Adriana Petryna is Associate Professor of Anthropology and Associate Fellow, Center for Bioethics, University of Pennsylvania. She is the author of Life Exposed: Biological Citizens after Chernobyl.Andrew Lakoff is Assistant Professor of Sociology and Science Studies at the University of California, San Diego. He is the author of Pharmaceutical Reason: Knowledge and Value in Global Psychiatry.Arthur Kleinman is the Esther and Sidney Rabb Professor and Chair of Anthropology, Professor of Medical Anthropology, and Professor of Psychiatry at Harvard University. Among his books are Writing at the Margin: Discourse between Anthropology and Medicine and The Illness Narratives: Suffering, Healing, and the Human Condition.

“Covering an extremely timely topic, Global Pharmaceuticals is a strong and innovative volume with substantial field-based insider knowledge of how pharmaceuticals actually attach themselves to and transform local social relations.”-Rayna Rapp, author of Testing Women, Testing the Fetus “Hundreds of millions of people around the world are denied access to desperately needed medications. Eliminating the inequalities of the current system of drug production and distribution requires a deep and nuanced understanding of that system. By offering ethnographically grounded investigations of the dynamics of the global pharmaceutical industry, this volume advances significantly an urgent research agenda.”-Dr. Jim Yong Kim, Director, Department of HIV/AIDS, World Health Organization “This collection of brilliantly incisive essays gives us the necessary standpoint from which to view the increasing global circulation of pharmaceuticals, the spreading influence of ‘Big Pharma,’ and the growing use of medication to shape identities in a neoliberal world order. It is a work of superior, innovative scholarship, addressing issues of major contemporary significance.”-Warwick Anderson, author of The Cultivation of Whiteness: Science, Health, and Racial Destiny in Australia “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)

• Acknowledgments viiThe Pharmaceutical Nexus / Adriana Petryna and Arthur Kleinman 1Globalizing Human Subjects Research / Adriana Petryna 33The New Medical Oikumene / David Healy 61Educating for Global Mental Health: The Adoption of SSRIs in Japan / Kalman Applbaum 85High Contact: Gifts and Surveillance in Argentina / Andrew Lakoff 111Addiction Markets: The Case of High-Dose Buprenorphine in France / Anne M. Lovell 136Pharmaceuticals in Urban Ecologies: The Register of the Local / Veena Das and Ranendra K. Das 171Pharmaceutical Governance / JoÃo Biehl 206Treating AIDS: Dilemmas of Unequal Access in Uganda / Susan Reynolds Whyte, Michael A. Whyte, Lotte Meinert, and Betty Kyaddondo 240References 263Contributors 289Index 291

Adriana Petryna is Associate Professor of Anthropology and Associate Fellow, Center for Bioethics, University of Pennsylvania. She is the author of Life Exposed: Biological Citizens after Chernobyl.Andrew Lakoff is Assistant Professor of Sociology and Science Studies at the University of California, San Diego. He is the author of Pharmaceutical Reason: Knowledge and Value in Global Psychiatry.Arthur Kleinman is the Esther and Sidney Rabb Professor and Chair of Anthropology, Professor of Medical Anthropology, and Professor of Psychiatry at Harvard University. Among his books are Writing at the Margin: Discourse between Anthropology and Medicine and The Illness Narratives: Suffering, Healing, and the Human Condition.

“Covering an extremely timely topic, Global Pharmaceuticals is a strong and innovative volume with substantial field-based insider knowledge of how pharmaceuticals actually attach themselves to and transform local social relations.”-Rayna Rapp, author of Testing Women, Testing the Fetus “Hundreds of millions of people around the world are denied access to desperately needed medications. Eliminating the inequalities of the current system of drug production and distribution requires a deep and nuanced understanding of that system. By offering ethnographically grounded investigations of the dynamics of the global pharmaceutical industry, this volume advances significantly an urgent research agenda.”-Dr. Jim Yong Kim, Director, Department of HIV/AIDS, World Health Organization “This collection of brilliantly incisive essays gives us the necessary standpoint from which to view the increasing global circulation of pharmaceuticals, the spreading influence of ‘Big Pharma,’ and the growing use of medication to shape identities in a neoliberal world order. It is a work of superior, innovative scholarship, addressing issues of major contemporary significance.”-Warwick Anderson, author of The Cultivation of Whiteness: Science, Health, and Racial Destiny in Australia “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)

