Conference Summary: “I’ve Been to Dwight,” July 14-18, 2016, Dwight, IL

Editor’s Note: This conference summary is brought to you by David Korostyshevsky, a doctoral student in the History of Science, Technology, and Medicine at the University of Minnesota. He traveled to Dwight, Illinois, in mid-July to attend the ADHS off-year “I’ve Been to Dwight” conference, and has provided this account of his time there. Thanks David!

On July 14-18, 2016, a group of international alcohol and drug historians descended upon the village of Dwight, Illinois, for an ADHS off-year conference. Conference organizers selected Dwight because 2016 marks the 50th anniversary of the closing of the Keeley Institute.

Founded by Leslie E. Keeley in 1879 (and operating until 1966), the Keeley Institute offered treatment options to patients with addiction, usually alcoholism, including Keeley’s Gold Cure. “I’ve Been to Dwight,” the conference title, references “a catchphrase” former Keeley Institute patients “used to explain their sobriety.”

Keeley

To make it easier to read, this summary is organized thematically. You can see the full conference program here.

I live-tweeted the conference as @rndmhistorian under the hashtag #IBTD16. Also, Janet Olson, volunteer archivist at the Frances Willard Historical Association wrote a blog post about the conference.

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The State of the Art: The Malcolms’ Examination of Straight, Incorporated, Timeline

Editor’s Note: This is the fifth in a five-part series from Marcus Chatfield, a regular contributor to Points. Here he offers a timeline of key events and news articles in the history of Straight, Inc., the controversial adolescent drug treatment program that existed from 1976 to 1993. Thank you Marcus for bringing this series to Points!

November, 1980 – Opening Day, Sarasota facility.

1981

1/4/1981 – Sarasota Herald-Tribune begins series on Straight, featuring Dr. Robert DuPont (White House Drug Policy Advisor for Presidents Nixon and Ford, and former Director of NIDA), and his sense of urgency about preventing marijuana use.

1/4/81 – “Former Drug Abusers Share The Holidays At Straight-South Inc. – Straight: Hurt Into Help” – Sarasota Herald-Tribune

1/5/81 – “Community Concern Gave Straight Its Start” –  Sarasota Herald-Tribune

“Doctor Discusses The Dangers Of Pot Use” – Sarasota Herald-Tribune

“‘Facts’ Change Doctor’s Views On Pot Use” – Sarasota Herald-Tribune

1/20/81 – Reagan/Bush Inauguration Day

2/6/81 – Press conference at Sarasota Straight, Dr. Robert DuPont announces Straight’s national expansion: 26 new branches that will cost $18,212,000.00 over 5 years (1982-1986).

2/9/81 – “Straight Inc. Urged To Expand Nationwide” – Sarasota Herald-Tribune

2/10/81 –  “Straight Inc. Directors Mull Nationwide Expansion” – Sarasota Journal

7/6/81 –  “Growing Straight Inc Remains Controversial” – St. Petersburg Times

7/7/81 –  “Tough Love Makes Straight Successful, 2 Graduates Say…Another Youth    Tells of Threats and Intimidation” – St. Petersburg Times

7/30/81 –  “Drug Rehabilitation Center Will Help Users Go Straight” – Atlanta Constitution

8/2/81 – “Straight, Inc Coming to Cobb to Help Free Teens From Drugs”– Marietta Daily Journal

8/5/81 – Betty Sembler (wife of Straight’s founding president, Mel Sembler) letter to Carlton Turner (White House Drug Policy Advisor), confirming his future participation in the “Awareness Program” and inviting him for dinner with Dr. DuPont in Washington, D.C. (p. 1).

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The State of the Art: The Malcolms’ Examination of Straight, Incorporated, Part 4

Editor’s Note: This is the fourth in a five-part series from Marcus Chatfield, a regular contributor to Points. Here he continues his examination of Straight, Inc., the controversial adolescent drug treatment program that existed from 1976 to 1993. 

Carlton Turner visited (p. 7) the Saint Petersburg facility, two months after Andrew and Barbara Malcolm. He attended a Friday night “Open Meeting” on October 16, 1981 and soon after that visit, Straight’s National Director, James Hartz, asked Turner to write an endorsement letter for their Solicitation Presentation:

As you know from our telephone conversation, STRAIGHT, INC. is developing strategies for expanding our base in the search for funding. At the moment we are preparing an informative brochure to submit to those foundations, corporations, and individuals from whom we are requesting financial support. Enclosed is an outline illustrative of the type of information to be included. As soon as the brochure is completed, we will forward a copy to you. One of the most important facets of our presentation will be letters of support. We have already obtained permission from Dr. DuPont and Dr. Malcolm, who are forwarding their letters to us. The impact of a package such as ours is perceptibly enhanced by this type of verification. We are, of course, well-known in the areas in which we are located but a communication from you would substantially strengthen our credibility with those unfamiliar with our program and accomplishments (p. 15).

