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The misuse of drugs act – a user perspective 《滥用药物法》——用户视角
IF 0.9 Q3 Psychology Pub Date : 2021-11-25 DOI: 10.1108/dat-10-2021-0056
Mat Southwell
PurposeThis paper aims to demonstrate the ways in which the Misuse of Drugs Act (MDA) militates against the interests and situations of people who use drugs. The author reflects on the author’s journey as a drug user, drugs workers and drug user organiser to critique the MDA. The author describes the impact of the MDA on the author’s early experimentation with substances and highlights the limitations of simplistic drugs prevention. The author describes how the MDA maximises drug-related risks and undermines the creation of healthy cultural norms and community learning among people who use drugs. The author talks about the author’s work as a drugs practitioner and mourns the vandalism of the UK’s harm reduction and drug treatment system. This paper describes the opportunity to use drug policy reform as a progressive electoral agenda to begin the journey towards racial and social justice. This paper calls for the rejection of the Big Drugs Lie and the repeal of the failed MDA.Design/methodology/approachPersonal reflection based on experience as drug user, drugs worker and drug user organiser.FindingsSuccessive UK Governments have used the MDA as a tool of social control and racial discrimination. The Big Drugs Lie undermines science-based and rights-compliant drug policy and drug services and criminalises and puts young people at risk. There is the potential to build a progressive political alliance to remove the impediment of the MDA and use drug policy reform as tools for racial and social justice.Practical implicationsThe MDA maximises the harms faced by people who use drugs, stokes stigma and discrimination and has undermined the quality of drug services. The MDA needs to be exposed and challenged as a tool for social control and racial discrimination. Delivering drug policy reform as a progressive electoral strategy could maximise its potential to improve social and racial justice.Originality/valueThis paper represents the view of people who use drugs by a drug user, a view which is seldom expressed in the length and level of argument shown here.
目的本文旨在论证《药物滥用法》(MDA)如何损害吸毒者的利益和处境。作者反思了自己作为吸毒者、毒品工作者和吸毒者组织者对MDA进行批评的历程。作者描述了MDA对作者早期药物试验的影响,并强调了简单化药物预防的局限性。提交人描述了毒品管理局如何使与毒品有关的风险最大化,并破坏了在吸毒者中建立健康文化规范和社区学习的过程。作者谈到了作者作为一名药物从业者的工作,并哀悼英国减少伤害和药物治疗系统的破坏。本文描述了利用毒品政策改革作为一项进步的选举议程,开始迈向种族和社会正义之旅的机会。本文呼吁摒弃“大毒品谎言”,废除失败的MDA。设计/方法/方法基于作为吸毒者、药物工作者和吸毒者组织者的经验的个人反思。历任英国政府都将MDA作为社会控制和种族歧视的工具。“大毒品谎言”破坏了基于科学和符合权利的毒品政策和毒品服务,将年轻人定为犯罪,并使他们处于危险之中。有可能建立一个进步的政治联盟,以消除毒品管理局的障碍,并利用毒品政策改革作为实现种族和社会正义的工具。实际影响毒品滥用局使吸毒者面临的危害最大化,助长污名和歧视,并破坏了药物服务的质量。MDA作为社会控制和种族歧视的工具需要被揭露和挑战。将毒品政策改革作为一项进步的选举战略,可以最大限度地发挥其改善社会和种族正义的潜力。原创性/价值这篇论文代表了一个吸毒者对吸毒者的看法,这种观点很少在这里所展示的论证的长度和水平上得到表达。
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引用次数: 0
More harm than good? Cannabis, harm and the misuse of drugs act 弊大于利?《大麻、危害和滥用毒品法》
IF 0.9 Q3 Psychology Pub Date : 2021-11-24 DOI: 10.1108/dat-09-2021-0047
G. Potter, Hattie Wells
PurposeThis paper aims to consider the nature of cannabis-related harms under the UK’s Misuse of Drugs Act (MDA). Written for the specific context of this four-paper special section on 50 years of the MDA, it argues that the MDA may cause more harm than it prevents.Design/methodology/approachAn opinion piece offering a structured overview of cannabis-related harms under prohibition. It summarises existing evidence of the ways in which prohibition may exacerbate existing – and create new – harms related to the production, distribution, use and control of cannabis.FindingsThe paper argues that prohibition of cannabis under the MDA may cause more harm than it prevents.Originality/valueIt has long been argued that the MDA does not accurately or fairly reflect the harms of the substances it prohibits, and much existing research points to different ways in which drug prohibition can itself be harmful. The originality of this paper lies in bringing together these arguments and developing a framework for analysing the contribution of prohibition to drug-related harm.
