The logic of strategic ignorance

Gendered pleasures, risks and policies: Using a logic of candidacy to explore paradoxical roles of alcohol as a good/poor health behaviour for Australian women early during the pandemic

Drinking alcohol facilitates pleasure for women while also elevating disease risk. Symbolic expectations of what alcohol 'does in' life per lay insight (relax, identity-work, connect) sit in tension with scientific realities about what alcohol 'does to' women's bodies (elevate chronic disease risks such as breast cancer). Policy must work amidst - and despite - these paradoxes to reduce harm(s) to women by attending to the gendered and emergent configurations of both realities. This paper applies a logic of candidacy to explore women's alcohol consumption and pleasure through candidacies of wellness in addition to risk through candidacies of disease (e.g. breast cancer). Using qualitative data collected via 56 interviews with Australian women (n = 48) during early pandemic countermeasures, we explore how risk perceptions attached to alcohol (like breast cancer) co-exist with use-values of alcohol in daily life and elucidate alcohol's paradoxical role in women's heuristics of good/poor health behaviours. Women were aged 25-64 years, experienced varying life circumstances (per a multidimensional measure of social class including economic, social and cultural capital) and living conditions (i.e. partnered/single, un/employed, children/no children). We collated coding structures from data within both projects; used deductive inferences to understand alcohol's paradoxical role in candidacies of wellness and disease; abductively explored women's prioritisation of co-existing candidacies during the pandemic; and retroductively theorised prioritisations per evolving pandemic-inflected constructions of alcohol-related gendered risk/s and pleasure/s. Our analysis illuminates the ways alcohol was configured as a pleasure and form of wellness in relation to stress, productivity and respectability. It also demonstrates how gender was relationally enacted amidst the priorities, discourses and materialities enfolding women's lives during the pandemic. We consider the impact of policy regulation of aggressive alcohol marketing and banal availability of alcohol in pandemic environments and outline gender-responsive, multi-level policy options to reduce alcohol harms to women.

Do large language models have a legal duty to tell the truth?

Careless speech is a new type of harm created by large language models (LLM) that poses cumulative, long-term risks to science, education and shared social truth in democratic societies. LLMs produce responses that are plausible, helpful and confident, but that contain factual inaccuracies, misleading references and biased information. These subtle mistruths are poised to cumulatively degrade and homogenize knowledge over time. This article examines the existence and feasibility of a legal duty for LLM providers to create models that 'tell the truth'. We argue that LLM providers should be required to mitigate careless speech and better align their models with truth through open, democratic processes. We define careless speech against 'ground truth' in LLMs and related risks including hallucinations, misinformation and disinformation. We assess the existence of truth-related obligations in EU human rights law and the Artificial Intelligence Act, Digital Services Act, Product Liability Directive and Artificial Intelligence Liability Directive. Current frameworks contain limited, sector-specific truth duties. Drawing on duties in science and academia, education, archives and libraries, and a German case in which Google was held liable for defamation caused by autocomplete, we propose a pathway to create a legal truth duty for providers of narrow- and general-purpose LLMs.

The Making of Clandestinity: Strategic Ignorance in Abortion Practices in Latin America

Abortion is a public secret in Latin America. It is highly restricted across the majority of the continent and yet millions of abortions take place every year. We use the sociological framework of 'strategic ignorance' to argue that convenient not knowing, erasure and concealment allow for the simultaneous negation and allowance of abortions in Latin America. By drawing on interviews with people involved in abortion activism and access across the continent we examine three sets of actors: the state, abortion providers and individuals. When wielded by the state, strategic ignorance reproduces the status quo of the criminalization of abortion but when wielded by abortion providers and individuals it creates the conditions for 'clandestine' abortions to be procured without prosecution. Strategic ignorance is therefore mobilized by the powerful as well as the powerless who are resisting state control of their fertility and reproductive lives.

Performing publics of science in the COVID-19 pandemic: A qualitative study in Austria, Bolivia, Germany, Italy, Mexico, and Portugal

Research about science and publics in the COVID-19 pandemic often focuses on public trust and on identifying and correcting public attitudes. Drawing on qualitative interviews with 209 residents in six countries-Austria, Bolivia, Germany, Italy, Mexico, and Portugal-this article uses the concept of performativity to explore how participants understand, and relate to science, in the COVID-19 context. By performativity, we mean the ways by which participants understand themselves as particular sorts of publics through identification with, and differentiation from, various other actors in matters that are perceived as controversies surrounding science: COVID-19 vaccination, media communication of science, and the interactions between governments and scientists. The criteria used to construct the similarities and differences among publics were heterogeneous and fluid, showing how epistemic beliefs about the nature of, and trust in, scientific knowledge are intermingled with social and cultural memberships embedded in specific contexts and across disparate places.

