This text explores the border between medical and social problems, the boundary between health and social change. The book studies the body as the mediator between individual and collective experience, finding that many health problems, for example the trauma of violence or depression in the course of chronic pain, are less individual medical problems than interpersonal experiences of social suffering. It argues for an ethnographic approach to moral practice in medicine, one that embraces the infrapolitical context of illness, responses to (...) it, the social institutions relating to it and the way it is configured in medical ethics. (shrink)

Through arresting narratives we meet a woman aiding refugees in sub-Saharan Africa, facing the chaos of a meaningless society and a doctor trying to stay alive during Mao's cultural revolution - individuals challenged by their societies and in existential moral experiences that define what it means to be human.

This innovative volume is an extended intellectual conversation about the ways personal lives are being undone and remade today. Examining the ethnography of the modern subject, this preeminent group of scholars probes the continuity and diversity of modes of personhood across a range of Western and non-Western societies. Contributors consider what happens to individual subjectivity when stable or imagined environments such as nations and communities are transformed or displaced by free trade economics, terrorism, and war; how new information and medical (...) technologies reshape the relation one has to oneself; and which forms of subjectivity and life possibilities are produced against a world in pieces. The transdisciplinary conversation includes anthropologists, historians of science, psychologists, a literary critic, a philosopher, physicians, and an economist. The authors touch on how we think and write about contingency, human agency, and ethics today. (shrink)

This article utilizes the ongoing debates over the role of certain agricultural insecticides in causing Colony Collapse Disorder —the phenomenon of accelerated bee die-offs in the United States and elsewhere—as an opportunity to contribute to the emerging literature on the social production of ignorance. In our effort to understand the social contexts that shape knowledge/nonknowledge production in this case, we develop the concept of epistemic form. Epistemic form is the suite of concepts, methods, measures, and interpretations that shapes the ways (...) in which actors produce knowledge and ignorance in their professional/intellectual fields of practice. In the CCD controversy, we examine how the privileging of certain epistemic forms intersects with the social dynamics of academic, regulatory, and corporate organizations to lead to the institutionalization of three interrelated and overlapping types of ignorance. We consider the effects of these types of ignorance on US regulatory policy and on the lives of different stakeholders. (shrink)

Although scholarship in the social construction of technology has contributed much to illuminating technological development, most work using this theoretical approach is committed to an agency-centered approach. SCOT scholars have made only limited contributions to illustrating the influence of social structures. In this article, the authors argue for the importance of structural concepts to understanding technological development. They summarize the SCOT conceptual framework defined by Trevor Pinch and Wiebe Bijker and survey some of the methodological and explanatory difficulties that arise (...) with their approach. Then the authors present concepts from organizational sociology and political economy that illuminate structural influences in shaping phenomena of interest to SCOT scholars. These structural concepts can be applied to the study of the design, development, and transformation of technology. The authors conclude that the limited amount of scholarship on structural factors in the social shaping of technological development presents numerous opportunities for research. (shrink)

Bringing Pierre Bourdieu to Science and Technology Studies Content Type Journal Article Pages 263-273 DOI 10.1007/s11024-011-9174-2 Authors Mathieu Albert, Wilson Centre and Department of Psychiatry, Faculty of Medicine, University of Toronto, 200 Elizabeth Street , Eaton-South 1-581, Toronto, ON M5G 2C4, Canada Daniel Lee Kleinman, Department of Community and Environmental Sociology, University of Wisconsin-Madison, 348 Agricultural Hall 1450 Linden Drive, Madison, WI 53706, USA Journal Minerva Online ISSN 1573-1871 Print ISSN 0026-4695 Journal Volume Volume 49 Journal Issue Volume 49, Number (...) 3. (shrink)

