Contemporary Drug Problems最新文献

{"title":"Multiple Logics: How Staff in Relapse Prevention Interpellate People With Substance Use Problems","authors":"Mats Ekendahl, Patrik Karlsson","doi":"10.1177/0091450921998077","DOIUrl":"https://doi.org/10.1177/0091450921998077","url":null,"abstract":"This study analyzes how staff in Swedish alcohol and other drug (AoD) treatment interpellate service users as people who can benefit from relapse prevention. Relapse prevention is a widely used intervention. Research is scarce, however, on how relapse prevention is practiced locally and how treatment staff perceive the relationship between AoD use as a problem and relapse prevention as a solution. Drawing on Actor-Network Theory and critical studies of AoD issues within this tradition, we elucidate how staff through specific interpellative logics enact service users, their individual characteristics, and living conditions. The data derive from interviews with 18 professionals working with assessment, counseling, case-management, therapy, and healthcare at AoD treatment agencies in the Stockholm region. The results show that the participants drew on four interpellative logics, and thereby enacted service users as four different object types. Region and network logics pinpointed that individuals have stable observable characteristics that determine their problems and eligibility for treatment (e.g., living conditions, diagnoses). Fluid and fire logics emphasized that their characteristics also vary depending on context and can be present and absent at the same time (e.g., harms, agency). This flexible interpellation of service users echoes the tendency among treatment staff to embrace sometimes irreconcilable understandings of AoD problems and to enact multiple realities of addiction. This suits a professional field where many factors are thought to cause and help resolve problems, but where the treatment supply is often limited to specific interventions. We conclude that it is easier to create a reasonable match between the service delivered and the potential service user if the characteristics of the latter are considered diverse and flickering. This exemplifies Carol Bacchi’s tenet that problem representations are adjusted to fit the solution at hand.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450921998077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49198855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bleeding Borders and Enemies Within: How Newsmagazine Covers Portrayed Drugs of Abuse, 1979–2019","authors":"Bryan E. Denham, S. Cacciatore, Michael Caves","doi":"10.1177/0091450921993835","DOIUrl":"https://doi.org/10.1177/0091450921993835","url":null,"abstract":"This study examined how the covers of three newsmagazines, Time, Newsweek, and U.S. News & World Report, portrayed drugs of abuse between 1979 and 2019. Findings showed consistency with extant research suggesting that a rigid focus on supply has resulted in a vilification of Latino traffickers from Central and South America. We also saw differences in how newsmagazines portrayed powder cocaine and crack cocaine and observed patterns of “White washing” opioid abuse. Implications and recommendations for future research are provided.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450921993835","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49013775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward Community Empowerment: The Puerto Rican <i>Ganchero</i>.","authors":"C Gelpí-Acosta,&nbsp;H Guarino,&nbsp;E Benoit,&nbsp;S Deren,&nbsp;A Rodríguez","doi":"10.1177/0091450920964576","DOIUrl":"https://doi.org/10.1177/0091450920964576","url":null,"abstract":"<p><p>People who inject drugs (PWID) who migrate from Puerto Rico (PR) to New York City (NYC) are at elevated risk for hepatitis C (HCV), HIV and drug overdose. There is an urgent need to identify a sustainable path toward improving the health outcomes of this population. Peer-driven HIV/HCV prevention interventions for PWID are effective in reducing risk behaviors. Additionally, the concept of <i>intravention</i>-naturally occurring disease prevention activities among PWID (Friedman, 2004)-is a suitable theoretical framework to cast and bolster PWID-indigenous risk reduction norms and practices to achieve positive health outcomes. From 2017-2019, we conducted an ethnographic study in the Bronx, NYC to identify the injection risks of migrant Puerto Rican PWID, institutional barriers to risk reduction and solutions to these barriers. Study components included a longitudinal ethnography with 40 migrant PWID (e.g., baseline and exit interviews and monthly face-to-face follow-ups for 12 months), two institutional ethnographies (IEs) with 10 migrants and six service providers, and three focus groups (FGs) with another 15 migrant PWID. Data were analyzed using a grounded theory approach. In this article, we present findings from the IEs and FGs, specifically regarding a promising <i>intravention</i> pathway to promote health empowerment among these migrants that leverages an existing social role within their networks: the PR-indigenous <i>ganchero</i>. A <i>ganchero</i> is a vein-finding expert who is paid with drugs or cash for providing injection services. Ethnographic evidence from this study suggests that <i>gancheros</i> can occupy harm reduction leadership roles among migrant Puerto Rican PWID, adapting standard overdose and HIV/HCV prevention education to the specific experiences of their community. We conclude by noting the culturally appropriate risk reduction service delivery improvements needed to mitigate the health vulnerabilities of migrants and provide a roadmap for improving service delivery and identifying future research avenues.