本文旨在考虑大麻相关危害的性质在英国的药物滥用法案(MDA)。这篇关于MDA 50年的四篇文章的特殊章节是为特定的背景而写的,它认为MDA可能造成比它所防止的更多的伤害。设计/方法/方法一篇对被禁止的大麻相关危害进行结构化概述的评论文章。它总结了现有的证据,证明禁令可能会加剧与大麻的生产、分销、使用和控制有关的现有危害并产生新的危害。这篇论文认为,在MDA下禁止大麻可能会造成比它所防止的更多的伤害。原创性/价值长期以来,人们一直认为,禁毒署没有准确或公平地反映它所禁止的物质的危害,而且许多现有的研究都指出了禁毒本身可能有害的不同方式。本文的独创性在于汇集了这些论点,并制定了一个框架来分析禁止对毒品相关危害的贡献。
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引用次数: 0
Risk perception, health stressors and reduction in sharing cannabis products during the COVID-19 outbreak: a cross-sectional study COVID-19疫情期间风险认知、健康压力因素和减少共用大麻产品:一项横断面研究
IF 0.9 Q3 Psychology Pub Date : 2021-10-22 DOI: 10.1108/DAT-07-2021-0030
D. Rosenberg, S. Sznitman
Purpose: This study aimed to understand the extent to which cannabis-related risk perception and COVID-19-related health worries were associated with the reported reduction in sharing cannabis smoking products to mitigate the risk of the coronavirus transmission or infection. This association was tested in two different periods in terms of toughness of national lockdown policy imposed in the first months of the pandemic in Israel. Design/methodology/approach: The study population included adult recreational cannabis users who completed one of the two online cross-sectional surveys dedicated to COVID-19 and the cannabis use situation in Israel in the first half of the 2020. The two surveys were conducted six weeks apart. One survey was conducted in the period when strict lockdown measures were in place (N1 = 376). The other survey was conducted in the period when many lockdown measures were lifted (N2 = 284). Differences between the samples regarding risk perception, health stressors and reduction in sharing cannabis products were assessed using t-test. Regression analysis was used to test the independent correlates of reported reduction in sharing cannabis products. Findings: Means of risk perception, health stressors and reported reduction in sharing cannabis products were higher in the sample surveyed in the period of the strict lockdown measures than in the sample surveyed in the period of eased lockdown measures. Risk perception was associated with reported reduction in sharing cannabis products only in the sample surveyed in the period of strict lockdown measures. In contrast, health stressors were related to reported reduction in sharing cannabis products in both samples. Social implications: Health stressors may represent a more stable mechanism by which cannabis users engage in protective behavior during the pandemic than risk perceptions. Originality/value: To the best of the authors’ knowledge, the current research is one of the first studies that examine the associations among risk perception, primary stressors and protective behavior in recreational cannabis users while referring to cannabis-related behavior other than use. © 2021, Emerald Publishing Limited.
