Exhibition dates: 5th June – 5th July 2021
Curators: Michael Kamber and Cynthia Rivera
Artists: James Nachtwey; Jeffrey Stockbridge; Mark Trent
*PLEASE NOTE: THIS POSTING CONTAINS PHOTOGRAPHS OF DRUG USE – IF YOU DO NOT LIKE PLEASE DO NOT LOOK, FAIR WARNING HAS BEEN GIVEN*
James Nachtwey (American, b. 1943)
A woman, who goes by Jen, struggling to inject herself in the freezing cold in Boston on Jan. 14. 2018
2018
James Nachtwey for TIME
Nature ∞ nurture
Last year, over 81,000 men, women and children were lost to drug overdoses in America. Visualise that number of people if you can… nearly 4/5ths capacity of the Melbourne Cricket Ground (MCG) in Australia.
According to medical doctors (see quotation below), the causes of addiction “may involve an interaction of environmental effects – for example, stress, the social context of initial opiate use, and psychological conditioning – and a genetic predisposition in the form of brain pathways that were abnormal even before the first dose of opioid was taken.” So both nature and nurture.
Through experience, I understand both strands that lead to possible addiction: a genetic, psychological illness within family members coupled with the need for escape, the need for pleasure, peer group activity and the desire to loose oneself from the world. Luckily, I do not have a personality that easily becomes addicted, but the possibility within people is always there, no matter their background or social position in the world. While the photo stories in this posting concentrate on human beings from lower socio-economic backgrounds, addiction can affect anyone at anytime. Again through experience, I know that lots of high performing professional people suffer from chronic addiction but keep the fact well hidden from the community.
Addiction occurs when dependence interferes with daily life… when independence, that much searched for freedom from outside control or support (you don’t need or accept help, resources, or care from others), morphs into ‘in dependence’ – where the independence of the self, in addiction, opposes the autonomy of the self (meaning that you have free will and that you can stand behind your actions and their values while still exchanging support and care with others). In autonomy, no one is forcing you to do something you disagree with; in addiction, ‘in dependence’, those actions can no longer be justified. These are just my thoughts… but they can be seen to be linked to Self-Determination Theory (STD). “The interplay between the extrinsic forces acting on persons and the intrinsic motives and needs inherent in human nature is the territory of Self-Determination Theory.” Nature and nurture.
The word addicted (adjective) arises in the “mid 16th century: from the obsolete adjective addict ‘bound or devoted (to someone’), from Latin addict- ‘assigned’, from the verb addicere, from ad- ‘to’ + dicere ‘say’.” Its use has diminished from the 18th century until now. Conversely, the word addiction (noun) comes from the same root, but was unknown until 1900 with the use of the word skyrocketing since the 1950s onwards (with a particular spike in the use of the word in the 1960-70s, the era of free love). Perhaps this says a lot about the pressure of living in a high intensity, 24 hour world, a world where the gods of capitalism can write off 81,000 people in a year, in one country, without the blink of an eye.
What all three photo stories in this posting have ad- ‘to’ + dicere ‘say’ is this: every human being has a story worth listening to.
By embedding themselves in the communities they were photographing (instead of being “snatch and grab” photojournalists), all three photographers give their participants an opportunity to have their voice heard. To tell their stories in their own words and have those stories told with dignity and respect, through images and text. (I have linked all three segments to the full stories online).
As Jeffrey Stockbridge comments, “Everyone’s wading through problems that are unique to them, and I think it’s important to tell these stories… Hearing people discuss their past in their own words is something that you can’t ignore. It’s very powerful. I want the general public to forget what they thought they knew about prostitution, drug addiction, homelessness and poverty, and just listen to an actual person explain what they’ve been through. It’s important to remember that life is unpredictable!” James Natchwey observes, “Photography can cut through abstractions and rhetoric to help us understand complex issues on a human level.”
This is the crux of the matter: photography helps us understand these complex issues on a human level.
Every human being is a life, has a life, and is valuable as such. Every story, every breath, every death is connected to Mother Earth. In their indifference, what capitalism and society do to others, we do to ourselves.
