New Books in Drugs, Addiction and Recovery

Though the conventional history of the U.S.-led “War on Drugs” locates the origins of this conflict in a reaction to the domestic culture of excess of the 1960s, a new book argues that international drug control efforts are actually decades older, and much more imbricated with the history of U.S. access to international markets, than we have previously thought. Suzanna Reiss’s We Sell Drugs: The Alchemy of US Empire (University of California Press, 2014) uncovers this history by tracing the transnational geography and political economy of coca commodities–stretching from Peru and Bolivia into the United States, and back again. The book examines how economic controls put in place during WWII transformed the power of the U.S. pharmaceutical industry in Latin America and beyond, and gave rise to new definitions of legality and illegality–definitions that were largely premised on who grew, manufactured, distributed, and consumed drugs, and not on the qualities of the drugs themselves. Drug control, she shows, is a powerful tool for ordering international trade, national economies, and society’s habits and daily lives. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Kristin Peterson‘s new ethnography looks carefully at the Nigerian pharmaceutical market, paying special attention to the ways that the drug trade links West Africa within a larger global economy. Speculative Markets: Drug Circuits and Derivative Life in Nigeria (Duke University Press, 2015) takes reads into a story that is part medical anthropology, part careful analysis of global economy, and shows that understanding one is vital to understanding the other in the modern West African pharmaceutical landscape. Peterson pays special attention to the Idumota market, an area that was strictly residential in the 1970s and has since become one of the largest West African points of drug distribution for pharmaceuticals and other materials from all over the world. Peterson looks at the consequences of major local and global historical factors in that transformation, including civil war in the late 1960s and migration that followed, a 1970s oil boom and bust, and changes in the global pharmaceutical market in the 1980s. By the early 1980s, Nigeria was deep into an economic crisis that had profound implications for the production, circulation, and marketing of pharmaceuticals. The pharmaceutical industry remade itself by becoming tied to the speculative marketplace, with wide-ranging implications that included the rise of new professional relationships & market formations in Nigeria, new relationships with firms in China and India, new forms of speculation, and new questions about the ontology of markets. Peterson demonstrates that these transformations continue to have important consequences for the bodies of individual Nigerians, including major problems with drug resistance and a mismatch between existing drug therapies and existing diseases. The book avoids the usual discourse of corporate greed, instead focusing on the “structural logics of pharmaceutical capital through which corporate practices can be understood.” It is a timely and fascinating study. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Drugs exist that are meant to help people feel better. The doctors who prescribe them might believe that they work, while their patients do not. In explaining the drugs to their patients, should those doctors use the medical terminology they themselves use – which might not be immediately understandable to their patients – or should they translate the description into terms more comfortable and familiar to the patient? And what are the practical and ethical consequences of each decision? Stefan Ecks‘ new book carefully considers these problems in the context of health-related practices in modern Calcutta. Eating Drugs: Psychopharmaceutical Pluralism in India (NYU Press, 2013) looks successively at the different and overlapping medical and healing contexts that together make up a significant part of the medical marketplace in Calcutta. Ch. 1 treats popular notions that include the importance of the belly as the “somatic center of good health,” the power of the mind to regulate good health, and the connection between modernity and pollution as causes of illness. Ch. 2 looks at Ayurvedic practices in Calcutta. It reflects on some of the most important ways that Ayurveda is changing in India – especially at the levels of practitioner training, language, and the patient-physician relationship – despite the fact that the centrality of food and digestion has remained constant. Ch. 3 looks closely at homeopathy, the second most popular type of medicine in Bengal, and focuses on the principles, histories, and pluralities of homeopathic practices in Calcutta. Ch. 4 looks at the ways that Calcutta psychiatrists position themselves with respect to popular beliefs about psychopharmaceuticals, general physicians, practitioners of non-biomedical treatments, and the pharmaceutical industry. This chapter pays special attention to how Bengali doctors use metaphors to help patients understand and respond to psychiatric diagnoses, with comparisons to nature, the Ganges river, fairytales, everyday over-the-counter drugs, diabetes, and food. The conclusion explores a key argument of the book, proposing that “patients’ suspicions of psychopharmaceuticals are based on suspicions of biomedicine’s ‘magic bullet’ model of drug effects,” looking at the implications of this conclusion, and considering the possible broader impacts of this study beyond Calcutta. It’s a fascinating study of potential interest to historians and anthropologists of medicine and healing, as well as readers interested in learning more about the medical marketplace of modern India and anyone interested in modern psychopharmaceuticals. