E. Summerson Carr

Scripting Addiction takes readers into the highly ritualized world of mainstream American addiction treatment. It is a world where clinical practitioners evaluate how drug users speak about themselves and their problems, and where the ideal of "healthy" talk is explicitly promoted, carefully monitored, and identified as the primary sign of therapeutic progress. The book explores the puzzling question: why do addiction counselors dedicate themselves to reconciling drug users' relationship to language in order to reconfigure their relationship to drugs? To answer this question, anthropologist Summerson Carr traces the charged interactions between counselors, clients, and case managers at "Fresh Beginnings," an addiction treatment program for homeless women in the midwestern United States. She shows that shelter, food, and even the custody of children hang in the balance of everyday therapeutic exchanges, such as clinical assessments, individual therapy sessions, and self-help meetings. Acutely aware of the high stakes of self-representation, experienced clients analyze and learn to effectively perform prescribed ways of speaking, a mimetic practice they call "flipping the script." As a clinical ethnography, Scripting Addiction examines how decades of clinical theorizing about addiction, language, self-knowledge, and sobriety is manifested in interactions between counselors and clients. As an ethnography of the contemporary United States, the book demonstrates the complex cultural roots of the powerful clinical ideas that shape therapeutic transactions--and by extension administrative routines and institutional dynamics--at sites such as "Fresh Beginnings."

The Politics of Therapeutic Talk and American Sobriety

Scripting Addiction

A history of motivational interviewing and what its rise reveals about how cultural forms emerge and spread. Motivational interviewing (MI) is a professional practice, a behavioral therapy, and a self-professed conversation style that encourages clients to talk themselves into change. Originally developed to treat alcoholics, MI quickly spread into a variety of professional fields including corrections, medicine, and sanitation. In Working the Difference, E. Summerson Carr focuses on the training and dissemination of MI to explore how cultural forms—and particularly forms of expertise—emerge and spread. The result is a compelling analysis of the American preoccupations at MI's core, from democratic autonomy and freedom of speech to Protestant ethics and American pragmatism.

Science, Spirit, and the Spread of Motivational Interviewing

Working the Difference

Michael Lempert

A free ebook version of this title is available through Luminos, University of California Press’s Open Access publishing program for monographs. Visit www.luminosoa.org to learn more. Wherever we turn, we see diverse things scaled for us, from cities to economies, from history to love. We know scale by many names and through many familiar antinomies: local and global,micro and macroevents to name a few. Even the most critical among us often proceed with our analysis as if such scales were the ready-made platforms of social life, rather than asking how, why, and to what effect are scalar distinctions forged in the first place. How do scalar distinctions help actors and analysts alike make sense of and navigate their social worlds? What do these distinctions reveal and what do they conceal? How are scales construed and what effects do they have on the way those who abide by them think and act? This pathbreaking volume attends to the practical labor of scale-making and the communicative practices this labor requires. From an ethnographic perspective, the authors demonstrate that scale is practice and process before it becomes product, whether in the work of projecting the commons, claiming access to the big picture, or scaling the seriousness of a crime.

E. Summerson Carr

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