目的:本研究旨在了解与大麻相关的风险认知和与covid -19相关的健康担忧与报告减少共用大麻吸烟产品以减轻冠状病毒传播或感染风险的关联程度。在以色列大流行的头几个月实施的国家封锁政策的强硬程度方面,这种联系在两个不同时期受到了考验。设计/方法/方法:研究人群包括成年休闲大麻使用者,他们完成了2020年上半年关于2019冠状病毒病和以色列大麻使用情况的两项在线横断面调查中的一项。这两项调查相隔六周进行。1项调查是在实行严格封锁措施期间进行的(N1 = 376)。另一项调查是在解除多项封锁措施期间进行的(N2 = 284)。使用t检验评估了样本之间在风险认知、健康压力因素和减少共用大麻产品方面的差异。回归分析用于测试报告的共享大麻产品减少的独立相关性。调查结果:在严格封锁措施期间接受调查的样本中,风险感知手段、健康压力因素和报告共用大麻产品的减少情况高于在放松封锁措施期间接受调查的样本。只有在严格封锁措施期间接受调查的样本中,风险认知与报告的共享大麻产品减少有关。相比之下,健康压力因素与两个样本中报告的共用大麻产品的减少有关。社会影响:健康压力因素可能是大麻使用者在大流行期间采取保护行为的一种更稳定的机制,而不是风险认知。原创性/价值:据作者所知,目前的研究是第一批研究娱乐性大麻使用者的风险感知、主要压力源和保护行为之间关系的研究之一,同时涉及大麻使用以外的相关行为。©2021,翡翠出版有限公司
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引用次数: 1
From law to regulation: re-appraising the misuse of Drugs Act 1971 从法律到法规:重新评估1971年《药物滥用法》
IF 0.9 Q3 Psychology Pub Date : 2021-10-18 DOI: 10.1108/dat-07-2021-0035
T. Seddon
PurposeThe purpose of this paper is to re-appraise the Misuse of Drugs Act 1971 in order to develop alternative and new ideas for drug law reform.Design/methodology/approachThe approach is to analyse the Act from historical and socio-legal perspectives, drawing on the inter-disciplinary field of regulation studies.FindingsThe Act has its roots in radical counter-cultural reform activism in the 1960s. Its innovative legal structure has enabled a diverse range of policy approaches to be possible over the last 50 years. Future drug law reform efforts need to broaden out from a narrow focus on law and also to engage more seriously with the politics of drug law and policy.Originality/valueDrawing on the inter-disciplinary field of regulation studies leads to novel insights about the politics and practice of drug law reform.
目的重新评价《1971年药物滥用法》,以期为禁毒法改革提供新的思路。设计/方法/方法方法是从历史和社会法律的角度分析该法案,借鉴跨学科的监管研究领域。该法案源于20世纪60年代激进的反文化改革行动主义。其创新的法律结构在过去50年里使各种各样的政策办法成为可能。今后的禁毒法改革工作需要从对法律的狭隘关注扩大到更认真地参与毒品法律和政策的政治。原创性/价值借鉴跨学科领域的监管研究,可以对药物法律改革的政治和实践产生新的见解。
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引用次数: 0
Fifty years of the UK Misuse of Drugs Act 1971: the legislative contexts 英国1971年《滥用药物法》的五十年:立法背景
IF 0.9 Q3 Psychology Pub Date : 2021-10-14 DOI: 10.1108/dat-08-2021-0038
B. Stothard
PurposeThe purpose of this paper is to illustrate the history of relevant legislation before and after the 1971 Misuse of Drugs Act (MDA).Design/methodology/approachA chronological narrative of laws and reports with concluding discussion.FindingsThat UK legislators have not made use of the evidence base available to them and have favoured enforcement rather than treatment approaches. That current UK practice has exacerbated not contain the use of and harms caused by illegal drugs.Research limitations/implicationsThe paper does not cover all relevant documents, especially those from non-governmental sources.Practical implicationsThe practical implications centre on the failure of consecutive governments to reflect on and review the impact of current legislation, especially on people who use drugs.Social implicationsThat the situations of people who use drugs are currently ignored by the government and those proven responses which save lives and reduce harm are rejected.Originality/valueThe paper attempts to show the historical contexts of control and dangerousness of which the MDA is one instrument.