Trust is indispensable not only for interpersonal relationships and social life, but for good quality healthcare. As manifested in the increasing violence and tension in patient-physician relationships, China has been experiencing a widespread and profound crisis of patient–physician trust. And globally, the crisis of trust is an issue that every society, either developing or developed, has to face in one way or another. Yet, in spite of some pioneering works, the subject of patient-physician trust and mistrust – a crucial matter (...) in healthcare especially because there are numerous ethical implications – has largely been marginalized in bioethics as a global discourse. Drawing lessons as well as inspirations from China, this paper demonstrates the necessity of a trust-oriented bioethics and presents some key theoretical, methodological and philosophical elements of such a bioethics. A trust-oriented bioethics moves beyond the current dominant bioethical paradigms through putting the subject of trust and mistrust in the central agenda of the field, learning from the social sciences, and reviving indigenous moral resources. In order for global bioethics to claim its relevance to the things that truly matter in social life and healthcare, trust should be as vital as such central norms like autonomy and justice and can serve as a potent theoretical framework. (shrink)

The past twenty years have been an incredibly productive period in science studies. Still, because recent work in science studies puts a spotlight on agency and enabling situa tions, many practitioners in the field ignore, underplay, or dismiss the possibility that historically established, structurally stable attributes of the world may systemically shape practice at the laboratory level. This article questions this general position. Draw ing on data from a participant observation study of a university biology laboratory, it describes five features (...) of the institutional landscape that shape this laboratory's practice. (shrink)

In introgressive hybridization (the repeated backcrossing of hybrids with parental populations), Edgar Anderson found a source for variation upon which natural selection could work. In his 1953 review article “Introgressive Hybridization,” he asserted that he was “bringing taxonomy to the service of genetics” whereas distinguished colleagues such as Theodosius Dobzhansky and Ernst Mayr did the precise opposite. His work as a geneticist particularly focused on linkage and recombination and was enriched by collaborations with Missouri Botanical Garden colleagues interested in taxonomy (...) as well as with cytologists C.D. Darlington and Karl Sax. As the culmination of a biosystemtatic research program, Anderson’s views challenged the mainstream of the Evolutionary Synthesis. -/- . (shrink)

To investigate the phenomenon of patient–physician mistrust in China, a qualitative study involving 107 physicians, nurses and health officials in Guangdong Province, southern China, was conducted through semi-structured interviews and focus groups. In this paper we report the key findings of the empirical study and argue for the essential role of medical professionalism in rebuilding patient-physician trust. Health professionals are trapped in a vicious circle of mistrust. Mistrust leads to increased levels of fear and self-protection by doctors which exacerbate difficulties (...) in communication; in turn, this increases physician workloads, adding to a strong sense of injustice and victimization. These factors produce poorer healthcare outcomes and increasingly discontented and angry patients, escalate conflicts and disputes, and result in negative media coverage, all these ultimately contributing to even greater levels of mistrust. The vicious circle indicates not only the crisis of patient-physician relationship but the crisis of medicine as a profession and institution. Underlying the circle is the inherent conflict of interest in the healthcare system by which health professionals and hospitals have become profit-driven. This institutional conflict of interest seriously compromises the fundamental principle of medical professionalism—the primacy of patient welfare—as well as the traditional Chinese ideal of “medicine as the art of humanity”. Patient trust can be restored through rectifying this institutional conflict of interest and promoting medical professionalism via a series of recommended practical measures. (shrink)

Through a discursive and organizational analysis we seek to understand the Biosafety Protocol and the place of socioeconomic regulation of agricultural biotechnology in it. The literature on the Protocol has been fairly extensive, but little of it has explored debates over socioeconomic regulation during the negotiation process or the regulatory requirements specified in the final document. This case is especially important at a time when the spread of neoliberalism is increasingly associated with deregulation, because it sheds light on the conditions (...) under which circumvention of the market is deemed legitimate and socio-economic regulation of agricultural technology is possible. (shrink)

Modern socio?cultural studies of medicine demonstrate the symbolic character of much of medical reality. This symbolic reality can be appreciated as mediating the traditional division of medicine into biophysical and human sciences. Comparative studies of medical systems offer a general model for medicine as a human science. These studies document that medicine, from an historical and cross?cultural perspective, is constituted as a cultural system in which symbolic meanings take an active part in disease formation, the classification and cognitive management of (...) illness, and in therapy. Medicine's symbolic reality also forms a bridge between cultural and psychophysiological phenomena; the basis for psychosomatic and socioso?matic pathology and therapy. This in turn becomes a central problem for medical theory and for a philosophical reinvestigation of medicine. (shrink)

