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Between Pain and Relief: Morphine’s Ambiguities in India

 Nick Surawy Stepney, Nishanth Kunnukattil Shaji  August 17, 2023

The root of the word morphine is Morpheus, the Greek god of dreams. Yet, dreams can come in all hues from the ecstatic pleasure driven, to the grief struck and the nightmarish kind. Perhaps it should be no surprise then that in the modern world this character’s namesake, morphine, the gold standard of medically prescribed painkillers (Ruiz-Garcia and Lopez-Briz 2008), offers a similarly troubling medical story, evoking in equal measure the contingent histories of pleasure and war, relief and addiction, commerce and regulation. In few places is this more apparent than in India. Legal opium is grown throughout certain regions of the country for the sole purpose of pharmaceutical production, yet irrespective of this robust industrial production, very little morphine is used within the country’s own hospitals (Rajagopal and Joranson 2007). This is a story that involves both the everyday impacts of restrictive regulation, and a local palliative care movement intent on widening access to the drug. (read more...)

Fake, Real, Real, Fake: Salvarsan on the US Medical Market

 Colin Garon  August 8, 2023

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1913, Chicago: A reporter, assuming the name Edward Donlin, enters a downtown medical establishment that has advertised widely in Midwestern newspapers offering Dr. Paul Ehrlich’s new miraculous cure for ‘blood poison’—syphilis—for a price. ‘Donlin’ pays $2 in fees, then the consultation begins. He feigns concern about recent hair loss, and the doctor (who, matching the picture in advertisements, wears a Van Dyke beard) laughs strangely then turns grave: it is certainly syphilis. He recommends a Wassermann test, a recently-invented syphilis diagnostic, for $20 and Ehrlich’s Salvarsan for $30. Pleading financial difficulty, the reporter holds him off with a $2 down-payment and departs. (read more...)

Drawing More-than-Human Kinship

 Maythe Han  August 3, 2023

In my work as an anthropological ethnographer and illustrator, I have been working to connect seemingly disparate disciplines together—at times, even as a messy and rough bricolage. Thinking broadly about kinship—both intra- and inter-species—as a fundamental and foundational practice toward a mutually thriving future, I experiment with different formats and genres to reimagine what it means to produce ethnographic work. This reimagined work is not only informative but also beautiful, like the kinship I experience with my dog, Frank, who is depicted in the illustrations below. My investment in beauty is also an intentional form of resistance against neoliberal capitalist systems that prioritise profit, results, and efficiency over beauty, process, and patience. It matters that the illustrations in this series are digital. Using a software called Procreate on the 11” iPad Pro with an Apple Pencil, I actualise my imaginations on the screen. That is, this specific combination of technologies (read more...)

Hippocrates Against Protocols: Experiments, Experience, and Evidence-Based Medicine in Brazil

 Rosana Castro  July 25, 2023

Este conteúdo também está disponível em português

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In this text, I address processes in which science is being claimed, shaken, disputed, and unpredictably rearticulated in Brazil’s medical field. Specifically, I consider denialist practices and movements during the Covid-19 pandemic. Based on an ethnographic approach to a variety of actions by medical groups and institutions that are critical of vaccination against Covid-19 and instead defend the use of drugs (considered ineffective by others) for the “early treatment” of the disease, I seek to highlight how their practices rearticulate, transform, and dispute new meanings, values, and practices of science, rather than simply reject it. Although they are publicly named by the media and scientists as denialists, their practices and discourses, as well as the repercussions of their actions, do not seem to be well explained by mere vulnerability to misinformation, lack of understanding of the technical aspects of the disease, or even the supposedly self-explanatory diagnosis of a frankly anti-science position. On the contrary, as I demonstrate in this essay, these groups resort to different constructions of science to produce their arguments and defend themselves against criticism. They do this by repositioning the content and legitimacy of the evidence on different axes than those of Evidence-Based Medicine (EBM), while at the same time, claiming EBM’s authority. In this sense, the following question animates this text: since the practices of these doctors can be recognized as denialist, how can this concept refer to something beyond a simple and direct refusal of everything that is usually called “science”? (read more...)

AI, Climate Adaptation, and Epistemic Injustice

 Angelina Chamuah, Hema Vaishnavi Ale, Vikrom Mathur  July 20, 2023

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Amid global climate impacts, vulnerable communities—including indigenous peoples, farmers, fisherfolk, and low-income groups—are frequently expected to adapt, change, and build resilience to uncertain climatic futures. Under these changing conditions, what knowledge practices and frameworks should guide the decision-making of vulnerable communities in addressing climate challenges? What knowledge sources and perspectives should be considered when developing resilience policies and plans, from the supranational to the local level? (read more...)

Tokens, Voids, and Archives: Locating Berlin’s NFT Projects

 Spencer Kaplan  July 18, 2023

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I’m standing on the train platform of U Schloßstraße, an U-Bahn station in Berlin’s Steglitz neighborhood. In front of me is an artwork: a beauty advertisement depicting a smiling woman. The model’s image has been altered with chemical solvents, giving her skin a brushwork-like texture and her complexion a ghostly paleness. I observe the dark, graffitied station around me. The arrivals board says the time is 5:20, but I’m unsure whether it’s early morning or evening. Commuters are wearing winter jackets and KN95 masks. Some read books as they wait for the train. Four young men play a game of tag. I hear the hum of an incoming U9 train and watch its arrival soon after. The doors open and the announcement blasts: Zurückbleiben bitte. Passengers leave the yellow train cars before new ones enter. After a beep, the doors close and the train hums away. The platform empties, leaving only the model’s altered image in my company. Pleased with the experience, I remove the VR goggles and return to a pop-up art gallery on Kurfürstemdamm, Berlin’s famous shopping street. This VR artwork, part of the Immersion series by the artist Vermibus, is now preserved on the Ethereum blockchain as an NFT. It was purchased for 2.4 ETH by Lango1 and remains tied to that user’s Ethereum wallet. Lango1 now owns a singular, authorized copy of the artwork—and with it, a Berlin moment whose physical version has been lost to time. (read more...)

A Vocabulary for Junk in Four Movements

 Rebecca Carlson, Emil Rieger, Sarah Thanner  July 6, 2023

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It was really a miracle that he was able to function. He had accumulated so much shit, it was starting to get concerning, or would have, if there had been anyone to be concerned. As it was, all he was, was being practical. Weirdos hoard shit for god knows what reasons but he was keeping a collection of spares. Admittedly, there was a tight line one approaches when one, for example, collects spares for other spares or if you’re missing the very thing to donate parts for in the first place. But he was aware of that. Each time a new thing came into the house, he would reflect on that line. It was a dotted line, like those where you’d put your signature or tear along. Which one it was, that’s an open discourse, to be negotiated anew. As of right now, there was a more practical concern. The (read more...)