The Way Back Machine—Cora Lee Wetherington, NIDA Advocate for Research about Drugs and Women

Editor’s Note: This is the third installment in “The Way Back Machine,” a series of interviews with key theorists and practitioners of alcohol and drugs research, treatment, and recovery among women and communities of color during the 1970s, ‘80s, and ‘90s. Through these interviews, Points co-founder and Managing Editor Emerita Trysh Travis works out some of the theoretical issues she articulated almost ten years ago in “Feminist Anti-Addiction Discourse: Towards A Research Agenda.”

First, a little background: in response to the heroin panic then gripping the nation, the National Institute on Drug Abuse (NIDA) was founded by executive order in 1973 within the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) housed in the Department of Health, Education, and Welfare (now the Department of Health and Human Services). In the words of its founding Director, Robert L. DuPont (2009), NIDA represented “the nation’s new commitment to demand reduction as a central element of drug abuse policy, and as the center of public health activity on drug abuse.” For about ten years, NIDA functioned as what DuPont called a “three-legged stool”: it oversaw research (human and animal studies of the “basic biology of addiction” as well as drug epidemiology and drug effects); training (of clinical personnel); and service (in the areas of drug abuse prevention and treatment). But in the 1980s, things got complicated.

Beginning in 1982, the Reagan administration’s shift from categorical to block grants gave states new discretion in spending on alcohol, drug, and mental health issues. Subsequent legislation throughout the ‘80s—influenced in part by a new panic over cocaine—pushed for more prevention and treatment services for “special populations,” including youth, pregnant women, the chronically mentally ill and un-housed, minorities, and people with HIV.

The 1992 ADAMHA Reorganization Act broke NIDA’s three-legged stool approach to drug problems. Along with its coequals, the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Mental Health, NIDA’s research leg moved into the National Institute of Health. The legs devoted to training and services were parceled out to two new Centers, one for Substance Abuse Prevention and one for Substance Abuse Treatment. These entities were housed in ADAMHA’s replacement, the Substance Abuse and Mental Health Services Administration. If you’ve followed me this far, you can probably tell: the 1980s and 1990s were a helluva time.

As Laura Schmidt and Constance Weisner (2002) have pointed out, block grant funding threatened the survival of women’s treatment programs founded in the late 1970s. States had discretion in how they spent block grants—so, if a state didn’t care about women substance users, well, too bad. In response, activists and treatment providers worked to frame women—especially pregnant women—as a “special population” deserving of their own stream of research funding.

One of the staunchest advocates for research on women was Cora Lee Wetherington, who came to NIDA as a program officer in 1987 and served as Women and Gender/Sex Differences Research Coordinator from 1995 until her retirement in 2019. As a friendly co-conspirator on countless research proposals and a tireless promoter of the (crazy!) notion that research protocols needed to enroll female subjects if they hoped to produce real-world outcomes, Wetherington helped shape a generation (maybe two!) of federally-funded feminist research. She sat down with Points Managing Editor Emerita Trysh Travis to reflect on what a long, strange trip it’s been.

Cora Lee Wetherington Moderating a Panel
Cora Lee Wetherington (left) moderating a panel at the 2018 “Opioid and Nicotine Use, Dependence, and Recovery: Influences of Sex and Gender” conference hosted by the Food and Drug Administration. Image Courtesy of FDAWomen on Twitter.

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From the Archives Back to the Clinic: How Historians of Psychedelics are Protecting the Public Domain

Editor’s Note: Today’s guest post is by Chris Elcock, an award-wining independent scholar working on the history of LSD and psychedelics

There was a time when LSD and other vision-inducing psychedelic drugs were associated with the American counter-culture and for conservative observers with license and dissent. Amid the psychedelic hues of light-shows, magic buses, and tie-dye shirts, the medical history of these substances was relegated to a footnote of the 1960s, a decade that symbolized cultural change rather than experimental psychiatry. For better or worse, LSD had spilled out of the clinics and what seemed to have mattered most was that it had landed in the hands of Timothy Leary and the Grateful Dead. 

