The radically humanistic essays in Arc of Interference refigure our sense of the real, the ethical, and the political in the face of mounting social and planetary upheavals. Creatively assembled around Arthur Kleinman’s medical anthropological arc and eschewing hegemonic modes of intervention, the essays advance the notion of a care-ful ethnographic praxis of interference. To interfere is to dislodge ideals of naturalness, blast enduring binaries (human/nonhuman, self/other, us/them), and redirect technocratic agendas while summoning relational knowledge and the will to create community. The book’s multiple ethnographic arcs of interference provide a vital conceptual toolkit for today’s world and a badly needed moral perch from which to peer toward just horizons. Contributors. Vincanne Adams, João Biehl, Davíd Carrasco, Lawrence Cohen, Jean Comaroff, Robert Desjarlais, Paul Farmer, Marcia Inhorn, Janis H. Jenkins, David S. Jones, Salmaan Keshavjee, Arthur Kleinman, Margaret Lock, Adriana Petryna

There is a growing interest in studies that document the relationship between science and medicine - as ideas, practices, technologies and outcomes - across cultural, national, geographic terrain. Tibetan medicine is not only known as a scholarly medical tradition among other Asian medical systems, with many centuries of technological, clinical, and pharmacological innovation; it also survives today as a complex medical resource across many Asian nations - from India and Bhutan to Mongolia, Tibet (TAR) and China, Buryatia - as well as in Western Europe and the Americas. The contributions to this volume explore, in equal measure, the impacts of western science and biomedicine on Tibetan grounds - i.e., among Tibetans across China, the Himalaya and exile communities as well as in relation to globalized Tibetan medicine - and the ways that local practices change how such "science" gets done, and how this continually hybridized medical knowledge is transmitted and put into practice. As such, this volume contributes to explorations into the bi-directional flows of medical knowledge and practice.

There is a growing interest in studies that document the relationship between science and medicine - as ideas, practices, technologies and outcomes - across cultural, national, geographic terrain. Tibetan medicine is not only known as a scholarly medical tradition among other Asian medical systems, with many centuries of technological, clinical, and pharmacological innovation; it also survives today as a complex medical resource across many Asian nations - from India and Bhutan to Mongolia, Tibet (TAR) and China, Buryatia - as well as in Western Europe and the Americas. The contributions to this volume explore, in equal measure, the impacts of western science and biomedicine on Tibetan grounds - i.e., among Tibetans across China, the Himalaya and exile communities as well as in relation to globalized Tibetan medicine - and the ways that local practices change how such "science" gets done, and how this continually hybridized medical knowledge is transmitted and put into practice. As such, this volume contributes to explorations into the bi-directional flows of medical knowledge and practice.

This book examines the role of the Nepali physicians in the revolutionary changes in 1990. These doctors are trained in the Western tradition, and participate in international scientific debates, yet they have always been concerned to develop a form of medical practice that was relevant to Nepali conditions, and which could speak to local conceptions about health, and so their medical practice was always politicized. Vincanne Adams argues that the commitment of these professionals to the values of science, and to public health, was crucial in their political activity, and that ideas and practices associated with the notions of 'democracy' and of 'science' supported each other. Describing her book as 'a story that explores how very fine the line is between politics and scientific medical truth claims', it therefore encompasses both the modern political history of Nepal and the role of medicine in a poor, largely rural, Hindu kingdom.

In Glyphosate and the Swirl Vincanne Adams explores the chemical glyphosate-the active ingredient in Roundup and a pervasive agricultural herbicide-as a predicament of contested science and chemically saturated life. Adams traces the history of glyphosate's invention and its multiple uses as activists, regulators, scientists, clinicians, consumers, and sick people try to determine its safety and harm. Scientific and political debates over glyphosate's toxicity are agitated into a swirl-a condition in which certainty is continually contested, divided, and multiplied. This movement replicates the chemical's movement in soils, foods, bodies, archives, labs, and legislative bodies, settling in some places here and in other places there, its potencies changing and altering what it touches with different scales and kinds of impact. The swirl is both an artifact of academic capitalism, activist tactics, and contested scientific facts and a way to capture the complexity of contemporary life with chemicals.

The radically humanistic essays in Arc of Interference refigure our sense of the real, the ethical, and the political in the face of mounting social and planetary upheavals. Creatively assembled around Arthur Kleinman’s medical anthropological arc and eschewing hegemonic modes of intervention, the essays advance the notion of a care-ful ethnographic praxis of interference. To interfere is to dislodge ideals of naturalness, blast enduring binaries (human/nonhuman, self/other, us/them), and redirect technocratic agendas while summoning relational knowledge and the will to create community. The book’s multiple ethnographic arcs of interference provide a vital conceptual toolkit for today’s world and a badly needed moral perch from which to peer toward just horizons. Contributors. Vincanne Adams, João Biehl, Davíd Carrasco, Lawrence Cohen, Jean Comaroff, Robert Desjarlais, Paul Farmer, Marcia Inhorn, Janis H. Jenkins, David S. Jones, Salmaan Keshavjee, Arthur Kleinman, Margaret Lock, Adriana Petryna

This book examines the role of the Nepali physicians in the revolutionary changes in 1990. These doctors are trained in the Western tradition, and participate in international scientific debates, yet they have always been concerned to develop a form of medical practice that was relevant to Nepali conditions, and which could speak to local conceptions about health, and so their medical practice was always politicized. Vincanne Adams argues that the commitment of these professionals to the values of science, and to public health, was crucial in their political activity, and that ideas and practices associated with the notions of 'democracy' and of 'science' supported each other. Describing her book as 'a story that explores how very fine the line is between politics and scientific medical truth claims', it therefore encompasses both the modern political history of Nepal and the role of medicine in a poor, largely rural, Hindu kingdom.

