The Weariness of Hoping: Synchronizing Affect While Awaiting Organ Transplantation for Cystic Fibrosis in Germany

Med Anthropol. 2023 Aug 18;42(6):593-606. doi: 10.1080/01459740.2023.2240946. Epub 2023 Aug 1.

Abstract

We describe the challenges in synchronizing affect during the lengthy lead-up to organ transplantation. Our analysis draws on ethnographic fieldwork in Eastern Germany among medical staff caring for patients with cystic fibrosis, a progressive, genetic illness. Patient and practitioners must together endure an uncertain wait for a donor organ, while simultaneously living and working toward living as well as possible. The organizing affective principle in this setting is hoping, which is a socio-material practice that must be continuously and interactively re-produced. Too little or too much hoping must be managed by adjusting affective intensities. A failure to strike this balance can lead to what we designate as the weariness of hoping.

Keywords: Affective arrangements; Germany; cystic fibrosis; hope as practice; hospital ethnography; organ transplantation.

MeSH terms

  • Anthropology, Cultural
  • Anthropology, Medical
  • Cystic Fibrosis* / surgery
  • Germany
  • Humans
  • Organ Transplantation*