While these stories have been told endlessly in popular books and documentaries, historians of psychedelic psychiatry have meticulously examined the way medical doctors initially looked to gain new knowledge into mental illness by inducing a temporary and controlled form of psychosis with mescaline and LSD, and how they subsequently used these substances to treat alcoholism and to help terminal cancer patients to serenely come to terms with death. In 1962, however, fundamental changes in the implementation of clinical trials, which laid critical emphasis on objective measurements and scientific reproducibility, greatly frustrated the research teams working in the field, to a point where psychedelic science had come to a near standstill by the early 1970s.

Despite these early setbacks, research in psychedelics has particularly boomed in the last decade as national and international laws regarding the therapeutic use of psilocybin and other psychedelics have begun to change. In this new regulatory environment, drug companies and investors have rushed to file patents for new psychedelic drug uses and technologies in hopes of monopolizing—and monetizing—the next blockbuster treatment.

In response to this knowledge grab, a recent collaboration between historians and legal experts sponsored by the Usona Institute, a non-profit psilocybin research organization based in Madison, Wisconsin, relies on historical and archival research to protect the public domain. Usona has established a new open-access online repository called Porta Sophia—the doorway to wisdom—that documents extant therapeutic techniques that have used psychedelics as adjuncts. This easily accessible project seeks to ensure that new patent filings are truly innovative.

Porta Sophia Glowing Orb
Graphic from the web page of Usona Institute’s Porta Sophia, Psychedelic
Prior Art Library. Image Courtesy of Porta Sophia.

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Pablo Cáceres Corrales: “Narcotics Trafficking is Just Another Superstructure of Globalization”—Part II

Editor’s Note: Today’s post comes from contributing editor Dr. Stefano Tijerina, a lecturer in management and the Chris Kobrack Research Fellow in Canadian Business History at the University’s of Maine’s Business School. 

As I explained in my first post about Pablo Cáceres Corrales’s research and writing: “narcotrafficking is an essential part of the deregulated dynamics that allows the global market system to navigate the thin line between formality and informality” [1]. In his book, Las Formas Cambiantes de la Criminalidad (The Changing Forms of Criminality), Dr. Cáceres explains how multinational corporations, local and federal governments, and numerous public and private stakeholders have capitalized on the informal market to strengthen or increase their own capabilities. Globalization under neoliberal principles facilitates interdependent relationships between the formal and informal sectors. Contraband, money laundering, state corruption, and the use of shell companies are integral parts of current international business strategies.

Dr. Cáceres argues that criminality changes with time and space; it adapts to the changing social, political, cultural, economic, and technological dynamics of local and international markets [2]. Today, criminal organizations work side-by-side with legitimate business organizations; they feed off of each other, and—incrementally—depend more and more on each other. This type of symbiotic relationship that allows formal and informal sectors to work together is often today’s current spatial and temporal landscape. Governments, through their push for neoliberal adjustments, facilitate and enhance these symbiotic relationships.

Capitalism, says Dr. Cáceres, has historically and continues today to operate in both the formal and informal markets [3]. He cites examples like the vibrant and underground markets in human trafficking, body organ trafficking, hair trafficking, child trafficking, animal trafficking, arms trafficking, drug trafficking, and the sale of innumerable types of contraband. The lucrative world of illicit activities has catapulted into the international market fictitious shell companies that facilitate the dynamics of this overwhelming counterfeit world.

Pablo Cáceres Corrales

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Event Alert—A War on Research: Drug Policy and 50 Year of Lost Knowledge

Editor’s Note: This event alert is part of Points’s commemoration of the fiftieth anniversary of the War on Drugs.

Mark you calendars for this coming Thursday, June 24. The Drug Policy Alliance (DPA) is hosting a panel titled, “A War on Research: Drug Policy and 50 Years of Lost Knowledge.” Sponsored by the DPA’s Department of Research and Academic Engagement, the panel discussion will explore the research and knowledge that has been delayed or lost due to the drug war.

