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Communicating the Risks and Benefits of Technology: The Case of Pharmaceuticals

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The Perception and Management of Drug Safety Risks

Part of the book series: Health Systems Research ((HEALTH))

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Abstract

In the past two decades public concerns about the risks of technologies, ranging from nuclear power to pharmaceutical products, have been expressed in extended media coverage, frequent controversies, and increased litigation and regulation [38]. Risk assessment has become a veritable industry, involving the complex and controversial process of evaluating the risks of technology, communicating information about risks to the public, and developing appropriate controls. Evaluating risk requires interpretive judgment in the face of technical uncertainty and scientific disagreement. What constitutes significant and meaningful evidence? Whose judgment is to be considered in evaluating the severity and acceptability of risk? What rules of evidence should guide legal and policy decisions? Controlling and communcating risk involves questions of social responsibility and political legitimacy. What are the appropriate roles and limits of government in regulating industrial practices? What information should be conveyed to the public? Who should be involved in decisions about risk? These are deeply divisive questions and the source of heated debate, for risk assessments affect the economic interests and political values of different social or cultural groups.

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References

  1. Bauer R, Bauer A (1960) America, mass society and mass media. J. Social Issues 16: 3–66

    Article  Google Scholar 

  2. Bloom B (1979) News about carcinogens; what is fit to print. Hastings Center Report, August: 5–7

    Google Scholar 

  3. Brickman R, Jasanoff S, Ilgen T (1985) Controlling chemicals: the politics of regulation in Europe and the U. S. Cornell University Press, Ithaca, NY

    Google Scholar 

  4. Clark University Decision Research Project (1979) Project summary: improving the societal management of technological hazards Clark University, Eugene, Oregon

    Google Scholar 

  5. Cooper J (1970) Cyclamate sequel: risks dominating benefits. Med Tribune, 26 February: 11

    Google Scholar 

  6. Covello V, Abernathy M (1983) Risk analysis and technological hazards: a policy-related bibliography. In: Whipple C et al. (eds) Technological risk assessment. Sijthoff and Nordhoff, Amsterdam

    Google Scholar 

  7. Crandall RC (1977) Curbing the cost of social regulation. Brookings Bull 15: 1–15

    Google Scholar 

  8. Dotto L, Schiff H (1978) The ozone war. Doubleday, New York, chap 7

    Google Scholar 

  9. Douglas M (1985) Risk acceptability according to the social sciences. Russell Sage Foundation, New York, pp 70–71

    Google Scholar 

  10. Douglas M, Wildavsky A (1982) Risk and culture. University of California, Berkeley

    Google Scholar 

  11. Eisendruth C, Broder J (1979) The media connection. In: Schramm G (ed) The value of time. School of Natural Resources, Ann Arbor

    Google Scholar 

  12. Enloe C (1975) The politics of pollution in a comparative perspective. McKay, New York

    Google Scholar 

  13. Fischoff B, Slovic P, Lichtenstein S (1979) Which risks are acceptable? Environment 21: 17–38

    Article  Google Scholar 

  14. Fischoff B, Lichtenstein S, Slovic P, Derby S, Keeney R (1981) Acceptable risk. Cambridge University Press, New York

    Google Scholar 

  15. Gans H (1979) Deciding what’s news. Pantheon, New York

    Google Scholar 

  16. Hilgartner S (1988) The diet and cancer debate, chap 9 of PhD thesis. Cornell University

    Google Scholar 

  17. Irwin A (1985) Risk and the control of technology. Manchester University Press

    Google Scholar 

  18. Jasanoff S (1986) Risk management and political culture. Russell Sage Foundation, New York

    Google Scholar 

  19. Jasanoff S (1987) Unscrambling the messages on risk, Sci Technol Human Values, October

    Google Scholar 

  20. Jones E et al. (1980) Pill and IUD discontinuation in the US 1970–1975; influence of the media. Family Planning Perspectives 12: 293–300

    Article  PubMed  CAS  Google Scholar 

  21. Kates RW (1979) Risk assessment of environmental hazards. Wiley, New York

    Google Scholar 

  22. Kates RW, Hohenemser C (eds) (1981) Technological hazard management. Oelgeshlagger, Gunn & Hain, Cambridge MA

    Google Scholar 

  23. Klapper J (1960) The effects of mass communication. The Free Press, Glencoe

    Google Scholar 

  24. Krimsky S (1983) Genetic alchemy. MIT Press, Cambridge

    Google Scholar 

  25. Kuhlinski J et al. (1982) Citizen knowledge and choices on the complex issue of nuclear energy. Am J Polit Sci, November

    Google Scholar 

  26. Lang G, Lang K (1983) The battle for public opinion. Columbia University Press, New York

    Google Scholar 

  27. Lasagna L, Werkö L (1986) International differences in drug regulation philosophy. Int J Technol Assess Health Care 2: 616

