Thinking historically about HAT

In early 2016, when I was drafting my chapter on drugs for the ‘Oxford Handbook of Criminology’, I made a passing reference to Dr John Marks’ heroin prescribing practice in the 1980s. I had assumed that somewhere there would be a definitive summary or account of Marks’ work which I could cite. It soon became apparent that this was not the case. For an episode that has always been so frequently referred to, this struck me as both odd and unsatisfactory. With my Handbook chapter completed soon after, however, I moved on to other things.

At the tail end of 2018, at the start of a period of research leave, I began to think about new projects I might develop. My vague thought was to do something that involved historical research that might lead to a rethinking or reassessment of an important contemporary issue. This led to two ideas: one on cannabis law reform that I will write about another day, and one revisiting John Marks. Arguably the most pressing drug policy issue of the last couple of years has been the crisis of drug-related deaths and Heroin Assisted Treatment has been much discussed as a potential tool for managing it. It seemed to me that filling this peculiar gap I had found in material about Marks could be a perfect vehicle for a project to think historically about a key contemporary policy problem and hopefully generate some new insights.

In the spring of 2019, I wrote to John Marks to share my idea and ask for his support. Had he not responded at all, or responded negatively, I would probably have abandoned the project. In fact, he replied quickly and positively, and offered to help in any way he could. His generosity and openness throughout the project was invaluable. In particular, his donation to me of many of his personal papers took the research up a level from what would have been possible otherwise.

The first stage of the project is now complete and a paper has been published in the International Journal of Drug Policy. I have created a page to house materials on the project and in due course this will include uploads of some of John’s donated personal papers, so that other researchers can also explore this fascinating and important body of work.

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Drug law reform

I have created a new page to bring together my previous and current work on drug law reform. Links to downloads where available.

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Drinking guidelines

Listening to the Today programme this morning, I was interested to hear the Chief Medical Officer, Dame Sally Davies, defending the new guidelines on weekly limits for safe drinking. She was particularly keen to stress their basis in science and evidence. It reminded me of a passage in Betsy Thom’s book Dealing with Drink where she describes the somewhat arbitrary way in which the original guidelines were created, particularly the figures for weekly unit limits. It made me wonder whether the new figures were really as ‘scientifically’ based as she was suggesting.

She also didn’t answer the question put to her about why there are government warnings about safe alcohol consumption but not similar warnings about other common risky practices. The suggestion that this was a bit ‘unscientific’ didn’t go down well! Of course, the actual reason is political and socio-cultural but this is difficult for a Chief Medical Office to say when there is this attachment to the idea that health policy can and should be strictly and solely based on ‘scientific evidence’. As I have argued before, this is particularly short-sighted and unrealistic when it comes to drug and alcohol policy.

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Free downloads

As part of the general sprucing up of this website, I have added a page for ‘Papers’ which includes free-to-access articles and reports. I’ll continue to add to this. In the meantime, feel free to share and if there are other articles you require, please email me: toby.seddon@manchester.ac.uk.

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Revamped blog & website

To start the new year, I’ve revamped this blog and website, to include new pages covering my books, papers and projects. Work is ongoing to build up the content but do take a look round.

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Laying down the lasso

A recent report in The Guardian, on a ‘huge rise’ in illicit online sales of pharmaceuticals, reminded me of one of the best books I read in 2014: legal scholar Anupam Chander’s The Electronic Silk Road. Chander’s great insight, to my mind at least, is that as internet commerce and digital technologies are remaking the world before our eyes, we need to draw deep from the well of our creativity and imagination to build a new regulatory infrastructure for cybertrade. Trying to bend what he calls ‘Trade 2.0’ into the old legal frameworks is like a rancher trying to stop a car with a lasso.

Chander is mainly concerned with licit online trade but the challenge is arguably even steeper in relation to the growing use of the internet for illicit retail – whether of pharmaceuticals, psychoactive substances, or other counterfeit or prohibited goods. My own main interest is in online drug markets. Here, the sheer velocity of change in the last few years has been breath-taking, as the drug trade has been transforming in ways that even the sharpest-eyed observers can still only dimly discern. The one certainty is that policy-makers have not even started to grasp the nature and enormity of the new challenge, let alone to devise adequate new solutions – the drug-policy lasso remains very much in evidence. As I have argued recently, we need to be prepared to engage with genuinely new ideas if we are to achieve the kind of regulatory paradigm shift that is required. And it will be scholars like Anupam Chander who will be the most helpful guides as we seek to re-make global drug policy for the twenty-first century.