Title: A War on Research: Drug Policy and 50 Years of Lost Knowledge
Date: Thursday, June 24 from 4:30pm–6:00pm ET
RSVP linkbit.ly/50YearsLostResearch

Description: On June 17, 1971, President Nixon declared the war on drugs. Fifty years later, the devastating harms of the war on drugs—ranging from mass criminalization and police violence to soaring rates of overdose —have been well documented. Less well documented are the ways in which the drug war has been a barrier to research and science.

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The War on Drugs at 50

Editor’s Note: This post by Social History of Alcohol and Drugs Editors Nancy Campbell, David Herzberg, and Lucas Richert kicks off Points’s commemoration of the fiftieth anniversary of the declaration of the War on Drugs.

In a White House press conference on June 17, 1971, President Richard Nixon declared a War on Drugs. His message was stark: “America’s public enemy number one, in the United States, is drug abuse.” He announced that it was “necessary to wage a new, all-out offensive” on this enemy, and his campaign would be “worldwide” in size and scope. Fifty years later, the United States and, indeed, many other countries are reckoning with the fallout.

President Richard Nixon’s June 17, 1971, press conference announcing a “a new all-out offensive” against drugs and “drug abuse.” Source: Richard Nixon Foundation YouTube channel.

At the Social History of Alcohol and Drugs (SHAD), we are all too aware of the long term ramifications of President Nixon’s pronouncement, but we also recognize that the “War on Drugs” did not strictly begin in June 1971 and was rooted in prohibitionist impulses that built up over the decades; still, one can’t deny the power of branding—and in formalizing the “War” agenda at the highest level.

We are also committed to understanding the War on Drugs in locales and populations beyond the United States. And we are committed to understanding how harm reduction was minimized at the expense of more punitive measures, leading the War on Drugs to also become a War on People who Use Drugs.

Thanks to the University of Chicago Press, we are happy to share below a free selection of six SHAD articles that help explain the War on Drugs on the home front and outside American borders. These articles, which will be freely available and open access until the end of August 2021, present, we think, a valuable and broader perspective on the War on Drugs, which we hope will be of use to you. Interested readers can see the abstracts below and click through to read the articles.

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Crazy Cows, Flea Detectives, and Protesting Songbirds: Exploring the “Animal Turn” in Cannabis History

Editor’s Note: Today’s post comes from contributing editor Bob Beach. Beach is a PhD candidate in history at the University of Albany, SUNY. 

The study of non-human animals has become an exciting new direction in history and the broader humanities. In a 2016 issue of Perspectives on History, environmental historian Dan Vandersommers has gone so far as to label this new development “the Animal Turn.” He argues that the impact of animals on human history defies sub-field categorizations, because the very development of organized human societies has been so reliant on intimate human/animal relationships that intersect with too many different fields to ignore.

In my own research, I’ve seen limited examples of these non-human relationships in the history of cannabis in the United States. The brief discussion that follows will demonstrate a range of roles and limited agency for non-human animal actors in these stories. We can also see how human observers have exploited (directly and indirectly) these non-human animal actors in various ways

As discussed in Isaac Campos’s book Home Grown (see pp. 208–17), the accuracy of many newspaper stories reporting on the supposedly hazardous effects of the cannabis plant on cows, horses, goats, and hogs are questionable. These tales arose from a confusion in the Mexican press during the 1920s between marijuana and several other types of “locoweeds.” The stories then spread across the border into the United States in subsequent years. The articles I’ve found, indeed, fail to clearly establish whether or not marijuana was the plant ingested by animals, but the stories do reflect official efforts to pursue and eradicate wild (and clandestine) growth of cannabis throughout the United States after the 1930s.

Featured Image Animals + Drugs

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Drug Packaging: Newspapers’ Long History of Sensational Narcotics Reporting

Editor’s Note: Today’s post comes from contributing editor Sarah Brady Siff, a visiting assistant professor at the Moritz College of Law at The Ohio State University, in affiliation with the Drug Enforcement and Policy Center (DEPC).

It seems true (though not perfectly true) that laws and policies conform to public opinion eventually. I recently attended a virtual meeting on sentencing reform wherein one of the panelists, a district judge, twice underscored the deep importance of public opinion to criminal justice reform. His comments stood out because, in my academic experience, people so rarely talk about public opinion as an element of policy change. Yet everyone seems to agree it exists. 

