By Todd Meyers
Regardless of more and more nuanced understandings of the neurobiology of dependancy and a better appreciation of the social and financial stipulations that let drug dependency to persist, there stay many unknowns in regards to the person adventure of substance abuse and its therapy. in recent times, novel pharmaceutical treatments have given upward thrust to either new hopes for restoration and renewed fears approximately drug diversion and abuse. within the hospital and in other places, Todd Meyers seems to be on the difficulties of that means brought on by drug dependency and appraises the altering phrases of scientific intervention today.
By following a bunch of youth from the time they input drug rehabilitation therapy via their reentry into the surface world-the hospital, their houses and neighborhoods, and different institutional settings-Meyers lines styles of existence that turn into mediated via pharmaceutical intervention. His concentration isn't at the drug economic system yet really at the healing financial system, the place new markets, transactions of care, and hugely porous conceptions of good fortune and failure come jointly to form habit and restoration. The e-book is straight away a meditative paintings of anthropology, an illustration of the theoretical and methodological limits of scientific study, and a forceful intervention into the philosophy of therapeutics on the point of the person.
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Extra info for The Clinic and Elsewhere: Addiction, Adolescents, and the Afterlife of Therapy
Sample text
Jeff recounted the symptoms he felt in the physical manifestation of withdrawal, confined within the space of the room to which he was led after I had first met him. He had gone through withdrawal more than once in his short life, though he insisted that there is no comparison between the experiences. Jeff eventually found order in the treatment center, which helped him maintain his own felt order. The clinic and its routines provided an anchor and a shield against the threat of a loss of meaning, or, more specifically, the encroachment of thoughts, circumstances, bodily sensations that would cause him to reestablish patterns of drug use and violence (at least for a short time).
The social and economic problems faced by the city came to bear on the lives of the adolescents I followed in very real ways. They are adolescents from a generation that has never not known the HIV epidemic, or the flood of heroin and other drugs drowning their neighborhoods, or the legacy of failed schools, or family members chronically unemployed or underemployed. In the city, even where such things are not experienced directly, they remain inescapable. Baltimore is bookended to the east and west by two major urban medical centers: the Johns Hopkins Medical Institutions and the University of Maryland School of Medicine.
These data say the therapy works, but with a pretty big caveat: time. [r esea rch assista n t]: But does it matter? I mean, while the kids were here they did great. When they leave, I mean, what are you going to do? I mean it’s really the things we can’t control, like mom and dad and friends, or society, right? todd: Are you saying these things you mention can’t be factored into the reporting? [ph ysici a n]: No, that’s not what she’s saying. It’s that it is virtually impossible to capture. You can say, “this kid went to group,” or “this kid kept his appointments,” or “this kid dropped out,” but the details that go into each of these .