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Culture, Medicine and Psychiatry

, Volume 26, Issue 3, pp 371–396 | Cite as

A Tale of Two Policies: The French Connection, Methadone, and Heroin Epidemics

  • Michael Agar
  • Heather Schacht Reisinger
Article

Abstract

The law enforcement and treatmentpolicies of the Nixon administration are oftencredited with ending the epidemic of heroinaddiction that rose in America's cities in the1960s. In this article it is argued thatalthough the interventions did in fact cause amajor change in heroin distribution and use,the epidemic did not end in any simple way. Thedecline in heroin and increase in methadonethat resulted from the Nixon policies lead to ashift for many addicts in both clinical andstreet settings from one narcotic to another.The temporary shortage of heroin that resultedfrom law enforcement was quickly compensatedfor with methadone, as well as with newdistribution systems from Southeast Asia andMexico. In the end, the interventions caused achange in an enduring “heroin system,” a changethat left that system in a stronger form interms of supply and in a situation ofcontinuing growth in terms of the number ofaddicts.

distribution drug policy heroin history of medicine law enforcement methadone 

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REFERENCES

  1. Agar, Michael H. 1977 Going Through the Changes: Methadone in New York. Human Organization 36: 291–295.Google Scholar
  2. Agar, Michael H. and Heather Schacht Reisinger 1999 Numbers and Trends: Heroin Indicators and What They Represent. Human Organization 58(4): 365–374.Google Scholar
  3. 2000 Explaining Drug Trends: Heroin use in Baltimore Country. In Illicit Drugs – Patterns of Use, Patterns of Response. A. Springer and A. Uhl, eds, pp. 143–166. Innsbruck: Studienverlag.Google Scholar
  4. 2001a A Heroin Epidemic at the Intersection of Histories: The Sixties Epidemic among African-Americans in Baltimore. Medical Anthropology in press.Google Scholar
  5. 2001b Trend Theory: Explaining Heroin Use Trends. Journal of Psychoactive Drugs 33(3): 201–212.Google Scholar
  6. Baum, Dan 1996 Smoke and Mirrors: The War on Drugs and the Politics of Failure. Boston: Little, Brown.Google Scholar
  7. Booth, Martin 1996 Opium: A History. New York: St. Martin's Press.Google Scholar
  8. 1999 The Dragon Syndicates: The Global Phenomenon of Triads. New York: Carroll and Graf.Google Scholar
  9. Bourgois, Philippe 2000 Disciplining Addicts: The Bio-Politics of Methadone and Heroin in the United States. Culture, Medicine and Psychiatry 24(2): 165–195.Google Scholar
  10. Boyle, J. and A.F. Brunswick 1980 What Happened in Harlem? Analysis of a Decline in Heroin Use among a Generation Unit of Urban Black Youth. Journal of Drug Issues 10: 109–130.Google Scholar
  11. Casti, John 1997 Would-Be Worlds: How Simulation is Changing the Frontiers of Science. New York: John Wiley.Google Scholar
  12. Greene, Mark H. 1974 An Epidemiologic Assessment of Heroin Use. American Journal of Public Health 64: 1–10.Google Scholar
  13. Greene, Mark H., S.L. Nightingale, and Robert L. DuPont 1975 Evolving Patterns of Drug Abuse. Annals of Internal Medicine 83(3): 402–411.Google Scholar
  14. Harrison, Lana D. and Michael Backenheimer 1998 Research Careers in Unraveling the Drug-Crime Nexus in the United States. Substance Use and Misuse (Special Issue) 33(9).Google Scholar
  15. Heroin Indicators Task Force 1976 Heroin Indicators Trend Report. Rockville,MD: National Institute on Drug Abuse.Google Scholar
  16. 1979 Heroin Indicators Trend Report – An Update, 1976–1979. Rockville, MD: National Institute on Drug Abuse.Google Scholar
  17. Holland, J.H. 1995 Hidden Order: How Adaptation Builds Complexity. Reading, MA: Perseus Books.Google Scholar
