What's in a Disorder

Abstract

This paper analyzes the emergence of two FDA-approved products to treat “sexual disorders”: Viagra, a drug prescribed for the treatment of erectile dysfunction, and the Eros, a device prescribed for the treatment of female sexual dysfunction. Through an analysis of advertising and promotional materials for Viagra and the Eros, we argue that these pharmaceutical devices and the discourses they circulate reinforce normative gender ideals by enacting dominant cultural narratives of masculinity, femininity, and male and female sexuality. These cultural narratives of normative gender structure sexuality in such a way that reinforces certain kinds of masculinity, femininity, and (hetero)sexuality, thereby rendering “atypical” gender and sexual expressions, desires, and appearances invisible and marginal. We argue that these constructions reify cultural ideologies about “what counts” as legitimate and appropriate sexuality and that these constructions have profound implication for social actors, sexologists, and therapists.     

The international provision of pharmaceuticals: a comparison of two alternative argumentative strategies for global ethics

Millions of people in the developing world lack access to curative drugs. Pogge identifies the cause of this problem as a lack of redistribution across borders. In contrast, this article shows that institutional shortcomings within developing countries are the main issue. These different explanations are the result of diverging analytic approaches to ethics: a cosmopolitan approach versus an ordonomic approach. This article compares both approaches with regard to how they conceptualize and propose to solve the problem of providing life-saving pharmaceuticals to the poor in developing countries.     

Tabloid Brand Medicine Chests: Selling Health and Hygiene for the British Tropical Colonies

During the late Victorian and early Edwardian period a surge of commodities went on display and were advertised throughout the empire. One such commodity was the Burroughs Wellcome & Co. (BWC) Tabloid brand medicine chest. The marketing of the chest was intimately related to BWC's economic and political interests in empire, contributing to a discourse of tropicality and belief in western progress and white European superiority in Britain's tropical colonies. BWC used their scientific and medical authority to further differentiate and fix western culture and the identity of white Europeans, in opposition to the tropics and their inhabitants. Despite BWC's claims to the medical and scientific superiority of these chests, the majority of their contents were in use for hundreds, if not thousands of years, often deriving from the very contexts white Europeans were supposedly civilising with their aid. BWC's advertisement and promotion of their chests, in this case, reveals processes of hybridisation between supposedly distinct cultures. The selling of Tabloid brand medicine chests contributed to a belief in western and white European superiority, but closer investigation of their contents demonstrates how such claims were, in the end, inherently problematic and unstable. Such an analysis shows that the ultimate medical value of the chests did not derive from unbiased and empirical processes, but from academic, state and industrial authority in relation to Britain's imperial ambitions.