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Virtually every American alive has at some point consumed at least one, and very likely more, consciousness altering drug. Even those who actively eschew alcohol, tobacco, and coffee cannot easily avoid the full range of psychoactive substances pervading the culture. With many children now taking Ritalin for Attention Deficit Hyperactivity Disorder, professional athletes relying on androstenidione to bulk up, and the chronically depressed resorting to selective serotonin reuptake inhibitors such as Prozac, the early twenty-first century appears no less rife with drugs than previous periods.

Yet, if the use of drugs is a constant in American history, the way they have been perceived has varied extensively. Just as the corrupting cigarettes of the early twentieth century ("coffin nails" to contemporaries) became the glamorous accessory of Hollywood stars and American GIs in the 1940s, only to fall into public disfavor later as an unhealthy and irresponsible habit, the social significance of every drug changes over time. 

The essays in this volume explore these changes, showing how the identity of any psychoactive substance—from alcohol and nicotine to cocaine and heroin—owes as much to its users, their patterns of use, and the cultural context in which the drug is taken, as it owes to the drug's documented physiological effects. Rather than seeing licit drugs and illicit drugs, recreational drugs and medicinal drugs, “hard” drugs and “soft” drugs as mutually exclusive categories, the book challenges readers to consider the ways in which drugs have shifted historically from one category to another. 

In addition to the editors, contributors include Jim Baumohl, Allan M. Brandt, Katherine Chavigny, Timothy Hickman, Peter Mancall, Michelle McClellan, Steven J. Novak, Ron Roizen, Lori Rotskoff, Susan L. Speaker, Nicholas Weiss, and William White.

Throughout the African American community, individuals and organizations ranging from churches to schools to drug treatment centers are fighting the widespread use of crack cocaine. To put that fight in a larger cultural context, Doin' Drugs explores historical patterns of alcohol and drug use from pre-slavery Africa to present-day urban America.

William Henry James and Stephen Lloyd Johnson document the role of alcohol and other drugs in traditional African cultures, among African slaves before the American Civil War, and in contemporary African American society, which has experienced the epidemics of marijuana, heroin, crack cocaine, and gangs since the beginning of this century. The authors zero in on the interplay of addiction and race to uncover the social and psychological factors that underlie addiction.

James and Johnson also highlight many culturally informed programs, particularly those sponsored by African American churches, that are successfully breaking the patterns of addiction. The authors hope that the information in this book will be used to train a new generation of counselors, ministers, social workers, nurses, and physicians to be better prepared to face the epidemic of drug addiction in African American communities.

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.

A critical exploration of the user’s perspective on drug consciousness-now in paperback!

Engaging, articulate, and brilliantly argued, On Drugs is destined to become a revolutionary classic that redefines what it means to be “high.” Calling for the acceptance of a “diversity of consciousness,” Lenson delivers a searing critique of the War on Drugs as an effort based, like all attempts to eradicate “getting high,” on an incomplete understanding of human nature.

Examines the complexity and the humanity of the opioid epidemic

America’s opioid epidemic continues to ravage families and communities, despite intense media coverage, federal legislation, criminal prosecutions, and harm reduction efforts to prevent overdose deaths. More than 450,000 Americans have died from opioid overdoses since the late 1990s. In Opioid Reckoning, Amy C. Sullivan explores the complexity of the crisis through firsthand accounts of people grappling with the reverberating effects of stigma, treatment, and recovery. 

Nearly everyone in the United States has been touched in some way by the opioid epidemic, including the author and her family. Sullivan uses her own story as a launching point to learn how the opioid epidemic challenged longstanding recovery protocols in Minnesota, a state internationally recognized for pioneering addiction treatment. By centering the voices of many people who have experienced opioid use, treatment, recovery, and loss, Sullivan exposes the devastating effects of a one-size-fits-all approach toward treatment of opioid dependency. Taking a clear-eyed, nonjudgmental perspective of every aspect of these issues—drug use, parenting, harm reduction, medication, abstinence, and stigma—Opioid Reckoning questions current treatment models, healthcare inequities, and the criminal justice system. Sullivan also imagines a future where anyone suffering an opioid-use disorder has access to the individualized care, without judgment, available to those with other health problems. 

Opioid Reckoning presents a captivating look at how the state that invented “rehab” addresses the challenges of the opioid epidemic and its overdose deaths while also taking readers into the intimate lives of families, medical and social work professionals, grassroots activists, and many others impacted by the crisis who contribute their insights and potential solutions. In sharing these stories and chronicling their lessons, Sullivan offers a path forward that cultivates empathy, love, and hope for anyone affected by chaotic drug use and its harms.

Weaving together a personal narrative and a sociological perspective, Surviving Alex movingly describes how even children from “good families” fall prey to addiction, and recounts the hellish toll it takes on families. Drawing from interviews with Alex’s friends, family members, therapists, teachers, and police officers—as well as files from his stays in hospitals, rehab facilities, and jails—Roos paints a compelling portrait of a young man whose life veered between happiness, anxiety, success, and despair. And as she explores how a punitive system failed her son, she calls for a community of action that would improve care for substance users and reduce addiction, realigning public health policy to address the overdose crisis.

The image of the drug-addicted American soldier—disheveled, glassy-eyed, his uniform adorned with slogans of antiwar dissent—has long been associated with the Vietnam War. More specifically, it has persisted as an explanation for the U.S. defeat, the symbol of a demoralized army incapable of carrying out its military mission. 

Yet as Jeremy Kuzmarov documents in this deeply researched book, popular assumptions about drug use in Vietnam are based more on myth than fact. Not only was alcohol the intoxicant of choice for most GIs, but the prevalence of other drugs varied enormously. Although marijuana use among troops increased over the course of the war, for the most part it remained confined to rear areas, and the use of highly addictive drugs like heroin was never as widespread as many imagined.

Like other cultural myths that emerged from the war, the concept of an addicted army was first advanced by war hawks seeking a scapegoat for the failure of U.S. policies in Vietnam, in this case one that could be linked to “permissive” liberal social policies and the excesses of the counterculture. But conservatives were not alone. Ironically, Kuzmarov shows, elements of the antiwar movement also promoted the myth, largely because of a presumed alliance between Asian drug traffickers and the Central Intelligence Agency. While this claim was not without foundation, as new archival evidence confirms, the left exaggerated the scope of addiction for its own political purposes.

Exploiting bipartisan concern over the perceived “drug crisis,” the Nixon administration in the early 1970s launched a bold new program of federal antidrug measures, especially in the international realm. Initially, the “War on Drugs” helped divert attention away from the failed quest for “peace with honor” in Southeast Asia. But once institutionalized, it continued to influence political discourse as well as U.S. drug policy in the decades that followed.