Bringing anthropological perspectives to bear on addiction, the contributors to this important collection highlight the contingency of addiction as a category of human knowledge and experience. Based on ethnographic research conducted in sites from alcohol treatment clinics in Russia to Pentecostal addiction ministries in Puerto Rico, the essays are linked by the contributors' attention to the dynamics—including the cultural, scientific, legal, religious, personal, and social—that shape the meaning of "addiction" in particular settings. They examine how it is understood and experienced among professionals working in the criminal justice system of a rural West Virginia community; Hispano residents of New Mexico's Espanola Valley, where the rate of heroin overdose is among the highest in the United States; homeless women participating in an outpatient addiction therapy program in the Midwest; machine-gaming addicts in Las Vegas, and many others. The collection's editors suggest "addiction trajectories" as a useful rubric for analyzing the changing meanings of addiction across time, place, institutions, and individual lives. Pursuing three primary trajectories, the contributors show how addiction comes into being as an object of knowledge, a site of therapeutic intervention, and a source of subjective experience. Contributors. Nancy D. Campbell, E. Summerson Carr, Angela Garcia, William Garriott, Helena Hansen, Anne M. Lovell, Emily Martin, Todd Meyers, Eugene Raikhel, A. Jamie Saris, Natasha Dow Schüll

The central problem in the study of addiction is to explain why people repeatedly behave in ways they know are bad for them. For much of the previous century and until the present day, the majority of scientific and medical attempts to solve this problem were couched in terms of involuntary behavior; if people behave in ways they do not want, then this must be because the behavior is beyond their control and outside the realm of choice. An opposing tradition, which finds current support among scientists and scholars as well as members of the general public, is that so-called addictive behavior reflects an ordinary choice just like any other and that the concept of addiction is a myth. The editors and authors of this book tend to take neither view. There has been an increasing recognition in recent literature on addiction that restricting possible conceptions of it to either of these extreme positions is unhelpful and is retarding progress on understanding the nature of addiction and what could be done about it. This book contains a range of views from philosophy, neuroscience, psychiatry, psychology and the law on what exactly this middle ground between free choice and no choice consists of and what its implications are for theory, practice and policy on addiction. The result amounts to a profound change in our thinking on addiction and how its devastating consequences can be ameliorated. Addiction and Choice is a thought provoking new volume for all those with an interest in this global issue.

Renowned philosopher and former addict Owen Flanagan provides a powerful, far reaching examination of addiction. His is the first book to integrate the experience of addiction and the myriad social, cultural, psychological, and physiological factors that create it. Flanagan's holistic analysis also discusses the drawbacks of conventional theories of addiction and pressing questions relating to public policy, harm reduction, and recovery--offering a probing and empathetic view of what it is to be an addict.

“Much of our scientific effort in tackling the multifactorial nature of addiction has taken place within individual disciplines. However, it has become increasingly clear that the complexity of addiction requires an integrated approach. This Handbook is timely and exceptional, intelligently combining the latest research approaches and applying them to understanding and tackling the prodigious public health burden of addiction. An authoritative resource, it establishes a comprehensive framework that will guide the field in the next era of addiction research.” John F. Kelly, PhD, President Elect, Society of Addiction Psychology, American Psychological Association; Associate Professor in Psychiatry, Harvard Medical School; Director, Addiction Recovery Management Service, Massachusetts General Hospital The Wiley-Blackwell Handbook of Addiction Psychopharmacology presents a comprehensive guide to contemporary research approaches to the study of drug addiction in adults. With a focus on empirically relevant research methods and nuanced methodologies, it provides practical tools to enable strong psychopharmacological practices. Contributions from experts in diverse domains offer reviews of the most current experimental methodologies, make recommendations for “best practices,” and identify future directions for the field. Topics covered include core methods for assessing drug effects, distal and proximal determinants of drug use, and insights from cognitive neuroscience. Compiled by a team of widely published researchers in substance addiction, The Wiley-Blackwell Handbook of Addiction Psychopharmacology is an authoritative, state-of-the-art collection of modern research approaches to the scientific study of drug addiction. Its multidisciplinary approach makes it a comprehensive and invaluable resource for all those in this field.

Getting Wrecked provides a rich ethnographic account of women battling addiction as they cycle through jail, prison, and community treatment programs in Massachusetts. As incarceration has become a predominant American social policy for managing the problem of drug use, including the opioid epidemic, this book examines how prisons and jails have attempted concurrent programs of punishment and treatment to deal with inmates struggling with a diagnosis of substance use disorder. An addiction physician and medical anthropologist, Kimberly Sue powerfully illustrates the impacts of incarceration on women’s lives as they seek well-being and better health while confronting lives marked by structural violence, gender inequity, and ongoing trauma.

