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Phase I clinical trials test the safety and tolerability of new pharmaceuticals and typically pay healthy people to enroll as research participants. In addition to being exposed to the risks of taking investigational drugs, healthy volunteers are confined to residential research facilities for some portion of the clinical trial. Most healthy volunteers are African American and Hispanic men in their late twenties to early forties. Motivated by pervasive economic insecurity and racial discrimination, these individuals often enroll serially in Phase I trials to stay afloat or to get ahead. This book reveals not only the social inequalities on which Phase I trials rest, but also depicts the important validity concerns inherent in this mode of testing new pharmaceuticals. Healthy volunteers are enrolled in highly controlled studies that bear little resemblance to real-world conditions. Moreover, in these studies everyone—from the pharmaceutical companies sponsoring the studies, to the clinics conducting them, and the healthy volunteers paid to participate—is incentivized to game the system, with the effect that new drugs appear safer than they really are. Providing an unprecedented view of the intersection of US racial inequalities with pharmaceutical testing, Adverse Events calls attention to the dangers of this research enterprise to social justice and public health.

The phenomenal growth of Pentecostalism and evangelicalism around the world in recent decades has forced us to rethink what it means to be religious and what it means to be global. The success of these religious movements has revealed tensions and resonances between the public and the private, the religious and the cultural, and the local and the global. This volume provides an interesting perspective on what has become a truly global religious trend, one that is challenging conventional analytical categories within the social sciences. This book considers the character of Pentecostalism and evangelicalism not only as they have spread across the globe, but also as they have become global movements. Adopting a broadly anthropological approach, the chapters synthesize the existing literature on Pentecostalism and evangelicalism even as they offer new analyses and critiques. They show how the study of Pentecostalism and evangelicalism provides a fresh way to approach classic anthropological themes; they contest the frequent characterization of these movements as conservative religious, social, and political forces; and they argue that Pentecostalism and evangelicalism are significant not least because they encourage us to reflect on the intersections of politics, materiality, morality, and law. Ultimately, the volume leaves us with a clear sense of the cultural and social power, as well as the theoretical significance, of forms of Christianity that we can no longer afford to ignore.

So much has been written about the Rastafari, yet we know so little about why and how people join the Rastafari movement. Although popular understandings evoke images of dreadlocks, reggae, and marijuana, Rastafarians were persecuted in their country, becoming a people seeking social justice. Yet new adherents continued to convert to Rastafari despite facing adverse reactions from their fellow citizens and from their British rulers. This book draws on in-depth interviews to reveal the personal experiences of those who adopted the religion in the 1950s to 1970s, one generation past the movement's emergence. By talking with these Rastafari elders, the author seeks to understand why and how Jamaicans became Rastafari in spite of rampant discrimination, and what sustains them in their faith and identity. Utilizing new conceptual frameworks, the book explores the identity development of Rastafari, demonstrating how shifts in the movement's identity—from social pariah to exemplar of blackness—have led some of the elder Rastafari to adopt, embrace, and internalize Rastafari and blackness as central to their concept of self.

This book examines the reintegration of former child soldiers in Sierra Leone. Based on eighteen months of participant-observer ethnographic fieldwork and ten years of follow-up research, the book argues that there is a fundamental disconnect between the Western idea of the child soldier and the individual lived experiences of the child soldiers of Sierra Leone. It contends that the reintegration of former child soldiers is a political process having to do with changing notions of childhood as one of the central structures of society. For most Westerners the tragedy of the idea of “child soldier” centers on perceptions of lost and violated innocence. In contrast, the book finds that for most Sierra Leoneans, the problem is not lost innocence but the horror of being separated from one's family and the resulting generational break in youth education. Further, it argues that Sierra Leonean former child soldiers find themselves forced to strategically perform (or refuse to perform) as the “child soldier” which Western human rights initiatives expect in order to most effectively gain access to the resources available for their social reintegration. The strategies don't always work—in some cases Western human rights initiatives do more harm than good. While this book focuses on the well-known case of child soldiers in Sierra Leone, it speaks to the larger concerns of childhood studies with a detailed ethnography of people struggling over the situated meaning of the categories of childhood.