目的本文旨在说明1971年《滥用药物法》(MDA)前后相关立法的历史。设计/方法/方法按时间顺序叙述法律和报告,并进行总结性讨论。调查结果英国立法者没有利用现有的证据基础,倾向于强制执行而非治疗方法。英国目前的做法加剧了非法药物的使用和危害。研究局限性/含义本文并不涵盖所有相关文件,尤其是来自非政府来源的文件。实际影响实际影响集中在历届政府未能反思和审查现行立法的影响,特别是对吸毒者的影响。社会影响目前政府忽视了吸毒者的情况,而那些已经证明可以挽救生命和减少伤害的应对措施也被拒绝了。原创性/价值本文试图展示MDA作为工具之一的控制和危险性的历史背景。
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引用次数: 3
Benefits and barriers associated with take-home-naloxone in the view of Italian service providers 意大利服务提供者认为纳洛酮带回家的好处和障碍
IF 0.9 Q3 Psychology Pub Date : 2021-10-07 DOI: 10.1108/dat-12-2020-0077
S. Rolando, Franca Beccaria, Susanna Ronconi
PurposeSpanning almost 30 years, Italy’s experience with take-home-naloxone (THN) provides an interesting case study on the international scene because of its specific history, regulation and trends in overdose (OD) rates. Accordingly, this study aims to contribute to the evidence base for THN and its delivery in a different setting.Design/methodology/approachThe study focuses on service providers’ perceptions of the benefits, risks and barriers associated with THN provision. Data was collected using a mixed-methods approach as follows: an online structured questionnaire (no. of respondents = 63) and two focus groups (no. of total participants = 18).FindingsFindings show that service providers believe the benefits of THN far outweigh the risks and accrue to services, as well as users. The study also suggests that the barriers in Italy are mostly ideological and political, and illustrates how resistance to administering THN can re-emerge when ODs are no longer a social emergency. Furthermore, the study found that health and social workers have different attitudes which are also reflected at the level of public and private services, thereby shaping slightly different models of THN supply.Originality/valueThe study suggests that barriers associated to THN are more ideological and political rather than concrete, which explains why, even where it seems long established, can easily re-emerge once ODs are no longer a social emergency.
在近30年的时间里,意大利使用纳洛酮(THN)的经验为国际舞台提供了一个有趣的案例研究,因为它具有特定的历史、法规和过量服用(OD)率的趋势。因此,本研究旨在为THN及其在不同环境中的实施提供证据基础。设计/方法/方法本研究的重点是服务提供商对提供THN相关的利益、风险和障碍的看法。采用以下混合方法收集数据:一份在线结构化问卷(编号;受访者= 63)和两个焦点小组(没有。总参与者= 18)。调查结果显示,服务提供商认为THN的好处远远大于风险,对服务和用户都有好处。该研究还表明,意大利的障碍主要是意识形态和政治上的,并说明了当吸毒成瘾不再是社会紧急情况时,对管理THN的抵制是如何重新出现的。此外,研究发现,卫生工作者和社会工作者的态度不同,这也反映在公共和私营服务层面,从而形成了略有不同的THN供应模式。研究表明,与THN相关的障碍更多是意识形态和政治上的,而不是具体的,这就解释了为什么,即使在看似由来已久的地方,一旦odn不再是一种社会紧急情况,它也很容易重新出现。
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引用次数: 0
“We don’t have any answers within the current framework”: tensions within cannabis policy change in Ireland “在目前的框架内,我们没有任何答案”:爱尔兰大麻政策变化的紧张局势
IF 0.9 Q3 Psychology Pub Date : 2021-10-04 DOI: 10.1108/dat-10-2020-0064
Chris Ó Rálaigh, S. Morton
PurposeInternational policy approaches to cannabis production and use are changing rapidly, and within the Irish context, alternatives to prohibition are being considered. This study aims to explore policymaker’s attitudes towards the decriminalisation and legal regulation of cannabis for recreational use in the midst of an unfolding policy process, examining the degree which a “policy window” might be open for the implementation of cannabis policy change.Design/methodology/approachSemi-structured interviews were held with eight key informants within the policy field in Dublin, Ireland. Kingdon’s (2014) Multiple Streams framework was used to consider whether the problems, policy and political streams were aligning to support progressive policy change.FindingsIrish policymakers indicated broad support for the decriminalisation of cannabis. The legal regulation of cannabis received more qualified support. Existing policy was heavily criticised with criminalisation identified as a clear failure. Of particular interest was the willingness of policymakers to offer opinions which contrasted with the policy positions of their organisations. While a policy window did open – and close – subsequent governmental commitments to examine the issue of drugs policy in a more deliberative process in the near future highlight the incremental nature of policy change.Originality/valueThis study provides unique insight into the opinions of policymakers in the midst of a prolonged period of policy evolution. A latent aspiration for historical policy change was situated within the realpolitik of more traditional approaches to policy development, demonstrating that the alignment of Kingdon’s (2014) problem, policy and political streams are essential for change in cannabis policy.