This thoughtful and engaging text challenges the widely held notion of science as somehow outside of society, and the idea that technology proceeds automatically down a singular and inevitable path. Through specific case studies involving contemporary debates, this book shows that science and technology are fundamentally part of society and are shaped by it. Draws on concepts from political sociology, organizational analysis, and contemporary social theory. Avoids dense theoretical debate. Includes case studies and concluding chapter summaries for students and scholars.

In response to the many pressures facing public higher education, public universities are experimenting with business-oriented practices that seem likely to alter their nature and purposes. In this paper, we examine several hybrid experiments—new organizational strategies intended deliberately, sometimes explicitly, to hybridize the traditional norms and practices associated with academia and business at one emblematic public university. These cases illustrate how each hybrid experiment is a tacit response to existing norms and strategies that govern the university–business boundary, initiated as a (...) hedge against the challenging fiscal and political climate. Taken together, they do not lead to a unitary and/or linear spread of business codes and practices. Instead, what some have referred to as “business logic” appears multifaceted, having many elements that are deployed, institutionalized, and perceived differently in different contexts, even within a single university. (shrink)

Historical analyses of the genesis of the National Science Foundation have given insufficient attention to the role of business in the legislative struggle to establish a postwar research policy agency. This has led to an incomplete understanding of the defining characteristics of the final NSF legislation. Agency focus on basic research has heretofore been interpreted largely as a response to scientists' interests rather than to those of scientists and business. Moreover, the concern of industry with the intellectual property provisions of (...) the legislation has also been underappreciated. In this article, the standard history of the genesis of the National Science Foundation is revised by dissecting the concerns of business with NSF legislation and the role of business in shaping the legislation. The character and influence of industry on proposals for a National Science Foundation are clarified through an examination of three distinct ways in which industry shaped National Science Foundation legislation. The article concludes that in the debate over the establishment of the NSF, interests and influence must be seen as layered, overlapping, and blurred. (shrink)

The guiding inspiration of this book is the attraction and distance that mark the relation between anthropology and philosophy. This theme is explored through encounters between individual anthropologists and particular regions of philosophy. Several of the most basic concepts of the discipline—including notions of ethics, politics, temporality, self and other, and the nature of human life—are products of a dialogue, both implicit and explicit, between anthropology and philosophy. These philosophical undercurrents in anthropology also speak to the question of what it (...) is to experience our being in a world marked by radical difference and otherness. In The Ground Between, twelve leading anthropologists offer intimate reflections on the influence of particular philosophers on their way of seeing the world, and on what ethnography has taught them about philosophy. Ethnographies of the mundane and the everyday raise fundamental issues that the contributors grapple with in both their lives and their thinking. With directness and honesty, they relate particular philosophers to matters such as how to respond to the suffering of the other, how concepts arise in the give and take of everyday life, and how to be attuned to the world through the senses. Their essays challenge the idea that philosophy is solely the province of professional philosophers, and suggest that certain modalities of being in the world might be construed as ways of doing philosophy. Contributors. João Biehl, Steven C. Caton, Vincent Crapanzano, Veena Das, Didier Fassin, Michael M. J. Fischer, Ghassan Hage, Clara Han, Michael Jackson, Arthur Kleinman, Michael Puett, Bhrigupati Singh. (shrink)