Images of diamonds appear everywhere in American culture. And everyone who has a diamond has a story to tell about it. Our stories about diamonds not only reveal what we do with these tiny stones, but also suggest how we create value, meaning, and identity through our interactions with material culture in general. Things become meaningful through our interactions with them, but how do people go about making meaning? What can we learn from an ethnography about the production of identity, creation of kinship, and use of diamonds in understanding selves and social relationships? By what means do people positioned within a globalized political-economy and a compelling universe of advertising interact locally with these tiny polished rocks? This book draws on 12 months of fieldwork with diamond consumers in New York City as well as an analysis of the iconic De Beers campaign that promised romance, status, and glamour to anyone who bought a diamond to show that this thematic pool is just one resource among many that diamond owners draw upon to engage with their own stones. It highlights the important roles that memory, context, and circumstance also play in shaping how people interpret and then use objects in making personal worlds. It shows that besides operating as subjects in an ad-burdened universe, consumers are highly creative, idiosyncratic, and theatrical agents.

Throughout Brazil, Afro-Brazilians face widespread racial prejudice. Many turn to religion, with Afro-Brazilians disproportionately represented among Protestants, the fastest-growing religious group in the country. Officially, Brazilian Protestants do not involve themselves in racial politics. Behind the scenes, however, the community is deeply involved in the formation of different kinds of blackness—and its engagement in racial politics is rooted in the major new cultural movement of black music. This book explores the complex ideas about race, racism, and racial identity that have grown up among Afro-Brazilians in the black music scene. It pushes our understanding of racial identity and the social effects of music in new directions. Delving into the everyday music-making practices of these scenes, the book shows how the creative process itself shapes how Afro-Brazilian artists experience and understand their racial identities. This book challenges much of what we thought we knew about Brazil's Protestants, provoking us to think in new ways about their role in their country's struggle to combat racism.

How do you tell the difference between a “good kid” and a “potential thug”? This book considers the ways in which children are increasingly viewed as dangerous and yet, simultaneously, as endangered and in need of protection by the state. It draws on three years of ethnographic research in Oakland, California, one of the nation's most racially diverse cities, to examine how debates over the nature and needs of young people have fundamentally reshaped politics, transforming ideas of citizenship and the state in contemporary America. As parents and neighborhood activists have worked to save and discipline young people, they have often inadvertently reinforced privatized models of childhood and urban space, clearing the streets of children, who are encouraged to stay at home or in supervised after-school programs. Youth activists protest these attempts, demanding a right to the city and expanded rights of citizenship. This book pays careful attention to the intricate connections between fears of other people's kids and fears for our own kids in order to explore the complex racial, class, and gender divides in contemporary American cities.

South Asian American men are not usually depicted as ideal American men. They struggle against popular representations as either threatening terrorists or geeky, effeminate computer geniuses. To combat such stereotypes, some use sports as a means of performing a distinctly American masculinity. Desi Hoop Dreams focuses on the South Asian–only basketball leagues common in major U.S. and Canadian cities to show that basketball for these South Asian American players is not simply a hobby, but a means to navigate and express their identities in 21st-century America. The participation of young men in basketball is one platform among many for performing South Asian American identity. South Asian–only leagues and tournaments become spaces in which to negotiate the relationships between masculinity, race, and nation. Faced with stereotypes that portray them as effeminate, players perform sporting feats on the court to represent themselves as athletic. And though they draw on black cultural styles, they carefully set themselves off from African American players, who are deemed “too aggressive.” Accordingly, the same categories of their own marginalization—masculinity, race, class, and sexuality—are those through which South Asian American men exclude women, queer masculinities, and working-class masculinities, along with other racialized masculinities, in their effort to lay claim to cultural citizenship. One of the first works on masculinity formation and sport participation in South Asian American communities, Desi Hoop Dreams focuses on an American popular sport to analyze the dilemma of belonging within South Asian America in particular and the U.S. in general.

