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The Politics of Addiction examines power and policy-making in the context of a bitter conflict between private and publicly employed doctors treating addiction. Regulation was used by both the profession and the state to shape the treatment of addiction and who could provide it, with the media feeding into the process.

In the 1980s, after a period of peaceful co-existence, a bitter conflict arose between National Health Service psychiatrists and private doctors treating drug addiction. Continuing into the twenty-first century, the battle ended with most private addiction doctors being struck from the medical register. This book examines how the conflict played out and what weapons were used by each side. The contrasting organizational structures of the private and public doctors and the changing policy context help to explain why one side triumphed and the other succumbed to extensive medical discipline. Personalities also played an important part: senior civil servants took a major role in shaping British policy to their own privately held beliefs and turnover in these posts significantly affected attempts to regulate private doctors. Based on 55 oral history interviews with key players and private prescribers as well as previously undisclosed documents, The Politics of Addiction gives a detached, historical analysis of this polarised debate.

Frontmatter -- Contents -- Acknowledgments -- Preface -- Introduction -- Part one. Becoming an Ethnographer -- 1. Going Native with Evil -- 2. Lost in the Park: Learning to Navigate the Unpredictability of Fieldwork -- 3. Unearthing Aggressive Advocacy: Challenges and Strategies in Social Service Ethnography -- 4. Going into the Gray: Conducting Fieldwork on Corporate Misconduct -- Part two. team ethnography -- 5. Hide-and-Seek: Challenges in the Ethnography of Street Drug Users -- 6. Into the Epistemic Void: Using Rapid Assessment to Investigate the Opioid Crisis -- 7. Conducting International Reflexive Ethnography: Theoretical and Methodological Struggles -- Part three. navigating the unusual -- 8. Hidden: Accessing Narratives of Parental Drug Dealing and Misuse -- 9. Navigating Stigma: Researching Opioid and Injection Drug Use among Young Immigrants from the Former Soviet Union in New York City -- Part four. the emotional impact of doing ethnography -- 10. Dangerous Liaisons: Reflections on a Serial Ethnography -- 11. The Emotional Labor of Fieldwork with People Who Use Methamphetamine -- 12. Ethnography of Injustice: Death at a County Jail -- Conclusion: Looking Back, Moving Forward -- List of Contributors -- Index