Public secrets in public health: Knowing not to know while making scientific knowledge
Article first published online: 6 FEB 2013
© 2013 The Authors. American Ethnologist published by Wiley Periodicals, Inc. on behalf of the American Anthropological Association. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
Volume 40, Issue 1, pages 13–34, February 2013
How to Cite
GEISSLER, P. W. (2013), Public secrets in public health: Knowing not to know while making scientific knowledge. American Ethnologist, 40: 13–34. doi: 10.1111/amet.12002
- Issue published online: 6 FEB 2013
- Article first published online: 6 FEB 2013
- medical research;
Unknown knowns—or “public secrets”—may play an integral part in publicly funded medical science. In one large transnational field research site in Africa, such unknowing pertains to vital material inequalities across the relations of scientific production. These inequalities are open to experience but remain often unacknowledged in public speech and scientific texts. This silence is not usually achieved by suppressing knowledge but through linguistic convention and differentiation between places and moments of knowing and ignorance. Switching between known and unknown according to situation and interlocutor is an important, largely implicit skill that maintains relations necessary to conduct clinical research—linking bodies, lives, institutions, and technologies across differentials of resources, expertise, and power. Unknowing, then, facilitates research; and it shapes the resulting work and perpetuates the political and economic contradictions that pervade the context and the research endeavor itself. Unknowing thus poses a challenge for conventional anthropological modes of critique and engagement.