Recent studies of Reinhold Niebuhr's life and work demonstrate his continued importance in theology, ethics, and political thought. Historical studies by Heather Warren, Mark Kleinman, and Normunds Kamergrauzis provide new assessments of Niebuhr's role as a political and religious leader in his own time and trace the consequences of the movements in which he participated. They also show us more clearly how his work was connected to the ideas and programs of his contemporaries. Colm McKeogh offers a more systematic treatment (...) of Niebuhr's political realism in relation to just war theory. Niebuhr's intellectual legacy remains disputed, with Stanley Hauerwas and Langdon Gilkey offering radically different assessments of his theology. Hauerwas sees in Niebuhr a close connection to the religious liberalism of William James that precludes any authentic Christian witness. Niebuhr's empiricism reduces God to a necessary feature of human consciousness. Gilkey notes Niebuhr's early use of James' psychology, but discerns a theology of history that is central to Niebuhr's mature work. In that theology, the ground of hope necessarily lies beyond human consciousness, and indeed beyond history itself. (shrink)

This note is in part a response to Alastair Hannay's review discussion, ?A Kind of Philosopher: Comments in Connection with Some Recent Books on Kierkegaard? (Inquiry, Vol. 18 [1975], No. 3). In his review, Hannay states that Kierkegaard and philosophy appear to be on the road to a reconciliation, and asks What is behind this get?together if it is one??. I suggest that in some remarks touching on Kierkegaard's theory of Truth, Hannay has touched on the ground for that ?get?together?, (...) a Pyrrhonian scepticism. (shrink)

Pre-Socratic -- Socrates (469-399 B.C.) -- Plato (429-347 B.C.) -- Existentialism -- Aristotle (384-322 B.C.) -- The ship of Theseus -- Francis Bacon (1561-1626) -- The cow in the field -- David Hume (1711-1776) -- Hedonism -- Prisoner's dilemma -- St. Thomas Aquinas (1225-1274) -- Hard determinism -- Jean-Jacques Rousseau (1712-1778) -- The trolley problem -- Realism -- Immanuel Kant (1724-1804) -- Dualism -- Utilitarianism -- John Locke (1632-1704) -- Empiricism versus Rationalism -- Georg Wilhelm Friedrich Hegel (1770-1831) -- René (...) Descartes (1596-1650) -- A-Theory -- The liar paradox -- Thomas Hobbes (1588-1679) -- Philosophy of language -- Metaphysics -- Jean-Paul Sartre (1905-1980) -- Free will -- Philosophy of humor -- The Enlightenment -- Friedrich Nietzsche (1844-1900) -- The Sorites paradox -- Ludwig Wittgenstein (1889-1951) -- Aesthetics -- Philosoph of culture -- Epistemology -- Twin Earth -- Arthur Schopenhauer (1788-1860) -- Karl Marx (1818-1883) -- Martin Heidegger (1889-1976) -- Voltaire (1694-1778) -- Relativism -- Eastern philosophy -- Avicenna (980-1037) -- Bertrand Russell (1872-1970) -- Phenomenology -- Nominalism -- Gottfried Wilhelm Leibniz (1646-1716) -- Ethics -- Philosophy of science -- Baruch Spinoza (1632-1677) -- Philosopy of religion. (shrink)

Thomas Ogden, writing as a practicing psychoanalyst for other practicing analysts, distinguishes between epistemological psychoanalysis and ontological psychoanalysis, while recognizing that the two approaches often overlap. Epistemological psychoanalysis has to do with assisting patients with the interpretation of significant meanings in their psyches, which in turn has an effect on their symptoms, other problems they may be facing, and their understanding of their own lives. Ontological psychoanalysis is about helping individuals transform themselves so that they are, whatever meanings they may (...) eke out, more present to themselves and to others: a change in being and becoming. Ogden associates... (shrink)

We explored collaboration between scientists and nonscientists through a deliberative process in which stakeholders interested in the health challenges of honey bees gathered on four occasions over two years to design, carry out, and analyze a set of field experiments on honey bee health. We found that issues of trust and authority were crucial matters in constraining and enabling dialogue among our deliberants. Over the course of our deliberations, participants’ trust for one another and appreciation of their respective interests grew, (...) and differences in professional status appeared to play an increasingly less important role in shaping discussion. The field experiments that deliberants crafted and collectively organized over time became an engagement object that was crucial in altering the dynamics of trust and authority. We understand engagement objects as entities that stakeholders with diverse interests, experiences, and expertise collectively build over time to collectively solve overlapping, interacting problems. (shrink)