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美沙酮,一种有争议的物质:20 世纪 70 年代的丹麦美沙酮政策。

Methadone, a contested substance: Danish methadone policy in the 1970s.

机构信息

Center for Alcohol and Drug Research, Department of Psychology, Faculty of Business and Social Sciences, Aarhus University, Bartholins Allé 10, Building 1322, DK-8000 Aarhus C, Denmark.

出版信息

Int J Drug Policy. 2013 Nov;24(6):e73-80. doi: 10.1016/j.drugpo.2013.08.008. Epub 2013 Sep 8.

Abstract

BACKGROUND

During the 1970s in Denmark, there was a great deal of controversy about the role of methadone in Danish drug policy. At stake were not just epistemological issues about how to explain drug problems or indeed technical issues about the best possible treatment for such problems, but also social issues about how drug problems and drug treatment affected and were affected by social change. The paper uses an analytical framework in which drugs are co-constructed with their social worlds. It uses this framework to investigate how conflicts emerged about the different ways of conceiving of the relationship between methadone and Danish society.

METHODS

Documentary data from the archives of a pressure group of parents of children with drug problems, the archives of an addiction doctor, newspaper articles, and policy documents from that time were coded in order to identify and analyze central controversies.

RESULTS

The methadone controversy of the 1970s was not just about the best treatment methods, but also a matter of the future of the Danish welfare state. The nation debated whether it should medicalise a social problem or solve it through social reform.

CONCLUSION

Drug treatment is not just a technical issue, but also a political issue and this needs to be accounted for when making drug policy.

摘要

背景

20 世纪 70 年代的丹麦,美沙酮在丹麦毒品政策中的作用引发了广泛争议。争论的焦点不仅是关于如何解释毒品问题的认识论问题,或者关于治疗此类问题的最佳方法的技术问题,还有关于毒品问题和毒品治疗如何影响和受到社会变革影响的社会问题。本文采用一种分析框架,在该框架中,毒品与其社会环境是共同构建的。本文使用该框架来调查在构想美沙酮与丹麦社会之间关系的不同方式上出现的冲突是如何产生的。

方法

从一个有吸毒儿童父母的压力团体的档案、一位成瘾医生的档案、当时的报纸文章和政策文件中提取档案数据,并对其进行编码,以确定和分析核心争议。

结果

20 世纪 70 年代的美沙酮争议不仅仅是关于最佳治疗方法的问题,也是丹麦福利国家未来的问题。丹麦全国上下就应该通过医学手段来解决社会问题还是通过社会改革来解决这一问题展开了辩论。

结论

药物治疗不仅仅是一个技术问题,也是一个政治问题,在制定药物政策时需要考虑到这一点。

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