《我们伤害了谁：阿片类药物危机中的疼痛政治》

2023 | English | B0CG6MSD7K | EPUB | 199 pages | 2.7 MB

How We Hurt dives into the institutional and cultural dimensions of the ongoing opioid epidemic. In a detailed analysis of pain management, opioid regulation, pharmaceutical branding, self-help, and public discourses on opioid addiction, Melina Sherman argues that the linchpin underlying the opioid epidemic's evolution in North America is the problem of pain. By unpacking the politics of pain in different domains, How We Hurt shows how the crisis emerged and shifted, and why it looks the way it does today. The book's chapters begin by tracing the trajectory of opioids in pain management, where decisions regarding the measurement of pain led to relief becoming wedded to opioids in medicine. The following chapters examine the problem of pain in opioid regulation, pharmaceutical branding, and the self-help industry. In these areas, a disastrous combination of strategic ignorance and deep-seated ties between public health entities and pharmaceutical companies drove the influx of opioids onto the market and into our medicine cabinets. The book's penultimate chapter applies the analysis of pain to the problem of opioid addiction in popular discourse and shows how the opioid crisis has evolved alongside new conceptions of addiction and people who use opioids that condition whose pain is seen as legitimate and whose is not. Finally, the book concludes by considering the implications of its findings for the development of drug policy and future research on public health disasters, insisting on an interdisciplinary and multi-faceted approach to the study of pain and its place American culture.

《我们如何伤害了它》深入探讨了持续进行中的阿片类药物流行病的制度和文化维度。在详细分析疼痛管理、阿片类管制、制药品牌化、自我帮助以及公众对阿片类成瘾的看法后，梅琳娜·谢尔曼（Melina Sherman）认为，阿片类药物流行病在美国的发展背后的支柱问题是疼痛问题。通过在不同领域解构疼痛的政治，《我们如何伤害了它》展示了危机是如何出现并转变的，为什么它会呈现出现在的样子。该书各章节首先追溯了止痛药在疼痛管理中的轨迹，在这里决策对疼痛的测量导致了止痛药与医学紧密联系在一起。接下来的几章分别研究阿片类管制、制药品牌化和自助业中疼痛问题的存在。在这些领域里，战略无知以及公共卫生实体与制药公司之间根深蒂固的关系相结合，推动了止痛药物涌入市场和进入我们的药箱。该书的最后一章将对疼痛问题的应用到流行语境下的阿片成瘾问题，并展示了阿片危机是如何随着人们对成瘾的新理解而演变的，这些新的理解和那些拥有合法疼痛的人以及那些不被认可疼痛的人有关。最后，本书在考虑其发现对未来药物政策发展和未来公共卫生灾难研究的影响时做出了结论，强调了对疼痛及其在美国文化中地位的研究应该采用跨学科和多方面的方法。

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