  18. 1998 Emergence: From Chaos to Order. Reading, MA: Helix Books.Google Scholar
  19. Hunt, Leon G. 1974 Recent Spread of Heroin Use in the United States. American Journal of Public Health 64: 16–23.Google Scholar
  20. Jonnes, Jill 1996 Hep-Cats, Narcs, and Pipe Dreams: A History of America's Romance with Illegal Drugs. New York: Scribner.Google Scholar
  21. Kreek, M., E. Khuri, and H. Joseph 1975 A New ‘Heroin Epidemic’? Annals of Internal Medicine 83(3): 420–421.Google Scholar
  22. Lupsha, Peter A. 1992 Drug Lords and Narco-Corruption: The Players Change but the Game Continues. In War on Drugs: Studies in the Failure of U.S. Narcotics Policy. A. McCoy and A. Block, eds, pp. 177–195. Boulder: Westview Press.Google Scholar
  23. Maryland Drug Abuse Administration 1973a Summary of Data Reported to the Narcotics Addict Register for Calendar Year 1972. Annapolis: State of Maryland.Google Scholar
  24. 1973b Summary of Data Reported to the Narcotics Addict Register with Special Emphasis on Contacts During 1971–1972 Fiscal Year. Annapolis: State of Maryland.Google Scholar
  25. 1979a Annual Report for 1977. Annapolis: State of Maryland.Google Scholar
  26. 1979b A Summary of 1978 Studies of Incidence, Prevalence, Treatment Demand, and Socioeconomic Costs of Drug Abuse in Maryland. Annapolis: State of Maryland.Google Scholar
  27. 1983 Annual Report for 1982. Annapolis: State of Maryland.Google Scholar
  28. Maryland State Drug Abuse Administration 1983 Maryland Study of Drug Abuse Incidence, Prevalence, and Treatment Demand. Annapolis: State of Maryland.Google Scholar
  29. Massing, Michael 1998 The Fix. New York: Simon & Schuster.Google Scholar
  30. McCoy, Alfred W. 1991 The Politics of Heroin: CIA Complicity in the Global Drug Trade. Chicago: Lawrence Hill Books.Google Scholar
  31. Mintz, Sidney W. 1985 Sweetness and Power: The Place of Sugar in Modern History. New York: Elisabeth Sifton Books.Google Scholar
  32. Musto, David F. 1999 The American Disease: Origins of Narcotic Control. New York: Oxford University Press.Google Scholar
  33. Nurco, David N. et al. 1980 A Case Study: Narcotic Addiction over a Quarter of a Century in a Major American City 1950–1977. Rockville, MD: National Institute on Drug Abuse.Google Scholar
  34. Preble, E. and T. Miller 1977 Methadone, Wine, and Welfare. In Street Ethnography. R. Weppner, ed. Beverly Hills: Sage.Google Scholar
  35. Roseberry, William 1989 Anthropologies and Histories: Essays in Culture, History, and Political Economy. New Brunswick: Rutgers University Press.Google Scholar
  36. Stephens, Richard C. and Michael Agar 1977 The Methadone Street Scene: The Addict's View. Psychiatry 38: 381–387.Google Scholar
  37. Subcommittee on Public Health and the Environment 1974 Heroin Trafficking and Addiction – Oversight. Washington DC: U.S. House of Representatives.Google Scholar
  38. Toro, Maria Celia 1995 Mexico's ‘War’ on Drugs: Causes and Consequences, Volume 3. Boulder: Lynne Rienner Publishers, Inc.Google Scholar
  39. Waldrop, M. M. 1992 Complexity: The Emerging Science at the Edge of Order and Chaos. New York: Viking.Google Scholar
  40. Wolf, Eric R. 1997 Europe and the People Without History. Berkeley: University of California Press.Google Scholar
  41. Zentner, Joseph 1975 Prominent Features of Opiate Use in America During the 20th Century. Journal of Drug Issues 5: 99–108.Google Scholar

Copyright information

© Kluwer Academic Publishers 2002

Authors and Affiliations

  • Michael Agar
    • 1
  • Heather Schacht Reisinger
    • 2
  1. 1.Friends Social Research CentreBaltimoreUSA
  2. 2.EthknoworksTalcoma ParkUSA

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