As the lawsuits and bad press accumulated during the years of expansion, this “perceptual enhancement” would become more and more important to Straight’s directors. As the ACLU was investigating the Atlanta program, within 6 months of its opening there, Robert DuPont (p. 1399) and Carlton Turner (p. 22) arranged for Nancy Reagan to visit the Saint Petersburg program, apparently in a show of solidarity. When Straight was (briefly) “cleared” of wrongdoing in Ohio and Georgia, James Hartz, wrote to Turner thanking him for his endorsement at the Florida fundraiser and “the efforts of your good offices in helping us over some rough spots during the past few months” (p. 24).

Reagan Diana Straight
Nancy Reagan and Lady Diana visit a Straight facility in Springfield, Va.

That was just the beginning; as Straight expanded it was repeatedly sued – Vice President George Bush made a promotional visit in 1987 and a TV commercial for Straight. In 1988, As President-elect, he agreed to appear on a Straight Inc. fundraising telethon. As rumors about brainwashing spread, Nancy Reagan made highly publicized visits to Straight, one of them with Lady Diana. After multiple lawsuits and state investigations found evidence of widespread abuses, Ronald Reagan wrote a blurb for a Straight brochure.

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The State of the Art: The Malcolms’ Examination of Straight, Incorporated, Part 3

Editor’s Note: This is the third in a five-part series from Marcus Chatfield, a regular contributor to Points. Here he continues his examination of Straight, Inc., the controversial adolescent drug treatment program that existed from 1976 to 1993. 

Beginning in 1976, the original design of Straight’s milieu was a slightly modified version of The Seed Inc., a program whose methods were also compared to “brainwashing” in the Congressional report, Individual Rights and the Federal Role in Behavior Modification (1974). Specific details about the origins of the actual design of The Seed program are elusive; it was one of many programs initiated in the late 1960s that implemented an array of group methods attributed to those developed by adult members of the therapeutic community, Synanon, founded in 1957 for the treatment of heroin addiction.

But the controversy over “brainwashing” in adolescent reform programs is older than any of the programs that grew out of Synanon; it seems to have started in 1962, over concerns about the Provo Experiment in Delinquency Rehabilitation at the Pinehills Center in Utah County, Utah. According to authors LaMar Empey and Maynard Erickson in their book, The Provo Experiment (1972), in November, 1962, at least one county commissioner had voiced concerns about public funding for the program because it seemed similar to “communist brainwashing.”

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The State of the Art: The Malcolms’ Examination of Straight, Incorporated, Part 1

Editor’s Note: This is the first in a five-part series from Marcus Chatfield, a regular contributor to Points. Here he continues his examination of Straight, Inc., the controversial adolescent drug treatment program that existed from 1976 to 1993. 

In 2011, I obtained a 31-page report, entitled, An Examination of Straight Incorporated (1981, unpublished), from the Carlton Turner collection in the Ronald Reagan Presidential Library Archives. Written by Canadian psychiatrist, Dr. Andrew I. Malcolm, and his wife Barbara, their favorable assessment of Straight’s controversial methods was an important endorsement during the early stages of Straight’s national expansion.

Screenshot 2016-06-30 09.35.42
Dr. Andrew I. Malcolm

Along with the Malcolms’ report, I obtained several correspondences between Straight executives and White House officials, describing preparations for Straight’s national expansion and some of their efforts to promote the program in the midst of widespread criticism. One of the reasons Straight was able to franchise its operations across the United States, while simultaneously fighting a growing reputation for abuse, is that the program’s public image was constantly nurtured by White House endorsements during the Reagan and Bush administrations.

Straight’s directors invited the Malcolms’ examination because “it was likely” they would “submit an objective and unbiased report and that Straight, as a result, might benefit from [their] observations” (p. 1). The Malcolms’ expertise in drug use, their knowledge of cults, and their lack of involvement with Straight lent authenticity to their endorsement, which was presented to potential donors in a promotional package. Straight’s directors developed this “Solicitation Presentation” (p. 17-18) hoping to raise 18.2 million dollars (p. 16) for the construction of 26 new facilities over a five-year period – 1982 to 1986. “We suspect that money is going to be forthcoming, from diverse sources, for a programme as enlightened and as nationally necessary as is that of Straight,” the Malcolms proclaimed in their endorsement letter (p. 36-37).

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Alcoholism in Communist Yugoslavia

Former_Yugoslavia_Map

(Editor’s Note: This post is brought to you by contributing editor Mat Savelli, a postdoctoral fellow at McMaster University in Ontario, Canada.)

Yugoslavia had a problem with alcoholism.

Or at the very least, that’s what the country’s psychiatrists generally thought. During the Communist era (from the end of the WWII through to the country’s collapse in 1991), leading Yugoslav physicians routinely warned about the population’s rapid descent into widespread alcoholism.

Year after year, the statistics on drinking seemed to grow. Yugoslavs were consuming more and were beginning to drink heavily at a younger age. Even more problematically, excessive drinking seemed to be spreading to new populations, with women and the country’s substantial Muslim population increasingly taking to booze.

