Greenhalgh Susan
Perspect Biol Med. 2019;62(1):131-152. doi: 10.1353/pbm.2019.0007.
Four years of wide-ranging anthropological research yielded a surprising discovery: the Coca-Cola Company, working through an industry-funded scientific nonprofit, had quietly reshaped China's obesity science and policy to align with Coke's position that exercise, not food and drink, is what matters-a view few experts accept. Hoping to get the results to the key audiences, the author submitted a capstone article to a series of high-impact medical journals that was repeatedly rejected. Eventually the article was published in a top journal, but not as "scientific research." This prompted reflection on the differences between the methods of anthropology and medical science. Anthropological research is distinguished by methodological openness, serendipity, narrative sense-making, and personalism. It is personalistic in that the body is a research tool, and a solo researcher at the center acts as data clearinghouse and marshals regional expertise to show how things make cultural sense. Using the Coke-in-China research, this article illustrates how this systematic yet self-consciously subjective approach was effective in breaching the walls of industry science and uncovering the social ties and institutional mechanisms that allowed corporate schemes to remain hidden while gaining such power. The author encourages readers in medicine and public health to think about the complex, human process by which they reach their own conclusions. A better understanding of how each science is human in its own way might open up space for greater dialogue and even more collaborative knowledge-making at the crossroads of anthropology and the health sciences.
可口可乐公司通过一个由行业资助的科学非营利组织,悄然重塑了中国的肥胖科学与政策,使其与可口可乐的立场保持一致,即可口可乐认为运动而非饮食才是关键——这一观点鲜少有专家认同。为了让研究结果传达给关键受众,作者向一系列高影响力的医学期刊提交了一篇总结性文章,但该文章屡次被拒。最终,这篇文章发表在了一本顶级期刊上,但并非以“科研成果”的形式发表。这引发了人们对人类学与医学科学研究方法差异的思考。人类学研究的特点是方法开放、意外发现、叙事式意义构建以及个人主义。说它具有个人主义特征,是因为身体是一种研究工具,处于中心位置的独立研究者充当数据信息中心,并调集区域专业知识来展示事物如何具有文化意义。本文以可口可乐在中国的研究为例,阐述了这种系统但自觉主观的方法是如何有效地突破行业科学的壁垒,揭示那些使得企业计划得以隐藏却又能拥有如此强大影响力的社会关系和制度机制的。作者鼓励医学和公共卫生领域的读者思考他们得出自身结论的复杂的人类过程。更好地理解每一门科学各自独特的人文特性,或许能为在人类学与健康科学的交叉领域展开更深入的对话以及开展更多合作性知识创造开辟空间。