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Science, Technology & Human Values, Vol. 31, No. 5, 499-536 (2006)
DOI: 10.1177/0162243906289610
© 2006 SAGE Publications

"A Lab of Our Own"

Environmental Causation of Breast Cancer and Challenges to the Dominant Epidemiological Paradigm

Phil Brown

Brown University

Sabrina McCormick

Michigan State University

Brian Mayer

University of Florida

Stephen Zavestoski

University of San Francisco

Rachel Morello-Frosch

Brown University

Rebecca Gasior Altman

Brown University

Laura Senier

Brown University

There are challenges to the dominant research paradigm in breast cancer science. In the United States, science and social activism create paradigmatic shifts. Using interviews, ethnographic observations, and an extensive review of the literature, we create a three-dimensional model to situate changes in scientific controversy concerning environmental causes of breast cancer. We identify three paradigm challenges posed by activists and some scientists: (1) to move debates about causation upstream to address causes; (2) to shift emphasis from individual to modifiable societal-level factors beyond an individual’s control; and (3) to allow direct lay involvement in research, which may raise new questions and change how questions are approached, the methods used, and the standards of proof. We use our model to examine controversies about doing scientific research, interpreting scientific results, and acting on science. Ultimately, we aim to understand what impedes construction of new methodologies and knowledge about environmental factors in human disease.

Key Words: breast cancer • environmental health • environmental causation • public participation • activism


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