    Article  Google Scholar 

  28. Laski H (1984) The american democracy. Viking Press, New York

    Google Scholar 

  29. Lazarsfeld P et al. (1944) The people’s choice. Duell, Sloan and Pierce, New York

    Google Scholar 

  30. Lemert J (1981) Does press communication change public opinion after all? Nelson Hall, Chicago, pp 44–45

    Google Scholar 

  31. Majone G (1977) Standard setting and a theory of institutional choice. Policy and Politics 5

    Google Scholar 

  32. Markle G (1982)The politics of Laetrile. Sage, Beverly Hills

    Google Scholar 

  33. Mazur A (1987) The dynamics of technological controversy. Communications Press, Washington DC

    Google Scholar 

  34. McCombs ME, Shaw DL (1972) The agenda-setting role of the mass media. Public Opinion 36: 176

    Article  Google Scholar 

  35. McQuail D (1979) The influence and effects of mass media. In: Curran J et al. (eds) Mass communication and society. Sage, Beverly Hills (chap 3 )

    Google Scholar 

  36. National Research Council, National Academy of Sciences (1978) Informing workers and employers about cancer. U.S. Government Printing Office, Washington DC, p 5

    Google Scholar 

  37. National Cancer Institute (1984) Cancer prevention awareness survey. U. S. Government Printing Office, Washington DC, pp 58, 64 (NIH report 84-26-77)

    Google Scholar 

  38. Nelkin D (ed) (1984) Controversy: the politics of technical decisions, 2nd edn. Sage, Beverly Hills

    Google Scholar 

  39. Nelkin D (1984) Background paper for Twentieth Century Fund (ed) Science in the streets: the communication of technical risk. Priority Press, New York

    Google Scholar 

  40. Nelkin D (ed) (1985) The language of risk. Sage, Beverly Hills

    Google Scholar 

  41. Nelkin D (1987) Selling science: how the press covers science and technology. Freeman, New York

    Google Scholar 

  42. Nelkin D, Pollak M (1981) The pregnant pause: the European response to Three Mile Island. In: Moss T, Sills D (eds) The Three Mile Island nuclear accident. New York Academy of Sciences, New York

    Google Scholar 

  43. New York Times, December 9,1984 and October 19,1985

    Google Scholar 

  44. Postman N (1980) News as narcosis. The Nation, 1 March: 4–5

    Google Scholar 

  45. Rayner S (1984) Disagreeing about risk. In: Hadley SG (ed) Risk analysis, institutions and public policy. Associated Faculty Press, Port Washington, NY

    Google Scholar 

  46. Robinson EJ (1963) Analyzing the impact of science reporting. Journalism Q 40: 306–314

    Google Scholar 

  47. Rowe W (1977) An anatomy of risk. Wiley, New York

    Google Scholar 

  48. Schiller D (1981) Objectivity and the news. University of Pennsylvania Press, Philadelphia

    Google Scholar 

  49. Schwartz RC, Alberts WA (eds) (1980) How safe is safe enough? Plenum, New York

    Google Scholar 

  50. Seymour-Ure C (1968) The press, politics and the public. Methuen, London

    Google Scholar 

  51. Starr C (1969) Social benefit vs. technological risk. Science, 19 September: 1232–1238

    Google Scholar 

  52. Starr C, Whipple C (1980) The risk of risk decision. Science, 6 June: 1114

    Google Scholar 

  53. Stevenson R Jr (1980) Corporations and information. Johns Hopkins University Press, Baltimore

    Google Scholar 

  54. Thompson M (1982) A proposal to create a cultural theory of risk. In: Kunreuther H, Ley E (eds) The risk analysis controversy Springer, Berlin Heidelberg New York

    Google Scholar 

  55. Trachman L (1981) The public understanding of science effort. Sci Technol Human Values, summer: 13

    Google Scholar 

  56. Troyer R, Markle G (1983) Cigarettes. Rutgers University Press, New Brunswick

    Google Scholar 

  57. Tuchman G (1978) Making news. Free Press, New York

    Google Scholar 

  58. Tversky A, Kahnemann D (1974) Judgment under uncertainty. Science 185: 1124–1131

    Article  PubMed  CAS  Google Scholar 

  59. U.S. Department of Health and Human Services (1986) Determining risk to health: federal policy and practice. Auburn House

    Google Scholar 

  60. Yankelovich D (1982) Changing public attitudes to science and the quality of life. Sci Technol Human Values 39: 23–29

    Article  Google Scholar 

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© 1989 Springer-Verlag Berlin Heidelberg

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Nelkin, D. (1989). Communicating the Risks and Benefits of Technology: The Case of Pharmaceuticals. In: Horisberger, B., Dinkel, R. (eds) The Perception and Management of Drug Safety Risks. Health Systems Research. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74272-9_4

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  • DOI: https://doi.org/10.1007/978-3-642-74272-9_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-74274-3

  • Online ISBN: 978-3-642-74272-9

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