Points Bookshelf: “US of AA” by Joe Miller

Editor’s Note: Today’s post comes from Dr. Jeremy Milloy, the W. P. Bell Postdoctoral Fellow at Mount Allison University. In it, he adds to our Points Bookshelf series, where we examine and review recent books about alcohol and drug history. More than a traditional review, however, Milloy also interviews Miller. Enjoy! 

Screenshot 2019-10-22 at 6.26.31 AMAlcoholics Anonymous is one of the most successful social movements in history. It has exercised more influence over treatment of substance use disorder than probably any other non-state organization in history. AA programming is the foundation of upscale private rehabs and prison programs alike. Today almost two million people are believed to be AA members, with many more in the myriad of other 12-step fellowships created in its image. But for the great majority of people who go to AA, it doesn’t work. 

Why then, did AA become the first, and often, the last treatment option? Why does it remain so today? These are some of the questions journalist and English professor Joe Miller tackles in his timely and trenchant new history US Of AA: How The Twelve Steps Hijacked The Science of Alcoholism. In it, Miller deftly combines a personal narrative about his struggles with alcohol and journey through AA to stable program of moderation with the larger history of AA itself. 

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Chipping Away: Opioids, Autowork, and the UAW Yesterday and Today

Editor’s Note: Today’s post comes from one of our newest contributing editors, Dr. Jeremy Milloy. Milloy is the W. P. Bell Postdoctoral Fellow at Mount Allison University. A scholar of work, capitalism, addiction/substance use disorder, and violence, he began studying substance use and the workplace while researching his first book, Blood, Sweat, and Fear: Violence at Work in the North American Auto Industry, 1960-80, published in 2017 by the University of Illinois Press. His current book project investigates the historical relationship between work, capitalism, substance use, and recovery in Canada and the United States, considering how wage labor has influenced substance use, anti-addiction efforts focused on work, the creation of employee assistance programs, workaholism, drug testing, and methadone programs. You can reach Jeremy on Twitter (@jeremymilloy) or by email (jmilloy@mta.ca). And you can look forward to reading more of his work on Points!

Among the historian’s most valuable contributions is the knowledge that many current phenomena that seem new have actually been around for quite awhile. So it is with the current opioid crisis, which many have pointed out is a continuation of, not a departure from, longstanding trends in substance use and dependence in North American life. 

The automotive industry is a good example. Today, both the major North American automakers and the UAW have identified opioid-related harms as a significant threat to their workforce, membership, and communities. As journalist Jackie Charniga has shown, the U.S. areas dealing with the most severe opioid-related harms overlap with the areas of the Big Three’s major American manufacturing facilities. Ford and the UAW in 2017 started the Campaign of Hope, which aims to educate and inspire workers to avoid the misuse of drugs. The UAW is bargaining with the Big Three to make more help available for workers and make it easier to access that help while keeping their jobs. Unionists and Ford are even working together to pilot a medical device that could possibly relieve some of the agony of withdrawal. 

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