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  1. Article ; Online: Epistemic Corruption, the Pharmaceutical Industry, and the Body of Medical Science

    Sergio Sismondo

    Frontiers in Research Metrics and Analytics, Vol

    2021  Volume 6

    Abstract: When a knowledge system importantly loses integrity, ceasing to provide the kinds of trusted knowledge expected of it, we can label this epistemic corruption. Epistemic corruption often occurs because the system has been co-opted for interests at odds ... ...

    Abstract When a knowledge system importantly loses integrity, ceasing to provide the kinds of trusted knowledge expected of it, we can label this epistemic corruption. Epistemic corruption often occurs because the system has been co-opted for interests at odds with some of the central goals thought to lie behind it. There is now abundant evidence that the involvement of pharmaceutical companies corrupts medical science. Within the medical community, this is generally assumed to be the result of conflicts of interest. However, some important ways that the industry corrupts are not captured well by standard analyses in terms of conflicts of interest. It is not just that there is a body of medical science perverted by industry largesse. Instead, much of the corruption of medical science via the pharmaceutical industry happens through grafting activities: Pharmaceutical companies do their own research and smoothly integrate it with medical science, taking advantage of the legitimacy of the latter.
    Keywords bias ; medical research ; pharmaceutical industry ; epistemic corruption ; conflict of interest ; Bibliography. Library science. Information resources ; Z
    Language English
    Publishing date 2021-03-01T00:00:00Z
    Publisher Frontiers Media S.A.
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Book ; Online: Ghost-Managed Medicine

    Sergio Sismondo

    2018  

    Abstract: Ghost-Managed Medicine by Sergio Sismondo explores a spectral side of medical knowledge, based ...

    Abstract Ghost-Managed Medicine by Sergio Sismondo explores a spectral side of medical knowledge, based in pharmaceutical industry tactics and practices. Hidden from the public view, the many invisible hands of the pharmaceutical industry and its agents channel streams of drug information and knowledge from contract research organizations (that extract data from experimental bodies) to publication planners (who produce ghostwritten medical journal articles) to key opinion leaders (who are sent out to educate physicians about drugs) to patient advocacy organizations (who ventriloquize views on diseases, treatments and regulations), and onward. The goal of this ‘assemblage marketing’ is to establish conditions that make specific diagnoses, prescriptions and purchases as obvious and frequent as possible. While staying in the shadows, companies create powerful markets in which increasing numbers of people become sick and the drugs largely sell themselves. Most agents for drug companies aim to tell the truth, but the truths they tell are drawn from streams of knowledge that have been fed, channeled and maintained by the companies at every possible opportunity. Especially because those companies have concentrated influence and narrow interests, consumers and others should be concerned about how epistemic power is distributed – or ‘political economies of knowledge’ – and not just about truth and falsity of medical knowledge. In pharmaceutical companies’ ideal worlds, medical research, education and marketing would be tightly fused. Doctors trying to educate themselves would turn to companies’ agents, such as researchers and educators sponsored to spread particular messages, local sales reps hired to change doctors’ behaviour, or journalists supplied with news stories. Ghost-Managed Medicine shows that the real world of medicine is not very far from the worlds that the companies want to create. Big Pharma’s many invisible hands are busy throughout medicine, and medicine changes as a result.
    Keywords Medicine (General)
    Subject code 650
    Language English
    Publisher Mattering Press
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Claude Rosental, Weaving Self-Evidence

    Sergio Sismondo

    The Canadian Journal of Sociology, Vol 34, Iss 2, Pp 467-

    A Sociology of Logic.

    2009  Volume 469

    Keywords Sociology (General) ; HM401-1281 ; Social Sciences ; H ; DOAJ:Sociology ; DOAJ:Social Sciences
    Language English
    Publishing date 2009-01-01T00:00:00Z
    Publisher University of Alberta
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Ghost management

    Sergio Sismondo

    PLoS Medicine, Vol 4, Iss 9, p e

    how much of the medical literature is shaped behind the scenes by the pharmaceutical industry?

    2007  Volume 286

    Keywords Medicine ; R
    Language English
    Publishing date 2007-09-01T00:00:00Z
    Publisher Public Library of Science (PLoS)
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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