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Paul A. Christensen‘s new book is a thoughtful ethnography of drinking, drunkenness, and male sociability in modern urban Japan. Focusing on two major alcohol sobriety support groups in Japan, Alcoholics Anonymous and Danshukai, Japan, Alcoholism, and Masculinity: Suffering Sobriety in Tokyo (Lexington Books, 2014) explores the ways that admitting to and living with alcoholism in Japan challenges prevailing norms of masculinity and sociability, and looks carefully at its profound consequences for the individual sufferer. After a brief history of alcohol and drunkenness in Japan, Christensen considers the ubiquitous coding of alcohol as fun and leisurely in mass media, and directs our attention to the difficulties that this framing creates for male alcoholics. The book then moves to a discussion of historical shifts in notions of addiction in Japan, as well as contemporary debates over treatment methodologies and the ways that methodologies transplanted into Japan from the US map – or not – onto local cultural and religious realities. Christensen follows this with detailed accounts of the major support groups available to sufferers in Tokyo, the languages and bodies of alcoholic experience, and much else. Throughout the study, Christensen offers an extraordinarily sensitive treatment of the struggle of individual men to build a new selfhood while their sense of masculinity, and of a place in society, have been dismantled. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Todd Meyers‘ The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy (University of Washington Press, 2013) is many things, all of them compelling and fully realized. Most directly, the book is an ethnography of drug dependence and treatment among adolescents in Baltimore between 2005-2008. Meyers traces twelve people through their treatment in the clinic and beyond, into what he calls “the afterlife of therapy.” The group of adolescents was diverse–their economic and family circumstances, their demographics, and arc of their narratives from addiction to treatment varied widely. Yet they shared at least one important experience: “each had either been enrolled in a clinical trial or were currently being treated with a relatively new drug for opiate withdrawal and replacement therapy: buprenorphine” (4). In this way, the book is also the story of a pharmaceutical making its way and its mark in the worlds of therapeutics, law, public opinion and, especially, in the lives of its users. Meyers shows how the lives and experiences of these adolescents (as well as others in their lives) were often shaped and constrained by their roles as subjects in pharmaceutical trials evaluating the effectiveness of buprenorphine. Moreover, Meyers looks beyond the questions and answers asked and answered under the constraints of randomized controlled trials. Rather, as he puts it, “my ethnographic gaze is fixed upon the intersection of clinical medicine and social life, at the place where medical and pharmacological subjects are constituted under the sign of therapeutics” (17). As a result, The Clinic as Elsewhere locates palpable places where medicine and the social intersect in the material world and lived experience; as readers, we see the relationship between the medical and the social as much as understand it as a conceptual given. Ultimately, Meyers shows how therapeutics is not only a form of intervention, but a “sign”: under which people are constituted as subjects, and with which people “assign value, meaning, and worth assign value to pharmaceutical intervention” (116). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

DMT and the Soul of Prophecy:A New Science of Spiritual Revelation in the Hebrew Bible (Park Street Press, 2014) asks a number of provocative questions about drugs, consciousness, prophecy, and the Hebrew Bible–with attention to how a particular chemical can help us understand mystical experience. DMT (dimethyltryptamine) is a molecule endogenous to several mammals including humans, as well as the active psychedelic ingredient in a number of plant species around the world–most notably in an Amazonian brew called ayahuasca. Rick Strassman‘s first book, DMT: The Spirit Molecule, showcases his research in the 1990s at the University of New Mexico, during which he injected several volunteers with DMT as part of a government-sanctioned research project. During the trials, volunteers experienced a number of similar phenomena, such as communication with other-than-human beings, out-of-body experiences, and geometrically complex closed-eye visuals. DMT and the Soul of Prophecy complements Strassman’s first book, but it also stands on its own and gives enough context of his DMT research to make sense of his arguments about prophecy in the Hebrew Bible. The new monograph aims to further interpret the data from Strassman’s experiments in the 90s, by arguing that the notion of prophecy in the Hebrew Bible offers a compelling model for what happens in the DMT state. One might ask, then, if the Hebrew prophets were affected by DMT. Although it’s not possible to know for sure, and Strassman doesn’t claim that they were, he nonetheless draws significant parallels between DMT experiences and prophetic states in the Hebrew Bible. At the cross-section of biology, psychology, and religious studies, Strassman’s monograph is sure to spark provocative conversations about the relationship between religion, drugs, and the politics of research. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Commercial interests are often understood as impinging upon the ethical norms of medicine. In his new book, Medical Monopoly: Intellectual Property Rights and the Origins of the Modern Pharmaceutical Industry (University of Chicago Press, 2013), Joe Gabriel shows how the modernization of American medicine was bound up in the ownership, manufacture, and marketing of drugs. Gabriel unearths the early history of intellectual property concerns as they entered the domain of medical practice itself. Through his careful marshaling of evidence, he takes readers back to a time when the norms and legal structures of commercial capitalism in the U.S. were just as much at issue as those of the professionalization of medicine. This fascinating book serves as a pointed reminder that the sources of therapeutic rationale are just as much tied to the production and regulation of therapies as the collective decision-making on ethical practice. Along with my previous interview with Jeremy Greene, this discussion will hopefully make accessible a broad perspective on the development of medicine in the 20th century by focusing on its ties to industry. Medical Monopoly charts the history of property rights over medicines at the dawn of the 19th century through World War I. The important broader transition here is that while before the Civil War–at least in medicine–patents were seen as tantamount to granting problematic monopoly, by the end of the 19th century they were understood as the best available regulatory mechanism for preventing more problematic imitation. Whereas patent medicines had previously been linked to quackery, the emergence and rapid expansion of the “ethical” pharmaceutical industry after the Civil War was due to its adherents advocating for more effective regulation of commerce within medicine. Rather than reverting to secrecy, firms began to circulate and publish information on new remedies and the results of studies to physicians. As the explosion of new medicines remained at pace with the boom of consumer goods in the late 19th century, patenting and corporate investment in monopolistic practices became understood as a mechanism to advance the public good. The expansion of laboratory science and norms of chemical manufacturing in the 20th century only bolstered this union further.Medical Monopoly is a fascinating and important read that people interested in medical policy should pay attention to. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Is pain real? Is pain relief a right? Who decides? In Pain: A Political History (Johns Hopkins University Press, 2014),Keith Wailoo investigates how people have interpreted and judged the suffering of others in the US from the mid-1940s to the present. While doctors and patients figure in his story, the primary protagonists are politicians, judges, and ideologues, who variously understood the ambiguities of pain as political problems to be settled in legislatures and in courts of law and public opinion alike. For instance, in the 1940s and 1950s, the “pain complaint” of ailing World War II veterans became the locus of debates about manhood, federal disability benefits, and pharmaceutical interventions. Although physicians faced complex problems about adjudicating the pain of their patients, Wailoo shows that pain was also a deeply cultural problem, especially as new, competing theories of pain emerged to explain not only the experience of suffering, but the character, motives, and rights and responsibilities of the sufferer. In the Reagan administration-era, debates about pain were an index of America’s welfare problem, and in late 20thcentury, controversies over fetal pain and the “ultimate relief” of physician-assisted suicide reflected the polarized landscape of “liberal” and “conservative” positions. The last chapter, “OxyContin Unleashed,” compellingly shows how a de-regulated and pro-business pain policy led to the pain drug boom in a competitive and unstable medical marketplace. Ultimately, Wailoo claims that “we have a cultural problem understanding people’s pain.” Pain shows us how that has taken place throughout our recent history, and challenges us to acknowledge and attend to the way that we politicize the pain of others without regard for their suffering. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Khat, the fresh leaves of the plant Catha edulis, is a mild psycho-stimulant. It has been consumed in Yemen, Ethiopia, Eritrea, Djibouti, Somalia for over one thousand years. Khat consumption is an important part of Yemeni social and political life. During the early part of the twentieth century, Yemeni dockworkers brought khat to Madagascar, where other members of the Malagasy population have adopted its use. In her excellent book Drug Effects: Khat in Biocultural and Socioeconomic Perspective (Left Coast Press, 2012), Lisa L. Gezon, Professor and Chair in the Department of Anthropology, University of West Georgia, analyzes the production and consumption of Khat on the island nation of Madagascar. Taking a cultural, medical, and anthropological approach, Gezon looks at the use of khat in pharmacological, cultural, political, economic and environmental contexts.As a student of plant drugs/medicines/intoxicants, her summary of the manner in which khat’s effects have been mischaracterized by many so called experts has echoes of reefer madness inspired characterizations of cannabis and its users.Like so many drugs, khat is a powerful force in the local economy, and the factors that have allowed khat to provide income for small hold farmers rather than becoming part of a centralized and commercial monoculture are worthy of further analysis. In addition to teaching me about the specifics of khat consumption in Madagascar, the background material provided a great primer on CMA approaches to substance use, as well as on the history, pharmacology and policy surrounding Catha edulis. I have been thinking a great deal about the economic forces that influence the consumption and availability of drugs.There are similarities and differences between poppy production in Afghanistan or the Golden Triangle, cannabis production in the Emerald Triangle, and khat production in Madagascar.The peaceful and widely distributed economic benefits of smallholder farming on Madagascar make this study particularly fascinating. Lisa Gezon was a pleasure to interview, and was very patient with my still developing interviewing skills.Her research included extensive field work as well as research, and the book is almost encyclopedic in its synthesis of the literature, the findings of her studies as well as her excellent and insightful analysis. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Is there any such thing as a generic drug? Jeremy A, Greene‘s new book Generic: The Unbranding of Modern Medicine (Johns Hopkins University Press, 2014) treats its subject matter with a learned skepticism that lets the reader see through the eyes of the historical actors who helped define the modern drug industry. By inverting preconceived notions about what we take to be mundane, mass-produced chemical identities, the book offers a broad yet pointed glance at an industry and its attendant regulatory structures that developed alongside modern consumer culture. Claims about the equivalence and lower price of generic medicines, uncoupled from the patents held by major firms, were always hotly contested, and Jeremy’s book shows how debates about branding–or lack thereof–were at the heart of the rationalization of medical practice. Generic opens with evocative stories about the legal and scientific crises and personal tragedies wrought by tense relations between medical science and industry. We then learn about early debates over international standardization of chemical names and the emergence of firms that marketed generics as a specific kind of product that were a part of the very same consumer-driven value system their proponents wanted to replace. These anonymous drugs prompted research that could establish sufficient similarity between them, while at the same time provoking disputes of authority between physicians and pharmacists that produced a new regulatory regime and standards which were embodied and shaped by emerging large, bureaucratic health care providers. In the end, the story of generics as champions of access and affordability in an age of elusive therapeutics and ‘me-too’ drugs designed to cash in on innovation is complicated by the global changes in production and trade they have wrought. Are ‘global’ drugs perceived as ‘universal’? Jeremy’s book will promote discussion and thought about the medical mundanities we so often take for granted. Generic takes the philosophically-inflected themes of the history of science into a realm of pressing urgency, and reveals fascinating parallels that actually make it more enjoyable for a broad audience. This interview is the first half of a pair of new books on the pharmaceutical industry; be on the lookout for my next interview with Joseph M. Gabriel about his new book: Medical Monopoly: Intellectual Property Rights and the Origins of the Modern Pharmaceutical Industry (University of Chicago Press, 2014). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

I am old enough to realise that we have entered a science fiction world in which the old systems of the market place are being sidestepped by new technology. We who follow the tried and true methods are missing out of the brave new world. The changes are particularly true for the middle men whose services are no longer needed as the web allows customers to deal directly with producers. This also applies to the participants in organised crime. James Martin‘s terrific new book Drugs on the Dark Net: How Cryptomarkets are Transforming the Global Trade in Illicit Drugs (Palgrave, 2014)spells out how this is occurring in the drug trade as the Tor Network allows drug users to purchase their products from anywhere in the world. No longer are they tied to a street dealer or a friend for supply. No longer do they lack choice in quality or variety. Now they can peruse a range of products from the safety of their home. They have choice that would never be available without the internet. More importantly, as Martin points out, they are now valued customers with contracts, refund policies and providers of feedback on service quality. These websites provide all types of illicit goods but, surprisingly, many have ethical frameworks that limit their product ranges to restrict the sale of unacceptable goods and services such as child pornography or, in comes cases, firearms. This book is a mind expanding (pun intended) exploration of a high tech illicit market place that is essential reading for police, academics and the public at large. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

It may seem silly to ask why we seek ecstasy. We seek it, of course, because it’s ECSTASY. We are evolved to want it. It’s our brain’s way of saying “Do this again and as often as possible.” But there’s more to it than that. For one thing, there are many ways to get to ecstasy, and some of them are very harmful: cutting, starving, and, of course, drug-taking. These things may render an ecstatic state, but they will also kill you. Moreover, many of the ecstasy-inducing activities and substances are powerfully addictive. It’s fine, for example, for most people to use alcohol to feel more relaxed or even to achieve an ecstatic state. But something on the order of 10% to 15% of people cannot safely use alcohol at all without become seriously addicted. And once they do, they usually descend into a profoundly un-ecstatic nightmare that often ends in death. According to Sharon K. Farber‘s Hungry for Ecstasy: Trauma, the Brain, and the Influence of the Sixties (Aronson, 2013), our desire for ecstasy is first and foremost a psychic defense that protects us against on-going or anticipated trauma. When reality (as we perceive it, which, of course, is not always or even often accurately) becomes “too much” for us, we seek refuge in altered states of consciousness. The most attractive of these, of course, is ecstasy. It makes everything frightening just “go away.” Sometimes, the ecstatic state appears spontaneously. More often, however, especially in our culture, it is consciously induced by self-harming and drug-taking. For most of us, this sort of self-medication “works.” For a large minority, however, it ends in addiction and death. Listen in. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Miriam Kingsberg‘s fascinating new book offers both a political and social history of modern Japan and a global history of narcotics in the modern world. Moral Nation: Modern Japan and Narcotics in Global History (University of California Press, 2013) locates the emergence of a series of three “moral crusades” against narcotics that each accompanied a perceived crisis in collective values and political legitimacy in nineteenth and twentieth century Japan. In the first moral crisis after the Sino-Japanese War of 1894-5, opium became a symbol of difference between Japan and an “Other” epitomized by Qing China, as Japan sought to “leave Asia” and “enter” the West. Here, Kingsberg traces a series of attempts to regulate drug use in Taiwan in the wake of Japan’s transformation into a formal empire. Between the end of WWI and Japan’s defeat in WWII, Japan saw its second moral crisis as it navigated the most protracted and intense moral crusade against narcotics in its history. The central chapters of Kingsberg’s book trace this second crisis, paying special attention to Japanese colonial rule in Korea and in the Kwantung Leased Territory (KLT) in southern Manchuria as Korea became the “global capital of morphine” and the KLT port handled “the second-highest volume of banned drugs in the world.” The third moral crisis brings us to the end of Moral Nation and the thick of the “hiropon age” of the 1950s, when methamphetamine production and usage skyrocketed in postwar Japan and the nation saw its first full-fledged domestic drug plight. Kingsberg locates a changing cast of “moral entrepreneurs” who motivated these three crises, shedding light on the formative roles of merchants and mass society in this chapter of global narcotic history. It is a wonderful, meticulously researched book that contributes significantly to the histories of Japan, of drugs, and of global politics. Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Reading Peter Maguire and Mike Ritter‘s book Thai Stick: Surfers, Scammers and the Untold Story of the Marijuana Trade (Columbia Press, 2013) is the most fun I have had doing this podcast. Maguire makes a point during the interview that police officers preferred to arrest marijuana smugglers because they were so laid back and safe to handle. You get the same feeling reading his account of the members of the roaming hippy/surfer community who fund their lifestyle through ‘scams’, that is, smuggling marijuana into Australia, New Zealand, the USA and Canada. Maguire is a former pro-surfer and he communicates the culture of the surfer and their dedication to their past-time. Drug smuggling has a very utilitarian role. While the surfers smoke drugs and have the connections to buy them; a good smuggling run can fund many years on the international surfing trail. Thus they are not drug smugglers who surf but surfers who take advantage of the profit margin of smuggling. Reading the book made me think that they were almost outside the scope of the podcast; this is not organised crime but the occasional foray into crime. It is also the story of invincible young men taking on the impossible in an often amateurish manner and succeeding. However, as Maguire explains, the lure of money can change people and some of the people in the story reverse this equation. This is a story of a time that has passed. There was an innocence in the story during the 1960s and 70s that has been overtaken by the hard edge of the international drug trade. This is an important and overlooked story in the history of crime. The book provides an insight into how people can turn to crime in a manner that contradicts the strongly held theories of the life-course criminologists. I hope the book inspires others to study these marginal areas of crime. As you will hear in the interview, I have volunteered to do so myself. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

In this episode, I talk with Carlo C. DiClemente, a Presidential Research Professor in the Department of Psychology at the University of Maryland- Baltimore County, about his co-authored book, Substance Abuse Treatment and the Stages of Change: Selecting and Planning Interventions (Guilford Press, 2013). We examine the stages-of-change model (also known as the transtheoretical model) in behavioral change, particularly in substance abuse and drug addiction treatment. We discuss the complexity involved in substance abuse, and the need to consider stage status in effective treatment. We talk about relapse and its implications for individuals’ recovery trajectories. The importance of the individual client as the central mechanism of change is emphasized throughout our discussion. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