The production of pharmaceuticals is among the most profitable industries on the planet. Drug companies produce chemical substances that can save, extend, or substantially improve the quality of human life. However, even as the companies present themselves publicly as health and environmental stewards, their factories are a significant source of air and water pollution—toxic to people and the environment. In Puerto Rico, the pharmaceutical industry is the backbone of the island's economy: in one small town alone, there are over a dozen drug factories representing five multinationals, the highest concentration per capita of such factories in the world. It is a place where the enforcement of environmental regulations and the public trust they ensure are often violated in the name of economic development. This book unites the concerns of critical medical anthropology with those of political ecology, investigating the multi-faceted role of pharmaceutical corporations as polluters, economic providers, and social actors. Rather than simply demonizing the drug companies, the book explores the dynamics involved in their interactions with the local community and discusses the strategies used by both individuals and community groups to deal with the consequences of pollution. It puts a human face on a growing set of problems for communities around the world, and encourages readers to think critically about the role of corporations in everyday life, health, and culture.

A Hindu monk in Calcutta refuses to take his psychotropic medications. His psychiatrist explains that just as his body needs food, the drugs are nutrition for his starved mind. Does it matter how—or whether—patients understand their prescribed drugs. Millions of people in India are routinely prescribed mood medications. Pharmaceutical companies give doctors strong incentives to write as many prescriptions as possible, with as little awkward questioning from patients as possible. Without a sustained public debate on psychopharmaceuticals in India, patients remain puzzled by the notion that drugs can cure disturbances of the mind. While biomedical psychopharmaceuticals are perceived with great suspicion, many non-biomedical treatments are embraced. This book illuminates how biomedical, Ayurvedic, and homeopathic treatments are used in India, and argues that pharmaceutical pluralism changes popular ideas of what drugs do. Based on several years of research on pharmaceutical markets, the book shows how doctors employ a wide range of strategies to make patients take the remedies prescribed. Yet while metaphors such as “mind food” may succeed in getting patients to accept the prescriptions, they also obscure a critical awareness of drug effects.

By 2008, total fair trade purchases in the developed world reached nearly $3 billion, a five-fold increase in four years. Consumers pay a “fair price” for fair trade items, which are meant to generate greater earnings for family farmers, cover the costs of production, and support socially just and environmentally sound practices. Yet constrained by existing markets and the entities that dominate them, Fair trade often delivers material improvements for producers that are much more modest than the profound social transformations the movement claims to support. There has been scant real-world assessment of fair trade's effectiveness. Drawing upon fine-grained anthropological studies of a variety of regions and commodity systems including Darjeeling tea, coffee, crafts, and cut flowers, this book represents the first work to use ethnographic case studies to assess whether the fair trade movement is actually achieving its goals.

Millions of North Americans are priced out of North America’s expensive reproductive medicine industry. Ultimately, women learn about the possibility of doing IVF abroad, and this book reveals the layers of desire that motivate them to travel halfway across the world in their quest for parenthood. A global marketing chain has brilliantly packaged “fertility holidays”: a European vacation alongside a healthcare system where doctors really care and want you to have your beautiful white baby. Brokers promise couples that they will experience a more relaxing IVF cycle while also assuring them Czech doctors offer better care along with the highest standards of technology. Ultimately, my book reveals the alienation of poor patients in the U.S., their active response as they assume the role of global consumers of health care. Fertility clinics around the globe have begun to develop marketing schemes that cater to this North American desire for care, since it is an obvious deficiency in our healthcare system.

