Subjectivités et constructions sociales d’un risque iatrogène : (in)visibilités des lipodystrophies au Sénégal

Individual perceptions of the risk of drug-related adverse effects, whether anticipated before initiation of treatment or readjusted during treatment, are closely linked to social representations of damage. The ethnographic analysis conducted in Senegal on lipodystrophies due to certain antiretrovir...

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Main Authors: Alice Desclaux, Sokhna Boye
Format: Article
Language:fra
Published: Association Anthropologie Médicale Appliquée au Développement et à la Santé 2019-06-01
Series:Anthropologie & Santé
Subjects:
Online Access:https://journals.openedition.org/anthropologiesante/5134
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author Alice Desclaux
Sokhna Boye
author_facet Alice Desclaux
Sokhna Boye
author_sort Alice Desclaux
collection DOAJ
description Individual perceptions of the risk of drug-related adverse effects, whether anticipated before initiation of treatment or readjusted during treatment, are closely linked to social representations of damage. The ethnographic analysis conducted in Senegal on lipodystrophies due to certain antiretrovirals shows very different subjective perceptions, in a specific relationship to the social context. It also reveals a collective dynamic of invisibilisation based, on one hand, on a micro-social logic of avoidance of suffering in the absence of curative treatment and, on the other hand, on a symbolic logic of “price to pay” for the effectiveness of antiretrovirals. The model of patients’ “balancing” iatrogenic risk and efficacy seems relevant only if the drug is apprehended with its complex social inscription, using both concepts of “social life” and “political biography” of pharmaceuticals.
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spelling doaj-art-dde6eeb95fff483f8b295b04550d7b052025-08-20T02:33:06ZfraAssociation Anthropologie Médicale Appliquée au Développement et à la SantéAnthropologie & Santé2111-50282019-06-011910.4000/anthropologiesante.5134Subjectivités et constructions sociales d’un risque iatrogène : (in)visibilités des lipodystrophies au SénégalAlice DesclauxSokhna BoyeIndividual perceptions of the risk of drug-related adverse effects, whether anticipated before initiation of treatment or readjusted during treatment, are closely linked to social representations of damage. The ethnographic analysis conducted in Senegal on lipodystrophies due to certain antiretrovirals shows very different subjective perceptions, in a specific relationship to the social context. It also reveals a collective dynamic of invisibilisation based, on one hand, on a micro-social logic of avoidance of suffering in the absence of curative treatment and, on the other hand, on a symbolic logic of “price to pay” for the effectiveness of antiretrovirals. The model of patients’ “balancing” iatrogenic risk and efficacy seems relevant only if the drug is apprehended with its complex social inscription, using both concepts of “social life” and “political biography” of pharmaceuticals.https://journals.openedition.org/anthropologiesante/5134riskAfricasubjectivityside effectspharmaceuticals
spellingShingle Alice Desclaux
Sokhna Boye
Subjectivités et constructions sociales d’un risque iatrogène : (in)visibilités des lipodystrophies au Sénégal
Anthropologie & Santé
risk
Africa
subjectivity
side effects
pharmaceuticals
title Subjectivités et constructions sociales d’un risque iatrogène : (in)visibilités des lipodystrophies au Sénégal
title_full Subjectivités et constructions sociales d’un risque iatrogène : (in)visibilités des lipodystrophies au Sénégal
title_fullStr Subjectivités et constructions sociales d’un risque iatrogène : (in)visibilités des lipodystrophies au Sénégal
title_full_unstemmed Subjectivités et constructions sociales d’un risque iatrogène : (in)visibilités des lipodystrophies au Sénégal
title_short Subjectivités et constructions sociales d’un risque iatrogène : (in)visibilités des lipodystrophies au Sénégal
title_sort subjectivites et constructions sociales d un risque iatrogene in visibilites des lipodystrophies au senegal
topic risk
Africa
subjectivity
side effects
pharmaceuticals
url https://journals.openedition.org/anthropologiesante/5134
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