In this episode, I sit down with Karen G. Weiss, associate professor in the Department of Sociology and Anthropology at West Virginia University, to talk about her book, Party School: Crime, Campus, and Community (Northeastern University Press, 2013). We discuss the subculture of the “party university,” and how such an environment normalizes and encourages extreme binge drinking and reckless partying. We talk about how extreme partying harms students as well as the larger community, and why students willingly put themselves (and others) at risk for victimization. We discuss why the party subculture appears so resistant to change, and why efforts from university personnel and law enforcement often appear futile. We also explore possible ways to transform the party subculture and address the problems it causes. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Addiction has recently emerged as an object of anthropological inquiry. In a wonderful, focused volume of ethnographies of addiction in a wide range of contexts, Eugene Raikhel and William Garriott have curated a collection of essays that each follow a particular “addiction trajectory.” Addiction Trajectories (Duke University Press, 2013) includes studies that trace epistemic, therapeutic, experiential and experimental transformations across time and space. Collectively, they blend approaches from ethnography and science studies. Readers who are interested in historical ontologies, the concretion of new diseases and illnesses, the history of pharmaceutics and drug use, local styles of medical and clinical reasoning, the politics of healing, and the spaces of experimentation will find much of interest here. Eugene and Will generously made time to talk with me about the volume itself the workshop with which it began, and their own fascinating contributions on addiction medicine in Russia and methamphetamine addiction in rural West Virginia. Enjoy! Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Today I spoke to Ioan Grillo about his book El Narco: Inside Mexico’s Criminal Insurgency (Bloomsbury, 2012). This book is an excellent introduction to the state of conflict between drug cartels themselves, the government and the Mexican community. This is not an academic study of criminology. Ioan has reported from Mexico for many years and he has brought together his accumulated wisdom into this book. The final product provides the multi-dimensional story and analysis of the events in that country. He explains how external factors such as the war on drugs in Columbia and internal issues relating to the nature of governance in Mexico have influenced the current situation. But this is more than just a retelling of criminal activity. Ioan gives an insight into the social aspects of the drug culture including the glorification of the participants in popular music and the religious justifications used by some cartels. El Narco is a fascinating book that read to me like a sci-fi almost post-apocalyptic world that actually exists. It is hard for someone from a more stable Western environment to comprehend this alien culture. Having said that Ioan’s account is not a sensationalized account of the events in Mexico but more an empathic expose of a very violent and ungoverned part of the world. I highly recommend it to anyone interested in organized crime and the broader social context in which it operates. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

In 1971, President Richard Nixon declared a “War on Drugs.” We are still fighting that war today. According to many people, we’ve lost but don’t know it. Rates of drug use in the US remain, by historical standards, high and our prisons are full of people–many of whom are hardly drug kingpins–who have violated drug laws. And, of course, it all costs a fortune. What to do? In her book The War on Drugs in America, 1940-1973 (Cambridge University Press, 2013), historian Kathleen J. Frydl argues that there is a better way to control drugs. She points out that prior to the “War on Drugs” the Federal government had controlled the distribution of narcotics and other drugs largely (though not entirely) by means of taxation. The “Federal Bureau of Narcotics” was a branch of the Department of the Treasury. The run up to Nixon’s “War on Drugs” and the war itself changed all that: enforcement of drug laws was transferred to the Department of Justice. Essentially, the Fed had criminalized drug distribution and use and told the states to aggressively pursue distributors and users, or else. According to Frydl, this was a disastrous move. Better, she says, to de-criminalize and even legalize drugs, control them by means of taxation, and support prevention and treatment initiatives. It’s a controversial position, and near the end of the interview we debate it at some length. I hope you enjoy the discussion. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

The violence in Mexico is receiving a lot of media attention internationally. Paul Rexton Kan has produced a book that provides us with a comprehensive and comprehendible introduction to the background to the conflict and its effects. Cartels at War: Mexico’s Drug-Fueled Violence and the Threat to US National Security (Potomac Books, 2012) is a relatively short book packed with detailed information. The book covers the nature of the drug war, the cartels involved, the national and international responses and the effects of this war on the local and international communities. But this is not just a descriptive work. Kan provides us with his recommendations for solutions and predictions about the future of the conflict. In particular, he draws comparisons between treating this as an insurgency and spells out how a counter-terrorist response would not be the correct way to deal with the issue. This is high intensity crime and requires a high intensity policing response. Overall the book is an excellent introduction to the very complex drug war in Mexico, as well as being a source of practical and realistic policy options for addressing a conflict this large. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