The canyon in central Mexico was ablaze with torches as hundreds of people filed in. So palpable was their shared shock and grief, they later said, that neither pastor nor priest was needed. The event was a memorial service for one of their own who had died during an attempted border passage. Months later a survivor emerged from a coma to tell his story. The accident had provoked a near-death encounter with God that prompted his conversion to Pentecostalism. Today, over half of the local residents of El Alberto, a town in central Mexico, are Pentecostal. Submitting themselves to the authority of a God for whom there are no borders, these Pentecostals today both embrace migration as their right while also praying that their “Mexican Dream”—the dream of a Mexican future with ample employment for all—will one day become a reality. This book provides an in-depth look at the dynamic relationship between religion, migration, and ethnicity across the U.S.-Mexico border. Faced with the choice between life-threatening danger at the border and life-sapping poverty in Mexico, residents of El Alberto are drawing on both their religion and their indigenous heritage to demand not only the right to migrate, but also the right to stay home. If we wish to understand people's migration decisions, the book argues, we must take religion seriously. It is through religion that people formulate their ideas about life, death, and the limits of government authority.

“Baby safe haven” laws, which allow a parent to relinquish a newborn baby legally and anonymously at a specified institutional location—such as a hospital or fire station—were established in every state between 1999 and 2009. Promoted during a time of heated public debate over policies on abortion, sex education, teen pregnancy, adoption, welfare, immigrant reproduction, and child abuse, safe haven laws were passed by the majority of states with little contest. These laws were thought to offer a solution to the consequences of unwanted pregnancy: mothers would no longer be burdened with children they could not care for, and newborn babies would no longer be abandoned in dumpsters. Yet while these laws are well meaning, they ignore the real problem: some women lack key social and economic supports that mothers need to raise children. Safe haven laws do little to help disadvantaged women. Instead, advocates of safe haven laws target teenagers, women of color, and poor women with safe haven information and see relinquishing custody of their newborns as an act of maternal love. Disadvantaged women are preemptively judged as “bad” mothers whose babies would be better off without them. This book argues that the labeling of certain kinds of women as potential “bad” mothers who should consider anonymously giving up their newborns for adoption into a “loving” home should best be understood as an issue of reproductive justice.

Los Angeles is the epicenter of the American gang problem. Rituals and customs from Los Angeles' eastside gangs, including hand signals, graffiti, and clothing styles, have spread to small towns and big cities alike. Many see the problem with gangs as related to urban marginality. For a Latino immigrant population struggling with poverty and social integration, gangs offer a close-knit community. Yet, as the book argues, gang members can be successfully redirected out of gangs through efforts that change the context in which they find themselves, as well as their notions of what it means to be a man. The book illuminates how Latino men recover from gang life through involvement in urban, faith-based organizations. Drawing on participant observation and interviews with Homeboy Industries, a Jesuit-founded non-profit that is one of the largest gang intervention programs in the country, and with Victory Outreach, a Pentecostal ministry with over six hundred chapters, the book demonstrates that organizations such as these facilitate recovery from gang life by enabling gang members to reinvent themselves as family men and as members of their community. The book offers a window into the process of redefining masculinity. It shows that gang members are not trapped in a cycle of poverty and marginality, and with the help of urban ministries, such men construct a reformed barrio masculinity to distance themselves from gang life.

Every December 12, thousands of Mexican immigrants gather for the mass at New York City's St. Patrick's Cathedral in honor of Our Lady of Guadalupe's feast day. They kiss images of the Virgin, wait for a bishop's blessing—and they also carry signs asking for immigration reform, much like political protestors. It is this juxtaposition of religion and politics that this book investigates in Guadalupe in New York. The Virgin of Guadalupe is a profound symbol for Mexican and Mexican-American Catholics and the patron saint of their country. Her name has been invoked in war and in peace, and her image has been painted on walls, printed on T-shirts, and worshipped at countless shrines. For undocumented Mexicans in New York, Guadalupe continues to be a powerful presence as they struggle to gain citizenship in a new country. Through rich ethnographic research that illuminates Catholicism as practiced by Mexicans in New York, the book shows that it is through Guadalupan devotion that many undocumented immigrants are finding the will and vocabulary to demand rights, immigration reform, and respect. It also reveals how such devotion supports and emboldens immigrants in their struggle to provide for their families and create their lives in the city with dignity.