Dr Marcus Bunyan
Many thankx to the Bronx Documentary Center for allowing me to publish the photographs in the posting. Please click on the photographs for a larger version of the image.
“Brain abnormalities resulting from chronic use of heroin, oxycodone, and other morphine-derived drugs are underlying causes of opioid dependence (the need to keep taking drugs to avoid a withdrawal syndrome) and addiction (intense drug craving and compulsive use). The abnormalities that produce dependence, well understood by science, appear to resolve after detoxification, within days or weeks after opioid use stops. The abnormalities that produce addiction, however, are more wide-ranging, complex, and long-lasting. They may involve an interaction of environmental effects – for example, stress, the social context of initial opiate use, and psychological conditioning – and a genetic predisposition in the form of brain pathways that were abnormal even before the first dose of opioid was taken. Such abnormalities can produce craving that leads to relapse months or years after the individual is no longer opioid dependent.”
Thomas R. Kosten, M.D. and Tony P. George, M.D. “The Neurobiology of Opioid Dependence: Implications for Treatment,” in Science & Practice Perspectives. 2002 Jul; 1(1), pp. 13-20.
“Photography can cut through abstractions and rhetoric to help us understand complex issues on a human level. Never is photography more essential than in moments of crisis. To witness people suffering is difficult. To make a photograph of that suffering is even harder. The challenge is to remain open to very powerful emotions and, rather than shutting down, channel them into the images. It is crucial to see with a sense of compassion and to comprehend that just because people are suffering does not mean they lack dignity.”
James Natchwey
James Nachtwey (American, b. 1943)
Holly, detoxing in the Montgomery County Jail in Dayton, Ohio, on July 3, 2017
2017
© Photograph by James Nachtwey for TIME
Last year, America lost 81,000 men, women and children to drug overdoses. Driven primarily by the opioid crisis – and abetted by the pill-pushing of pharmaceutical companies – millions of individuals and countless families were devastated by addiction.
The war on drugs has failed: from sea to shining sea, fentanyl, heroin, K2, crystal meth, cocaine and other drugs are available in nearly every town and city. Drug-related violence has endangered many of our streets, including Courtlandt Avenue, home to the Bronx Documentary Center.
After decades of ever changing anti-drug strategies, we are still left with familiar and yet unanswered questions: how to stop the overdoses; how to keep our youth from addiction; how to stop drug-related violence; how to offer humanitarian treatment.
The Bronx Documentary Center’s upcoming photo exhibition, The Human Cost: America’s Drug Plague, explores these issues and portrays the human toll of America’s drug scourge. The deeply personal stories told here – of losing children, families and freedom – provide a stark but compassionate look at a very complex dynamic.
James Nachtwey, the dean of American conflict photographers, reports with visual journalist and editor, Paul Moakley, from New Hampshire, Ohio, Boston, San Francisco and beyond. Jeffrey Stockbridge documents Philadelphia’s Kensington neighbourhood over the course of 6 years. And Mark Trent follows a tight-knit group of friends in West Virginia through cycles of substance abuse and tragic death. The BDC hopes this exhibition will lead to productive discussions about an intractable American problem.
Exhibition curated by Michael Kamber and Cynthia Rivera.
Press release from the Bronx Documentary Center
James Nachtwey (American, b. 1943)
Dorothy Onikute, 33, a deputy sheriff with the Rio Arriba County sheriff’s office, responding to an overdose call on Feb. 4, on the side of the road in Alcalde, N.M.
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© Photograph by James Nachtwey for TIME
‘This sort of thing happens so often, it’s sad to say it’s on to the next once they are out of our care.’
~ Dorothy Onikute
The Opioid Diaries – James Nachtwey and Paul Moakley
The opioid crisis is the worst addiction epidemic in American history. Drug overdoses kill more than 64,000 people per year, and the nation’s life expectancy has fallen for two years in a row. But there is a key part of the story that statistics can’t tell. In 2017, for over the course of a year, photographer James Nachtwey set out to document the opioid crisis in America through the people on its front lines. Alongside TIME‘s deputy director of photography, Paul Moakley, the pair traveled the country gathering stories from users, families, first responders and others at the heart of the epidemic. Here, Nachtwey’s images are paired with quotes from Moakley’s interviews, which have been edited. The voices are a mix of people in the photos and others who are connected to them. The Opioid Diaries is a visual record of a national emergency – and it demands our urgent attention.
