Contemporary Drug Problems最新文献_第7页

Enacting Fentanyl Tests Strips for Overdose Prevention: The Socio-Material Transformation of “Suspect Technologies” into “Technologies of Solidarity” 制定芬太尼试纸条预防过量用药：从“可疑技术”到“团结技术”的社会物质转变

Contemporary Drug Problems Pub Date : 2021-09-06 DOI: 10.1177/00914509211038352

N. Campbell

{"title":"Enacting Fentanyl Tests Strips for Overdose Prevention: The Socio-Material Transformation of “Suspect Technologies” into “Technologies of Solidarity”","authors":"N. Campbell","doi":"10.1177/00914509211038352","DOIUrl":"https://doi.org/10.1177/00914509211038352","url":null,"abstract":"Fentanyl Test Strips (FTS) make possible rapid visual determinations of whether or not fentanyl is present in a given drug supply. This article places FTS within the historical contexts of drug-checking for drug control, overdose prevention, and harm reduction in North America. Following Fentanyl Test Strips (FTS) as artifacts made to signify and enact possibilities other than those for which they were developed and licensed, this article contributes to socio-material theorization of drug control, overdose prevention, and harm reduction in relation to the agency, empowerment, and liveliness of drug users through enactment of the policy and practice of off-label use. The socio-materialities of FTS co-constitute their semiotics and their interpretive flexibility within prevailing forms of evidence-based reasoning that have transformed clinical practice over past decades. They offer new renderings of facticity and artifactuality, which I connect to Ludwik Fleck’s work on the Wasserman test in Genesis and Structure of a Scientific Fact. Reading both the materiality and the semiotics of FTS as artifacts provides a hybrid concept of socio-materiality attentive to the social and material relations embedded in and embodied by FTS, and those who use them in both intended and unintended ways. Such uses differ from individualized expertise and evaluation taken as contributory to the evidence base of the global North. The political work of articulating between different grounds of struggle is underway among those seeking to distribute FTS more widely. But it is their sociomaterial flexibility that makes these artifacts move into new relations that sustains the more affective and artisanal forms of political and cultural recognition characterized in this article as “artifactual” use for an alterbiopolitics.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"48 1","pages":"305 - 326"},"PeriodicalIF":0.0,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49087857","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}

引用次数: 1

Women Who Inject Drugs (WWID): Stigma, Gender and Barriers to Needle Exchange Programmes (NEPs) 注射毒品妇女:耻辱感、性别和针头交换规划的障碍

Contemporary Drug Problems Pub Date : 2021-09-01 DOI: 10.1177/00914509211035242

Kirsten Gibson, F. Hutton

{"title":"Women Who Inject Drugs (WWID): Stigma, Gender and Barriers to Needle Exchange Programmes (NEPs)","authors":"Kirsten Gibson, F. Hutton","doi":"10.1177/00914509211035242","DOIUrl":"https://doi.org/10.1177/00914509211035242","url":null,"abstract":"Global evidence suggests that experiences of access to Needle Exchange services are gendered and that women who inject drugs (WWID) access needle exchange services differently to men. Despite being a significant proportion of injecting drug users, women’s voices and experiences have often been silenced in studies around harm reduction service provision, hampering the development of harm reduction services for WWID. This article highlights the experiences of four women and one trans man who have previously injected drugs, in accessing needle exchange programmes (NEPs) in a New Zealand context. Semi-structured qualitative interviews were carried out with five participants and thematic analysis of the interviews produced three core themes: how stigma permeates WWIDs’ lives; barriers in accessing needle exchange services; and how experiences within a drugs context are gendered. Stigma was an overwhelming issue affecting WWID which also acted as a barrier to their access of NEPs. The WWID in our study in terms of Goffman’s original theorizing were “doubly discredited” as well as “precariously discreditable” due to their gender and injection drug using status. The participants keenly felt their stigmatized status through interactions with pharmacy-based needle exchange staff, perceiving that pharmacy staff viewed them as more contaminated than their male counterparts. Gendered relationships were also noted in injection practices, although initiation for this group of WWID was done by intimate partners as well as friends, dispelling the stereotype of WWID as passive victims. Some participants also learnt to self-inject which gave them a sense of empowerment and freedom as they did not have to rely on others to help them. The social structures that support stigmatizing tropes about WWID need to be addressed as well as more local interventions to prevent stigma in NEPs, alongside women focused services.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"48 1","pages":"276 - 296"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00914509211035242","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48557589","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}

