将趋势和轨迹付诸实践:参与变化和恢复描述的有用工具?

IF 4.4 2区 医学 Q1 SUBSTANCE ABUSE International Journal of Drug Policy Pub Date : 2024-08-29 DOI:10.1016/j.drugpo.2024.104563
Katrin Oliver , Michael Savic
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引用次数: 0

摘要

对戒毒的主流理解强调,个人有责任启动和维持人们的主体性以及与酒精和其他毒品的关系的变化。然而,这可能掩盖了变化过程的复杂性和时间性,以及所涉及的一系列社会物质因素。针对这一缺陷,批判性毒品研究学者们有效地运用了倾向和轨迹的概念来分析过去的毒品消费事件是如何流入当前和未来的消费事件的。我们批判了戒毒过程中的个人责任概念,运用倾向和轨迹的概念来帮助解释戒毒的出现和延续。这样做有助于通过拓宽发展健康和福祉的视角,将个人视为提高能力的责任主体。在本文中,我们对澳大利亚墨尔本城乡环境中 14 位有康复经历的人的访谈进行了定性分析。该分析说明了康复倾向和轨迹是如何通过长期重复的行动、习惯和实践培养出来的。将 "轨迹 "这一概念应用于变化叙事,揭示了在转折点之前和之后积累的瞬间是如何支持消费模式的转变的。这些时刻并不一定相互关联,但如果综合起来考虑,就会形成康复轨迹和健康组合。在反思利用恢复趋势和轨迹进行思考、研究和实践的能力时,我们认为,对趋势和轨迹的分析揭示了人类和非人类力量无休止结合所带来的变革机会。将这些概念应用于康复研究、实践和政策,涉及康复的时间和社会物质要素,提供了一种比目前常见的康复理论和方法更具解放性的方法,这些理论和方法假定个人对改变负有个人责任。
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Putting tendencies and trajectories to work: useful tools for engaging with accounts of change and recovery?

Dominant understandings of recovery emphasise personal responsibility for initiating and sustaining changes in people's subjectivities and relationships to alcohol and other drugs. However, this potentially obscures the complexities and temporalities of change processes and the range of socio-material elements involved. Addressing this gap, critical drug studies scholars have productively employed the concepts of tendencies and trajectories to analyse how past events of drug consumption flow into current and future consumption events. Critiquing notions of personal responsibility within recovery processes, we apply the concepts of tendencies and trajectories to help explain recovery's emergence and continuities. Doing so helps decentre the individual as the agent responsible for improved capacity by broadening the perspective of developing health and wellbeing. In this paper, we provide a qualitative analysis of interviews with fourteen people with lived recovery experiences within an urban-rural setting in Melbourne, Australia. This analysis illustrates how recovery tendencies and trajectories are cultivated through repeated actions, habits, and practices over time. Applying the concept of trajectories to change narratives reveals how accumulated moments precede and follow turning points, supporting shifts in consumption patterns. These moments are not necessarily connected but, when considered collectively, contribute to a recovery trajectory and assemblage of health. In reflecting on the affordances of thinking, researching and doing with recovery tendencies and trajectories, we argue that analysing tendencies and trajectories illuminate opportunities where change lies within an endless combination of human and non-human forces. Applying these concepts to recovery research, practice, and policy engages with temporal and socio-material elements of recovery, offering a more emancipatory approach than is currently provided by common recovery theories and approaches that assume individuals are personally responsible for change.

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来源期刊
CiteScore
7.80
自引率
11.40%
发文量
307
审稿时长
62 days
期刊介绍: The International Journal of Drug Policy provides a forum for the dissemination of current research, reviews, debate, and critical analysis on drug use and drug policy in a global context. It seeks to publish material on the social, political, legal, and health contexts of psychoactive substance use, both licit and illicit. The journal is particularly concerned to explore the effects of drug policy and practice on drug-using behaviour and its health and social consequences. It is the policy of the journal to represent a wide range of material on drug-related matters from around the world.
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