Humanitarian ignorance: towards a new paradigm of non-knowledge in digital humanitarianism

This paper introduces the notion of 'humanitarian ignorance' to address growing concern regarding non-knowledge, as datafication becomes a central instrument and ambition of the humanitarian sector. With the turn to digital humanitarianism, contemporary humanitarian action increasingly relies on technology-driven quantification to expand the ability to collect, analyse, and present information. Utilising datafication processes, humanitarian organisations seek to assess 'risk' and mitigate 'uncertainty' more efficiently. Although central to their knowledge management and decision-making in low information circumstances, the conceptual notions of 'risk' and 'uncertainty' are inadequate to capture the full spectrum of non-knowledge in a time of digital humanitarianism. We introduce 'humanitarian ignorance' here to challenge the assumption that datafication allows humanitarian organisations to make fully informed, delimited, and thus 'better' decisions. Ultimately, we accentuate the paradox that while datafication is thought to reduce risk and uncertainty in humanitarian affairs by suggesting higher levels of control, insight, and certainty, these efforts in fact open new expanses of ignorance and unknowns.

Forgetting how we ate: personalised nutrition and the strategic uses of history

Personalised nutrition (PN) has emerged over the past twenty years as a promising area of research in the postgenomic era and has been popularized as the new big thing out of molecular biology. Advocates of PN claim that previous approaches to nutrition sought general and universal guidance that applied to all people. In contrast, they contend that PN operates with the principle that "one size does not fit all" when it comes to dietary guidance. While the molecular mechanisms studied within PN are new, the notion of a personal dietary regime guided by medical advice has a much longer history that can be traced back to Galen's "On Food and Diet" or Ibn Sina's (westernized as Avicenna) "Canon of Medicine". Yet this history is either wholly ignored or misleadingly appropriated by PN proponents. This (mis)use of history, we argue helps to sustain the hype of the novelty of the proposed field and potential commodification of molecular advice that undermines longer histories of food management in premodern and non-Western cultures. Moreover, it elides how the longer history of nutritional advice always happened in a heavily moralized, gendered, and racialized context deeply entwined with collective technologies of power, not just individual advice. This article aims at offering a wider appreciation of this longer history to nuance the hype and exceptionalism surrounding contemporary claims.

AstraZeneca Vaccine Controversies in the Media: Theorizing About the Mediatization of Ignorance in the Context of the COVID-19 Vaccination Campaign

As is the case in other situations of deep uncertainty, the unknowns related to the COVID-19 pandemic have aroused a great deal of attention in the media. Drawing insights both from mediatization theory and ignorance studies, we discuss the coverage of the AstraZeneca vaccine controversies to develop a new concept that we call the mediatization of ignorance. In doing so, we conceptualize the procedure through which unknowns become mediatized as a three-step process that results from a combination of logics from the areas of politics, health, and science/industry. Moreover, we argue that the mediatization of ignorance may have promoted vaccine hesitancy at a moment when vaccination was crucial for addressing the COVID-19 pandemic. We conclude by suggesting the need to explore in further detail the role that ignorance plays not only in the management of the COVID-19 crisis but also in different areas of society.

How to think about the social in psychiatric research? On language games and styles of social thought

Over the last 20 years, the importance of 'the social' has again become a crucial theme within psychiatric research, as evidenced for example by the recent focus on the social determinants of mental health. However, what is less clear is what is meant, in this kind of research, by the very idea of the social-and what consequences those ideas have. The key purpose of the article is therefore to discuss what is often meant by the concept of 'the social'; what different ideas of the social do; and what can be at stake in the different, explicit and implicit, understandings of social life that proliferate in contemporary psychiatric research. We propose that there are, roughly, three widespread styles of social thought, wherein (a) the social is seen as structural, (b) the social is seen as individual, and (c) the social is seen as relational/processual. We exemplify these by discussing examples of 'social defeat' and 'therapeutic communities', focused on what might be at stake in different understandings of social life. Lastly, we draw on the philosopher Ludwig Wittgenstein to argue that a singular understanding of 'the social' is not achievable.

Agnogenic practices and corporate political strategy: the legitimation of UK gambling industry-funded youth education programmes

Agnogenic practices-designed to create ignorance or doubt-are well-established strategies employed by health-harming industries (HHI). However, little is known about their use by industry-funded organizations delivering youth education programmes. We applied a previously published framework of corporate agnogenic practices to analyse how these organizations used them in three UK gambling industry-funded youth education programmes. Evidential strategies adopted previously by other HHI are prominent in the programmes' practitioner-facing materials, evaluation design and reporting and in public statements about the programmes. We show how agnogenic practices are employed to portray these youth education programmes as 'evidence-based' and 'evaluation-led'. These practices distort the already limited evidence on these educational initiatives while legitimizing industry-favourable policies, which prioritize commercial interests over public health. Given the similarities in political strategies adopted by different industries, these findings are relevant to research and policy on other HHI.