Principles of Addiction provides a solid understanding of the definitional and diagnostic differences between use, abuse, and disorder. It describes in great detail the characteristics of these syndromes and various etiological models. The book's three main sections examine the nature of addiction, including epidemiology, symptoms, and course; alcohol and drug use among adolescents and college students; and detailed descriptions of a wide variety of addictive behaviors and disorders, encompassing not only drugs and alcohol, but caffeine, food, gambling, exercise, sex, work, social networking, and many other areas. This volume is especially important in providing a basic introduction to the field as well as an in-depth review of our current understanding of the nature and process of addictive behaviors. Principles of Addiction is one of three volumes comprising the 2,500-page series, Comprehensive Addictive Behaviors and Disorders. This series provides the most complete collection of current knowledge on addictive behaviors and disorders to date. In short, it is the definitive reference work on addictions. - Each article provides glossary, full references, suggested readings, and a list of web resources - Edited and authored by the leaders in the field around the globe – the broadest, most expert coverage available - Encompasses types of addiction, as well as personality and environmental influences on addiction

Alcohol has always been an issue in public health but it is currently assuming increasing importance as a cause of disease and premature death worldwide. Alcohol: Science, Policy, and Public Health provides an interdisciplinary source of information that links together, the usually separate fields of, science, policy, and public health. This comprehensive volume highlights the importance of bringing scientific knowledge to bear in order to strengthen and develop alcohol public policy. The book looks at the historical evolution of alcohol consumption in society, key early studies of alcohol and disease, and the cultural and social aspects of alcohol consumption. It then goes on to cover the chemistry and biology of alcohol, patterns of consumption, gender and age-related issues, alcohol and injury, alcohol and cancer and non-malignant disease, and various current therapeutic aspects. The book concludes with a section on alcohol policy, looking at issues of poverty, the availability of alcohol and alcohol control measures. This major reference, written by international leaders in the fields of alcoholism and alcohol policy, provides a comprehensive study of one of the foremost health problems in the world, and represents the highest standards of research within the field. It will be valuable to physicians and health professionals involved with patients with alcohol-related problems, scientists, public health specialists, health policy specialists, researchers and legislators as well as students of public health.

This impressionistic autobiographical inquiry is an attempt to connect the personal with the socio-historical—addiction with Addiction; it is also an attempt to demonstrate that knowledge production can be generated through radically non-traditional means. Narrative serves as method and methodology in a mostly first person account of a fictional open AA meeting. A suspicious hermeneutics is applied to addiction, to AA, and to the phenomenon of total medicalization, which the author and narrative finally succumb to, in the interest of questioning common sense assumptions about these themes, and as jumping off points for literary and philosophical exploration. Highlighted is the semi-fictionalized storied nature of reflected upon lived experience—the personal telephone game of (Paul Ricoeur’s) narrative identity—and the role of institutions like AA in grafting onto lived experience new narrative forms that allow for new ways of structuring self and identity. All the made-up aspects of the narrative—the multi-tracked narrator’s voice, shifts in point-of-view, and the semi and sometimes totally imagined characters encountered at the meeting and elsewhere—are the fiction the author makes of his personal history as an addict and newcomer in AA, which complicates the relation between knower and known (author and reader) while enriching and enlivening the narrative, drawing the reader into a literary representation of imagined and lived experience

This key work exposes international studies from leading social sciences researchers who use various theoretical perspectives and methodological orientations to depict deviant drug and crime-related pathways. The chapters have been grouped into four sections. The first section, Deviance, Set and Setting, discusses a new basis for the understanding of deviant pathways. The second section, Youth, Drug and Delinquency Pathways, presents empirical studies which help to understand the drug-crime relationship. The third section discusses Adult, Drug and Crime Pathways adopted by drug users, flexers , traders or dealers, and traffickers. Finally, the fourth section, Ways Out of deviant pathways, explores approaches for controlling drug use and criminality socially or individually, with or without legal intervention or formal help. In short, this book presents an invaluable overview of the most advanced research in the field of deviant drug-and crime-related pathways.

Revisioning Psychiatry brings together new perspectives on the causes and treatment of mental health problems. The contributors emphasize the importance of understanding experience and explore how the brain, the person, and the social world interact to give rise to mental health problems as well as resilience and recovery.