目的:关于大麻生产和使用的国际政策方针正在迅速变化,在爱尔兰范围内,正在考虑禁止的替代办法。本研究旨在探讨政策制定者在政策发展过程中对娱乐用大麻的非刑事化和法律监管的态度,研究实施大麻政策变化的“政策窗口”可能打开的程度。设计/方法/方法在爱尔兰都柏林与政策领域的8位关键线人进行了半结构化访谈。Kingdon(2014)的多重流框架被用来考虑问题、政策和政治流是否一致,以支持渐进式政策变化。爱尔兰政策制定者表示对大麻合法化的广泛支持。对大麻的法律管制得到了更充分的支持。现有的政策受到了严厉的批评,刑事定罪被认为是明显的失败。特别令人感兴趣的是,政策制定者是否愿意提供与其组织的政策立场形成对比的意见。虽然政策窗口确实打开了- -也关闭了- -随后政府承诺在不久的将来以更慎重的方式审查毒品政策问题,这突出了政策变化的渐进式性质。原创性/价值本研究对长期政策演变过程中决策者的观点提供了独特的见解。历史政策变化的潜在愿望位于更传统的政策制定方法的现实政治中,这表明Kingdon(2014)问题,政策和政治流的对齐对于大麻政策的变化至关重要。
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引用次数: 0
Guest editorial 客人编辑
IF 0.9 Q3 Psychology Pub Date : 2021-09-08 DOI: 10.1108/dat-09-2021-086
Mélina Germes, Bernd Werse, Marie Jauffret-Roustide
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引用次数: 0
Mapping “drug places” from below. The lived cities of marginalized drug users 从下方绘制“毒品场所”地图。边缘化吸毒者的生活城市
IF 0.9 Q3 Psychology Pub Date : 2021-08-28 DOI: 10.1108/dat-12-2020-0085
M. Germes, Luise Klaus, Svea Steckhan
PurposeOn top of their legal, economic, social and institutional marginalization, marginalized drug users (MDUs) also experience political marginalization: drug policies shape their lives without their political participation. From a scientific as well as a political perspective, the inclusion of their various viewpoints and situated knowledge is a major challenge, and one to which this paper aims to contribute in light of the experiences and imaginaries of MDUs urban spaces in several German cities.Design/methodology/approachFollowing a socio-geographical approach, this paper interrogates how MDUs appropriate and imagine the city, drawing on Lefebvre’s Production of Space and mixing critical cartographic with grounded theory, in the attempt to both understand and reconstruct the world from the situated perspective of MDUs based on their own words, drawings and emotions.FindingsThe narratives and drawings of participants show another cityscape, radically different from the hegemonic discourses and mappings antagonizing MDUs and making their existence a social problem. Space appears as a means of marginalization: there are barely any places that MDUs can legitimately appropriate-least of all so-called “public space.” By contrast, MDUs’ imaginaries of an ideal city would accommodate their existence and address further social justice issues.Originality/valueThe notion of “public places” appears unable to express MDU’s experiences. Instead of focusing on the problem of public spaces, policymakers should tackle the question of placemaking for MDUs beyond the level of solely drug-related places.
