while awareness of the computer in the specific context of the patient-provider relationship should increase. (shrink)