This past August, the saga of Lance Armstrong came to its inglorious end. The seven-time champion of the Tour de France and Olympic medalist ended his defense against charges that he had engaged in blood doping during his cycling career. In the judgment of the U.S. Anti-Doping Agency, the end of Armstrong’s challenge was effectively a concession of guilt. The body responded by stripping Armstrong of his titles and banning him from cycling competitions. Armstrong, however, has continued to maintain his innocence. It appears that many Americans agree with him. In various polls conducted after the USADA’s actions, large majorities of respondents stated their belief that Armstrong had not engaged in doping. But outside the US, opinion of the cyclist is somewhat different. As Peter Beaumont remarked in The Observer, the real question is not whether Armstrong engaged in doping, it’s why his fall from grace didn’t come sooner. Lance Armstrong now joins a notorious collection of athletes who have been stained by allegations or proof of doping: baseball’s Barry Bonds and Mark McGwire, sprinter Marion Jones, swimmer Michelle Smith, cross-country skiers Olga Danilova and Larissa Lazutina, Chinese swimmers of the late 1990s. Chris Cooper begins his study of the science of doping with what was perhaps the most shocking episode of a champion athlete caught doping: Canadian sprinter Ben Johnson, who set the world record in the 100-meter dash at the 1988 Seoul Olympics only to be stripped of his record and gold medal days later. As Cooper points out, athletes had long been using anabolic steroids. And indeed, Johnson was not the only sprinter in that race to have been found using drugs. But the fall of the gold medalist in the Olympics’ marquee event brought the use of performance-enhancing drugs to broad public attention. Since 1988, great athletic accomplishments have been viewed with suspicion, while athletes have been obligated to pee in cups. Athletes still take performance-enhancing drugs. Why? What benefits, if any, do they gain? Chris’ book, Run, Swim, Throw, Cheat: The Science Behind Drugs in Sport (Oxford University Press, 2012), addresses these questions. As a researcher in biochemistry, Chris explains what the drugs do, and whether they work. We learn from the interview that doping does provide a clear advantage, in some instances. But in other cases, the drug’s effects are slim–which raises the question: should they be banned? Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Isaac Campos is the author of Home Grown: Marijuana and the Origins of Mexico’s War on Drugs (University of North Carolina Press, 2012). Campos is an assistant professor of history at the University of Cincinnati. His book traces the intellectual history of marijuana from Europe to Mexico and the ways in which usage of the drug was portrayed – as a source of madness and violence — in the Mexican media. Campos turns on its head the popular myth that drug regulation in Mexico derives from US sources. For political scientists and for all those interested in the issue, the book offers a deep historical context for the current “war on drugs” and related violence in the US and in Mexico. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

What happens in our brains when we do things that feel good, such as drinking a glass of wine, exercising, or gambling? How and why do we become addicted to certain foods, chemicals and behaviors? David Linden, a neuroscientist at Johns Hopkins, explains these phenomena in his latest book, The Compass of Pleasure: How Our Brains Make Fatty Foods, Orgasm, Exercise, Marijuana, Generosity, Vodka, Learning, and Gambling Feel So Good (Viking, 2011). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

For the past half century, Alcoholics Anonymous and its 12-step recovery program has been the dominant method for treating alcohol abuse in the United States. Reservation communities have been no exception. But as Erica Prussing vividly describes in her new book,White Man’s Water: The Politics of Sobriety in a Native American Community (University of Arizona Press, 2011), a one-size-fits-all approach to treatment does not, in fact, fit all. An assistant professor of anthropology and community and behavior health at the University of Iowa, Prussing lived for three years on the Northern Cheyenne Reservation in Montana, working with community organizations, building long-lasting relationships, and gathering testimonies of alcohols’ often disruptive impacts on the lives of many Northern Cheyenne. While many young women have embraced the 12-step program, others – particularly of the older generation – find its moral assumptions foreign and unhelpful. What emerges from Prussing’s account is not a reductive and totalizing “Cheyenne culture” but rather a complex negotiation of tradition, community, and recovery in the face of persistent colonial challenges. This nuance and attention to detail makes Prussing’s call for indigenous self-determination in health care all the more powerful. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

When I arrived at college in the early 1980s, drugs were cool, music was cool, and drug-music was especially cool. The coolest of the cool drug-music bands was The Velvet Underground. They were from the mean streets of New York City (The Doors were from the soft parade of L.A….); they hung out with Andy Warhol (The Beatles hung out with Maharishi Mahesh Yogi…); they had a female drummer (The Grateful Dead had two drummers, but that still didn’t help…); and, of course, they did heroin. Or at least they wrote a famous song about it. We did not do heroin, but we thought that those who did–like Lou Reed and the rest–were hipper than hip. I imagine we would have done it if there had been any around (thank God for small favors). We thought we had discovered something new. But as Eric C. Schneider points out in his marvelous Smack: Heroin and the American City (University of Pennsylvania Press, 2008), the conjunction of music, heroin, and cool was hardly an invention of my generation. The three came together in the 1940s, when smack-using bebop players (think Charlie Parker) taught the “Beat Generation” that heroin was hip. Neither was my generation the last to succumb to a heroin fad. The triad of music, heroin, and cool