Text from the Bronx Documentary Center website
The full text and more images from the series can be found on the TIME website
James Nachtwey (American, b. 1943)
Chad Colwell, 32, being revived by EMS workers after overdosing in his truck in Miamisburg, Ohio, on July 4, 2017. He says this, his fourth overdose, led him to seek treatment
2017
© Photograph by James Nachtwey for TIME
‘Heroin grabs ahold of you, and it won’t let go. It turned me into somebody I never thought I would be.’
~ Chad Colwell
James Nachtwey (American, b. 1943)
Billy, 31, right, preparing to use drugs in Boston on Jan. 14
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© Photograph by James Nachtwey for TIME
James Nachtwey (American, b. 1943)
Cheryl Schmidtchen, 67, being consoled at the funeral for her granddaughter Michaela Gingras in Manchester, N.H., on September 17th, 2017. Gingras, a heroin user, was 24
2017
© Photograph by James Nachtwey for TIME
‘After Michaela died, I saw it clear as day. They’re not only destroying themselves, they’re destroying us.’
~ Cheryl Schmidtchen
What I Saw
James Natchwey
Like most people, I’d heard about the opioid epidemic. It was especially hard to get my mind around a statistic from 2016: almost as many deaths from drug overdoses as in all of America’s recent wars combined. But numbers are an abstraction. I had no idea what it looked like on the ground. The only way to make real sense of it, I told my editors, was to see what happens to individual human beings, one by one.
Photography can cut through abstractions and rhetoric to help us understand complex issues on a human level. Never is photography more essential than in moments of crisis. To witness people suffering is difficult. To make a photograph of that suffering is even harder. The challenge is to remain open to very powerful emotions and, rather than shutting down, channel them into the images. It is crucial to see with a sense of compassion and to comprehend that just because people are suffering does not mean they lack dignity.
Over the past 35 years, my work as a photojournalist has taken me to other countries to document wars, uprisings, natural disasters and global health crises. In revisiting my own country I discovered a national nightmare. But the people living through it aren’t deviants. They are ordinary citizens, our neighbours, our family members. I don’t think I met one user whom I would consider to be a bad person. No one wants to be an addict.
I also saw signs of hope, particularly from the people who are dealing with the crisis at the street level. Some of them are former users who have lifted themselves up and are using their experience to help others. They are refusing to allow our country to be defined by this problem. Instead, they are helping us define ourselves by finding solutions. We must join them.
James Natchwey
Jeffrey Stockbridge (American, b. 1982)
Bobby
2010
© Jeffrey Stockbridge
Kensington Blues – Jeffrey Stockbridge
Kensington Blues by Jeffrey Stockbridge is a decade-long documentary project about the opioid crisis in Philadelphia, Pennsylvania. Featuring large-format photography, audio interviews, journal entries and video Stockbridge utilises a combination of styles and formats to humanise those suffering from addiction.
“During the 19th century the neighbourhood of Kensington in North Philadelphia was a strong working-class district, a national leader of the textile industry and home to a diverse population of immigrants. Like many rust belt cities, industrial restructuring of the mid twentieth century led to a sharp economic decline including high unemployment and a significant population loss.
Today, half of Kensington residents live at or below the poverty line. The neighbourhood has become an epicentre of the opioid crisis and is infamous for open air drug use, prostitution and violent crime. With the roaring El train overhead, Kensington Avenue (the major business corridor in the neighbourhood) is in a state of perpetual hustle. Heroin, Fentanyl, K-2, Crystal, Crack, Xanax, Subs – just about any drug that exists in the modern world is bought and sold in Kensington. Women, some as young as twenty years old, and others who’ve been working the Avenue for decades, populate the neighbourhood in great numbers. Prostitution has become a social norm. Drug users sell clean packaged needles for a dollar a piece – five needles equals a bag of dope.
