According to Smail, capitalism generates stress through its unpredictability and hierarchical power structures, but it also alleviates stress by producing an economy organized around the production and circulation of addictive substances and practices.
Smail notes that, from its inception in the seventeenth and eighteenth centuries, global capitalism was organized around creating and feeding addictions. The first imports to Europe from Africa, the Arab World, and the Americas were coffee, sugar, chocolate, tobacco and “spirits” — all mood-altering substances.
During this time, the term addiction gained its modern meaning as a self-inflicted behavior rather than the state of being indebted to another (e.g., serfdom) that previously distinguished the addict. With this shift in understanding of addiction, also came a new organization of society away from a focus on managing external forms of control to a focus on internal ways of responding to dominance by self-medicating its effects.