Epstein, Steven : University of California-San Diego
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.
Review
"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."
--Phyllida Brown, New Scientist
"Important, timely, and well written."
--Paul Volberding, New England Journal of Medicine
"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
University Of California Press Web Site, March, 2000
Summary
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.