Ebook The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy (In Vivo), by Todd Meyers
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The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy (In Vivo), by Todd Meyers
Ebook The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy (In Vivo), by Todd Meyers
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Despite increasingly nuanced understandings of the neurobiology of addiction and a greater appreciation of the social and economic conditions that allow drug dependency to persist, there remain many unknowns regarding the individual experience of substance abuse and its treatment. In recent years, novel pharmaceutical therapies have given rise to both new hopes for recovery and renewed fears about drug diversion and abuse. In The Clinic and Elsewhere, Todd Meyers looks at the problems of meaning caused by drug dependency and appraises the changing terms of medical intervention today.
By following a group of adolescents from the time they enter drug rehabilitation treatment through their reentry into the outside world-the clinic, their homes and neighborhoods, and other institutional settings-Meyers traces patterns of life that become mediated by pharmaceutical intervention. His focus is not on the drug economy but rather on the therapeutic economy, where new markets, transactions of care, and highly porous conceptions of success and failure come together to shape addiction and recovery. The book is at once a meditative work of anthropology, a demonstration of the theoretical and methodological limits of medical research, and a forceful intervention into the philosophy of therapeutics at the level of the individual.
- Sales Rank: #2079956 in eBooks
- Published on: 2013-05-15
- Released on: 2013-05-15
- Format: Kindle eBook
Review
"Meyers’ exceptional work does a wonderful job of making ‘visible what is visible’ about the lived realities of adolescent drug users, the emergent geographies of contemporary drug treatment, and the philosophical foundations of the clinic."―Jessie Proudfoot, Society and Space―Environment and Planning, August 2013
"Unlike the more commonly encountered statistics of drug use and abuse found in other books, the author’s ethnographic approach provides a very real sense of the subjects’ lives, their experiences, and their definitions of success and failure."―Choice Reviews, September 2013
"Central to this compelling ethnographic monograph, as indicated by its subtitle, is what the author calls the ‘afterlife’ of therapy: what happens to teenagers following buprenorphinetreatment?...There is much to recommend here for scientists concerned with what happens to the substances they develop once they have left the walls of the laboratory, and how young lives are impacted and changed in the process."―Dr. Martyn Pickersgill, The Biologist
Review
"Unflinching and erudite, The Clinic and Elsewhere is an evocative ethnography on the meaning of clinical encounters in an age of adolescent addiction. For people living with addictions, family members, treatment providers, and all who struggle with recovery, Meyers shows how much place matters for the therapeutic careers of adolescent patients."―Nancy D. Campbell, author of Discovering Addiction: The Science and Politics of Substance Abuse Research
"A provocative and innovative portrayal of the real―life tension between curing and healing―a tension that pervades both the moral―social world of the clinic and the life―world of the patient and the various bodies that she either occupies or provides―experimental, therapeutic, dangerous, medically altered, reluctant, and recovered."―Allan Young, McGill University
"The Clinic and Elsewhere is a compelling exploration of the uses and implications of drug addiction treatment. I know of no other text that examines the many tricky dimensions of substance use therapy programs in such rich and informed terms. Part anthropological inquiry, part ethnographic portrait, it will make a lasting contribution to the study of medical care and practice in the world today."―Robert Desjarlais, Sarah Lawrence College
About the Author
Todd Meyers is assistant professor of medical anthropology at Wayne State University in Detroit.
Most helpful customer reviews
1 of 1 people found the following review helpful.
excellent
By Seth D. Messinger
A powerful, insightful and searching look at the techniques and technologies of drug treatment. A combination of a complex philosophical discussion of science and medicine with harrowing and beautiful portraits of adolescent patients.
0 of 1 people found the following review helpful.
Good, but missing some important information...
By Steven Slate
I enjoyed the book. The work is definitely valuable.
However, I was left with questions - questions that he must've been able to answer. Unfortunately, I was left feeling he didn't want to give those answers, and hid his responsibility to provide them underneath many philosophical detours.
The most important question, to me, is - were the 12 patients he followed actually helped by their buprenorphine treatment odyssey?
He mentions that he followed 12 patients, but going back through the book again, I could only identify 8 or 9 that he actually discussed. Of those he discussed, it seems that only one successfully stopped using opiates for an extended period of time, but was murdered shortly thereafter due to his life as a drug dealer.
Other than that, it seems like everyone continued to struggle. Perhaps the 3 or 4 patients he didn't discuss actually found some long term change in their substance use habits? I feel like that would've been notable though, in contrast to the fate of the others. The apparent omission of these results has me puzzled. All I can come up with as a reason for this omission is that he found something so contrary to his expectations that he had to look the other way. Even if the patients quickly disappeared, he was at least privy to this fact, and could have disclosed it.
Or maybe he did discuss those patients, and I missed it somehow. I scoured the book several times though, and couldn't find it. I'm giving 3 stars, because I think readers deserved some sort of summary of the outcomes he witnessed. Without this, the heavy philosophizing, while interesting, seems like a purposeful distraction. He essentially says he doesn't want to make his subjects into statistics or use them to declare the treatment a success or failure, but this feels like a cop-out. He had the unique experience of following these study subjects beyond the 12 week window of most buprenorphine trials, he had the ability to tell us more, and for some he reason, he chose not to.
Whatever the intentions of the author, and regardless of the missing information, this book is still a challenge to buprenorphine's status as a "wonder drug" for opiate addiction.
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