Social and Ethical Implications of Digital Crisis Technologies: Case Study of Pandemic Simulation Models During the COVID-19 Pandemic

BACKGROUND

Responses to public health crises are increasingly technological in nature, as the prominence of COVID-19-related statistics and simulations amply demonstrates. However, the use of technologies is preconditional and has various implications. These implications can not only affect acceptance but also challenge the acceptability of these technologies with regard to the ethical and normative dimension.

OBJECTIVE

This study focuses on pandemic simulation models as algorithmic governance tools that played a central role in political decision-making during the COVID-19 pandemic. To assess the social implications of pandemic simulation models, the premises of data collection, sorting, and evaluation must be disclosed and reflected upon. Consequently, the social construction principles of digital health technologies must be revealed and examined for their effects with regard to social, ethical, and ultimately political issues.

METHODS

This case study starts with a systematization of different simulation approaches to create a typology of pandemic simulation models. On the basis of this, various properties, functions, and challenges of these simulation models are revealed and discussed in detail from a socioscientific point of view.

RESULTS

The typology of pandemic simulation methods reveals the diversity of model-driven handling of pandemic threats. However, it is reasonable to assume that the use of simulation models could increasingly shift toward agent-based or artificial intelligence models in the future, thus promoting the logic of algorithmic decision-making in response to public health crises. As algorithmic decision-making focuses more on predicting future dynamics than statistical practices of assessing pandemic events, this study discusses this development in detail, resulting in an operationalized overview of the key social and ethical issues related to pandemic crisis technologies.

CONCLUSIONS

This study identifies 3 major recommendations for the future of pandemic crisis technologies.

Making global health 'work': Frontline workers' labour in research and interventions

This Special Issue of Global Public Health draws on the concept of 'body work' among those employed to support operationalising, researching, and implementing global health while in direct contact with the bodies of others. This collection brings into sharp focus the specific forms of labour of those occupying positions as frontline workers - those who make global health work. Making Global Health Work includes authors from diverse backgrounds, disciplines, and geographies. Through compelling ethnographies, qualitative interviews, and focus group discussions, they explore 'body work' globally, including: Afghanistan, Bangladesh, Ethiopia, India, Indonesia, Kenya, Malawi, Myanmar, Nigeria, Nepal, Pakistan, Sierra Leone, South Sudan, Tanzania, Thailand, The Democratic Republic of the Congo (DRC), The Gambia, Vietnam, and Zimbabwe. These papers demonstrate that proximity to, and work on, the bodies of others engenders specific forms of (physical, emotional, mental, social, ethical, and political) labour, which occur not only in emergencies and pandemics, but also throughout the quotidian practice of global health. Making Global Health Work provides insights into the provision of maternal healthcare, treatment of multidrug resistant tuberculosis, rapid HIV testing programmes, sleeping sickness and polio eradication campaigns, mass drug administration clinical trials, epidemic preparedness and response, and the management and care of dead bodies. These papers argue for greater attention by global health actors on frontline workers in management of the complexities involved in making global health work.

The transnational move of interdisciplinarity: Ginseng and the beginning of neuroscience in South Korea, 1970-1990s

Neuroscience did not suddenly become a global endeavor. This article examines the way neuroscience took shape in South Korea focusing on Chan-Woong Park, who launched the Korean Society for Neuroscience in 1992. Park was a pharmacologist who studied ginseng and the brain from the 1970s. By revealing the way Park noted both opportunity and difficulty in the interdisciplinarity of neuroscience, this article reveals the context in which interdisciplinarity shaped studies of the brain in South Korea. To date, historians have followed the flow of knowledge, embedded in materials or instruments, to understand the transnational development of science and technology. This article focuses on the flow of value-interdisciplinarity, per se-which mediated uncertainties in studying the brain and galvanized ignorance in the name of neuroscience. By revealing the materiality and locality of interdisciplinarity and its role in facilitating ignorance, the article sheds new light on the transnational development of neuroscience.

Dynamics of wilful ignorance in organizations

Contemporary society is obsessed with knowledge, leaving its less seductive counterpart, ignorance, in the shadows. However, as an expanding literature suggests, it is equally important to understand ignorance and consider its varieties. This study specifies the nature of wilful ignorance in organizations. It does so by (a) making a distinction between the will of an actor and the epistemic properties of ignorance, and showing how these two form a dynamic relationship, (b) linking wilful ignorance to its various drivers and (c) suggesting how our concept of wilful ignorance can be used in the study of organizations. Rather than reducing the phenomenon into a simple to know/to ignore dichotomy, we concentrate on its processual and dynamic nature. Moreover, we explore the complexities and ambiguity inherently involved in all knowing and ignoring as well as the role of agency in reducing the harmful effects of wilful ignorance in organizations.

