Addiction focuses on the emergence, nature, and persistence of addictive behavior, as well as the efforts of addicts to overcome their condition. Do addicts act of their own free will, or are they driven by forces beyond their control? Do structured treatment programs offer more hope for recovery? What causes relapses to occur? Recent scholarship has focused attention on the voluntary aspects of addiction, particularly the role played by choice. Addiction draws upon this new research and the investigations of economists, psychiatrists, philosophers, neuropharmacologists, historians, and sociologists to offer an important new approach to our understanding of addictive behavior. The notion that addicts favor present rewards over future gains or penalties echoes throughout the chapters in Addiction. The effect of cultural values and beliefs on addicts, and on those who treat them, is also explored, particularly in chapters by Elster on alcoholism and by Acker on American heroin addicts in the 1920s and 1930s. Essays by Gardner and by Waal and Mørland discuss the neurobiological roots of addiction Among their findings are evidence that addictive drugs also have an important effect on areas of the central nervous system unrelated to euphoria or dysphoria, and that tolerance and withdrawal phenomena vary greatly from drug to drug. The plight of addicts struggling to regain control of their lives receives important consideration in Addiction. Elster, Skog, and O'Donoghue and Rabin look at self-administered therapies ranging from behavioral modifications to cognitive techniques, and discuss conditions under which various treatment strategies work. Drug-based forms of treatment are discussed by Gardner, drawing on work that suggests that parts of the population have low levels of dopamine, inducing a tendency toward sensation-seeking. There are many different explanations for the impulsive, self-destructive behavior that is addiction. By bringing the triple perspective of neurobiology, choice, and culture to bear on the phenomenon, Addiction offers a unique and valuable source of information and debate on a problem of world-wide proportions.

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 notion of addiction has always conjured first-person stories, often beginning with an insidious seduction, followed by compulsion and despair, culminating in recovery and tentative hope for the future. We are all familiar with this form of individual life arrative, Susan Zieger observes, but we know far less about its history. "Addict" was not an available identity until the end of the nineteenth century, when a modernizing medical establishment and burgeoning culture of consumption updated the figure of the sinful drunkard popularized by the temperance movement.

In Inventing the Addict, Zieger tells the story of how the addict, a person uniquely torn between disease and desire, emerged from a variety of earlier figures such as drunkards, opium-eating scholars, vicious slave masters, dissipated New Women, and queer doctors. Drawing on a broad range of literary and cultural material, including canonical novels such as Uncle Tom's Cabin, The Strange Case of Dr. Jekyll and Mr. Hyde, and Dracula, she traces the evolution of the concept of addiction through a series of recurrent metaphors: exile, self-enslavement, disease, and vampirism. She shows how addiction took on multiple meanings beyond its common association with intoxication or specific habit-forming substances—it was an abiding desire akin to both sexual attraction and commodity fetishism, a disease that strangely failed to meet the requirements of pathology, and the citizen's ironic refusal to fulfill the promise of freedom.

Nor was addiction an ideologically neutral idea. As Zieger demonstrates, it took form over time through specific, shifting intersections of gender, race, class, and sexuality, reflecting the role of social power in the construction of meaning.

Finalist, 2019 Weatherford Award (Fiction) • A Great Group Reads Selection for National Reading Group Month from The Women’s National Book Association

Set in Appalachian Ohio amid an epidemic of prescription opiate abuse, Michael Henson’s linked collection tells of a woman’s search for her own peculiar kind of redemption, and brings the novel-in-stories form to new heights. Maggie Boylan is an addict, thief, liar, and hustler. But she is also a woman of deep compassion and resilience. The stories follow Maggie as she spirals through her addictive process, through the court system and treatment, and into a shaky new beginning.

In these masterful stories, we rarely occupy Maggie’s perspective, but instead gain a multilayered portrait of a community as we see other people’s lives bump up against hers—and we witness her inserting herself into their spheres, refusing to be rebuffed. The result is a prismatic view of a community fighting to stay upright against the headwinds of a drug epidemic: always on edge, always human.

There is little doubt among scientists and the general public that homelessness, mental illness, and addiction are inter-related. In Of Others Inside, Darin Weinberg examines how these inter-relations have taken form in the United States. He links the establishment of these connections to the movement of mental health and addiction treatment from redemptive processes to punitive ones and back again, and explores the connection between social welfare, rehabilitation, and the criminal justice system.

Seeking to offer a new sociological understanding of the relationship between social exclusion and mental disability, Of Others Inside considers the general social conditions of homelessness, poverty, and social marginality in the U.S. Weinberg also explores questions about American perceptions of these conditions, and examines in great detail the social reality of mental disability and drug addiction without reducing people's suffering to simple notions of biological fate or social disorder.