Substance & Shadow – Women & Addiction in the United States - Hardcover

Kandall, Stephen R

Hardcover

ISBN 10: 0674853601 ISBN 13: 9780674853607

Publisher: Harvard University Press, 1996

Synopsis

In 1989 Jennifer Johnson was convicted of delivering a controlled substance to a minor. That the minor happened to be Johnson's unborn child made her case all the more complex, controversial and ultimately historical. Stephen R. Kandall, a neonatologist and paediatrician, testified as an expert witness on Johnson's behalf. The experience caused him to wonder how one disadvantaged black woman's case became a prosecutorial battlefield in the war on drugs. This book is the product of Kandall's search through the annals of medicine and history to learn how women have fared in this conflict and how drug-dependent women have been treated for the past century and a half. Kandall's sleuthing uncovers a troubling story. Opium, laudanum, and morphine were primary ingredients in the curative "powders" and strengthening "tonics" that physicians freely prescribed and pharmacists dispensed to women a hundred and fifty years ago. Or a woman could easily dose herself with narcotics and alcohol in the readily available form of "patent" medicines sold in every town and touted in popular magazines. For the most part unaware of their dangers, women turned to these remedies for "female complaints", such as "womb disease" and "congestion of the ovaries", as well as for "neurasthenia", a widespread but vague nervous malady attributed to women of weaker, more sensitive natures. By the latter half of the 19th century the majority of America's opiate addicts were women. This text shows how, though attitudes and drugs may vary over time - from the laudanum of yesteryear to the heroin of the 30s and 40s, the tranquilizers of the 50s, the consciousness-raising or prescription drugs of the 60s and the ascendance of crack use in the 80s - dependency remains an issue for women. Kandall traces the history of quesionable treatment that has followed this trend. From the maintenance clinics of the early 20s to the "federal farms" of mid-century to the detoxification efforts and methadone maintenance that flourished in the wake of the Women's Movement, attempts to treat drug-dependent women have been far from adequate. As he describes current policies that put money into drug interdiction and prisons, but offer little in the way of treatment or hope for women like Jennifer Johnson, Kandall calls our attention to the social and personal costs of demonizing and punishing women addicts rather than trying to improve their circumstances and give them genuine help.

About this title

Review

This book pursues several main themes and statements: women have always made up a significant proportion of drug users and addicts; to an important but largely hushed-up extent, their addiction experiences have been supported by inappropriate and excessive medication by physicians and pharmacists, and attention to these problems have only come late in the day; women as childbearers and the relationships between female sexuality and drug use are central to the story...[This is a] much-needed antidote to other books that equate drug addiction with male experiences.--Jordan Goodman "Social History of Medicine [UK "

About the Author

Stephen R. Kandall is former Chief of Neonatology at Beth Israel Medical Center, New York, and former Professor of Pediatrics at Albert Einstein College of Medicine.

Edition details

• Publisher: Harvard University Press
• Publication date: 1996
• Language: English
• ISBN 10: 0674853601
• ISBN 13: 9780674853607
• Binding: Hardcover
• Edition number: 1
• Number of pages: 368