What the opioid epidemic teaches us about the addiction at the root of our social life—and how we free ourselves from it.

How To Break An Addiction offers an original and dynamic portrait of the nature of the opioid crisis while offering original commentary on what the crisis portends about the present historical conjuncture. Interrogating long- and short-run, macro and micro, national and global, structural and personal factors, it takes the ongoing U.S. opioid crisis as a jumping off point to illustrate the profound conclusion: capitalism at its core is an addiction.

In a blend of memoir, historical record, original research, and theoretical and cultural analysis, critical geographer and harm reduction activist Annie Spencer argues against a dominant ‘progressive’ presumption of the need to reform (or ‘save’) capitalism, demonstrating instead the imperative to think, organize, and enact new ways of being and provisioning together on a living Earth. 

How To Break An Addiction renders visible the extent to which the world we inhabit today is made by addiction—in capital’s image—and against life and well-being. Spencer calls for redress of the deepening crisis of addiction and the so-called ‘epidemic’ of pain at its root; for a paradigm shift away from the dominant economic logic in favor of new kinds of ecosystemic social practice and provision. We must innovate a new way of being human together in the here and now. Spencer’s first-person narration anchors rigorous and far-reaching research and theory, making for an original and impactful tour through capital’s addiction to crisis and our ability—and need—to break from it.