引用次数: 13

Possessing Drugs, Possessing Rights: Harm Reduction and Drug Policy Reform in Argentina 拥有毒品，拥有权利:阿根廷减少危害和毒品政策改革

Contemporary Drug Problems Pub Date : 2021-09-01 DOI: 10.1177/00914509211034006

Shana Harris

{"title":"Possessing Drugs, Possessing Rights: Harm Reduction and Drug Policy Reform in Argentina","authors":"Shana Harris","doi":"10.1177/00914509211034006","DOIUrl":"https://doi.org/10.1177/00914509211034006","url":null,"abstract":"Argentina’s national drug law, Law 23.737, has been in effect since 1989. Based on prohibitionist drug policy, this law was intended to severely punish drug traffickers and protect the public from drug use-related health concerns. However, it has failed to achieve these goals, and instead targets people who use drugs (PWUD) and brands them “criminals.” In response, the Argentine government announced its intent to reform Law 23.737 in 2008, sparking widespread debate among health, legal, and social service professionals. This article discusses this debate from the perspective of harm reductionists, those who work to reduce the negative effects of drug use rather than eliminate drug use or ensure abstinence. Drawing on archival research and 16 months of ethnographic fieldwork in Argentina, this article examines the positionality of harm reductionists in this drug policy reform, particularly the controversial proposal to decriminalize drug possession for personal use. Demonstrating their contention that Argentina’s legal apparatus is a major contributor to PWUD’s discrimination, stigmatization, and isolation from health and social services, I argue that challenging these problems through policy engagement allows Argentine harm reductionists to draw attention to the broader question of PWUD’s rights and to ultimately recast PWUD as rights-bearing citizens.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"48 1","pages":"260 - 275"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00914509211034006","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46606652","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}

引用次数: 0

The Sober Professor: Reflections on the Sober Paradox, Sober Phobia, and Disclosing an Alcohol Recovery Identity in Academia 清醒的教授：对清醒悖论、清醒恐惧症的反思，以及在学术界揭露酒精恢复身份

Contemporary Drug Problems Pub Date : 2021-09-01 DOI: 10.1177/00914509211031092

Victoria F. Burns

引用次数: 6

Auras of Detection: Power and Knowledge in Drug Prohibition 侦测的光环:禁毒的力量与知识

Contemporary Drug Problems Pub Date : 2021-08-04 DOI: 10.1177/00914509211035487

J. Carroll

{"title":"Auras of Detection: Power and Knowledge in Drug Prohibition","authors":"J. Carroll","doi":"10.1177/00914509211035487","DOIUrl":"https://doi.org/10.1177/00914509211035487","url":null,"abstract":"Drug checking is an evidence-based strategy for overdose prevention that continues to operate (where it operates) in a legal “gray zone” due to the legal classification of some drug checking tools as drug paraphernalia—the purview of law enforcement, not public health. This article takes the emergence of fentanyl in the U.S. drug supply as a starting point for examining two closely related questions about drug checking and drug market expertise. First, how is the epistemic authority of law enforcement over the material realities of the drug market produced? Second, in the context of that authority, what are the socio-political implications of technologically advanced drug checking instruments in the hands of people who use drugs? The expertise that people who use drugs maintain about the nature of illicit drug market and how to navigate the illicit drug supply has long been discounted as untrustworthy, irrational, or otherwise invalid. Yet, increased access to drug checking tools has the potential to afford the knowledge produced by people who use drugs a technological validity it has never before enjoyed. In this article, I engage with theories of knowledge production and ontological standpoint from the field of science, technology, and society studies to examine how law enforcement produces and maintains epistemic authority over the illicit drug market and to explore how drug checking technologies enable new forms of knowledge production. I argue that drug checking be viewed as a form of social resistance against law enforcement’s epistemological authority and as a refuge against the harms produced by drug criminalization.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"48 1","pages":"327 - 345"},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00914509211035487","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44068465","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}

