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The United States has an uncomfortable relationship with pleasure. Cultural ambivalence is evident in discourses surrounding pleasure and the labeling and treatment of those who act on their desires. Pleasure seeking, generally understood in moral terms, is often medicalized and criminalized (as in the case of pregnancy prevention and drug use), placing questions of how to manage pleasure under the purview of medical and legal actors. At the macrolevel, institutions police pleasure via rules, patterns of action, and logics, while at the microlevel, frontline workers police pleasure via daily decisions about resource distribution. This chapter develops a sociolegal framework for understanding the social control of pleasure by analyzing how two institutions – medicine and criminal justice – police pleasure institutionally and interactionally. Conceptualizing medicine and criminal justice as paternalistic institutions acting as arbiters of morality, I demonstrate how these institutions address two cases of pleasure seeking – drug use and sex – by drawing examples from contemporary drug and reproductive health policy. Section one highlights shared institutional mechanisms of policing pleasure across medicine and criminal justice such as categorization, allocation of professional power, and the structuring of legitimate consequences for pleasure seeking. Section two demonstrates how frontline workers in each field act as moral gatekeepers as they interpret and construct institutional imperatives while exercising discretion about resource allocation in daily practice. The chapter concludes with a discussion of how understanding institutional and interactional policing of pleasure informs sociolegal scholarship about the relationships between medicine and criminal justice and the mechanisms by which institutions and frontline workers act as agents of social control.

Using archival data from the American Civil Liberties Union of Eastern Missouri and current data from Fatal Encounters (FE), this study descriptively compared concentrated incidents of fatal police shootings of civilians in St. Louis, Missouri at two points in time – 1970 to 1980 and 2000 to 2010. This study also explored connections to race and income by mapping the composition of Black residents and levels of concentrated economic disadvantage using 1980 and 2010 United States Census data. Geographic Information Systems (GISs) results revealed noticeable similarities in the sites of fatal police shootings of civilians across the two time periods. Specifically, most of the incidents occurred in the northern and southeastern sectors of St. Louis City in neighborhoods with a higher number of Black residents and impacted by economic disadvantage. All of the individuals shot and killed by the police were male, and a majority were 22 years old or younger, and armed during the incident. Results from police perceptions studies from the 1970s and early to mid oughts are also discussed to posit that a persistence of police violence historically and presently may help offer key insights into how legal estrangement may ensue.