Opium cover art

Opium

How an Ancient Flower Shaped and Poisoned Our World

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Opium

By: John H. Halpern MD MD, David Blistein
Narrated by: Peter Ganim
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About this listen

From a psychiatrist on the frontlines of addiction medicine and an expert on the history of drug use comes the "authoritative, engaging, and accessible" history of the flower that helped to build (Booklist) -- and now threatens -- modern society.
Opioid addiction is fast becoming the most deadly crisis in American history. In 2018, it claimed nearly fifty thousand lives -- more than gunshots and car crashes combined, and almost as many Americans as were killed in the entire Vietnam War. But even as the overdose crisis ravages our nation -- straining our prison system, dividing families, and defying virtually every legislative solution to treat it -- few understand how it came to be.
Opium tells the "fascinating" (Lit Hub) and at times harrowing tale of how we arrived at today's crisis, "mak[ing] timely and startling connections among painkillers, politics, finance, and society" (Laurence Bergreen). The story begins with the discovery of poppy artifacts in ancient Mesopotamia, and goes on to explore how Greek physicians and obscure chemists discovered opium's effects and refined its power, how colonial empires marketed it around the world, and eventually how international drug companies developed a range of powerful synthetic opioids that led to an epidemic of addiction.
Throughout, Dr. John Halpern and David Blistein reveal the fascinating role that opium has played in building our modern world, from trade networks to medical protocols to drug enforcement policies. Most importantly, they disentangle how crucial misjudgments, patterns of greed, and racial stereotypes served to transform one of nature's most effective painkillers into a source of unspeakable pain -- and how, using the insights of history, state-of-the-art science, and a compassionate approach to the illness of addiction, we can overcome today's overdose epidemic.
This urgent and masterfully woven narrative tells an epic story of how one beautiful flower became the fascination of leaders, tycoons, and nations through the centuries and in their hands exposed the fragility of our civilization.
An NPR Best Book of the Year"A landmark project." -- Dr. Andrew Weil"Engrossing and highly readable." -- Sam Quinones"An astonishing journey through time and space." -- Julie Holland, MD"The most important, provocative, and challenging book I've read in a long time." -- Laurence Bergreen
Americas History History & Philosophy Mental Health Psychology Psychology & Mental Health Science United States World Health Colonial Period Medicine Substance abuse Inspiring

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Critic reviews

"Wealthy patrons of the arts making fortunes off opioids? Blaming immigrants for a domestic drug crisis? Race-based enforcement?...It was as true in the 19th and 20th centuries as it is today. Opium insists that we take an unstinting look at the relationship between people and opioids and dares us to make the hard decisions necessary to deal with the crisis. This book is what history is supposed to be."Ken Burns, filmmaker
NPR, Best Books of the YearScientific American, Editors' PickNature, Picks of the WeekLit Hub, Books of the Week
"In this landmark project, John Halpern, MD, and David Blistein have for the first time combined a comprehensive history of opium with a clear-eyed look at today's opioid crisis. By unpacking the complex story of how this powerful drug has woven its way through human history and cultures, they give readers profound insight into what drives contemporary use of opium and its derivatives as well as realistic, effective, and compassionate recommendations for helping those who suffer from the disease of addiction."—Dr. Andrew Weil (MD)
"An engrossing and highly readable account of our tangled relationship with a flower."—Sam Quinones, authorof Dreamland: The True Tale of America's Opiate Epidemic
"A fascinating account from a psychiatrist who is also an expert in addiction medicine."—Lit Hub
"Halpern and Blistein take us on an astonishing journey through time and space, revealing how racism and ethnic prejudice have distorted popular views of opium for centuries and how those who were at one time said to be paragons of American virtue-from Harry Anslinger to Joseph McCarthy to the Sackler family -- have played their part in creating the opiate epidemic. With Opium, we can more fully understand how and why the 'war on drugs' keeps failing. A fascinating read with practical advice on how to get out of the mess we're in."—Julie Holland, MD, NewYork Times bestselling author of Weekends at Bellevue and MoodyBitches
"Opium has been entwined with society for millennia. Here, psychiatrist John Halpern and writer David Blistein trace its path from Mesopotamia through ancient Egypt, Greece and Persia, finally reaching Britain and the United States... It is time [for us] to treat addiction as a curable illness -- and learn the lessons of history."—Nature, Science Picks of the Week
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