The production of ignorance about medication abortion in Tunisia: between state policies, medical opposition, patriarchal logics and Islamic revival

In Tunisia, medication abortion has been available in government reproductive and sexual health clinics since the early 2000s. Since its introduction, it has rapidly replaced the surgical method, and between 75% and 80% of abortions in the public sector were performed using the pharmacological protocol in 2016. In this article, I intend to discuss the various forms of ignorance about medication abortion that exist in Tunisia among several categories of actors in relation to the legal, medical and religious domains. I explore how the existing 'varieties of ignorance' are related to the specific political, social and economic positions of the involved actors, the dominant gender regime, specific institutional policies and economic interests. I also investigate how some forms of ignorance are wilfully produced by institutions and individuals, whereas others are the result of positionality or organizational features. I first describe when and how medication abortion was introduced in Tunisia and the forms of resistance it elicited; later, I examine the production of ignorance about this technology after the revolution of 2011. I mainly consider practices and discourses of health professionals, but also those of women seeking abortion care in the public sector, and those of the activists of a Tunisian non-governmental organization operating in the domain of women's health and rights.

Like mother, like daughter, like granddaughter… Transgenerational ignorance engendered by a defective reproductive health technology

From 1941, the synthetic oestrogen diethylstilbestrol (DES) was administered to millions of women around the world to prevent miscarriages. In 1971, a clear and direct link was shown between taking DES during pregnancy and its subsequent long-term morbid effects on offspring. In the last 50 years, the list of side effects of in-utero exposure to DES has grown to include cancer, infertility, significant prematurity and urogenital malformation, amongst others. Based on qualitative sociological research conducted between 2010 and 2013, compiling archives, judicial documents and 108 interviews, this article illustrates a continuous production of ignorance in France. By focusing on DES as a reproductive health technology, three aspects are stressed. First, in terms of recognition of adverse effects, despite DES being identified as a prototype for other technologies such as the contraceptive pill or hormone replacement therapy, there remained a strong reluctance to import knowledge from the USA on its dangers and risks. Second, there was indifference to transgenerational side effects: even when the most visible effects of DES were finally acknowledged, there was a lack of consideration of the health of descendants; an inability to deem the knowledge of these repercussions as emancipatory or potentially empowering for the offspring. Third, regarding the health care of DES daughters, an important propensity to undone science is highlighted, with notable indifference to the risks of hormonalization of the female body, even on the part of activists. Thus, decades after it was last given to pregnant women, the shadow of DES still lingers as a failed reproductive health technology.

Into the realm of organizational folly: A poem, a review, and a typology of organizational stupidity

This ‘Provocation essay’ is aimed at triggering reflection and fostering renewed research into organizational stupidity and its intersections with management learning. It opens with a critical poem evoking diverse aspects of our daily encounters with the idiocy, nonsense, and absurdity that pervades organizations. It continues with a more comprehensive review of the still diffuse research literature to reveal a typology of three approaches to studying organizational stupidity (systemic-mechanistic, critical-sociological and cultural-functionalist). It closes with a discussion of how stupidity detracts from reflexivity but can also play useful roles in organizations, which ultimately invites more management learning research on the topic.

The passivists: Managing risk through institutionalized ignorance in genomic medicine

As the era of big data transforms modern medicine, clinicians have access to more health data than ever. How do medical providers determine which data are relevant to patient care, which are irrelevant, and which may be inappropriately used to justify potentially harmful interventions? One of the most prominent medical fields to address these questions head on - clinical genomics - is actively debating how to assess the value of genomic data. In-depth interviews with clinicians and a content analysis of policy documents demonstrate that while many clinicians believe that collecting as much patient data as possible will lead to better patient care, a sizeable minority of clinicians preferred to collect less data. These clinicians worried that large genomic tests provided too much data, leading to confusion and inappropriate treatment. Clinical geneticists have also started developing the concept of "actionability" to assess which types of genomic data are worth collecting and interpreting. By classifying data as useful when it can or should lead to action, clinicians can formalize and institutionalize what types of data should be ignored. But achieving consensus about what counts as "actionable" has proven difficult and highlights the different values and risk philosophies of clinicians. At the same time, many clinicians are fighting against the ignorance arising from genomic databases predominantly filled with samples from European ancestry populations. Debates about how and when to institutionalize ignorance of health data are not unique to clinical genomics, but have spread throughout many fields of medicine. As the amount of health data available to clinicians and patients grows, social science research on the politics of knowledge and ignorance should inform debates about the value of data in medicine.

Uncertain and under Quarantine: Toward a Sociology of Medical Ignorance

At the center of the COVID-19 pandemic lies a ubiquitous feature of medicine. Medicine is permeated with ignorance. Seizing this moment to assess the current state of medical sociology, this article articulates a sociology of medical ignorance. We join insights from earlier medical sociological scholarship on uncertainty with emerging research in the sociology of ignorance to help make sense of the omnipresent but sometimes invisible dynamics related to the unknowns in medicine. Then we examine two streams of inquiry with a focus on uncertainty and ignorance-(1) research on the interconnections between technology, medical authority, and ignorance and (2) research on lay expertise within the context of ever-present uncertainties. For decades, and to good effect, medical sociologists have asked, "What does medicine know, and what are the consequences of such knowing?" Going forward, we encourage medical sociologists to examine the unknown in medicine and the consequences of not knowing.