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Regulation and global drug policy

On December 4th, I will be giving a public lecture in Manchester. The lecture’s premise is that we have reached a dead-end in our thinking about global illicit drug problems. The argument I will make is that the way out of this intellectual and policy impasse is to view matters through the lens of regulation. Preparing this lecture has prompted me to reflect on how my ideas on this have developed over time and, more broadly, on my personal history of engaging with the ‘wicked problem’ of drugs.

My first entry into the drug policy world was nearly 20 years ago in January 1994 when I started as a Research Assistant at the drugs charity ISDD (now DrugScope), under the tutelage of Nicholas Dorn from whom I learnt a great deal. In those early years, the debate about drug law reform struck me as a largely uninteresting cul-de-sac. This was partly because I felt sure it was never going to happen and so discussing it at any length seemed self-indulgent. It was certainly not on ISDD’s official agenda. I also thought that there was a narrowness to the reform debate that was both politically and intellectually untenable: in a nutshell, too much emphasis on decriminalising possession for young people in richer countries, too little on the potential development consequences for poorer producer countries.

In 1998, I began my doctoral research, heavily influenced by Foucault and by the idea of governmentality as a different way of seeing the world. Although I came to view some aspects of the Foucauldian approach as unproductive, what stayed with me was the habit of questioning and pulling apart every assumption, concept and idea that I encountered. And inevitably, this ethos of critical thinking led me to revisit many of the positions I had held up to this point, including the question of drug law reform. Over the next few years, I began to think more and more about relationships between globalization and legal regimes, including the UN Drug Conventions and national drug laws.

A crucial turning point came in 2005. I can no longer remember exactly how it came about but throughout that summer, holed-up in my broom-cupboard of an office at the University of Leeds, I began to devour the work of people like John Braithwaite, Peter Grabosky and others in what was to me the then unfamiliar field of regulation. With perfect timing, at the end of 2005 an opportunity arose at the University of Manchester for a Senior Research Fellowship in Regulation which seemed to offer an ideal chance to explore these new ideas. The presence on the interview panel of scholars like Anthony Ogus, whose work I was starting to delve into, confirmed it was the right move for me and fortunately I was offered the job. The move to Manchester in early 2006 was a green light for me to press ahead with pursuing this agenda of reframing the drug problem as a regulation issue and during my first summer in Manchester I drafted a paper on the regulation of heroin which was my first public foray into this new territory.

My ESRC-funded project on criminal justice aspects of drug policy, later published as the Tough Choices book, proved fertile ground for continuing this work over the next couple of years. By early 2009, I was in the thick of working on what would become my second book, A History of Drugs. I consciously saw this as an exercise in bringing together Foucauldian critical analysis with a regulation perspective, partly inspired by the unique work of the South African scholar Clifford Shearing who visited Manchester a couple of times during this period. In March of that year, I presented a paper at the ISSDP conference in Vienna which tried to bring together my ideas at that point. Unaware of anyone else working along these lines, I fully expected the paper to be greeted with bemusement or indifference. In fact, my session was chaired by Australian drug policy researcher, Alison Ritter, who revealed she, too, was working on some similar ideas. Alison has since become a valued ‘critical friend’ for my work.

The Vienna paper became chapter six of A History of Drugs and led indirectly to an invitation to present at the 10th anniversary RegNet conference at ANU in Canberra in the spring of 2011. My paper went down well at the conference and informal conversations during my week at ANU with people like John Braithwaite, Peter Grabosky, Colin Scott, Philip Stenning, Peter Drahos and others, convinced me all over again that my intellectual agenda was proving fruitful and worthwhile.

In the last couple of years, I have been focusing on further developing the theoretical and conceptual ideas underpinning this agenda, with the aim of laying down the intellectual building blocks for what I now conceive as a substantial ongoing and future research programme. I hope some of you will be able to come along to my public lecture to catch up on my latest thinking.

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