King Samantha
School of Kinesiology and Health Studies, Queen's University, 28 Division Street, Kingston, ON K7L 3N6, Canada.
Int J Drug Policy. 2014 May;25(3):486-93. doi: 10.1016/j.drugpo.2013.12.016. Epub 2014 Jan 11.
In the past decade, OxyContin diversion and misusehave been firmly established in Ontarian public discourse as serious problems requiring major intervention.This article contextualizes and theorizesthe processes through which the marketing of the prescription opioid and its subsequent problematization occurred. Theanalysis refuses the impossible choice between the 'deserving pain patient' and the 'undeserving addict,' between the war on pain and the war on drugs, and between a notion of OxyContin as either miracle panacea or destructive poison. Rather than falling in step with these binaries, OxyContinis theorized across them, or multiply, with the aim of moving beyond established moral and theoretical registers for exploring embodied consumption.
This discursive study is based on a broad range of texts collected between 2009-2013: Hansard reports from the Legislative Assembly of Ontario; newspaper, magazine, and internet coverage of OxyContin; and policy documents, research reports, and position papers and news releases produced by government agencies, advocacy organizations, professional bodies, think tanks, tribal councils, and law enforcement agencies.
Pharmaceutical industry and state actors have attempted to dualistically parse disparate materializations of OxyContin, a tactic that intensified as media pressure helped produce the notion of a public health crisis and, implicitly, a crisis of welfare dependence. By focusing on the (impossible) task of stratifying proper from improper use, the drug's advocatessought to secure the integrity of opioid painkillers and to protect their materialization as vehicles for maintaining a body that is normal, stable, and in control, as opposed to a body of excess that threatens to expose the consumerist logic of contemporary medicine.
Attempts to contain the multiplicity of OxyContin result in the further entrenchment of privatized and individualized approaches to pain and painkilling and serve to undermine rather than secure public health and safety.
在过去十年中，羟考酮的转移和滥用在安大略省的公共话语中已被确认为严重问题，需要进行重大干预。本文将处方阿片类药物的营销及其随后被问题化的过程置于具体情境中并进行理论分析。该分析拒绝在“值得治疗的疼痛患者”和“不值得同情的成瘾者”之间、在疼痛战争和毒品战争之间、以及在将羟考酮视为神奇万灵药或毁灭性毒药的观念之间做出不可能的选择。与其与这些二元对立保持一致，不如对羟考酮进行跨这些对立的理论化，或者说是多重理论化，目的是超越既定的道德和理论范畴来探索具体的消费行为。
这项话语研究基于2009年至2013年期间收集的广泛文本：安大略省立法议会的《议会议事录》报告；报纸、杂志和互联网对羟考酮的报道；以及政府机构、倡导组织、专业团体、智库、部落委员会和执法机构发布的政策文件、研究报告、立场文件和新闻稿。
制药行业和国家行为体试图对羟考酮的不同表现形式进行二元划分，随着媒体压力促使公众健康危机观念的形成，以及隐含的福利依赖危机观念的形成，这种策略愈演愈烈。通过专注于区分正确使用和不当使用（这一不可能完成的任务），该药物的倡导者试图确保阿片类止痛药的完整性，并保护它们作为维持正常、稳定和可控身体的工具的表现形式，而不是一个有可能暴露当代医学消费主义逻辑的过度身体。
试图控制羟考酮的多样性会导致对疼痛和止痛采取更加私有化和个体化的方法进一步根深蒂固，并有助于破坏而不是确保公众健康和安全。