引用次数: 9

“There’s No Sense to It”: A Posthumanist Ethnography of Agency in Methamphetamine Recovery “毫无意义”：甲基苯丙胺回收机构的后人文主义人种学

Contemporary Drug Problems Pub Date : 2021-07-06 DOI: 10.1177/00914509211031609

Samuel Brookfield, L. Selvey, L. Maher, L. Fitzgerald

{"title":"“There’s No Sense to It”: A Posthumanist Ethnography of Agency in Methamphetamine Recovery","authors":"Samuel Brookfield, L. Selvey, L. Maher, L. Fitzgerald","doi":"10.1177/00914509211031609","DOIUrl":"https://doi.org/10.1177/00914509211031609","url":null,"abstract":"The orthodox construction of agency within addiction recovery discourse is built upon a fault line between two conflicting principles: that people who use drugs in harmful ways cannot control their behavior, but that they can also regain that control through intentional effort. The conceptual confusion inherent in this framework can harm people using drugs by producing inadequate accounts of commonly invoked aspects of recovery such as “triggers,” “self-control,” and “addictive behavior.” This ethnographic study involved qualitative interviews and observations with nine people over 6 months as they engaged in recovery from harmful methamphetamine use, to explore their experiences of agency, and how these experiences could be shaped by the discourse of volition/compulsion. Thematic analysis was conducted using a posthumanist theoretical framework. We found “relapse triggers” to be diffuse aspects of particular environments rather than specific stimuli, able to provoke what would normally be considered conscious, intentional behavior rather than only autonomic or “mindless” processes. Participants also described their identities as internally divided and multiple, with drug related behaviors separated from their true selves. Finally, agency was experienced as emergent and distributed rather than as a particular resource located within individuals. Attending to these complex experiences of agency can help resolve the tension between loss of control and personal responsibility for people who use drugs, by renegotiating the historically imposed categorical distinction between volitional and compelled actions, and the cultural constructions of “addictive” versus “normal” behavior.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"49 1","pages":"278 - 298"},"PeriodicalIF":0.0,"publicationDate":"2021-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00914509211031609","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41698196","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}

引用次数: 6

The Normalization of Leisure Sex and Recreational Drugs: Exploring Associations Between Polydrug Use and Sexual Practices by English Festival-Goers 休闲性行为和消遣性药物的常态化:探究多种药物使用与英国节日参与者性行为之间的关系

Contemporary Drug Problems Pub Date : 2021-04-18 DOI: 10.1177/00914509211009901

M. McCormack, F. Measham, L. Wignall

{"title":"The Normalization of Leisure Sex and Recreational Drugs: Exploring Associations Between Polydrug Use and Sexual Practices by English Festival-Goers","authors":"M. McCormack, F. Measham, L. Wignall","doi":"10.1177/00914509211009901","DOIUrl":"https://doi.org/10.1177/00914509211009901","url":null,"abstract":"The relationship between drug use and sexual practice is complex. Significant focus has been placed on risky practices, yet the broader associations between drug use and sexual activities remain elusive outside such contexts. This is despite similar trends of liberalizing attitudes and practices being identified in each area, theorized as the normalization of recreational drug use and the liberalization of consensual sexual practice. In this article, we draw on convenience sample surveys of 966 festival-goers at an English music festival in 2016 and 2019 to assess prevalence of polydrug use and to examine whether people who consume illicit drugs are more likely to engage in sexual behaviors considered more liberal than the traditional norm. We show that people who reported polydrug use in the last 12 months were significantly more likely to engage in non-traditional sexual behaviors, including sex with a friend and anal sex, in that same time period. In combining and comparing two usually distinct discourses, this exploratory study suggests that the normalization of drugs and the liberalization of consensual sexual practices are related and can be conceptualized as part of a broader societal acceptance and cultural accommodation of illicit drug use and particular sexual practices as leisure activities, despite markedly different policy and legal contexts for each activity. We conclude that the concept of “normalization” may be more appropriate to understanding changes in sexuality than “liberalization” in the context of “leisure sex” and call for further cross-disciplinary research on drugs and sex using this approach.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"48 1","pages":"185 - 200"},"PeriodicalIF":0.0,"publicationDate":"2021-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00914509211009901","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44607120","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}

