, Volume 12, Issue 3, pp 321–342 | Cite as

Pathways and prospects in cancer research: Securing futures and negotiating boundaries

  • Alexandra HillmanEmail author
  • Jamie Lewis
  • Glyn Elwyn
Original Article


This paper draws on literature from the sociology of expectations to explore accounts of experts in cancer research and clinical practice. The cancer specialists’ accounts presented in this article are taken from interviews undertaken as part of a project that aimed to develop a research agenda for the next ten to thirty years that will achieve early detection and prevention in the four main cancers: (i) bowel and colorectal, (ii) prostate, (iii) lung and (iv) breast. Drawing on secondary analysis of the interviews, this article provides a sociological exploration of both the experts’ versions of the future and the interactions between the interviewer and research participant to show expectation in the making: the competing stories of what is and what ought to be the focus of cancer research now and in the (near) future. The building of a cancer research agenda is shown to be a contested future, represented by a dominant and resistant view of the cancer problem, in which cancer specialists must engage in performative strategies and boundary work to frame the present problem: what cancer is and how it can be detected and, subsequently, to claim credibility for a future pathway.


futures sociology of expectations cancer research constitution of knowledge boundary work 



We would like to thank the experts, who not only gave their time to be interviewed for the original project, but also gave their permission for their accounts to be transcribed and analysed for the purpose of this article. We would also like to thank the original project team for sharing the interview data and supporting the secondary analysis, particularly Dr. Omnia Allam.


The interviews presented in this article were undertaken as part of a project supported by the Engineering and Physical Sciences Research Council, Grant Number EP/F058640/1. The cost of transcription was funded by the Economic and Social Research Council’s Centre for the Social and Ethical Aspects of Genomics (Cesagen), based at Cardiff University’s school of social sciences. The secondary analysis and writing of this article has been undertaken as part of a Wellcome Trust Society and Ethics Postdoctoral Fellowship award, WT091772.


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Copyright information

© Macmillan Publishers Ltd 2017

Authors and Affiliations

  1. 1.Cardiff University School of Social SciencesCardiffUK
  2. 2.The Preference LaboratoryThe Dartmouth Institute for Health Policy & Clinical PracticeLebanonUSA

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