Cultivando proliferações indomáveis: considerações antropológicas sobre as políticas de proteção à infância

Resumo Por uma reflexão voltada para políticas de adoção infantil, procuro estabelecer uma ponte entre, por um lado, episódios etnográficos - densos e contextualmente situados - e, por outro, sistemas abrangentes com consequências em larga escala e de longo alcance. Operacionalizo essa proposta pela análise das infraestruturas administrativa, estatística e burocrática que conectam as filosofias políticas do momento às atitudes e ações dos variados atores (profissionais, servidores e usuários) sob observação. Essa abordagem permite rastrear através das últimas décadas os instrumentos tecnológicos - em particular, estatísticas, cadastros e formulários - cunhados para estabilizar determinadas políticas de adoção. Ao mesmo tempo, atento às “proliferações” (Tsing; Mathews; Bubandt, 2019) - produto e produtor de tensões do próprio sistema - que levam acontecimentos em direções inesperadas. Ao apreciar esses eventos que iniciam quase sempre em escala limitada e com consequências incertas, minha intenção é restituir o poder desses exemplos a alimentar certa esperança - profundamente pragmática, epistemologicamente ambivalente e subarticulada - em possibilidades futuras ainda sequer imaginadas.

Six hours to study: temporality and ignorance in medical education

Individual scientists, clinicians, and other experts cannot have absolute knowledge of all of the theories, methods, models, and findings in their field of practice. Rather, these individuals make choices about the kind of information that will be most meaningful and impactful in their work, while choosing - or being compelled to choose - what knowledge to overlook or ignore: a process identified as sufficient knowledge. In biomedicine, medical students are socialized to deliberately decide what information matters most; so, too, do practicing physicians openly acknowledge that they make choices around knowledge in daily practice. Within this process, time is a critical factor that mediates epistemological decision-making. In other words, how does time bound or restrict what forms and depth of medical knowledge that physicians and future physicians prioritize? When would someone intentionally limit time in order to constrain the amount and types of information he, she, or they acquire? To answer these questions, this study draws upon interviews and participant observation conducted with students at a medical school in the American Midwest. This article seeks to answer the aforementioned questions and to provide a new framework for, and expand discussions of, agnotology in the anthropology of medicine.

Explaining Ignoring – Working with Information that Nobody Uses

Research has demonstrated how ignorance is made, manipulated and called upon; how it is the result of strategies, activities and structures. This article extends the literature on ignorance by exploring actors’ own explanations of their self-inflicted ignorance following acts of ignoring. By means of a case analysis, we explore how actors explain and justify ignoring data they themselves produced. We provide a multifaceted model of how ignoring actors’ own rationales, facilitated by contextual conditions, enables persistent acts of ignoring the content and dysfunction of collectively upheld systems. We contribute to the understanding of ignorance by demonstrating how self-inflicted ignorance is made possible by the combination of ignoring rationales and their facilitators, which configures buffers against knowledge-seeking efforts.

"I don't think anybody really knows": Constructing reflexive ignorance in climate change adaptation

Responding to the existential threat of climate change is often seen as requiring greater reflexivity. Imbued with notions of resilience and reflection, reflexivity is assumed to contribute to pro-environmental change. However, as the need to manage climate impacts becomes more immediate, political struggles over climate adaptation have become increasingly apparent. These impacts occur most often within local communities, in the context of competing economic interests and differing interpretations of climate science. Thus while it is increasingly difficult to deny climate change, conflicting priorities can lead to ignorance. In these circumstances, how communities build and share knowledge, and negotiate responses is central. Based on a study of a vulnerable region in Australia, we identify three processes through which the local community mobilized to disrupt local climate change adaptation. These included emphasizing uncertainty about the science of climate change, encouraging fear about property prices, and repositioning property owners as victims of climate adaptation policy. We argue that this response to climate adaptation constitutes the production of reflexive ignorance, which reinforces skepticism around scientific authority and defends particular economic interests.

Knowledge Co-Production with Agricultural Trade Associations

Scientists and agricultural trade associations may further conservation outcomes by engaging with one another to uncover opportunities and engage in social learning via knowledge co-production. We observed, documented, and critically reviewed knowledge exchanges among scientists and agricultural stakeholders working on a multidecadal water conflict in Wisconsin. Differences in knowledge exchange and production were related to meeting spaces, organization, time management, and formality of interactions. We found that repetitive, semiformal meetings organized and led by growers facilitated knowledge exchange, co-production, and social learning. However, scientists often appeared uncomfortable in grower-controlled spaces. We suggest that this discomfort results from the widespread adoption of the deficit model of scientific literacy and objectivity as default paradigms, despite decades of research suggesting that scientists cannot view themselves as objective disseminators of knowledge. For example, we found that both scientists and growers produced knowledge for political advocacy but observed less transparency from scientists, who often claimed objectivity in politicized settings. We offer practical methods and recommendations for designing social learning processes as well as highlight the need to better prepare environmental and extension scientists for engaging in agribusiness spaces.

