Contents

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p. ix

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Foreword

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pp. xi-xvii

Social science, and specifically sociological, approaches to health and illness have been typically bifurcated around a dichotomy between what, for convenience, we might call naturalism and social constructionism. Naturalistic explanations seek physical causes of health and illness on the assumption that disease can...

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Acknowledgments

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pp. xix-xx

Over the course of writing this book I have incurred many intellectual debts. Thanks are due first and foremost to Mel Pollner. His intellectual sensitivities and investigations of the variegated nature of personal being, the ultimate fluidity of social forms, and the social boundaries of reason have been both foundational...

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1. Introduction: Beyond Objectivism and Subjectivismin the Sociology of Mental Health

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pp. 1-14

The objective of this book is to advance a novel sociological understanding of the relationship between social exclusion, specifically homelessness, and mental disability. Current research leaves little doubt that homelessness, mental illness, and addiction...

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Part I: A History of Insanities and Addictions Among Marginalized Americans

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pp. 15-17

The following two chapters describe how particular concepts of insanity and addiction have been incorporated into state-sponsored regimes for the management of homeless, impoverished, and culturally marginalized Americans.1 The net has been...

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2. Setting the Stage

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pp. 19-52

This chapter is divided into five sections, each of which attends to a different aspect of the early genealogy of my ethnographic research settings. The sections are organized topically but presented in a more or less chronological order. I first describe how insanities...

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3. Addictions and Insanities: Two Fields and Their Phenomena

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pp. 53-92

This chapter is divided into four sections. I first discuss the formation and growth of Alcoholics Anonymous (AA) and the so-called Alcoholism Movement in the modern alcoholism treatment industry. Particular attention is given to how these events...

II: A Tale of Two Programs

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4. Canyon House

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pp. 95-143

Though Canyon House was certainly a product of the histories outlined in Part I, it was also the site of distinctive patterns of practice that were by no means inevitable effects of those histories. History was, instead, mediated through embodied strategies, artfully...

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5. Twilights

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pp. 144-188

Twilights was founded by behavioral scientists at the Rand Corporation to facilitate rigorous comparative research into the costs and benefits of residential and nonresidential care for dually diagnosed homeless adults. Toward that end, Twilights was designed...

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6. Conclusion

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pp. 189-204

Ascendant accounts of the genesis of the modern Western self are aligned in suggesting profound transformations in human self conceptions arising concomitant with the broader social changes that embodied the Enlightenment and the transition to modernity (cf. Elias 1978; Foucault 1970; Sennett 1976; Taylor 1989). Though...

References

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pp. 205-218

Index

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pp. 219-226