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A book that takes you inside the culture of surveillance that pits healthcare providers against their patients Doctors and pharmacists make critical decisions every day about whether to dispense opioids that alleviate pain but fuel addiction. Faced with a drug crisis that has already claimed more than a million lives, legislatures, courts, and policymakers have enlisted the help of technology in the hopes of curtailing prescriptions and preventing deaths. This book reveals how this “Trojan horse” technology embeds the logics of surveillance in the practice of medicine, forcing care providers to police their patients while undermining public trust and doing untold damage to those at risk. Elizabeth Chiarello draws on hundreds of in-depth interviews with physicians, pharmacists, and enforcement agents across the United States to take readers to the frontlines of the opioid crisis, where medical providers must make difficult choices between treating and punishing the people in their care. States now employ prescription drug monitoring programs capable of tracking all controlled substances within a state and across state lines. Chiarello describes how the reliance on these databases blurs the line between medicine and criminal justice and pits pain sufferers against people with substance-use disorders in a zero-sum game. Shedding critical light on this brave new world of healthcare, Policing Patients urges medical providers to reaffirm their roles as healers and proposes invaluable policy solutions centered on treatment, prevention, and harm reduction.
An insider perspective from a 'cop doc on the job,' this book is the first of its kind written in response to a need for a specialized guide for clinicians that operationally defines and responsibly treats what Dan Rudofossi terms Police and Public Safety Complex PTSD. In reading this book, you are led through an understanding of how to work with police officers who experience cumulative loss in trauma. "Doc Dan" initiates you into an original cultural competence of how and why his theory works in practice. You will leave the journey with a practical sense of how the ecological context and ethological motivation are part of the psychological presentation of almost all officers suffering from complex trauma and loss.This guide is crucial reading, original in its breadth and scope of perspective on how to intervene with the traumatized officer. Toward that end, Rudofossi presents his Eco-Ethological Existential Analysis of Police and Public Safety Complex Post Traumatic Stress Disorder. Emotive, affective, cognitive, behavioral, and existential ranges of expression of trauma are vast, diverse, and often intense in police officers. This book delivers applied theory with clinical examples, including practical interventions for the clinician and handouts for the officer-patient. The clinician will be assisted in encountering officers' existential suffering from the edge of despair to the precipice of meaning. The guide is at once stimulating, exciting, and very serious in its potential for clinical interventions.
Includes over two hundred plates illustrating the police at work and early police stations.