From anatomy to patient experience in pelvic floor surgery: Mindlines, evidence, responsibility, and transvaginal mesh

Beginning in the late 1990s, surgeons around the world widely adopted the transvaginal placement of permanent synthetic mesh for the treatment of several common pelvic floor disorders in women. By 2012 it had become the subject of extensive litigation, including one of the biggest mass-tort cases in U.S. history, with litigants reporting debilitating and unexpected complications. Based on qualitative research that includes interviews with surgeons, observations of medical conferences, and analysis of archival materials, we argue the adoption of transvaginal mesh cannot be fully explained without recognizing the role of mindlines, or collective moral-epistemological ways of knowing and acting responsibly. The adoption of mesh was anchored in a mindline focused on repairing anatomy. The harms that resulted from transvaginal mesh necessitated a shift to a focus on patient experience. We analyze the role of evidence-based medicine (EBM) in the re-organization of these surgeons' mindlines, showing that mindlines are not reducible to evidence as defined by EBM and that evidence thus defined facilitated the adoption of transvaginal mesh.

Playing the Bullshit Game: How Empty and Misleading Communication Takes Over Organizations

Why is bullshit so common in some organizations? Existing explanations focus on the characteristics of bullshitters, the nature of the audience, and social structural factors which encourage bullshitting. In this paper, I offer an alternative explanation: bullshitting is a social practice that organizational members engage with to become part of a speech community, to get things done in that community, and to reinforce their identity. When the practice of bullshitting works, it can gradually expand from a small group to take over an entire organization and industry. When bullshitting backfires, previously sacred concepts can become seen as empty and misleading talk.

From organizational learning to organizational mnemonics: Redrawing the boundaries of the field

In this article, we advocate for a more balanced approach to the study of the past in management and organization studies. We define organizational mnemonics as a broader field of inquiry focused on theorizing the past as an integral part of organizational life, including three major epistemic communities—that is, functionalist, interpretive, and critical. We contend that much of organizational mnemonics research has been dominated by functionalism, at the expense of other approaches. To remediate this situation, we first characterize organizational mnemonics’ core epistemic communities. Second, we look at the boundary work at the interstices of these communities to explore possibilities of dialogue among them. We argue that the future of the study of the past in organizations should acknowledge different perspectives, the intersections among them, and make a conscientious effort to maintain diversity of scholarship in the field.

WHEN LESS IS MORE: SHIFTING RISK MANAGEMENT IN AMERICAN CHILDBIRTH

As maternal mortality increases in the United States, birth providers and policymakers are seeking new solutions to address what scholars have called the "C-section epidemic." Hospital cesarean rates vary tremendously, from 7 to 70 percent of all births. Based on in-depth, semi-structured interviews with 47 obstetricians and family physicians in the United States, I explore one reason for this variation: differences in how physicians perceive and manage risk in American obstetrics. While the dominant model of risk management encourages high levels of intervention and monitoring, I argue that a significant portion of physicians are concerned about high intervention rates in childbirth and are working to reduce cesarean rates and/or the use of monitoring technologies like continuous fetal heart rate monitors. Unlike prior theories of biomedicalization, which suggest that health risks are managed through increased monitoring and intervention, I find that many physicians are resisting this model of risk management by ordering fewer interventions and collecting less information about their patients. These providers acknowledge that interventions designed to mitigate risks may only provide an illusion of control, rather than an actual mastery of risks. By limiting interventions, providers may lose this illusion of control but also mitigate the iatrogenic effects of intervention and continuous monitoring. This alternative approach to risk management is growing in many medical fields and deserves more attention from medical sociologists.

Corporations' use and misuse of evidence to influence health policy: a case study of sugar-sweetened beverage taxation

Background

Sugar sweetened beverages (SSB) are a major source of sugar in the diet. Although trends in consumption vary across regions, in many countries, particularly LMICs, their consumption continues to increase. In response, a growing number of governments have introduced a tax on SSBs. SSB manufacturers have opposed such taxes, disputing the role that SSBs play in diet-related diseases and the effectiveness of SSB taxation, and alleging major economic impacts. Given the importance of evidence to effective regulation of products harmful to human health, we scrutinised industry submissions to the South African government’s consultation on a proposed SSB tax and examined their use of evidence.

Results

Corporate submissions were underpinned by several strategies involving the misrepresentation of evidence. First, references were used in a misleading way, providing false support for key claims. Second, raw data, which represented a pliable, alternative evidence base to peer reviewed studies, was misused to dispute both the premise of targeting sugar for special attention and the impact of SSB taxes on SSB consumption. Third, purposively selected evidence was used in conjunction with other techniques, such as selective quoting from studies and omitting important qualifying information, to promote an alternative evidential narrative to that supported by the weight of peer-reviewed research. Fourth, a range of mutually enforcing techniques that inflated the effects of SSB taxation on jobs, public revenue generation, and gross domestic product, was used to exaggerate the economic impact of the tax. This “hyperbolic accounting” included rounding up figures in original sources, double counting, and skipping steps in economic modelling.

