Medicine is increasingly focusing on the prevention of diseases. The digital twin (DT) is considered to be an important technological development for realizing this transition. Broadly speaking, a DT is an in silico representation of an individual that dynamically reflects molecular and physiological status, which makes it possible to monitor precisely health status over time. Currently, DTs are more of an abstract ideal than a concrete technological reality, which makes it possible to actively imagine the different ways in which DTs might materialize. This article develops an approach to imagining the different ways in which DTs can be integrated into the lives of people. It focuses on how potential users want to be cared for by means of DTs and how care practices might be changed through the introduction of DTs. The article shows that a shift towards preventive medicine is taking place and situates DT in this context. Then, drawing on the insights of Gilbert Simondon, it suggests that the notion of technical milieu can be a helpful tool for designers to imagine the practices of valuing to which DTs give rise. Subsequently, it explains how our philosophical approach helps inform what kinds of DTs can be imagined. Then, based on interviews with people likely to relate to DTs in the (near) future, it develops six conceptions of DTs and fleshes out some of the implications of our approach for the design of DTs.

His work centers on a creative thinking of interaction design, experience philosophy and affect theory through practical design experiments with interactive sound and physical interfaces.

A first exploration is conducted to what the French biological philosophy of technology perspective has to offer to the field of design methodology. If this French perspective is combined with contemporary speculative pragmatism a generative design methodology emerges offering novelty in what is sensed as important in a design situation. Within this perspective, drawing upon the late French philosopher Gilbert Simondon, technical objects have their own mode of existence and their own trajectory of development apart from human intention.Designers working with such a generative design methodology follow the constitutive value of openness and attune to the regulative value of techno-aesthetic judgments. By way of a 'vignette+', a paradigmatic example from a real case, a more encompassing argument is made towards design situations where a sophisticated machine is 'inserted' into a domestic setting.The example taken is the use of an artificial kidney machine in a domestic setting and the development of a novel machine with a design team. Four aspects were sensed as important in the unfolding design situation and directions for further research are discussed.