Department of Anthropology, University of Pennsylvania, Philadelphia, PA, USA.
Soc Sci Med. 2010 Mar;70(6):859-66. doi: 10.1016/j.socscimed.2009.10.033. Epub 2009 Nov 26.
In recent years, the Not-In-My-Back-Yard (NIMBY) phenomenon has become increasingly prevalent with regard to harm reduction sites, addiction treatment facilities and their clients. Drawing from a case study of community conflict generated by the relocation of a methadone clinic into a rapidly gentrifying neighbourhood in downtown Toronto, Canada, this article offers a unique analysis of oppositional strategies regarding the perceived (socio-spatial) 'disorder of drugs'. Based on interviews with local residents and business owners this article suggests the existence of three interrelated oppositional strategies, shifting from a recourse to urban planning policy, to a critique of methadone maintenance treatment (MMT) practice, to explicit forms of socio-spatial stigmatization that posited the body of the (methadone) 'addict' as abject agent of infection and the clinic as a site of contagion. Exploring the dialectical, socio-spatial interplay between the body of the addict and the social body of the city, this article demonstrates the unique aspects of opposition to the physically, ideologically and discursively contested space of addiction treatment. Representations of the methadone clinic, its clients and the larger space of the neighbourhood, this paper suggests, served to situate addiction as a 'pathology (out) of place' and recast the city itself as a site of safe/supervised consumption.
近年来，“邻避主义”（NIMBY）现象在减少伤害场所、成瘾治疗设施及其客户方面变得越来越普遍。本文通过对加拿大多伦多市中心一个美沙酮诊所搬迁到一个快速高档化社区所引发的社区冲突的案例研究，对感知到的（社会空间）“毒品混乱”的反对策略进行了独特的分析。基于对当地居民和企业主的访谈，本文提出了三种相互关联的反对策略，从诉诸城市规划政策，到对美沙酮维持治疗（MMT）实践的批判，再到对（美沙酮）“瘾君子”身体的明显社会空间污名化，将其作为感染的可憎主体，将诊所作为传染病的场所。本文探讨了瘾君子的身体和城市社会身体之间的辩证的、社会空间的相互作用，展示了对成瘾治疗的有形的、意识形态的和话语上有争议的空间的独特反对方面。本文认为，对美沙酮诊所、其客户和更大的社区空间的描述，将成瘾视为“病态（外）的地方”，并将城市本身重新塑造为安全/监督消费的场所。
