Complex and risky technologies--technologies such as new drugs for the treatment of AIDS that promise great benefits to our society but carry significant risks--pose many problems for political leaders and the policy makers responsible for overseeing them. Public agencies such as the Food and Drug Administration are told by political superiors not to inhibit important technological advances and may even be charged with promoting such development but must also make sure that no major accidents occur under their watch. Given the large costs associated with catastrophic accidents, the general public and elected officials often demand reliable or failure-free management of these technologies and have little tolerance for the error.
Research in this area has lead to a schism between those who argue that it is possible to have reliable management techniques and safely manage complex technologies and others who contend that such control is difficult at best. In this book C. F. Larry Heimann advances an important solution to this problem by developing a general theory of organizational reliability and agency decision making. The book looks at both external and internal influences on reliability in agency decision making. It then tests theoretical propositions developed in a comparative case study of two agencies involved with the handling of risky technologies: NASA and the manned space flight program and the FDA's handling of pharmaceuticals--particularly new AIDS therapies.
Drawing on concepts from engineering, organizational theory, political science, and decision theory, this book will be of interest to those interested in science and technology policy, bureaucratic management and reform, as well as those interested in health and space policy.
C. F. Larry Heimann is Assistant Professor of Political Science, Michigan State University.

Technology demands uniformity from human beings who encounter it. People encountering technology, however, differ from one another. Thinkers in the early twentieth century, observing the awful consequences of interactions between humans and machines—death by automobiles or dismemberment by factory machinery, for example—developed the idea of accident proneness: the tendency of a particular person to have more accidents than most people. In tracing this concept from its birth to its disappearance at the end of the twentieth century, Accident Prone offers a unique history of technology focused not on innovations but on their unintended consequences.

Here, John C. Burnham shows that as the machine era progressed, the physical and economic impact of accidents coevolved with the rise of the insurance industry and trends in twentieth-century psychology. After World War I, psychologists determined that some people are more accident prone than others. This designation signaled a shift in social strategy toward minimizing accidents by diverting particular people away from dangerous environments. By the 1960s and 1970s, however, the idea of accident proneness gradually declined, and engineers developed new technologies to protect all people, thereby introducing a hidden, but radical, egalitarianism.

            Lying at the intersection of the history of technology, the history of medicine and psychology, and environmental history, Accident Prone is an ambitious intellectual analysis of the birth, growth, and decline of an idea that will interest anyone who wishes to understand how Western societies have grappled with the human costs of modern life.

From the cars we drive to the instant messages we receive, from debate about genetically modified foods to astonishing strides in cloning, robotics, and nanotechnology, it would be hard to deny technology's powerful grip on our lives. To stop and ask whether this digitized, implanted reality is quite what we had in mind when we opted for progress, or to ask if we might not be creating more problems than we solve, is likely to peg us as hopelessly backward or suspiciously eccentric. Yet not only questioning, but challenging technology turns out to have a long and noble history.

In this timely and incisive work, Nicols Fox examines contemporary resistance to technology and places it in a surprising historical context. She brilliantly illuminates the rich but oftentimes unrecognized literary and philosophical tradition that has existed for nearly two centuries, since the first Luddites—the ""machine breaking"" followers of the mythical Ned Ludd—lifted their sledgehammers in protest against the Industrial Revolution. Tracing that current of thought through some of the great minds of the 19th and 20th centuries—William Blake, Mary Shelley, Charles Dickens, John Ruskin, William Morris, Henry David Thoreau, Ralph Waldo Emerson, Robert Graves, Aldo Leopold, Rachel Carson, and many others—Fox demonstrates that modern protests against consumptive lifestyles and misgivings about the relentless march of mechanization are part of a fascinating hidden history. She shows as well that the Luddite tradition can yield important insights into how we might reshape both technology and modern life so that human, community, and environmental values take precedence over the demands of the machine.

In Against the Machine, Nicols Fox writes with compelling immediacy—bringing a new dimension and depth to the debate over what technology means, both now and for our future.