OD : Naloxone and the Politics of Overdose

CONTENTS
ACKNOWLEDGMENTS
INTRODUCTION: MAKING OVERDOSE MATTER—PROTAGONISTS AND ANTAGONISTS IN THE SOCIAL LIVES OF NALOXONE
	Moving Overdose from Margin to Mainstream
	How Did Philip Seymour Hoffman Die?
	Place Matters: The Undone Science of Place
	People Matter: Protagonists in an Unnatural Disaster
	Things Matter: Naloxone as a Technology
1. POISON MURDERS AND NATURAL ACCIDENTS: ANTIDOTES AND ANTAGONISTS
	Apothecaries’ Blunders and Lamentable Accidents: A Century of Unfortunate Events, 1850–1950
	Toxic Events Involving Morphine or Heroin
	An Impure Antagonist: N-allylnormorphine/Nalorphine/Nalline
	Magical Mixtures: The Work of Nalorphine in the Clinic
	Mixed Performances: Nalorphine’s Role in the Hunt for Multiple Opiate Receptors
2. THE “CHEMICAL SUPEREGO”: POLICE SCIENCE, SOCIAL ANTAGONISM, AND ARTIFICIAL WILL
	Detecting “Addiction”: The Nalline Test in the Police Precinct
	Proof Positive: The Frye Test and the Forensics of Nalorphine
	Boon and Bane: Expanding Spatial Control over Addicted Persons
	“Even One Day in Prison Would Be a Cruel and Unusual Punishment”
	Self-Appointed Apothecaries, Guinea Pigs, and the Surveillant City
3. DEATHS FROM “NARCOTISM” IN THE MID-TWENTIETH-CENTURY UNITED STATES
	The Haunting Iconography of “Narcotism”
	The “Heroin Overdose” Mystery: “Myths,” “Facts,” and Amnesias
	The Lethal Synergies of Polydrug Problems
4. BRINGING OUT THE DEAD: NALOXONE’S NINE LIVES BEGIN
	The Inglorious Synthesis of Naloxone
	Epicenter of Overdose: The New York City Office of Chief Medical Examiner
	Approving Naloxone: The Pure Narcotic Antagonist
5. UNNATURAL ACCIDENTS: THE SCIENCE AND POLITICS OF “REANIMATOLOGY”
	The Historical ABCs of Cardiopulmonary Resuscitation
	Narcan: That ’70s Thing
	Approximating Reality: Overdose, Data, and Nation in the 1970s
	An Early DAWN in Overdose Epidemiology
	Witnessing the Raising of the Dead
6. ADOPTING HARM REDUCTION: EARLY DEMOCRATIZATIONS OF NALOXONE
	A Protohistory of Harm Reduction: “Done but Not Mentioned” in Italy
	Another Protohistory: Rural New Mexico
	“Mentioned but Not Done”: Revolution, Respectability, and Harm Reduction
	Unmentionable: Harm Reduction and Needle Exchange in the United States
7. “ANY POSITIVE CHANGE”: NALOXONE AS A TOOL OF HARM REDUCTION IN THE UNITED STATES
	Santa Cruz Needle Exchange and the Visual Politics of junkphood
	Parallel Worlds: San Francisco Naloxone Research Communities
	Chicago Recovery Alliance and the Politics of Recovery as “Any Positive Change”
	Naloxone at the Turn of the Twenty-First Century
8. HARM REDUCTION RESEARCH AND SOCIAL JUSTICE: WORKING NALOXONE INTO PUBLIC HEALTH USA
	“Death in the Nation’s Garden”
	“Doing the Work”: Overcoming Social, Structural, and Regulatory Divides
	Why? The Race for Proof in an Era of Evidence-Based Activism
	Protagonists Unite! Partisan Professionals, Engaged Research, and Undone Science
9. RESUSCITATING SOCIETY: OVERDOSE IN POST-THATCHERITE BRITAIN
	Paving the Way for Take-Home Naloxone: Up Close and Arm’s Length
	From Throwaway Line to Direct Provision: THN in UK Drugs Policy
	Official Numbers: DRDs and Resuscitative Response in the Early 2000s
	Tipping Points: Importing Recovery into British Harm Reduction
	Just Do It! Hands-on at South London at Maudsley (SLAM)
	Naloxone as “Wonder Drug” in Wales and Northern Ireland
10. “GROWING ARMS AND LEGS”: THE SCOTTISH NATIONAL NALOXONE PROGRAM
	Metrics of Recovery: Mortality and Morbidity in Scotland
	The Social Conditions of Scottish Exceptionalism
	SCARE ME: A Scottish Field Trip to the CRA
	Pilots and Protocols: Fitting Practice to Policy and Policy to Practice
	Restructuring the Landscape of Scotland’s National Naloxone Program
	Beyond a Cup of Tea and a Biscuit: Peer Education and Engaged Research
11. EVIDENCE FROM PILLAR TO POST: RESEARCHING THE VARIETIES OF OVERDOSE EXPERIENCE
	Disturbing Numbers: In Whose Data Do We Trust?
	“Gate-Happy”: Staying Alive after Prison Release
	Restructuring in The House of the Dead: N-ALIVE and Heroin Maintenance in England
	Lived Experience and Naloxone Research: Peer Education in Scotland
	“Service Users” and “Experts by Experience” in England
12. OVERDOSE AND THE CULTURAL POLITICS OF REDEMPTION
	“Breaking Out the Narcan”
	Denaturalizing Excess Deaths: Age, Class, Gender, Race, and Place Matter
	Warm Hands: Harm Reduction Recovery Support Services
	Technologies of Solidarity: Should Naloxone Be “Wild” or “Tame”?
	Backlash: Epidemics of Ignorance
CONCLUSION: HARM REDUCTION INFRASTRUCTURE—WE HAVE HARDLY BEGUN TO BE HUMAN
NOTES
	Introduction
	1. Poison Murders and Natural Accidents
	2. The “Chemical Superego”
	3. Deaths from “Narcotism” in the Mid-Twentieth-Century United States
	4. Bringing Out the Dead
	5. Unnatural Accidents
	6. Adopting Harm Reduction
	7. “Any Positive Change”
	8. Harm Reduction Research and Social Justice
	9. Resuscitating Society
	10. “Growing Arms and Legs”
	11. Evidence from Pillar to Post
	12. Overdose and the Cultural Politics of Redemption
	Conclusion
INDEX