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“儿童药物”与可控快感:澳大利亚年轻人群体社交网络中右旋苯丙胺的娱乐性使用

'Kiddie drugs' and controlled pleasure: recreational use of dexamphetamine in a social network of young Australians.

作者信息

Green Rachael, Moore David

机构信息

National Drug Research Institute, Curtin University of Technology, Melbourne Office, Fitzroy, VIC 3065, Australia.

出版信息

Int J Drug Policy. 2009 Sep;20(5):402-8. doi: 10.1016/j.drugpo.2008.12.002. Epub 2009 Jan 24.

Abstract

BACKGROUND

This article explores the recreational use of diverted dexamphetamine, a pharmaceutical stimulant, amongst a social network of young adults (aged 18-31 years) in Perth, Western Australia (WA). Prior epidemiological research indicates that there are high levels of dexamphetamine prescription, and use of diverted dexamphetamine, in this jurisdiction. Little research exists on the social contexts of diverted dexamphetamine use in Australia or overseas.

METHODS

Ethnographic fieldwork was conducted over 18 months amongst a network of approximately 60 young adults who regularly used psychostimulants. Data collection involved participant observation conducted in natural settings including nightclubs and private parties. In-depth interviews were also conducted with 25 key contacts which explored drug use histories and themes emerging from fieldwork.

RESULTS

The use of diverted dexamphetamine, or 'dexies', was prevalent amongst the social network and integrated into local drug practices. The paper explores the ways in which dexamphetamine use is rationalised, negotiated and represented in the context of the use of alcohol and other psychostimulants such as methamphetamine and ecstasy. Two key aspects are emphasised. First, dexamphetamine use is seen as insignificant by network members and is positioned as 'safer' in relation to the use of other drugs by virtue of its pharmaceutical status. Second, dexamphetamine plays an instrumental role in facilitating the pursuit of 'controlled pleasure' via the heavy consumption of alcohol and other drugs.

CONCLUSION

The findings of the paper have implications for harm reduction policy. In particular, dexamphetamine use facilitates heavy drinking and polydrug use amongst young adults, which may increase the harms associated with such use. Further, current interventions targeting young psychostimulant users, which emphasise their adulterated and illegal nature, may inadvertently contribute to the cultural construction of dexamphetamine as a relatively 'safe' drug.

摘要

背景

本文探讨了在澳大利亚西部珀斯一个由18至31岁年轻人组成的社交网络中,非法获取的右旋苯丙胺(一种药物兴奋剂)的娱乐性使用情况。先前的流行病学研究表明,在该辖区内,右旋苯丙胺的处方量很高,且存在非法获取的右旋苯丙胺的使用情况。在澳大利亚或海外,关于非法获取的右旋苯丙胺使用的社会背景的研究很少。

方法

在18个月的时间里,对一个由大约60名经常使用精神兴奋剂的年轻人组成的网络进行了人种志实地调查。数据收集包括在自然环境(如夜总会和私人派对)中进行的参与观察。还对25名关键联系人进行了深入访谈,探讨了吸毒史以及实地调查中出现的主题。

结果

非法获取的右旋苯丙胺(即“右旋苯丙胺片”)的使用在该社交网络中很普遍,并融入了当地的吸毒行为。本文探讨了在酒精和其他精神兴奋剂(如甲基苯丙胺和摇头丸)的使用背景下,右旋苯丙胺的使用是如何被合理化、协商和呈现的。强调了两个关键方面。第一,该社交网络的成员认为右旋苯丙胺的使用无关紧要,并且由于其药物身份,相对于其他药物的使用被定位为“更安全”。第二,右旋苯丙胺在通过大量饮酒和使用其他药物来促进追求“可控的愉悦”方面发挥了工具性作用。

结论

本文的研究结果对减少伤害政策具有启示意义。特别是,右旋苯丙胺的使用助长了年轻人中的酗酒和多药滥用,这可能会增加与此类使用相关的危害。此外,目前针对年轻精神兴奋剂使用者的干预措施强调其掺假和非法性质,这可能会无意中促使将右旋苯丙胺文化建构为一种相对“安全”的药物。

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