</p>","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450920964576","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40349819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Narrative Politics in Policy Discourse: The Debate Over Safe Injection Sites in Philadelphia, Pennsylvania","authors":"Ryan J. Lofaro, H. Miller","doi":"10.1177/0091450921993821","DOIUrl":"https://doi.org/10.1177/0091450921993821","url":null,"abstract":"Safe injection sites are spaces where people who inject drugs can do so under the supervision of staff at the sites who attempt to revive them if they overdose. Public officials in Philadelphia, Pennsylvania, have proposed the sites as a means to reduce opioid overdose deaths in the city, a policy proposal that has been politically and legally contested. This article uses the Narrative Politics model to elucidate the concerns, values, and aspirations of the competing narratives in the public discourse over safe injection sites in Philadelphia. Despite the aspirations expressed within the Harm Reduction narrative to open such a site, opposition from the Nimby (not in my backyard) narrative has, at the time of this research, successfully precluded such a step. Other narratives in the discourse include the Abstinence narrative opposing safe injection sites and the Social Justice narrative opposed to incarceration but also hesitant to wholeheartedly endorse the Harm Reduction narrative for its delayed advocacy of compassionate treatment of people who use drugs now that the face of the person who uses opioids is a white one. In addition to juxtaposing competing narratives against one another and considering their alignments, disagreements, and interactions, the authors consider absences and shared presuppositions. The social construction of the purported drug addict varies in some ways between and among the prevailing narratives; in other ways, all the narratives problematize “addiction” as an affliction that justifies techniques of discipline aimed at caring for and controlling the population.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450921993821","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47307324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward a “Post-Legalization” Criminology for Cannabis: A Brief Review and Suggested Agenda for Research Priorities","authors":"B. Fischer, D. Daldegan-Bueno, P. Reuter","doi":"10.1177/0091450920977976","DOIUrl":"https://doi.org/10.1177/0091450920977976","url":null,"abstract":"Cannabis control policies in a few countries have recently shifted from criminal prohibition-based regimes to legalization of use and supply. While cannabis’ newly emerging status of legality may suggest a coming “end” for criminology-based interest in the drug, these fundamental changes rather open a window to a new set of criminological research issues and questions, mostly focusing on cannabis use and related behaviors, and their relation to crime and justice. Based on a joint, personal record of several decades of criminological research on cannabis, we briefly review the rationale for five fundamental topics and issues of cannabis-related research associated with legalization. These include: 1) the deterrent effect of prohibition; 2) illicit production, markets and supply in a legalization regime; 3) use enforcement; 4) cannabis-impaired driving; 5) cannabis and crime. This constitutes an—albeit subjectively selective—“post-legalization” research agenda for a cannabis-focused criminology. Other possible areas of research focus or interest within fundamentally different paradigms of criminology (e.g., “critical criminology”) are identified and encouraged for development. Overall, the proposed research agenda for a post-legalization cannabis criminology should both contribute discipline-specific knowledge to improved cannabis-related public health and safety as well as allow for important debate and development in this evolving and important research field while entering a new (“post-legalization”) era.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450920977976","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44582132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biopower, Disciplinary Power and Surveillance: An Ethnographic Analysis of the Lived Experience of People Who Use Drugs in Vancouver’s Downtown Eastside","authors":"Benjamin Scher","doi":"10.1177/0091450920955247","DOIUrl":"https://doi.org/10.1177/0091450920955247","url":null,"abstract":"Focusing on the role of police as primary actors in the arena of citizen safety, this article examines the impact of policing practices on the daily lived experience of people who use drugs in accessing a supervised consumption site in Vancouver, Canada. The site is located in the heart of Vancouver’s Downtown Eastside (DTES) neighborhood at a community center that I refer to as the Hawthorne Resource Centre. The method of data collection for this study comprised five months of ethnographic fieldwork, including focus groups and one-on-one interviews with community members accessing the site, site staff and management. Drawing on Foucauldian conceptualizations of power, the findings of this research suggest that governmental modes of power, including biopower and disciplinary power, are pervasively operative in various realms of the day to day lives of the Hawthorne Resource Centre clients. Evidence of the scalable nature of these modes of power are seen within the internal functioning of the Supervised Consumption Site, outside in the methods of community policing in the DTES and in weekly police practices in Oppenheimer Park. As such, this study represents a multiscalar assessment of how these Foucauldian power structures work at multiple levels and locations in the DTES. Driven by the narratives of the Hawthorne Resource Centre clients, the findings of this research illustrate not only the importance of understanding power relations within specific policy interventions, but further, highlight how specific tactics mobilized within “harm reduction policing” would be relevant and applicable to the context of the DTES.