Toggle Main Menu Toggle Search

Open Access padlockePrints

Regulatory Objectivity in Action: Mild Cognitive Impairment and the Collective Production of Uncertainty

Lookup NU author(s): Dr Tiago Moreira, Christine May, Professor John Bond

Downloads

Full text for this publication is not currently held within this repository. Alternative links are provided below where available.


Abstract

In this paper, we investigate recent changes in the definition and approach to Alzheimer's disease brought about by growing clinical, therapeutic and regulatory interest in the prodromal or preclinical aspects of this conditione In the last decade, there has been an increased interest in the biomolecular and epidemiological characterization of pred clinical dementiae It is argued that early diagnosis of dementia, and particularly of Alzheimer's disease. will facilitate the prevention of dementing processes and lower the prevalence of the condition in the general population, The search for a diagnostic category or biomarker that would serve this purpose is an ongoing but problematic endeavour for research and clinical communities in this area. In this paper, we explore how clinical and research actors, in collaboration with regulatory institutions and pharmaceutical companies, come to frame these domains as uncertainties and how they red deploy uncertainty in the 'collective production' of new diagnostic conventions and bioclinical standards. While drawing as background on ethnographic, documentary and interview data, the paper proposes an in-depth, contextual analysis of the proceedings of an international meeting organized by the Peripheral and Central Nervous System Drug Advisory Committee of the US Food and Drug Administration to discuss whether or not a particular diagnostic convention - mild cognitive impairment - exists and how best it ought to be studied. Based on this analysis we argue that the deployment of uncertainty is reflexively implicated in bioclinical collectives' search for rules and conventions, and furthermore that the collective production of uncertainty is central to the 'knowledge machinery' of regulatory objectivity.


Publication metadata

Author(s): Moreira T, May C, Bond J

Publication type: Article

Publication status: Published

Journal: Social Studies of Science

Year: 2009

Volume: 39

Issue: 5

Pages: 665-690

ISSN (print): 0306-3127

ISSN (electronic): 1460-3659

Publisher: Sage Publications Ltd.

URL: http://dx.doi.org/10.1177/0306312709103481

DOI: 10.1177/0306312709103481


Altmetrics

Altmetrics provided by Altmetric


Actions

Find at Newcastle University icon    Link to this publication


Share