Drawing on an analysis of Irving Kirsch and colleagues’ controversial 2008 article in PLoS [Public Library of Science] Medicine on the efficacy of SSRI antidepressant drugs such as Prozac, I examine flaws within the methodologies of randomized controlled trials (RCTs) that have made it difficult for regulators, clinicians and patients to determine the therapeutic value of this class of drug. I then argue, drawing analogies to work by Pierre Bourdieu and Michael Power, that it is the very limitations of RCTs (...) — their inadequacies in producing reliable evidence of clinical effects — that help to strengthen assumptions of their superiority as methodological tools. Finally, I suggest that the case of RCTs helps to explore the question of why failure is often useful in consolidating the authority of those who have presided over that failure, and why systems widely recognized to be ineffective tend to assume greater authority at the very moment when people speak of their malfunction. (shrink)

This article explores nationalist interpretations of blood donation activity, examining how some Indians read integrative messages into the practical procedures through which blood is donated and distributed. The first post-Independence Prime Minister of India, Jawaharlal Nehru, proclaimed the need for `national integration' as a bulwark against a myriad of linguistic, caste and ethnic agitations that threatened to disrupt the unity of the newly formed nation-state. This article shows that a striking manifestation of the Nehruvian ideology of national integration possesses a (...) compelling presence in the Indian blood donation milieu. Scholars of India have long been preoccupied with documenting attempts by the Hindu right to redefine the nation in exclusively Hindu, anti-Nehruvian terms. Questioning the prevailing assumption that the only thing that counts politically in India today is the debunking or overriding of Nehruvian ideals of the secular inclusive nation, this article rehabilitates Nehruvianism as an important ethnographic subject. In so doing it demonstrates the roles of anonymity, enumeration and an array of technical and imaginative gathering points in the formation of the `difference-traversing gift'. The article also highlights ways in which technology may be employed for the imagining of social diversity. (shrink)

Interspecies intimacy defines an inescapable reality of lab animal research. This essay is an effort to disentangle this reality’s consequences—both in and outside the lab—as framed by the quandaries of ethnographic engagement. Encounters with lab staff and, in turn, with audiences unfamiliar with laboratory life, together provide crucial entry points for considering how the “messiness of the moral” might facilitate an “unbounded” approach to lab animal worlds. Within the lab, one encounters specialized ethical principles—often codified as law—that delimit strict boundaries (...) of in/appropriate human thought and action. Such principles determine quotidian practices of welfare and care that, in peculiar ways, privilege animal health (as key to reliable data) while obscuring, erasing, or denying human forms of self care. As such, they presuppose a regulatory ability to formulate, shape, and (re)direct human action. Yet attentiveness to the “messiness of the moral” of lab work exposes other realities: indeed, lab personnel regularly engage in a host of subversive responses that test or cross the boundaries of mandated behavior that (re)invigorate the meaning of moral acts of care as interspecies responsibility. The ethnographer’s ability to witness, record, and write about these actions within the lab rests comfortably on the relativist principle of suspended judgment. Once one moves outside the lab, however, I ask, wherein lies ethnographic responsibility, when one's accounts of the moral messiness of quotidian lab practices become unbounded and go public? I argue that a dialectical inter- and intraspecies framework—inspired by the existential anthropologist Michael Jackson—offers the ethnographer (and still other scholars) possibilities for forging a productively “unbounded” methodological analytic in and beyond domains of animal science. (shrink)

We all know so many words by now—genocide, death, slaughter, horror, unthinkable loss, limits of human depravity... For all their unsettling qualities, their ability to wound and provoke, these words are deeply familiar, part of the language we have come to speak. Yet in the world of material objects and sites marked by violence and loss, there exist things and places, which, as Kyo Maclear once wrote, ‘have irretrievable counterparts in those experiences for which no records whatsoever exist, those losses (...) precluded from thought or direct remembrance’. Broad Arrow cafe was my entry point into the world where the events of 28 April 1996 and their extended aftermath existed in forms radically separate from the words and opinions, from the pained and waning recollections, of the day. (shrink)

Recent theoretical analyses of domestic violence have posited the complicity of medical communities in erasing and obfuscating the cause of injuries. Although medical cultures have engaged in progressive initiatives to address and treat domestic violence, these medical and clinical models can render domestic violence invisible by framing the battered woman as evidentiary object. By analyzing this invisibility of domestic violence through the concept of public secrecy, in this article I consider Kiki Smith's 1982 installation piece Life Wants to Live. Using (...) medical technologies, Smith's installation offers the viewer a vision of domestic violence that recognizes its inherently problematic invisibility and emphasizes the importance of lived, bodily experience. (shrink)

Taking sexuality and affect as its focus, this article leads us into the uncharted terrain of ‘outlawed affects’, those unspeakable sensations that do not fall easily into established categories and yet meddle with social relations. They are in this sense ‘open secrets’. The article explores some of the challenges for feminist methodology in representing the space where affective and other needs meet in the context of the cultures of labour organizing in the factory communities on Mexico’s northern border.