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Where Movements Matter: Examining Unintended Consequences of the Pain Management Movement in Medical, Criminal Justice, and Public Health Fields

Social movement scholars have rarely considered professional fields as sites of social movement consequences and have overlooked how social movement consequences traverse field boundaries. This research examines where movements matter by examining unintended consequences across professional fields. Drawing on a case study of the pain management movement, this study asks (1) under what conditions do movements targeting a focal professional field create consequences in adjacent fields; (2) what factors affect how adeptly the adjacent field responds; and (3) how do social movement impacts on adjacent fields affect the focal field? Findings demonstrate how the success of the pain management movement in medicine helped to fuel the opioid epidemic, which detrimentally affected the adjacent fields of criminal justice and public health. These adjacent fields' strategies for curbing spillover, in turn, created a new set of consequences for medicine. Their responses depended on material and moral resources and authority structures that differed significantly across the two adjacent fields. This article concludes with a discussion of factors that may facilitate or deter cross&#8208;field contagion effects and offers suggestions for future research.