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Impure Science - AIDS, Activism, and the Politics of Knowledge (Paperback, New Ed)
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Impure Science - AIDS, Activism, and the Politics of Knowledge (Paperback, New Ed)
Series: Medicine and Society, 7
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In the short, turbulent history of AIDS research and treatment, the
boundaries between scientist insiders and lay outsiders have been
crisscrossed to a degree never before seen in medical history.
Steven Epstein's astute and readable investigation focuses on the
critical question of "how certainty is constructed or
deconstructed," leading us through the views of medical
researchers, activists, policy makers, and others to discover how
knowledge about AIDS emerges out of what he calls "credibility
struggles." Epstein shows the extent to which AIDS research has
been a social and political phenomenon and how the AIDS movement
has transformed biomedical research practices through its capacity
to garner credibility by novel strategies. Epstein finds that
nonscientist AIDS activists have gained enough of a voice in the
scientific world to shape NIH--sponsored research to a remarkable
extent. Because of the blurring of roles and responsibilities, the
production of biomedical knowledge about AIDS does not, he says,
follow the pathways common to science; indeed, AIDS research can
only be understood as a field that is unusually broad, public, and
contested. He concludes by analyzing recent moves to democratize
biomedicine, arguing that although AIDS activists have set the
stage for new challenges to scientific authority, all social
movements that seek to democratize expertise face unusual
difficulties. Avoiding polemics and accusations, Epstein provides a
benchmark account of the AIDS epidemic to date, one that will be as
useful to activists, policy makers, and general readers as to
sociologists, physicians, and scientists.
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