Conclusions

Our research raises fundamental questions concerning the bona fides of industry information in the context of government efforts to combat diet-related diseases. The beverage industry’s claims against SSB taxation rest on a complex interplay of techniques, that appear to be grounded in evidence, but which do not observe widely accepted approaches to the use of either scientific or economic evidence. These techniques are similar, but not identical, to those used by tobacco companies and highlight the problems of introducing evidence-based policies aimed at managing the market environment for unhealthful commodities.

Electronic supplementary material

The online version of this article (10.1186/s12992-019-0495-5) contains supplementary material, which is available to authorized users.

Datafication and accountability in public health: Introduction to a special issue

In recent years and across many nations, public health has become subject to forms of governance that are said to be aimed at establishing accountability. In this introduction to a special issue, From Person to Population and Back: Exploring Accountability in Public Health, we suggest opening up accountability assemblages by asking a series of ostensibly simple questions that inevitably yield complicated answers: What is counted? What counts? And to whom, how and why does it count? Addressing such questions involves staying attentive to the technologies and infrastructures through which data come into being and are made available for multiple political agendas. Through a discussion of public health, accountability and datafication we present three key themes that unite the various papers as well as illustrate their diversity.

Beyond evidence versus truthiness: toward a symmetrical approach to knowledge and ignorance in policy studies

Current political developments in established liberal democracies in both Europe and North America have fundamentally called into question the normative relations between truth, knowledge and politics. Whether labeled "posttruth" or truthiness, commentators lament the willful spread and deployment of nonknowledge and ignorance as important political forces. In this paper, we discuss ignorance in its strategic dimension by weaving together insights from the sociology of ignorance with a policy-scientific approach. By means of three empirical vignettes, we demonstrate that ignorance is more than the flipside of knowledge or merely its lack: it is a constitutive feature of the policy process and is thus not uniquely symptomatic of the current era. We conclude by arguing for what we call a symmetrical approach in which ignorance receives the same quality of attention that knowledge has historically received in the policy sciences. To make fully visible the different forms of ignorance that shape policy processes, policy scholars must hone their "agnoto-epistemological sensibilities" to cope with the current challenges and advance a policy science for democracy.

Hydropower in the Himalayan Hazardscape: Strategic Ignorance and the Production of Unequal Risk

Rapidly expanding hydropower development in areas prone to geological and hydro-climatic hazards poses multiple environmental and technological risks. Yet, so far these have received scant attention in hydropower planning processes, and even in the campaigns of most citizen initiatives contesting these dams. Based on qualitative empirical research in Northeast India, this paper explores the reasons why dam safety and hazard potential are often marginal topics in hydropower governance and its contestation. Using a political ecology framework analyzing the production of unequal risks, I argue that a blind-eye to environmental risks facilitates the appropriation of economic benefits by powerful interest groups, while increasing the hazardousness of hydropower infrastructure, accelerating processes of social marginalization. More specifically, this paper brings into analytical focus the role of strategic ignorance and manufactured uncertainty in the production of risk, and explores the challenges and opportunities such knowledge politics create for public resistance against hazardous technologies. I posit that influencing the production of knowledge about risk can create a fertile terrain for contesting hazardous hydropower projects, and for promoting alternative popular conceptions of risk. These findings contribute to an emerging body of research about the implications of hydropower expansionism in the Himalayan hazardscape.

Sacred Excess: Organizational Ignorance in an Age of Toxic Data

Actors in data-intensive industries at times deliberately induce and reproduce organizational ignorance by engaging in over-production of data. This observation leads the paper to make two claims. First, members of these industries fetishize data excess not in order to reduce, but in order to reproduce and stabilize organizational ignorance. Second, in this process of fetishization, organizational ignorance gives rise to forms of collective effervescence similar to that found in totemistic religions. This effervescence allows organizational actors to draw defining lines around that which is marked as awe-inspiring, dangerous and off-limits, namely the sacred. In reviewing organizational ignorance from the perspective of the sacred, this paper proposes that, paradoxically, contemporary forms of data creation allow companies and industries to organize themselves around ignorance as opposed to the promise of knowledge and insight. The paper uses this theoretical proposal in order to outline the contours of an alternative ontology of organizational ignorance, one that understands this phenomenon in terms of excessive presence of data and information.