除了在法律、经济、社会和体制上被边缘化之外,边缘吸毒者还经历着政治边缘化:毒品政策在没有他们政治参与的情况下塑造他们的生活。从科学和政治的角度来看,包括他们的各种观点和情境知识是一个重大挑战,本文旨在根据几个德国城市的MDUs城市空间的经验和想象做出贡献。设计/方法/方法:本文采用社会地理学的方法,借鉴列斐伏尔的《空间的生产》,将批判性制图学与扎根理论相结合,探讨mdu是如何适应和想象城市的,试图基于mdu自己的语言、绘画和情感,从他们的视角来理解和重建世界。参与者的叙述和绘画展示了另一种城市景观,与对抗mdu的霸权话语和映射完全不同,并使其存在成为一个社会问题。空间似乎是一种边缘化的手段:几乎没有任何地方是mdu可以合法占有的——尤其是所谓的“公共空间”。相比之下,mdu对理想城市的想象将适应他们的存在,并进一步解决社会正义问题。“公共场所”的概念似乎无法表达MDU的体验。政策制定者不应该把重点放在公共空间的问题上,而应该解决为mdu创造场所的问题,而不仅仅是与毒品有关的场所。
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引用次数: 3
Marginalised identities between fatalism and desperation – experiences of low-level cannabis street dealers in Frankfurt 宿命论和绝望之间的边缘化身份——法兰克福低级大麻街头经销商的经历
IF 0.9 Q3 Psychology Pub Date : 2021-08-16 DOI: 10.1108/dat-03-2021-0012
Bernd Werse
PurposeThis paper aims to research people who sell cannabis in public spaces known as “drug places” in Frankfurt, Germany. A particular focus is set to the relations of identity formation, relations to other dealers and law enforcement, taking into account the concept of “street capital” as social and cultural capital accumulated in the practice of drug dealing in public.Design/methodology/approachNine biographically oriented qualitative interviews were conducted directly within the respective “drug places” in the inner city and the margins of the local open drug scene with exclusively male subjects. Interviews were conducted in German, audio-recorded and transcribed. Data was analysed with structured qualitative content analysis.FindingsAll respondents had some degree of migration background, ranging from German citizens up to refugees with illegal residence permit status. Social deprivation, socio-cultural conflicts with parents, combined with often early own drug use (mainly cannabis and cocaine) and stigma had contributed to a precarious existence. Experiences of criminalisation did not discourage the respondents from the continuation of their selling activity. Violence in these settings was likely but assessed in highly different ways depending on attitudes and experiences. The same is true for diverging experiences with police, however, the threat of being criminalised is always present.Originality/valueAs mostly independent and solitary dealers, this study researched a rarely investigated group. While these respondents have developed skills or street capital to survive in the respective setting, they are caught between unfavourable social conditions, social exclusion, violence, law enforcement and own drug use, leading to a desperate and fatalistic mindset. Somewhat paradoxically, this fatalism may be regarded as a result of keeping control over their own actions.
本文旨在研究在德国法兰克福被称为“毒品场所”的公共场所出售大麻的人。特别侧重于身份形成的关系、与其他毒贩的关系和执法,同时考虑到“街头资本”的概念是在公共毒品交易实践中积累的社会和文化资本。设计/方法/方法9个以传记为导向的定性访谈直接在内城的“毒品场所”和当地开放毒品场景的边缘进行,全部是男性受试者。采访是用德语进行的,录音和抄写。数据分析采用结构化定性内容分析。所有受访者都有一定程度的移民背景,从德国公民到拥有非法居留许可身份的难民。社会剥夺、与父母的社会文化冲突,加上往往很早就自己吸毒(主要是大麻和可卡因)和耻辱,造成了一种不稳定的生活。被定罪的经历并没有阻止答复者继续他们的销售活动。在这些环境中可能发生暴力,但根据态度和经验的不同,评估的方式截然不同。与警察的不同经历也是如此,然而,被定罪的威胁总是存在的。原创性/价值本研究主要针对独立和孤独的经销商,研究了一个很少被调查的群体。虽然这些受访者掌握了在各自环境中生存所需的技能或街头资本,但他们被不利的社会条件、社会排斥、暴力、执法和自己的吸毒所困,导致了绝望和宿命论的心态。有点矛盾的是,这种宿命论可以被看作是控制自己行为的结果。
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引用次数: 1
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