united again in the 1990s, when drug-addled pop-culture icons such as Jim Carroll (The Basketball Diaries), Kurt Cobain (Nirvana), and Calvin Klein (of “heroin chic” fame) taught “Generation X” the same lesson. History, or at least the history of heroin, repeats itself. For white, middle-class folks like me heroin chic was an episode, a rebellious moment in an otherwise “normal” American life. But as Schneider makes clear, the passage of heroin from cultural elites to the population at large was not always so benign, particularly in the declining inner-cities of the 1960s and 1970s. Here heroin had nothing to do with being cool and everything to do with earning a living and escaping reality. For millions of impoverished, hopeless, urban-dwelling hispanics and blacks, heroin was a paycheck and a checkout. The drug helped destroy the people in the inner-city, and thus the inner-city itself. In response to the “heroin epidemic” of the 1960s and 1970s, the government launched the first war on drugs, focusing its energy on “pushers.” But there were no “pushers” because–and this is the greatest insight in a book full of great insights–pushing was not the way heroin use spread, either among middle-class college kids or the down-and-out of New York, Chicago, and Philadelphia. No one pushed heroin on anyone. Rather, users taught their friends how to use; in turn, those friends–now users–taught their friends, and so on. Heroin stealthily spread through personal networks. The only part of the process that was visible was the result: in the case of suburban college kids, bad grades and rehab; in the case of poor urban hispanics and blacks, crime and incarceration. Not surprisingly, when the heroin “epidemic” ended, it was not due to the war on drugs. Heroin simply fell out of fashion, in this case being replaced by another fashionable drug, powder and crack cocaine. Today we are fighting cocaine just as we fought heroin, and, by all appearances, with similar success. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

Why do people become homeless? Is it because some people have made bad decisions in their lives or can’t hold onto a stable job? Or is homelessness the result of a depilating mental illness or chemical addiction? From a different perspective, perhaps homelessness is less an “individual issue” but more a “systemic one.” As sociologists are apt to point out, maybe homelessness should be linked to broader issues like the lack affordable housing, or the short supply of well paying jobs, and even institutional racism. In her new book Hobos, Hustlers and Backsliders: Homeless in San Francisco (University of Minnesota Press, 2010), Teresa Gowan explores how these different ways of thinking, and talking, about homelessness not only shape the public policy responses to it, but also affect how homeless individuals themselves come to see their identities, daily struggles, and challenges. Gowan initially set out to produce an ethnographical study of homeless recyclers in San Francisco. Over time, however, the project expanded to look at how these individuals navigate different narratives of homelessness, depending on their relationship to the informal recycling economy, the city’s shelters and treatment centers, and their time spent in correctional facilities. As you’ll hear in this interview, the different ways that we traditionally think about homelessness–what Gowan identifies as sin talk, sick talk, and system talk–converge in interesting ways when placed in the context of actual life on the streets. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery

In 1980 I left Kansas to go to college in Iowa. A lot of things caught my attention about Iowa, for example, that the people really are very nice. I also noticed that there were a lot of drugs. One of them was “crystal methamphetamine,” or “crystal meth” for short. I’d never heard of it before (which is not surprising), but I quickly learned that, while not as fashionable as coke, it was inexpensive and widely available. Lots of people did it. It made them feel good. I left Iowa in 1984 for California, and with it any thought of crystal meth. “Crank,” however, remained, ever ready to make people feel good when they had nothing much to feel good about. And as Nick Reding explains in Methland. The Death and Life of an American Small Town (Bloomsbury, 2009) America’s midland didn’t have much to feel good about in the closing decades of the twentieth century. Globalization was hammering the industries that had long supported places like little Oelwein, Iowa, the subject of Reding’s attention. Light manufacture, meatpacking, and agriculture were all in decline. Wages were dropping, poverty rising, and people were leaving for the coasts (as I had). Misery loves company, but there was less and less company to be had in Oelwein. Misery, however, also loves drugs, and there was plenty of meth to go around thanks to a peculiar alliance between: 1) big pharma–which opposed any legislation to limit the sale of the essential over-the-counter ingredient in meth; 2) south-of-the-border drug cartels–who took said over-the-counter ingredient and made massive quantities of meth; and 3) some down-on-their luck Iowans–who arranged for the import of said drug. In some ways, meth did what it was supposed to do: it made sad people happy and tired people strong. But it also destroyed the lives of users, their families, and their communities. The bi-costal press reported that the hicks of flyoverland had been possessed by a new kind of “reefer madness.” The rest of the story–globalization, lobbying by big pharma, the drug cartels–it missed for the most part. Nick Reding didn’t, and we in Iowa owe him a debt of gratitude. Please become a fan of “New Books in History” on Facebook if you haven’t already. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/drugs-addiction-and-recovery