Acknowledgments  vii

Introduction. Tracing New Paths in the Anthropology of Addiction / Eugene Raikhel and William Garriott  1

1. The Elegiac Addict / Angela Garcia  36

2. Balancing Acts: Gambling-Machine Addiction and the Double Bind of Therapeutics / Natasha Dow Schüll  61

3. A Few Ways to Become Unreasonable: Pharmacotherapy Inside and Outside the Clinic / Todd Meyers  88

4. Pharmaceutical Evangelism and Spiritual Capital: An American Tale of Two Communities of Addicted Selves / Helena Hansen  108

5. Elusive Travelers: Russian Narcology, Transnational Toxicomanias, and the Great French Ecological Experiment / Anne M. Lovell  126

6. Signs of Sobriety: Rescripting American Addiction Counseling / E. Summerson Carr  160

7. Placebos or Prostheses for the Will: Trajectories of Alcoholism Treatment in Russia / Eugene Raikhel  188

8. "You Can Always Tell Who's Using Meth": Methamphetamine Addiction and the Semiotics of Criminal Difference / William Garriott  213

9. "Why Can't They Stop?" A Highly Public Misunderstanding of Science / Nancy D. Campbell  238

10. Committed to Will: What's at Stake for Anthropology in Addiction / A. Jamie Saris  263

Afterword. Following "Addiction Trajectories" / Emily Martin  284

References  293

Contributors  327

Index  329

Eugene Raikhel

William Garriott

Angela Garcia

Natasha Dow Schüll

Todd Meyers

Helena Hansen

Anne M. Lovell

E. Summerson Carr

Nancy D. Campbell

A. Jamie Saris

Emily Martin

"The experience of addiction has given rise to a huge literature, divided between biomedical accounts on the one hand, and, on the other, personal narratives, often inspired by the Alcoholics Anonymous paradigm. Qualitative social research by anthropologists and sociologists has been scarce thus far, but this wonderful collection shows that larger social and cultural processes do much to shape experiences usually seen in terms of individual failings and heroisms. Eugene Raikhel and William Garriott have brought together analyses that respect the feelings and ideas of ordinary 'addicts' but that allow us to go beyond the Oprah Winfrey 'just do it' approach."—Mariana Valverde, author of Diseases of the Will: Alcohol and the Dilemmas of Freedom

"From an accomplished group of scholars come deeply instructive and timely accounts of the unseen of addiction's moral grip. Addiction Trajectories will be a standard-bearer in the new anthropology of addiction."—Adriana Petryna, coeditor of Global Pharmaceuticals: Ethics, Markets, Practices

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