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Opioid use claims many thousands of lives each year. This article considers the diffusion of prescription opioid (PO) use within family households as one potential culprit of the proliferation of these medications. In an analysis of hundreds of millions of medical claims and almost 14 million opioid prescriptions in one state between 2010 and 2015, we show that the use of POs spreads within family households.
In the past few decades, a multi-billion-dollar “therapeutic boarding school” industry has emerged largely for America’s troubled upper-class youth. This article examines the experiences of privileged youth in a therapeutic boarding school to advance social restoration as a new form of social reproduction. Drawing on interviews and fieldwork inside a Western therapeutic boarding school for young men struggling with substance abuse, I explore how students leverage a stigmatized, addict identity in ways that can restore privilege.
How does the opioid crisis influence disparities in the treatment of pain? The experience of pain is subjective and therefore necessarily based on self-report. As such, clinical interactions around its treatment can lead to disparities in care. The opioid crisis has exacerbated current treatment disparities, resulting in prescribing patterns influenced by race and class. This study shows how these disparities unfold by investigating how patient-provider interactions reflect and often reinforce broader social inequities.
The process of leaving deeply meaningful and embodied identities can be experienced as a struggle against addiction, with continuing cognitive, emotional, and physiological responses that are involuntary, unwanted, and triggered by environmental factors. Using data derived from a unique set of in-depth life history interviews with 89 former U.S. white supremacists, as well as theories derived from recent advances in cognitive sociology, we examine how a rejected identity can persist despite a desire to change.