• Acknowledgments viiThe Pharmaceutical Nexus / Adriana Petryna and Arthur Kleinman 1Globalizing Human Subjects Research / Adriana Petryna 33The New Medical Oikumene / David Healy 61Educating for Global Mental Health: The Adoption of SSRIs in Japan / Kalman Applbaum 85High Contact: Gifts and Surveillance in Argentina / Andrew Lakoff 111Addiction Markets: The Case of High-Dose Buprenorphine in France / Anne M. Lovell 136Pharmaceuticals in Urban Ecologies: The Register of the Local / Veena Das and Ranendra K. Das 171Pharmaceutical Governance / JoÃo Biehl 206Treating AIDS: Dilemmas of Unequal Access in Uganda / Susan Reynolds Whyte, Michael A. Whyte, Lotte Meinert, and Betty Kyaddondo 240References 263Contributors 289Index 291

Adriana Petryna is Associate Professor of Anthropology and Associate Fellow, Center for Bioethics, University of Pennsylvania. She is the author of Life Exposed: Biological Citizens after Chernobyl.Andrew Lakoff is Assistant Professor of Sociology and Science Studies at the University of California, San Diego. He is the author of Pharmaceutical Reason: Knowledge and Value in Global Psychiatry.Arthur Kleinman is the Esther and Sidney Rabb Professor and Chair of Anthropology, Professor of Medical Anthropology, and Professor of Psychiatry at Harvard University. Among his books are Writing at the Margin: Discourse between Anthropology and Medicine and The Illness Narratives: Suffering, Healing, and the Human Condition.

“Covering an extremely timely topic, Global Pharmaceuticals is a strong and innovative volume with substantial field-based insider knowledge of how pharmaceuticals actually attach themselves to and transform local social relations.”-Rayna Rapp, author of Testing Women, Testing the Fetus “Hundreds of millions of people around the world are denied access to desperately needed medications. Eliminating the inequalities of the current system of drug production and distribution requires a deep and nuanced understanding of that system. By offering ethnographically grounded investigations of the dynamics of the global pharmaceutical industry, this volume advances significantly an urgent research agenda.”-Dr. Jim Yong Kim, Director, Department of HIV/AIDS, World Health Organization “This collection of brilliantly incisive essays gives us the necessary standpoint from which to view the increasing global circulation of pharmaceuticals, the spreading influence of ‘Big Pharma,’ and the growing use of medication to shape identities in a neoliberal world order. It is a work of superior, innovative scholarship, addressing issues of major contemporary significance.”-Warwick Anderson, author of The Cultivation of Whiteness: Science, Health, and Racial Destiny in Australia “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)

• Acknowledgments viiThe Pharmaceutical Nexus / Adriana Petryna and Arthur Kleinman 1Globalizing Human Subjects Research / Adriana Petryna 33The New Medical Oikumene / David Healy 61Educating for Global Mental Health: The Adoption of SSRIs in Japan / Kalman Applbaum 85High Contact: Gifts and Surveillance in Argentina / Andrew Lakoff 111Addiction Markets: The Case of High-Dose Buprenorphine in France / Anne M. Lovell 136Pharmaceuticals in Urban Ecologies: The Register of the Local / Veena Das and Ranendra K. Das 171Pharmaceutical Governance / JoÃo Biehl 206Treating AIDS: Dilemmas of Unequal Access in Uganda / Susan Reynolds Whyte, Michael A. Whyte, Lotte Meinert, and Betty Kyaddondo 240References 263Contributors 289Index 291