Document Detail


Precipitating pharmakologies and capital entrapments: narcolepsy and the strange cases of Provigil and Xyrem.
MedLine Citation:
PMID:  19184754     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Since the mid-1990s, Americans have been made more aware of chronic sleep deprivation and sleep disorders exacerbated by dominant temporal regimes of work, school, and family life, primarily through increased medical and media attention. Concomitantly, Americans have turned to medical treatments and pharmaceutical cocktails to achieve normalcy rather than attending to the social and cultural causes of sleep sickness. This turn toward pharmaceuticalization is aided in part by the proliferation of medical disorders and the pharmaceuticals marketed to treat them (e.g., "excessive daytime sleepiness" requires treatment once reserved for narcoleptics). These cocktails have explicit and implicit components: the former consist of pharmaceuticals, the latter of capital dependencies, including ties to medical insurance companies, stable employment, and familial networks. In this article, I examine the proliferation of pharmaceutical cocktails through the concept of the pharmakon-something simultaneously remedy and cause-to illuminate the causes and effects of such pharmaceutical regimens in contemporary American society, specifically those relating to sleepiness. Specific cases of this struggle between chemical dependence and normalcy are offered from my ethnographic work with patients who suffer from sleep disorders.
Authors:
Matthew Wolf-Meyer
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Medical anthropology     Volume:  28     ISSN:  1545-5882     ISO Abbreviation:  Med Anthropol     Publication Date:    2009 Jan-Mar
Date Detail:
Created Date:  2009-02-02     Completed Date:  2009-07-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7707343     Medline TA:  Med Anthropol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-30     Citation Subset:  IM    
Affiliation:
Department of Anthropology, University of California, Santa Cruz, CA 95064, USA. mwolfmey@ucsc.edu
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MeSH Terms
Descriptor/Qualifier:
Adjuvants, Anesthesia / therapeutic use*
Adult
Advertising as Topic*
Benzhydryl Compounds / therapeutic use*
Central Nervous System Stimulants / therapeutic use*
Disorders of Excessive Somnolence / drug therapy*,  etiology
Drug Industry / methods
Drug Therapy, Combination
Female
Humans
Interviews as Topic
Male
Middle Aged
Narcolepsy / drug therapy,  psychology
Patient Acceptance of Health Care
Persuasive Communication
Sleep Deprivation / complications
Sodium Oxybate / therapeutic use*
Young Adult
Chemical
Reg. No./Substance:
0/Adjuvants, Anesthesia; 0/Benzhydryl Compounds; 0/Central Nervous System Stimulants; 502-85-2/Sodium Oxybate; 68693-11-8/modafinil

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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