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450920955247","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49020666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Stigma and Perinatal Substance Use Services: Recognizing the Power of the Good Mother Ideal","authors":"Tracy R. Nichols, A. Welborn, Meredith R Gringle, Amy Lee","doi":"10.1177/0091450920969200","DOIUrl":"https://doi.org/10.1177/0091450920969200","url":null,"abstract":"People who are diagnosed with a substance use disorder can experience stigmatizing interactions with health and social service providers, which may decrease both quality and continuity of care. For women with a substance-exposed pregnancy (SEP), this stigma can increase exponentially. Stigmatizing interactions can be difficult to identify due to social sanctions against expressing stigmatizing attitudes, beliefs, and behaviors and because stigma often resides in accepted cultural norms. Examining discourses around care provision can serve to identify instances of social stigma as well as illuminate the cultural norms in which they are embedded. Using data from a seven-year grounded theory study on perinatal substance use service provision, this paper reports on the perceptions and experiences of service providers working with mothers who have an SEP and illustrates complexities behind stigmatizing patient-provider interactions. Data collected included observations at meetings, workshops, and conferences addressing best practices across the continuum of care for perinatal substance use as well as interviews and focus groups with providers. The construct of “good mothering,” or hegemonic motherhood, was identified as an important cultural norm that supported social stigma and was embedded in providers’ interactions with mothers with an SEP. Discursive elements found in providers’ descriptions of perinatal substance use service work are presented and highlight the role of hegemonic motherhood as a stigmatizing agent.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450920969200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44788229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tough Times and the Ethnography of State Intimacies","authors":"N. Campbell","doi":"10.1177/0091450920956395","DOIUrl":"https://doi.org/10.1177/0091450920956395","url":null,"abstract":"Backlit by the flickering nightly display of #NYTough, a beacon projected onto the massive Empire State Government Plaza in Albany, New York, I read these two ethnographic encounters during the COVID-19 lockdown, a surreal experience for a scholar of drug policy, treatment, and science. Meant to showcase New Yorkers’ resilience, the slogan beamed its polysemic “tough love” signal across one of former New York State Governor Nelson Rockefeller’s monumental architectural follies. Far more consequential a folly has been the 1973 Rockefeller Laws, “get tough” drug laws mimicked throughout the United States’ “little Rockefeller laws” (Maggio, 2006). The Rockefeller Laws fueled mass incarceration with lengthy mandatory minimum sentences, and went unreformed until 2009 (Office of the New York State Governor, 2009). These laws provoked a particularly masculinist style of #NYTough law enforcement over more than 40 years’ existence, ensnaring a wide swath of New Yorkers—particularly poor persons of color—within the purview of the criminal justice system (Kohler-Hausman 2010, 2017). Reform set in motion an “evolving process in which a shift from punishment to treatment is occurring alongside a growing demand for treatment providers to meet the requirements of the criminal justice system” (Riggs et al., 2014). While the distinctly nontherapeutic criminalization process—which the Rockefeller Laws exemplify—will remain with the disunited states for a long time to come, experiments in therapeutic jurisprudence have yielded a system of “drug courts,” in which judges may exercise a degree of autonomy in sanctioning, while fostering relationships of emotional dependency with “participants” into whose lives they intrude deeply (Kaye, 2020, p. 66). This essay considers two recent U.S.-based books that reveal the inner workings of drug courts and prison-based treatment programs, situating each within the larger stakes of feminist drug ethnography and historiography. The scope of this review essay widened beyond the contribution each book makes to the ethnographic record to encompass the broader question of how states—those “coldest of all cold monsters” (Nietzsche, 1892/1930, p. 56)—respond to “unloved” subjects who use drugs. My purpose is to","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450920956395","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49441934","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rethinking “Change”: Introduction to a Special Focus","authors":"D. Moore","doi":"10.1177/0091450920943446","DOIUrl":"https://doi.org/10.1177/0091450920943446","url":null,"abstract":"","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450920943446","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46859381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Change in Editorship of Contemporary Drug Problems","authors":"","doi":"10.1177/0091450920944002","DOIUrl":"https://doi.org/10.1177/0091450920944002","url":null,"abstract":"","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450920944002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48214941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}