The prescription-to-prison pipeline : the medicalization and criminalization of pain

In The Prescription-to-Prison Pipeline Michelle Smirnova argues that the ongoing opioid drug epidemic is the result of an endless cycle in which suffering is medicalized and drug use is criminalized. Drawing on interviews with eighty incarcerated individuals in Missouri correctional institutions, Smirnova shows how contradictions in medical practices, social ideals, and legal policies disproportionately criminalize the poor for their social condition. This criminalization further exacerbates and perpetuates drug addiction and poverty. Tracing the processes by which social issues are constructed as biomedical ones that necessitate pharmacological intervention, Smirnova highlights how inequitable surveillance, policing, and punishment of marginalized populations intensify harms associated with both treatment and punishment, especially given that the distinctions between the two have become blurred. By focusing on the stories of people whose pain and pharmaceutical treatment led to incarceration, Smirnova challenges the binary of individual and social problems, effectively exploring how the conceptualization, diagnosis, and treatment of substance use may exacerbate outcomes such as relapse, recidivism, poverty, abuse, and death. "In The Prescription-to-Prison Pipeline Michelle Smirnova argues that the ongoing opioid drug epidemic is the result of an endless cycle in which suffering is medicalized and drug use is criminalized. Drawing on interviews with 80 incarcerated individuals in Missouri correctional institutions, Smirnova shows how contradictions in medical practices, social ideals, and legal policies disproportionately criminalize the poor for their social condition. This criminalization further exacerbates and perpetuates drug addiction and poverty. Tracing the processes by which social issues are constructed as biomedical ones that necessitate pharmacological intervention, Smirnova highlights how inequitable surveillance, policing, and punishment of marginalized populations intensifies harms associated with both treatment and punishment, especially given that the distinctions between the two have become blurred. By focusing on the stories of people whose pain and pharmaceutical treatment leads to incarceration, Smirnova challenges the binary of individual and social problems, effectively exploring how the conceptualization, diagnoses, and treatment of substance use may exacerbate outcomes such as relapse, recidivism, poverty, abuse, and death."-- Provided by publisher CONTENTS 5 ACKNOWLEDGMENTS 7 INTRODUCTION Quick Fixes to Enduring Problems 13 1 THE MEDICALIZATION AND CRIMINALIZATION OF PAIN 39 2 PRESCRIPTION Getting hooked 57 3 PIPELINE Sorting use from abuse 75 4 PRISON From medicalization to criminalization 91 CONCLUSIONS When Medicine Becomes a Drug 105 APPENDIX Methodological Note 123 NOTES 133 BIBLIOGRAPHY 147 INDEX 165