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The Silences of Our Work, Part III: Alternate Paths to Recovery

EDITOR’S NOTE: Today, Points brings you the third in a series of posts on silencing and substance use by Heather Sophia Lee, PhD, LCSW, an Assistant Professor of Family Medicine and Community Health at Rutgers’ Robert Wood Johnson Medical School. You can read the first installment here and the second installment here

For my dissertation, I conducted a qualitative study of two harm reduction programs. The purpose was to describe the experiences of participants in harm reduction programs given that “outcomes” of such programs were difficult to measure.

At that time evidence existed for the efficacy of harm reduction practices, like needle exchange programs, in reducing the spread of sexually transmitted diseases like HIV and hepatitis C. Less was known about the impact of harm reduction as a model for addiction treatment. Its broad focus made it unclear which “outcomes” were most important to measure. Coupled with political resistance, many agencies often avoided calling their work “harm reduction” to avoid scrutiny which might interfere with meeting the needs of their clients.

As a novice qualitative researcher, I was intuitively curious about how harm reduction was being integrated into twelve step recovery experiences. I was also interested in the extent to which one might be just as likely to come to abstinence through harm reduction as abstinence-only based treatment. Harm reduction and twelve step models were often cast as mutually exclusive, and I knew there was a deeper story to be known though I wasn’t yet sure what it was.

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The Silences of Our Work, Part II: Trauma

Editor’s Note: Today, Points brings you the second in a series of posts on silencing and substance use by Heather Sophia Lee, PhD, LCSW, an Assistant Professor of Family Medicine and Community Health at Rutgers’ Robert Wood Johnson Medical School. You can read the first installment here.

I chose to focus my time as a guest blogger on Points focusing on the Silences of Our Work because, in the academic spaces in which I exist, I am most frustrated by what goes unsaid. The gold standard of “science” calls for ignoring certain variables, so that other variables may be tightly controlled. Our work is silenced by design.

Trauma figures prominently in the lives of many of our clients and their relationship to substances, but is often silenced in our work. I don’t mean that everyone who struggles with alcohol and other drug use has experienced trauma– but many people I’ve worked with have, yet the existence of trauma is largely unacknowledged in mainstream discourse about substance abuse in the United States. In my qualitative interviews and clinical work with participants of harm reduction programs, trauma frequently plays a role in participants’ narratives about their relationship to alcohol and other drugs. Yet in the discourse about these clients, trauma rarely enters the conversation. The “why behind the what” is absent.

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The Silences of Our Work, Part I: A Preface

Editor’s Note: Points is delighted to welcome Heather Sophia Lee, PhD, LCSW, an Assistant Professor of Family Medicine and Community Health at Rutgers’ Robert Wood Johnson Medical School. Lee is a practicing clinician and qualitative researcher who studies how stigma influences access to health and social services. Today, Lee opens her series on silencing and substance abuse with a reflection on her relationship to this work.

Some months ago, Points co-founder Trysh Travis read an article I published about integrating harm reduction and twelve step approaches to treatment, and asked how I became interested in addiction research. My answer: I began observing addiction and recovery long before I learned to study these processes systematically. I was born into the witnessing of addiction; it began with my father’s struggles and untimely death when I was nine years old.

This experience exposed me to the scripted language of recovery at an early age. But I’d argue that, even for people without this early formative experience, the scripts of addiction treatment and drug policy manage to shape the psyche. I’ve witnessed many contrasting cases in which the dominant response model to drug and alcohol issues (i.e., punitive, abstinence-based, and informed by an explicit set of assumptions) failed to meaningfully reach those in need of help.

Later, as a clinician-scholar, I believed there must be a better way to engage those in need of help and began exploring alternatives. I acknowledged that the dominant model does reach some people– but it fails to reach most people, and that was the population I wanted to engage. As I reflect on my personal and professional experiences, I think my work has been driven by something deeper and less tangible than clinical efficacy: the greatest injustice in treatment practice and scholarship is the silenced voices of those who struggle with addiction. I also believe that by facilitating space to desilence those voices, we will learn about our failings and be better able to help those who struggle with substance use and misuse in this country.

Image via Harm Reduction Coalition (harmreduction.org)
Image via Harm Reduction Coalition (harmreduction.org)

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Has LSD Matured? The Return of Psychedelic R&D

Editor’s Note: This post was written by Lucas Richert and Erika Dyck, and was originally published on The 2×2 Project, an online journal from Columbia University’s Department of Epidemiology.

In February 2014, Scientific American surprised readers with an editorial that called for an end to the ban on psychedelic drug research and criticized drug regulators for limiting access to such psychedelic drugs as LSD (Lysergic acid-diethylamide), ecstasy (MDMA), and psilocybin.

A few months later, Science further described how scientists are rediscovering these drugs as legitimate treatments as well as tools of investigation. “More and more researchers are turning back to psychedelics” to treat depression, obsessive-compulsive disorder, various addictions, and other categories of mental illness.

Historians of medicine and drugs have long held a view that psychoactive substances conform to cyclical patterns involving intense periods of enthusiasm, therapeutic optimism, critical appraisals, and finally limited use. The duration of this cycle has varied, but this historical model suggests psychedelics are due for a comeback tour. It was just a matter of time.

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