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创伤、损害与愉悦:对问题性药物使用的反思

Trauma, damage and pleasure: rethinking problematic drug use.

作者信息

Valentine Kylie, Fraser Suzanne

机构信息

Social Policy Research Centre, University of New South Wales, Sydney 2052, Australia.

出版信息

Int J Drug Policy. 2008 Oct;19(5):410-6. doi: 10.1016/j.drugpo.2007.08.001. Epub 2007 Sep 17.

DOI:10.1016/j.drugpo.2007.08.001
PMID:17875389
Abstract

BACKGROUND

While the pleasures of drug use are sometimes acknowledged, they are normally limited to those who are socially privileged. The drug use of those who are impoverished and marginalised is linked instead to crime, social misery and addiction. Studying poverty in connection with drug use enriches our understanding of both poverty and drugs, but there are limitations to these connections, including their neglect of pleasure.

METHOD

This paper draws on 85 qualitative interviews with service providers and clients, conducted for a project entitled 'Comparing the role of takeaways in methadone maintenance treatment in New South Wales and Victoria'. Critical readings of psychoanalysis are used as a conceptual frame.

RESULTS

Although pleasurable and problematic drug use are often thought to be mutually exclusive, pleasure is reported from both the effects of drugs such as heroin and methadone, and from the social worlds of methadone maintenance treatment. Attention to drug users' narratives of pleasure has the potential for new understandings of drug use and social disadvantage.

CONCLUSION

Common distinctions between kinds of drug use, such as problematic and recreational, are less useful than is normally thought.

摘要

背景

虽然吸毒的快感有时会被提及,但通常仅限于社会特权阶层。贫困和边缘化人群的吸毒行为反而与犯罪、社会苦难和成瘾联系在一起。将贫困与吸毒联系起来进行研究,丰富了我们对贫困和毒品的理解,但这些联系存在局限性,包括对快感的忽视。

方法

本文借鉴了为一个名为“比较外卖在新南威尔士州和维多利亚州美沙酮维持治疗中的作用”的项目而对服务提供者和客户进行的85次定性访谈。对精神分析的批判性解读被用作概念框架。

结果

尽管人们通常认为吸毒带来的快感和问题是相互排斥的,但无论是海洛因和美沙酮等毒品的效果,还是美沙酮维持治疗的社会环境,都能带来快感。关注吸毒者关于快感的叙述,有可能对吸毒和社会劣势产生新的理解。

结论

诸如问题性吸毒和娱乐性吸毒等常见的吸毒类型区分,并不像通常认为的那样有用。

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