引用次数: 10

The Complexity of Drug Consumption Room Policy and Progress in Finland 芬兰药品消费室政策的复杂性与进展

Contemporary Drug Problems Pub Date : 2021-03-27 DOI: 10.1177/00914509211002542

A. Unlu, Fatih Demiroz, T. Tammi, P. Hakkarainen

引用次数: 8

Shadow Committees: On “Drug User Voice,” Representation, and Mobilization in a Norwegian Drug Policy Reform 影子委员会:关于“吸毒者的声音”，代表和动员在挪威药物政策改革

Contemporary Drug Problems Pub Date : 2021-03-27 DOI: 10.1177/00914509211003731

Aleksandra Bartoszko

{"title":"Shadow Committees: On “Drug User Voice,” Representation, and Mobilization in a Norwegian Drug Policy Reform","authors":"Aleksandra Bartoszko","doi":"10.1177/00914509211003731","DOIUrl":"https://doi.org/10.1177/00914509211003731","url":null,"abstract":"Until recently, Norway remained immovable on its conservative policy that illegal drug use is a crime. In 2018, the Health Minister appointed an inquiry commission to design a less restrictive drug policy, which included two “drug user representatives.” But the Minister’s choices for these posts met massive dissatisfaction from some drug users who contended that the representatives “are not real drug users” and do not “speak for” nor “act on the behalf” of their experiences and opinions. They mobilized to establish an alternative organization, the Shadow Committee, to propose a drug policy reform shaped by “the user voices” and “not polluted by political compromises.” Yet, while performing a labor of difference, this committee, too, became caught in conflicting landscapes of representation with some members contesting strategic solidarity. Based on this case, and an ethnographic fieldwork among the protesters, this article investigates the concept of representation as understood, contested and applied by “drug users.” Exploring how they relate to “user voices” and question the authenticity of some of “user representatives,” I highlight how changing political landscapes affect understandings of representation and shape political, individual and collective forms of involvement. I draw on Pitkin’s political philosophy and apply the classical categorization of political representation to suggest reconsidering the governing assumptions regarding “user representatives” that increasingly inform drug and treatment policies in Norway. I ask if the concept of representation itself may be a barrier to meaningful involvement.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"48 1","pages":"168 - 184"},"PeriodicalIF":0.0,"publicationDate":"2021-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/00914509211003731","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44031667","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}

引用次数: 6

Locked Up and Locked Out: Client Perspectives on Personal Relationships While in Compulsory Drug Treatment 锁住和锁住:在强制药物治疗期间，客户对个人关系的看法

Contemporary Drug Problems Pub Date : 2021-03-11 DOI: 10.1177/0091450921998383

F. Petersson, Karin Berg, Anette Skårner

{"title":"Locked Up and Locked Out: Client Perspectives on Personal Relationships While in Compulsory Drug Treatment","authors":"F. Petersson, Karin Berg, Anette Skårner","doi":"10.1177/0091450921998383","DOIUrl":"https://doi.org/10.1177/0091450921998383","url":null,"abstract":"This qualitative study explores clients’ perspectives on their personal relationships while in compulsory drug treatment. Interviews with 31 participants (14 female and 17 male) were conducted at four compulsory treatment institutions for adults who use drugs in Sweden. Taken together, our study reveals that clients in general had to struggle to maintain social relationships due to strict restrictions on their interpersonal contact and communication. Feelings of isolation and anxiety characterized much of their relationships during the treatment period, with emotional withdrawal commonly described as a way to cope. Moreover, some participants expressed shame and guilt over the pain and suffering they had subjected their family members to through their drug use, feelings that put additional strain on the contact. The emotionally and socially significant relationships described by our interviewees provide links to other personal roles and settings than those prescribed by the institution. At the studied institutions, however, little attention was given to this relational dimension of the clients’ situation. Based on the results of the present study, possibilities for improvement of compulsory drug treatment are discussed.","PeriodicalId":35813,"journal":{"name":"Contemporary Drug Problems","volume":"48 1","pages":"114 - 134"},"PeriodicalIF":0.0,"publicationDate":"2021-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/0091450921998383","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47294256","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}

引用次数: 0