Global Pharmaceuticals: Ethics, Markets, Practices

by Adriana Petryna (Editor), Andrew Lakoff (Editor), Arthur Kleinman (Editor)

Editorial Reviews

“When successfully applied, the anthropological approach, as presented in the
book, has the capacity to dissolve our everyday reality into a puddle of assumed
beliefs. . . . [T]his anthropological approach offers an ‘Aha!’ experience,
making us aware of what we knew but could not articulate.”

--Daniel Luchins, American Journal of Psychiatry

“Although the book is billed as an ethnographic approach, the authors are by no
means all academic anthropologists but come from a variety of disciplines and
have wide-ranging country experience. Although the editors are all from US
universities, the discussion is not United States–centric or Eurocentric but
also ranges across developing countries and Asia. The breadth of experience,
views, and approaches is refreshing and makes for a collection that should
appeal to and stimulate both a development and health-system audience.”

--Tim Ensor, Journal of the American Medical Association

“This is a must read for anyone who wants to understand the complex local
nuances involved as neo-liberal globalisation increasingly redefines the
location of human rights, justice and equity away from the social sphere and
towards the individual body of the biotechnical citizen.”
--Sami Timimi, British Journal of Psychiatry

“[A]s a collection of ethnographic case studies trying to disentangle the
Gordian knots in the increasingly interconnected and complex world of global
pharmaceuticals, especially in the marketing of lifestyle drugs, this book is
--Dinesh Sharma, Health Affairs

“This volume contributes to the literature of pharmaceutical anthropology,
reinforcing a portrait of the
pharmaceutical industry as a business that is concentrated in a handful of large
commercial entities that invest heavily in research and marketing. . . . The
individual chapters are strong scholarly, and primarily anthropological
contributions. I recommend the book for libraries and for academics and
other professionals.”
--Nina L. Etkin, American Anthropologist

“[F]ascinating. . . .”
--Sjaak van der Geest, Anthropological Quarterly

“The book's laudable political purpose is to induce a rethinking of the system
of pharmaceutical production and distribution and promote a more equitable
global pattern of availability and access. . . . [T]he collection is to be
recommended. There is sufficient colour in each of the individual essays to hold
attention, and collectively the essays provide a range of viewpoints that
highlight the complexity of the global expansion of pharmaceutical trade, the
logics, stakes and interests that impel it and the political, economic and
ethical challenges it represents.”
--Evan Doran and David Henry, Australian and New Zealand Journal of Public

Product Description
In some parts of the world spending on pharmaceuticals is astronomical. In
others people do not have access to basic or life-saving drugs. Individuals
struggle to afford medications; whole populations are neglected, considered too
poor to constitute profitable markets for the development and distribution of
necessary drugs. The ethnographies brought together in this timely collection
analyze both the dynamics of the burgeoning international pharmaceutical trade
and the global inequalities that emerge from and are reinforced by market-driven
medicine. They demonstrate that questions about who will be treated and who will
not filter through every phase of pharmaceutical production, from preclinical
research to human testing, marketing, distribution, prescription, and

Whether considering how American drug companies seek to create a market for
antidepressants in Japan, how Brazil has created a model HIV/AIDS prevention and
treatment program, or how the urban poor in Delhi understand and access
healthcare, these essays illuminate the roles of corporations, governments,
NGOs, and individuals in relation to global pharmaceuticals. Some essays show
how individual and communal identities are affected by the marketing and
availability of medications. Among these are an exploration of how the
pharmaceutical industry shapes popular and expert understandings of mental
illness in North America and Great Britain. There is also an examination of the
agonizing choices facing Ugandan families trying to finance AIDS treatment.
Several essays explore the inner workings of the emerging international
pharmaceutical regime. One looks at the expanding quest for clinical research
subjects; another at the entwining of science and business interests in the
Argentine market for psychotropic medications. By bringing the moral
calculations involved in the production and distribution of pharmaceuticals into
stark relief, this collection charts urgent new territory for social scientific research.

Contributors. Kalman Applbaum, João Biehl, Ranendra K. Das, Veena Das, David
Healy, Arthur Kleinman, Betty Kyaddondo, Andrew Lakoff, Anne Lovell, Lotte
Meinert, Adriana Petryna, Michael A. Whyte, Susan Reynolds Whyte

Product Details

Paperback: 301 pages
Publisher: Duke University Press; 1 edition (March 2006)
Language: English
ISBN-10: 082233741X



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