Working with a large-format film camera, I chose a slow photographic process in order to literally slow down the rapid speed of life as it happens along the Ave. The focus of my photographic work is portraiture. I want to tap into the state of mind of those who are struggling to survive their addiction. Together my subjects and I have entered into a collaboration of sorts. Through audio recordings, journal entries and video, we are working to highlight the voices of those with lived experience. This work would not be possible without their trust and guidance. By sharing the intimate details of their plight, those I photograph are taking a stand to effectively humanise addiction and challenge the stigma that all drug addicts are morally corrupt. As the opioid crisis has taught us, addiction can happen to anyone.”
Text from the Bronx Documentary Center website
Jeffrey Stockbridge (American, b. 1982)
Jamie
2012
© Jeffrey Stockbridge
Jeffrey Stockbridge (American, b. 1982)
Carol
2010
© Jeffrey Stockbridge
LC: Drug addicts, prostitutes and the homeless are often seen as “the other” in our society. Your photos show a different side of this – a side that people can relate to and empathise with. Can you say more?
JS: There are a million different reasons why people become homeless to begin with. You dehumanise people by lumping them into the lowest common denominator. By looking down on them and saying, “You’re all homeless because you couldn’t get your lives together” – that doesn’t help anybody. Everyone’s wading through problems that are unique to them, and I think it’s important to tell these stories. Alongside the photographs I feature a short bio or quotes; sometimes I’ll also incorporate diary entries written by my subjects, and I’ve recorded audio interviews that I post on my Kensington Blues blog.
Hearing people discuss their past in their own words is something that you can’t ignore. It’s very powerful. I want the general public to forget what they thought they knew about prostitution, drug addiction, homelessness and poverty, and just listen to an actual person explain what they’ve been through. It’s important to remember that life is unpredictable! I could end up on Kensington Avenue if certain circumstances occurred – anybody could.
…
LC: The images are “still” and considered. They communicate a feeling of respect and consent. You don’t seem to shoot from the hip or take the “fearless flashgun” approach like many street photographers. Can you talk about your process?
JS: I shoot with a 4 x 5 view camera. For these photographs to work, there has to be consent! My subjects have to hold still – if they move an inch forward or an inch back, they’ll be out of focus. It’s a slow-moving, old-looking camera, so it’s automatically a topic of conversation. People look at it and think, “Woah, what is that?” But it has certain limitations – you can’t photograph quickly. It takes time. I have to set it up, I have to focus, use the dark cloth, take a meter reading … It’s at least five minutes until I’m ready to go. Meanwhile, my subject has to stand around waiting. So consent is fairly important!
I’m not looking at the back of an LCP screen when I shoot; I’m in the moment. I’m connecting entirely with my subject, not just communicating with a computer. The camera is a trusted friend that’s standing there by my side. In the Kensington project it really grounded me in the neighbourhood. I think it put people at ease, because they knew I wasn’t going to take a photo and run off – I was stuck with a tripod and a big heavy camera!
Jeffrey Stockbridge, interviewed by Francesca Cronan. “Kensington Blues,” on the LensCulture website 2016 [Online] Cited 03/06/2021.
The full text and more images from the series can be found on the LensCulture website.
Jeffrey Stockbridge (American, b. 1982)
Kevin
2011
© Jeffrey Stockbridge
Surviving Kensington: behind the photos of ‘Kensington Blues’
What used to be a proud blue-collar neighbourhood in Philadelphia is now a deteriorating haven for drugs, crime, and prostitution. Kensington is famous for the place to get your fix; and for the place you end up stuck when you’ve let your vices get the best of you.
For the last five years, Philly-based photographer Jeffrey Stockbridge has been taking intimate portraits of current residents (‘survivors’) in Kensington. But the stories he finds here aren’t just about Philly: Jeffrey’s photographs and raw interviews show a side of the desperation, hopelessness, and broken dreams that plague America’s addicts across the country.
Through a walk with Jeffrey on the Avenue, we get a glimpse of what it’s like to survive on Kensington.
