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所有途径都通向吸烟:“入门理论”、电子烟与尼古丁重塑

All gates lead to smoking: the 'gateway theory', e-cigarettes and the remaking of nicotine.

作者信息

Bell Kirsten, Keane Helen

机构信息

Department of Anthropology, University of British Columbia, 6303 NW Marine Drive, Vancouver, BC, V6T 1Z1, Canada.

School of Sociology, Research School of Social Sciences, Building 22, Haydon Allen Building, Australian National University, ACT, 0200, Australia.

出版信息

Soc Sci Med. 2014 Oct;119:45-52. doi: 10.1016/j.socscimed.2014.08.016. Epub 2014 Aug 15.

Abstract

The idea that drug use in 'softer' forms leads to 'harder' drug use lies at the heart of the gateway theory, one of the most influential models of drug use of the twentieth century. Although hotly contested, the notion of the 'gateway drug' continues to rear its head in discussions of drug use--most recently in the context of electronic cigarettes. Based on a critical reading of a range of texts, including scholarly literature and media reports, we explore the history and gestation of the gateway theory, highlighting the ways in which intersections between academic, media and popular accounts actively produced the concept. Arguing that the theory has been critical in maintaining the distinction between 'soft' and 'hard' drugs, we turn to its distinctive iteration in the context of debates about e-cigarettes. We show that the notion of the 'gateway' has been transformed from a descriptive to a predictive model, one in which nicotine is constituted as simultaneously 'soft' and 'hard'--as both relatively innocuous and incontrovertibly harmful.

摘要

“软性”毒品使用会导致“硬性”毒品使用这一观点是“通路理论”的核心,该理论是20世纪最具影响力的毒品使用模型之一。尽管备受争议,但“入门毒品”的概念在关于毒品使用的讨论中仍不断出现——最近是在电子烟的背景下。基于对一系列文本的批判性阅读,包括学术文献和媒体报道,我们探究了通路理论的历史与形成过程,强调了学术、媒体和大众叙述之间的交叉如何积极塑造了这一概念。我们认为该理论在维持“软性”和“硬性”毒品之间的区分方面至关重要,并转向其在电子烟辩论背景下的独特变体。我们表明,“通路”概念已从描述性模型转变为预测性模型,在这个模型中,尼古丁被视为兼具“软性”和“硬性”——既相对无害又无疑有害。

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