On the will to ignorance in bureaucracy
- 26 March 2007
- journal article
- research article
- Published by Taylor & Francis Ltd in Economy and Society
- Vol. 36 (2), 212-235
- https://doi.org/10.1080/03085140701254282
Abstract
Drawing on narrative interviews with psychiatrists and health analysts in Britain, the article provides an analysis of debates over the safety of SSRI antidepressants such as Prozac and Seroxat. The focus of the article is on what I describe, drawing on Foucault, Nietzsche, Niklas Luhmann and Michael Power, as a ‘will to ignorance’ within regulatory bureaucracies which works to circumvent a regulator's ability to carry out its explicit aims and goals. After a description of the regulatory processes that have influenced the efforts of patients and practitioners to reach conclusions on the risks and benefits of antidepressants, I conclude by suggesting that the article's analysis of the regulation of SSRIs carries theoretical insights for the study of regulation and bureaucracy in general.Keywords
This publication has 21 references indexed in Scilit:
- Association between suicide attempts and selective serotonin reuptake inhibitors: systematic review of randomised controlled trialsBMJ, 2005
- Drug company experts advised staff to withhold data about SSRI use in childrenCMAJ : Canadian Medical Association Journal, 2004
- Nietzsche, Proust, and Will-To-IgnorancePhilosophy and Literature, 2002
- The Precautionary Principle and its Policy ImplicationsJCMS: Journal of Common Market Studies, 2002
- Deliberate self-harm and antidepressant drugsThe British Journal of Psychiatry, 2000
- Emergence of antidepressant induced suicidalityPrimary Care Psychiatry, 2000
- Complacent and Conflicting Scientific Expertise in British and American Drug RegulationSocial Studies of Science, 1999
- The Fluoxetine and Suicide ControversyCNS Drugs, 1994
- Fluoxetine and suicide: a meta-analysis of controlled trials of treatment for depression.BMJ, 1991
- The Iron Cage Revisited: Institutional Isomorphism and Collective Rationality in Organizational FieldsAmerican Sociological Review, 1983