Jeffrey Stockbridge (American, b. 1982)
Krysta
2009
© Jeffrey Stockbridge
Mark E. Trent (American)
Allie in traffic after losing a close friend in her recovery group to an overdose
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© Mark E. Trent
Despair, Love and Loss – Mark E. Trent
None of us knew what was happening or how destructive this would be. We began seeing more and more overdoses and suicides in our community. The details were scarce and the stigma that came with drug abuse masked the early deaths until it was so common it didn’t phase us anymore; the word pillhead began being used to describe those people on drugs. This was long before it touched nearly everyone in West Virginia and across the country.
With the help of friends I travelled to interview small time dealers, addicts and local law enforcement in an attempt to understand the scope of it all. I never did. This body of work started taking shape when I was at a softball game with a long time friend. Her name is Allie. I told her what I was trying to do and she said “Stick with me and I will show you what’s going on.”
From there it was a matter of seeing what was right in front of me. I documented Allie and her friends and lovers as they struggled in active addiction and slowly lost themselves and each other. This group of women let me into their lives behind closed doors and gave me access to make this work possible. They didn’t have to. They are the reason this work exists. They were star basketball players, young mothers, and individuals that held jobs and had real dreams. One day a knee injury supplied the prescription opiate that led to the addiction that spread through their group of friends and community.
My goal with this project was longevity. I wanted to follow it through until the end. My hope is that these photographs will tell a story about a small group of individuals that suffered through a crisis few saw coming. Today Allie is six years sober. Peakay is working toward sobriety with medical assisted treatments. Barbie died of an overdose in her bed alongside her lover Kim. Jessie tells me she is “going good,” but to be honest I never know the truth with her.
Text from the Bronx Documentary Center website
Mark E. Trent (American)
Allie freebasing a prescription opioid
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© Mark E. Trent
There were times whenever I was really strung out and I didn’t realise how bad I was. What you always say is, ‘Well at least I’m not doing it to anyone else. At least I’m not hurting anyone. I’m just hurting myself. I’m not sticking needles in anyone else. It’s just me.’ But I didn’t realise how much I’d hurt my family, and my mom.
I don’t know how many people died in the house I was living in, I can’t even – three off the top of my head, because of drugs, overdoses.
But it just didn’t, it just didn’t hit me that way, I didn’t think – I wasn’t ready to see it that way I think. I feel like I had to go through everything I went through to be where I am.
Mark E. Trent (American)
Jessie injecting Barbie with morphine
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© Mark E. Trent
Barbie really was like my big sister.
She told me a year before she died she had to go to the doctor for something. They couldn’t find a vein and she had to make them put it in her neck. And they asked about the scarring on her neck.
They asked her, ‘Do you shoot in your neck? Jesus.’ And she was like, ‘Yeah.’ And they were like, ‘You’re going to be dead in a year anyway.’ But I sort of didn’t believe it. Barbie really was invincible.
Mark E. Trent (American)
Cooking pills for injection next to dinner
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© Mark E. Trent
Mark E. Trent (American)
Allie crying, facing jail time and missing Barbie who died of an overdose, after a long night of using
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© Mark E. Trent
Sometimes I thought it was fine; other times I thought, ‘How did I get here? What did I do?’ I was supposed to be somebody. I was supposed to do something great with my life. I was supposed to go places. I wanted to travel. I wanted to play basketball. I wanted to be all these things.
And instead I was living in a house with no electricity, crying in the bathroom because I can’t find a vein, miserable. Absolutely miserable.
It took me getting sober and being sober for a while to look back and be like, ‘That was all really low, man. That was all really low.’
“Allie Rambo tells her story below in her own words” in ‘Despair, Love and Loss: A Journey Inside West Virginia’s Opioid Crisis’ on the NY Times website Dec. 13, 2018 [Online] Cited 03/06/2021
The full text and more images from the series can be found on the NY Times website
Mark E. Trent (American)
Allie and Regina catching snowflakes after a close friend’s funeral
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© Mark E. Trent
Bronx Documentary Center Annex Gallery
364 E 151st St, Bronx, NY 10455
Opening hours:
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Saturday – Sunday 12 – 5pm
Bronx Documentary Center website
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