We might reasonably feel optimistic these days about the drift of public opinion toward decarceration and liberalizing drug laws, but such winds have more often blown in the opposite direction. A century ago, the Supreme Court followed public opinion and affirmed the constitutionality of the Volstead Act, leading the country into the disaster of federal alcohol prohibition. Such laws did not lead to orderly sobriety but to similar measures against other substances like the widespread “preventive” prohibition of cannabis. Such was the historical argument of legal scholars Richard Bonnie and Charles Whitebread in 1970. They worried that contemporary public opinion about cannabis had been inflamed by the larger social conflicts of the 1960s, consigning the marijuana debate to “the public viscera instead of the public mind.” 

Sadly, they were right. Although many scholars and activists in the early 1970s considered legalization imminent, this possibility disappeared in a cloud of bad press and President Carter’s spiraling public approval rating. Then, during the 1980s and 1990s, Joe Biden was one leading politician who often proposed or supported escalations of the drug wars because of public opinion. Biden, and other drug warriors, explicitly argued that the people wanted tougher drug policies and more federal aid to drug law enforcement. (The people, he said, were even willing to spend money on it.) 

Public opinion is uncontrollable yet essential; public opinion can be either fickle, deep-rooted, or mysterious. But since public opinion can—and often does—influence laws and policies, we might think about it more often. In that spirit, I offer a brief collection of media artifacts from several different eras that have helped shaped public opinion about drug control. Americans have been consuming a sustained diet of drug-related information for more than a century.

Packaged Drugs Featured Image

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Chess and . . . Drugs? Addiction and Recovery in The Queen’s Gambit

Editor’s Note: Did you miss us? We experienced some technical difficulties last week. Hopefully, we’re back up and running smoothly now. Today’s post comes from contributing editor Michael Brownrigg. Michael recently received his PhD in US history from Northwestern University, where he studied the relationship between emotion, white masculinity, and capitalism to explain the emergence of an antinarcotic consensus in America at the turn of the twentieth century. 

The fictional drug Xanzolam in The Queen’s Gambit. Image from Netflix.

Author’s Note: So as not to spoil The Queen’s Gambit for those who have not yet seen it, I will primarily focus on critical discourses of its depiction of drug and alcohol addiction in this post.

In the midst of the Covid-19 global pandemic, in October 2020 Netflix released The Queen’s Gambit, a limited series adapted from the 1983 novel written by Walter Tevis examining the improbable rise of Beth Harmon, a fictional chess prodigy in the 1960s, as she strove to become a world champion in what, at the time, was exclusively a man’s game.

The show quickly became an unlikely success and cultural phenomenon, drawing over sixty million viewers less than a month after its debut. Critics and fans pointed to several factors to explain its unexpected popularity. They praised lead actress Anya Taylor-Joy’s compelling and dynamic portrayal of Harmon, as well as the program’s innovative cinematography that somehow made the world of chess dramatic and exciting. Many were smitten by its fidelity to a 1960s aesthetics, drawing comparisons to another period piece, the hit show Mad Men.

Others suggested that timing played a crucial role. Themes of loss, grief, alienation, and trauma figure heavily in the narrative, dramatizing what millions of people across the globe could identity with as they experienced the psychological and emotional distress caused by the pandemic. “It’s a show that seems tailor-made for our joy-starved minds in a somber modern world,” wrote cultural critic Kelly Lawler in a glowing review that deemed The Queen’s Gambit “the best piece of content in 2020.” And then there was the renewed mass interest in chess. Much like exercise equipment, chess sets quickly became unavailable in the pandemic economy as sales surged to staggering levels, increasing by as much as 1000 percent for some vendors.

The show also portrays copious amounts drug and alcohol consumption—another thematic element that perhaps helped to attract a large audience given spikes in substance abuse during the pandemic. A Google search of “The Queen’s Gambit” and pharmaceuticals yields dozens of articles explaining what, exactly, the drugs consumed in the show actually were. Most likely Librium or a similar benzodiazepine, Newsweek concluded.

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