This volume's contributors evaluate the accomplishments, limits, and consequences of using quantitative metrics in global health. Whether analyzing maternal mortality rates, the relationships between political goals and metrics data, or the links between health outcomes and a program's fiscal support, the contributors question the ability of metrics to solve global health problems. They capture a moment when global health scholars and practitioners must evaluate the potential effectiveness and pitfalls of different metrics-even as they remain elusive and problematic. Contributors. Vincanne Adams, Susan Erikson, Molly Hales, Pierre Minn, Adeola Oni-Orisan, Carolyn Smith-Morris, Marlee Tichenor, Lily Walkover, Claire L. Wendland

This volume's contributors evaluate the accomplishments, limits, and consequences of using quantitative metrics in global health. Whether analyzing maternal mortality rates, the relationships between political goals and metrics data, or the links between health outcomes and a program's fiscal support, the contributors question the ability of metrics to solve global health problems. They capture a moment when global health scholars and practitioners must evaluate the potential effectiveness and pitfalls of different metrics-even as they remain elusive and problematic. Contributors. Vincanne Adams, Susan Erikson, Molly Hales, Pierre Minn, Adeola Oni-Orisan, Carolyn Smith-Morris, Marlee Tichenor, Lily Walkover, Claire L. Wendland

In Glyphosate and the Swirl Vincanne Adams explores the chemical glyphosate-the active ingredient in Roundup and a pervasive agricultural herbicide-as a predicament of contested science and chemically saturated life. Adams traces the history of glyphosate's invention and its multiple uses as activists, regulators, scientists, clinicians, consumers, and sick people try to determine its safety and harm. Scientific and political debates over glyphosate's toxicity are agitated into a swirl-a condition in which certainty is continually contested, divided, and multiplied. This movement replicates the chemical's movement in soils, foods, bodies, archives, labs, and legislative bodies, settling in some places here and in other places there, its potencies changing and altering what it touches with different scales and kinds of impact. The swirl is both an artifact of academic capitalism, activist tactics, and contested scientific facts and a way to capture the complexity of contemporary life with chemicals.

Sherpas are portrayed by Westerners as heroic mountain guides, or "tigers of the snow," as Buddhist adepts, and as a people in touch with intimate ways of life that seem no longer available in the Western world. In this book, Vincanne Adams explores how attempts to characterize an "authentic" Sherpa are complicated by Western fascination with Sherpas and by the Sherpas' desires to live up to Western portrayals of them. Noting that diplomatic aides at world summit meetings go by the name "Sherpa," as do a van in the U.K. built for rough terrain and a software product from Silicon Valley, Adams examines the "authenticating" effects of this mobile signifier on a community of Himalayan Sherpas who live at the base of Mount Everest, Nepal, and its "deauthenticating" effects on anthropological representation.

This book speaks not only to anthropologists concerned with ethnographic portrayals of Otherness but also to those working in cultural studies who are concerned with ethnographically grounded analyses of representations. Throughout Adams illustrates how one might undertake an ethnography of transnationally produced subjects by using the notion of "virtual" identities. In a manner informed by both Buddhism and shamanism, virtual Sherpas are always both real and distilled reflections of the desires that produce them.

"Markets of Sorrow, Labors of Faith" is an ethnographic account of long-term recovery in post-Katrina New Orleans. It is also a sobering exploration of the privatization of vital social services under market-driven governance. In the wake of Hurricane Katrina, public agencies subcontracted disaster relief to private companies that turned the humanitarian work of recovery into lucrative business. These enterprises profited from the very suffering that they failed to ameliorate, producing a second-order disaster that exacerbated inequalities based on race and class and leaving residents to rebuild almost entirely on their own.

Filled with the often desperate voices of residents who returned to New Orleans, "Markets of Sorrow," "Labors of Faith" describes the human toll of disaster capitalism and the affect economy it has produced. While for-profit companies delayed delivery of federal resources to returning residents, faith-based and nonprofit groups stepped in to rebuild, compelled by the moral pull of charity and the emotional rewards of volunteer labor. Adams traces the success of charity efforts, even while noting an irony of neoliberalism, which encourages the very same for-profit companies to exploit these charities as another market opportunity. In so doing, the companies profit not once but twice on disaster.

Sex in Development examines how development projects around the world intended to promote population management, disease prevention, and maternal and child health intentionally and unintentionally shape ideas about what constitutes "normal" sexual practices and identities. From sex education in Uganda to aids prevention in India to family planning in Greece, various sites of development work related to sex, sexuality, and reproduction are examined in the rich, ethnographically grounded essays in this volume. These essays demonstrate that ideas related to morality are repeatedly enacted in ostensibly value-neutral efforts to put into practice a "global" agenda reflecting the latest medical science.Sex in Development combines the cultural analysis of sexuality, critiques of global development, and science and technology studies. Whether considering the resistance encountered by representatives of an American pharmaceutical company attempting to teach Russian doctors a "value free" way to offer patients birth control or the tension between Tibetan Buddhist ideas of fertility and the modernization schemes of the Chinese government, these essays show that attempts to make sex a universal moral object to be managed and controlled leave a host of moral ambiguities in their wake as they are engaged, resisted, and reinvented in different ways throughout the world. Contributors. Vincanne Adams, Leslie Butt, Lawrence Cohen, Heather Dell, Vinh-Kim Nguyen, Shanti Parikh, Heather Paxson, Stacy Leigh Pigg, Michele Rivkin-Fish