Antagonistic recursivities and successive cover-ups: the case of private nuclear proliferation

"Legal recursivity" is a concept introduced by socio-legal scholars to capture the progressive elaboration of transnational rules through policy linkages at the international and domestic levels, and the associated jurisdictional expansion of international institutions to new policy areas. Recursivity can take many forms, and this article introduces the concept of "antagonistic recursivity" to capture a dual process of recursive legal innovation and antagonistic obstruction by the same policy actors. The article shows how such antagonistic recursivity worked in the case of the global fight against private nuclear proliferators after the 2003 revelations about the reach of the A. Q. Khan network. In the case under study, antagonistic recursivities took the form of executive-driven innovation in rule-making and simultaneous subversion of the same rules by the executive most implicated in the new cycle of policy innovation: the United States government. This paradox can be explained in the following manner. Antagonistic recursivity, the article demonstrates, is likely to emerge when legal rules of global governance have already been previously defined in an opaque manner, so as to help hegemons follow multiple foreign policy goals: the subversion of the most recent policy innovations is then the unfortunate result of attempts to hide prior cover-ups rather than a purposeful violation of new rules.

Investigative ignorance in international investigations: how United Nations Panels of Experts create new relations of power by seeking information

How do political investigations affect relations of power? Earlier studies have focused on the empowering effects of political knowledge - in contrast, I analyse how the pursuit of such knowledge makes the investigator dependent on others. I hypothesize that where the will to know empowers others, ignorance becomes a strategic alternative. This mechanism should play out strongly at the intersection of global governance and local political crises: here, global governance actors lack knowledge, investigations often constitute the first direct interaction between actors from both sides, and solidification of power (instead of empowering others) should be a central interest of global governance actors. I first explore the hypothesized mechanisms theoretically and develop a framework to analyse dependencies between investigators and their interlocutors. This framework then facilitates a within-case comparison of investigative approaches of United Nations Panels of Experts. The results support and elucidate the hypothesized mechanisms. The study shows how the analysis of social interaction can create new views of the much-studied relationship between knowledge and power.

Plausible folk theories: throwing veils of plausibility over zones of ignorance in global governance

In an age of expertise, where knowledge ostensibly reigns, global governance not infrequently settles for ignorance. To understand this puzzle, this article draws upon extensive empirical research on two sites within the global governance of finance. One is directed to the suppression of money laundering and combating the financing of terrorism by the Financial Action Task Force and International Monetary Fund. Another intends to stimulate the supply of otherwise scarce money to financial markets through global lawmaking by the UN Commission on International Trade Law. In both cases vast enterprises of global regulation and lawmaking proceed on weakly founded justificatory rhetorics designated here as 'plausible folk theories.' Six properties make a folk theory plausible: parsimony, face validity, rhetorical compactness, ambiguity, affinity with extant beliefs, and unexamined premises and logics. Plausible folk theories offer organizational benefits to IOs. They also allow a politics of temporality that may shorten temporal horizons, or weaken and eliminate IO accountability. Finally, three variants of ignorance contribute to choices by international organizations not to get beyond plausible folk theories to justify their regulatory and lawmaking initiatives: inadvertent ignorance, willful ignorance, and strategic or rational ignorance.

Strategic ignorance and global governance: an ecumenical approach to epistemologies of global power

How can we account for the role of ignorance and knowledge in global governance? It is a contention of earlier scholarship in international relations and political sociology that knowledge production is tightly coupled with rational action - regardless of whether knowledge widely influences different stakeholders or not. This scholarship equally tends to assume an ignorance-knowledge binary relationship that associates ignorance with powerlessness and knowledge with power. This is a view we dispute. Calling for a new approach to the study of ignorance and knowledge in international politics, our article builds on research from ignorance studies, science and technology studies and critical race theory to derive a novel typology of epistemologies of power in which truth and ignorance are defined and combined in a plurality of ways. Approaching differing epistemologies of power in the transnational realm in a general or 'ecumenical' manner, we identify weaknesses in earlier approaches to the study of knowledge production in global affairs, and present four new concepts: 'factual determinism', 'cynical realism', 'unseeing proceduralism' and 'hopeful constructivism'. Through this framework, our article calls for greater recognition of the constitutive role that ignorance plays in operations of power on a global scale.

The IMF failure that wasn't: risk ignorance during the European debt crisis

This article builds on ignorance studies to revisit how we understand the role of expertise in international policymaking. A fundamental component of ignorance is concealing what you know. For experts, risk ignorance is a strategic resource when the policymaking process becomes a contested exchange. This article covers IMF lending programmes in Europe in 2008-13 with a special focus on Greece. Empirical data is drawn from policy documents. I find that risk ignorance at the IMF resulted from a joint process of 'private alteration' and 'public obfuscation': the alteration of normal scenarios of debt sustainability in private negotiations worked in tandem with the obfuscation of programme risks in the public stage. The empirical contribution of this article is to show that the 'failure' of the IMF programme for Greece can be reconceptualized as 'success'. The immediate goal of the programme was to bailout Greece's creditors and avoid the breakup of European monetary institutions. In this respect, the programme was successful. But success came at a huge cost for Greece. Analytically, this article suggests that knowledge procurement based on empirical fact-gathering is not always the ultimate goal of international organizations and the communities of experts working within them.