Bennett Cary
University of New England.
Health History. 2011;13(2):130-57. doi: 10.5401/healthhist.13.2.0130.
This article examines key aims, objectives, technologies, strategies, and procedures utilised in Australian methadone maintenance programs over the past thirty years. An examination of the major policy documents reveal that, in addition to medico-health concerns, methadone programs have been strategically deployed to manage specific sociopolitical problems including illicit drug use, crime, and the spread of infectious diseases. The techniques, technologies, and procedures utilised in methadone programs and the 'disciplinary monotony 'of the methadone regime itself aim to produce a more compliant, conforming, and self-regulating subject. It is argued that the promotion of methadone maintenance as a 'treatment' modality obscures these disciplinary objectives and the political goals that have fostered them.
本文探讨了澳大利亚过去三十年美沙酮维持治疗项目中所采用的关键目标、目的、技术、策略和程序。对主要政策文件的审查表明，除了医疗健康方面的考虑外，美沙酮项目还被战略性地用于管理特定的社会政治问题，包括非法药物使用、犯罪和传染病传播。美沙酮项目中使用的技术、方法和程序以及美沙酮制度本身的“纪律单调”旨在塑造一个更顺从、守规和自我约束的主体。有人认为，将美沙酮维持治疗作为一种“治疗”方式进行推广，掩盖了这些纪律目标以及促成这些目标的政治目的。
