Desclaux Alice auteur aut IRD Boye S. auteur aut IRD text journalArticle fre text/pdf reformatted digital access Individual perceptions of the risk of drug-related adverse effects, whether anticipated before initiation of treatment or readjusted during treatment, are closely linked to social representations of damage. The ethnographic analysis conducted in Senegal on lipodystrophies due to certain antiretrovirals shows very different subjective perceptions, in a specific relationship to the social context. It also reveals a collective dynamic of invisibilisation based, on one hand, on a micro-social logic of avoidance of suffering in the absence of curative treatment and, on the other hand, on a symbolic logic of "price to pay" for the effectiveness of antiretrovirals. The model of patients' "balancing" iatrogenic risk and efficacy seems relevant only if the drug is apprehended with its complex social inscription, using both concepts of "social life" and "political biography" of pharmaceuticals. specialized risk side effects subjectivity pharmaceuticals Africa SENEGAL 056 050 Fainzang S. ed. edt IRD Ouvrier A. ed. edt IRD 19 art. 5134 [19 ] 2019 2111-5028 https://www.documentation.ird.fr/hor/fdi:010077334 10.4000/anthropologiesante.5134 2111-5028 [F B010077334] https://www.documentation.ird.fr/hor/fdi:010077334 https://horizon.documentation.ird.fr/exl-doc/pleins_textes/divers19-12/010077334.pdf IRD - Base Horizon / Pleins textes 2020-01-07 2025-02-24 fdi:010077334 fre