The “Hizmet” (“Service”) Movement of Fethullah Gülen is Turkey's most influential Islamic identity community. Widely praised throughout the early 2000s as a mild and moderate variation on Islamic political identity, the Gülen Movement has long been a topic of both adulation and conspiracy in Turkey. This book suggests that the Gülen Movement should be given credit for playing a significant role in Turkey's rise to global prominence. The book draws on fourteen months of ethnographic fieldwork in Turkey and the United States. It argues that the Movement's growth and impact both inside and outside Turkey position both its leader and its followers as indicative of a “post political” turn in twenty-first-century Islamic political identity in general, and as illustrative of Turkey's political, economic, and cultural transformation in particular.

This book examines the concept of community in the United States: how communities are experienced and understood, the complex relationship between human beings and their social and physical landscapes—and how the term “community” is sometimes conjured to feign a cohesiveness that may not actually exist. Drawing on ethnographic and historical materials from Union, Virginia, the book offers a nuanced and sensitive portrait of a federally recognized Historic District under the category “Ethnic Heritage—Black.” Since Union has been home to a racially mixed population since at least the late 19th century, calling it “historically black” poses some curious existential questions to the black residents who currently live there. Union's identity as a “historically black community” encourages a perception of the town as a monochromatic and monohistoric landscape, effectively erasing both old-timer white residents and newcomer black residents while allowing newer white residents to take on a proud role as preservers of history. Gestures to “community” gloss an oversimplified perspective of race, history, and space that conceals much of the richness (and contention) of lived reality in Union, as well as in the larger United States. They allow Americans to avoid important conversations about the complex and unfolding nature by which groups of people and social/physical landscapes are conceptualized as a single unified whole. This multi-layered, multi-textured ethnography explores a key concept, inviting public conversation about the dynamic ways in which race, space, and history inform our experiences and understanding of community.

Chinese adoption is often viewed as creating new possibilities for the formation of multicultural, cosmopolitan families. For white adoptive families, it is an opportunity to learn more about China and Chinese culture, as many adoptive families today try to honor what they view as their children's “birth culture.” However, transnational, transracial adoption also presents challenges to families who are trying to impart in their children cultural and racial identities that they themselves do not possess, while at the same time incorporating their own racial, ethnic, and religious identities. Many of their ideas are based on assumptions about how authentic Chinese and Chinese Americans practice Chinese culture. Based on a comparative ethnographic study of white and Asian American adoptive parents over an eight-year period, this book explores how white adoptive parents, adoption professionals, Chinese American adoptive parents, and teens adopted from China as children negotiate meanings of Chinese identity in the context of race, culture, and family. Viewing Chineseness as something produced, rather than inherited, the book examines how the idea of “ethnic options” differs for Asian American versus white adoptive parents as they produce Chinese adoptee identities, while re-working their own ethnic, racial, and parental identities. The book analyzes how both white and Asian American adoptive parents engage in changing understandings of and relationships with “Chineseness” as a form of ethnic identity, racial identity, or cultural capital over the life course.

The book considers illegality, deportability, and deportation in the lives of young people—those who migrate as well as those who are affected by the migration of others. A primary focus of the volume is to understand how children and youth encounter, move through, or are outside of a range of legal processes, including border enforcement, immigration detention, federal custody, courts, and state processes of categorization. Even if young people do not directly interact with state immigration systems—because they are U.S. citizens or have avoided detention—they are nonetheless deeply impacted by the reach of the government in its many forms. Combining different perspectives from advocates, service providers, attorneys, researchers, and, significantly, young immigrants, the book presents ethnographically rich accounts that can contribute to informed debates and policy reforms. By underscoring the ways in which young people encounter and/or avoid legal systems, the book problematizes the policies, laws, and legal categories that shape so much of daily life of young immigrants. The book makes visible the burdens, hopes, and potential of a population of young people and their families who have been largely hidden from public view and are currently under siege, following young people as they move into, through, and out of the complicated immigration systems and institutions in the United States.