Alex Mold - Böcker

Concepts of Addictive Substances and Behaviours across Time and Place presents fascinating new historical and social scientific research examining the temporal and spatial variations in the ways that addiction problems are understood and addressed in European societies.The book illustrates the changing and versatile nature of language use, of stakeholders concepts and ideas, and of the popular, professional and political discourse around addiction. The arguments that unfold concern the various cultural components invested in the ways in which the problems are viewed and addressed. A framework is presented for discussing these circumstances in view of current knowledge-based governance at a local, regional and global level.Concepts of Addictive Substances and Behaviours across Time and Place is based on research from ALICE RAP (Addiction and Lifestyles in Contemporary Europe, Reframing Addictions Project), a multidisciplinary European study of addictive substances, and behaviours in contemporary society. This is an essential resource for public health professionals, stakeholders influencing policy for addictive substances and behaviours, students, and academics looking to better understand the historical and geographical variations of addictive behaviours across in Europe and the role of stakeholder involvement in the construction of addiction prevention policy.

"This clear and informative volume, packed with rich sources and illustrations, will be a must for students and scholars embarking on a study of public health. Covering a range of geographical areas and a wide array of topics, it also succeeds in being challenging and thought-provoking, urging its readers to engage with the ways in which historical research can shape our understanding of current health issues."Professor Hilary Marland, Centre for the History of Medicine, University of Warwick, UK

"The great strength of Public Health in History is that its authors show how … history is always a dialogue between the present and the past, and present policy is always informed by understandings of the past. The book is comprehensive in the range of areas covered, yet uses case-studies to explore issues in depth. It will be essential reading for anyone who works or has an interest in public health then and now."Professor Michael Worboys, Centre for the History of Science, Technology and Medicine, University of Manchester, UK

This fascinating book offers a wide ranging exploration of the history of public health and the development of health services over the past two centuries. The book surveys the rise and redefinition of public health since the sanitary revolution of the mid-nineteenth century, assessing the reforms in the post World War II years and the coming of welfare states.

Importantly, the book also includes:

A comparative examination of why healthcare has taken such different trajectories in different countries Case studies on malaria, sexual health, alcohol and substance abuseExercises enabling readers to easily interact with and critically assess historical source materialVisual materials and illustrations ranging from a fifteenth century syphilis sufferer to the 1980s HIV/AIDS mass media campaignsWritten by a team of historians from the London School of Hygiene and Tropical Medicine, this is the definitive guide for teaching the history of public health and health services.

Public Health in History will engage health students, practitioners, policy makers and anyone who would like know more about these crucial areas of public health in countries across the global north and global south.

Series Editors: Rosalind Plowman and Nicki Thorogood.

Contributors: Maureen Malowany, John Manton and Suzanne Taylor.

What do we mean when we talk about rights in relation to health? Where does the language of health rights come from, and what are the implications of using such a discourse? During the last 20 years there have been an increasing number of initiatives and efforts – for instance in relation to HIV/AIDS – which draw on the language, institutions and procedures of human rights in the field of global health. This book explores the historical, cultural and social context of public health activists’ increasing use of rights discourse and examines the problems it can entail in practice. Structured around three interlinked themes, this book begins by looking at what health as a right means for our understandings of citizenship and political subjectivities. It then goes on to look at how and why some health problems came to be framed as human rights issues. The final part of the book investigates what happens when health rights are put into practice – how these are implemented, realised, cited, ignored and resisted. Assembling Health Rights in Global Context provides an in-depth discussion of the historical, anthropological, social and political context of rights in health and develops much needed critical perspectives on the human rights approach to global health. It will be of interest to scholars of public health and human rights within health care as well as sociology and anthropology.

Over the last fifty years, British patients have been transformed into consumers. This book considers how and why the figure of the patient-consumer was brought into being, paying particular attention to the role played by patient organisations. Making the patient-consumer explores the development of patient-consumerism from the 1960s to 2010 in relation to seven key areas. Patient autonomy, representation, complaint, rights, information, voice and choice were all central to the making of the patient-consumer. These concepts were used initially by patient organisations, but by the 1990s the government had taken over as the main actor shaping ideas about patient-consumerism. This volume is the first empirical, historical account of a fundamental shift in modern British health policy and practice. The book will be of use to historians, public policy analysts and all those attempting to better understand the nature of contemporary healthcare.

Heroin, often viewed as the "hardest drug," looms large in the popular consciousness. Heroin addiction in Britain first began to cause concern during the 1920s, yet while one group of doctors regarded the addiction as a disease which required treatment, other physicians viewed it as a vice which demanded strict control. The medical community and the government have debated both the definition of addiction—medical condition, moral failing or social problem—and the method of dealing with addiction—medical treatment vs. legal controls.In Heroin, Alex Mold examines the interaction of the different approaches to heroin addiction and argues that the treatment of the addiction as a disease and the control of heroin as a social problem could, in practice, rarely be separated. Treatment became a way of controlling the addiction and the addicts themselves, but debates about the nature of addiction treatment and the methods used resulted in politicisation of the topic. During the late 1960s Drug Dependence Units (DDUs) were established as a means to combine both medical treatment and social control. The "British System" essentially treated addiction as a disease and offered maintenance—the administering of heroin or an opioid substitute on a long-term basis—as treatment. Maintenance proved to be a source of tension between psychiatrists specialising in addiction treatment and private and general practitioners who operated outside the DDUs. This conflict manifested itself in heated disputes on the pages of medical journals, in government committees and in disciplinary hearings before the General Medical Council.The same debates, conflicts and tensions which have beset drug addiction treatment since the beginning of the twentieth century persist today. Despite international laws and codes concerning addiction and treatment, there is much that is peculiar and significant about the British case. Drawing on government papers, private archival collections, medical journals, oral history sources and official reports, Mold presents the first detailed historical analysis on the subject. Historians, sociologists, addiction specialists and contemporary policy-makers can look to this groundbreaking study to learn from the past and shape the future response to heroin addiction.

What do we mean when we talk about rights in relation to health? Where does the language of health rights come from, and what are the implications of using such a discourse? During the last 20 years there have been an increasing number of initiatives and efforts – for instance in relation to HIV/AIDS – which draw on the language, institutions and procedures of human rights in the field of global health. This book explores the historical, cultural and social context of public health activists’ increasing use of rights discourse and examines the problems it can entail in practice. Structured around three interlinked themes, this book begins by looking at what health as a right means for our understandings of citizenship and political subjectivities. It then goes on to look at how and why some health problems came to be framed as human rights issues. The final part of the book investigates what happens when health rights are put into practice – how these are implemented, realised, cited, ignored and resisted. Assembling Health Rights in Global Context provides an in-depth discussion of the historical, anthropological, social and political context of rights in health and develops much needed critical perspectives on the human rights approach to global health. It will be of interest to scholars of public health and human rights within health care as well as sociology and anthropology.

The COVID-19 pandemic has resulted in a renewed interest in the relationship between public health authorities and the public. Particular attention has been paid to ‘problem publics’ who do not follow health advice. This is not a new issue. As the chapters in this collection demonstrate, the designation of certain groups or populations as problem publics has long been a part of health policy and practice. By exploring the creation and management of these problem publics in a range of time periods and geographical locations, the collection sheds light on what is both specific and particular. For health authorities, publics themselves were often thought to pose problems, because of their behaviour, identity or location. But publics could and did resist this framing. There were, and continue to be, many problems with seeing publics as problems.