Substance and shadow

Substance and shadow

by Stephen R. Kandall

1996

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About
In 1989 Jennifer Johnson was convicted of delivering a controlled substance to a minor. That the minor happened to be Johnson's unborn child made her case all the more complex, controversial, and ultimately, historical. Stephen R. Kandall, a neonatologist and pediatrician, testified as an expert witness on Johnson's behalf. The experience caused him to wonder how one disadvantaged black woman's case became a prosecutorial battlefield in the war on drugs. This book is the product of Kandall's search through the annals of medicine and history to learn how women have fared in this conflict and how drug dependent women have been treated for the past century and a half. Substance and Shadow shows how, though attitudes and drugs may vary over time - from the laudanum of yesteryear to the heroin of the thirties and forties, the tranquilizers of the fifties, the consciousness-raising or prescription drugs of the sixties, or the ascendence of crack use in the eighties - dependency remains an issue for women. Kandall traces the history of questionable treatment that has followed this trend.

Discussion questions for Substance and shadow

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  1. 1

    How does the historical framing of addiction as a moral failing rather than a medical condition influence the way society views and treats women versus men?

  2. 2

    In what ways does Stephen R. Kandall’s background as a neonatologist and pediatrician shape his perspective on the intersection of maternal health, fetal rights, and the legal system?

  3. 3

    Consider the shift in substances of abuse across the past century and a half, from laudanum to crack cocaine; how has society's panic over specific drugs historically mirrored or masked deeper anxieties about race, class, and gender?

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