Impure Science - (Medicine and Society) by Steven Epstein (Paperback)

About the Book

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. In this astute investigation, Sociologist Steven Epstein shows how the AIDS movement has transformed biomedical research practices.

Book Synopsis

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.

From the Back Cover

"The best empirical piece of work on the AIDS epidemic that I have read--detailed, well-informed, and expressed in lucid and accessible prose."--Charles E. Rosenberg, University of Pennsylvania

"This study surpasses all the best current writing in the AIDS field and bids fair, in my opinion, to set the standard for some time to come--not only in relation to the policy problems and the scientific and political conflicts associated with AIDS but also in the academic arenas of sociology of science, sociology of knowledge, and sociological theory."--Virginia Olesen, University of California, San Francisco

Review Quotes

"A monumental book to read and ponder."-- "AIDS Book Review Journal"

"A study marked by scrupulous attention to detail that is at the same time almost breathtaking in its scope and probing in its analysis. It is at once a fine contemporary history of science, a sociology of knowledge, and an account of the emergence and fate of a social movement driven by rage and passion."-- "Science"

"Amid the dozens of books about AIDS, one stands out--Impure Science. . . . Epstein has documented the fast-moving history of the epidemic's first years in an eloquent, readable narrative. . . . Intelligent and original."-- "New Scientist"

"As the AIDS movement is showing, people with diseases can play a profound part in saving themselves . . . A perceptive and useful analysis of this revolution in the democratization of medicine."-- "New York Times"

"For those seeking insights into what surely is the greatest medical story of our times, Impure Science provides a rich lode of contextual material from which to consider howe we got here."-- "The Lancet"

"Lucid, balanced, and impressively well-documented."-- "American Scientist"

About the Author

Steven Epstein is Assistant Professor of Sociology at the University of California, San Diego. The work on which this book is based won the American Sociological Association's award for best dissertation of the year.