Pain hustlers

Pain hustlers

Content type: Health story

There are many film narratives that relate to opioid addiction, some documentary and others, like this one, “based on true events.” Run time is just under 2 hours and there’s little sexual or violent content (though plenty of strong language), so it could be used in many undergrad classes: health communication, media studies, pre-health professions. The focus is on a mythical small pharmaceutical company that hits a goldmine when a bright young woman figures out how to market their brand of fentanyl to greedy, unscrupulous doctors. She tries to keep the men in charge of the company within ethical and legal bounds, without success, and the epidemic of addiction follows its well-known course. At the end there is footage of real pharma executives receiving real prison sentences, reminding the audience this isn’t just a fable. Advantage of a drama over documentary – or perhaps in tandem with one – is opening questions of sympathetic portrayals and power differences based on sex and class. Available on Netflix.

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Narratives of prevention and redemption in opioid overdose obituaries

Narratives of prevention and redemption in opioid overdose obituaries

Content type: Health story

This journal article could be used as an example of social scientific study of naturally-occurring health narratives: those found in obituaries, an uncommon source to look for stories of opioid overdose. Raises topics of how overdose and other stigmatized health conditions are (and are not) discussed; might be combined with a literary account of addiction to show humanities vs social science understandings of a phenomenon.

Abstract: Obituaries of people who died from an opioid overdose represent a new territory for understanding cultural narratives of the US opioid epidemic. Drawing on textual analysis of 30 opioid overdose obituaries published on Legacy.com between 2015 and 2020, we describe a prototypical narrative conveyed through opioid overdose obituaries, which renders symbolic meaning through the voices of the bereaved. Obituary authors reimagine their subjects as tragic heroes and reconstitute opioid addiction as a curse, plight or affliction that befalls its victims. Many of these obituaries invoke the language of public health, calling for reform, action or general awareness so other families might avoid the havoc and heartbreak of opioid addiction. We argue that obituaries contribute to broader cultural narratives of opioid addiction by reproducing tragic storylines, vindicating and humanising the deceased, framing opioid addiction as a societal, rather than individual, problem, and medicalising addiction as a brain disease beyond a person’s control. Obituary texts thus intertwine a personal story with a broader societal health crisis, transforming stories of the deceased into cautionary tales and public health warnings.Data are available upon request.

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