有序与无序的双重危险:重新思考药物治疗中运动与变化之间的关系

IF 2.3 Q3 SUBSTANCE ABUSE Contemporary Drug Problems Pub Date : 2023-10-17 DOI:10.1177/00914509231204945
Mads Bank, Morten Nissen, Steven D. Brown
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引用次数: 0

摘要

在这篇文章中,我们提出,药物治疗中持续存在的困难可以理解为有序和无序的二元对立如何继续构建药物话语和治疗实践的结果。当吸毒被视为一种成瘾障碍时,康复就变成了在固定点之间的运动,以先前存在的标准为基准。这就模糊了康复如何被理解为一个自我分化的过程,在这个过程中,受试者发展新的规范来适应不断变化的生活环境。在本文中,我们借鉴了哥本哈根一家针对年轻吸毒者的药物治疗机构的经验材料,分析了如何通过基本的制度“可移动性”促进变革和发展。借鉴亨利·柏格森的变革哲学、德勒兹和加塔里的集合方法,以及雅克·朗西孔特的美学理论,我们分析了特定的话语集合、治疗组织和审美空间如何扰乱现有秩序,并为年轻吸毒者的参与和发展开辟了不同的可能性。特别是,我们将注意力转向审美空间和感官过程如何通过克服“治疗”的框架和与“吸毒者”分类相关的情感体验来对抗污名化,并促进护理的发展,使其成为一种新的方式。
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The Twin Dangers of Order and Disorder: Rethinking the Relationship Between Movement and Change in Drug Treatment
In this article, we propose that the perpetual difficulties in drug treatment can be understood as a consequence of how a binary opposition of order and disorder continues to structure drug discourses and treatment practices. When drug use is seen as a disorder of addiction, recovery becomes reduced to movements between fixed points benchmarked against preexisting standards. This obscures how recovery could be understood as a process of self-differentiation where subjects develop new norms to adapt to changing life circumstances. In the article we draw on empirical material from a Copenhagen drug-treatment facility for young drug users, to analyze how change and development can be facilitated through a fundamental institutional “movability.” Drawing on the philosophy of change of Henri Bergson, the assemblage approach of Deleuze and Guattari, and the aesthetic theory of Jacques Rancière, we analyze how a particular assemblage of discourses, the organization of treatment and aesthetic spaces disrupt existing orders and open for different possibilities for participation and development for young drug users. In particular, we turn the attention to how aesthetic spaces and sensuous processes can counter stigmatization by overcoming the frame of “treatment” and the affective experiences associated with the categorization as a “drug-user” and facilitating the development of care as new ways of becoming and being-together.
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来源期刊
Contemporary Drug Problems
Contemporary Drug Problems Social Sciences-Law
CiteScore
3.30
自引率
0.00%
发文量
23
期刊介绍: Contemporary Drug Problems is a scholarly journal that publishes peer-reviewed social science research on alcohol and other psychoactive drugs, licit and illicit. The journal’s orientation is multidisciplinary and international; it is open to any research paper that contributes to social, cultural, historical or epidemiological knowledge and theory concerning drug use and related problems. While Contemporary Drug Problems publishes all types of social science research on alcohol and other drugs, it recognizes that innovative or challenging research can sometimes struggle to find a suitable outlet. The journal therefore particularly welcomes original studies for which publication options are limited, including historical research, qualitative studies, and policy and legal analyses. In terms of readership, Contemporary Drug Problems serves a burgeoning constituency of social researchers as well as policy makers and practitioners working in health, welfare, social services, public policy, criminal justice and law enforcement.
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