Garcia Angela, Anderson Brian
Stanford University
University of California, San Francisco.
Transcult Psychiatry. 2016 Aug;53(4):445-64. doi: 10.1177/1363461516662539. Epub 2016 Aug 17.
Informal, coercive residential centers for the treatment of addiction are widespread and growing throughout Latin America. In Mexico these centers are called "anexos" and they are run and utilized by low-income individuals and families with problems related to drugs and alcohol. This article draws on findings from a 3-year anthropological study of anexos in Mexico City. Participant observation and in-depth interviews were used to describe and analyze anexos, their therapeutic practices, and residents' own accounts of addiction and recovery. Our findings indicate that poverty, addiction, and drug-related violence have fueled the proliferation of anexos They also suggest that anexos offer valuable health, social, and practical support, but risk exacerbating the suffering of residents through coercive rehabilitation techniques. Emphasizing this tension, this article considers the complex relationship between coercion and care, and poses fundamental questions about what drug recovery consists of in settings of poverty and violence.
在拉丁美洲,用于治疗成瘾问题的非正规强制寄宿中心普遍存在且数量不断增加。在墨西哥,这些中心被称为“附属机构”,由与毒品和酒精问题相关的低收入个人和家庭运营并使用。本文借鉴了对墨西哥城附属机构进行的为期3年的人类学研究结果。通过参与观察和深入访谈来描述和分析附属机构、其治疗方法以及居民对成瘾和康复的自述。我们的研究结果表明,贫困、成瘾和与毒品相关的暴力推动了附属机构的扩散。研究结果还表明,附属机构提供了宝贵的健康、社会和实际支持,但存在通过强制康复技术加剧居民痛苦的风险。本文强调这种矛盾关系,探讨了强制与关怀之间的复杂关系,并提出了关于在贫困和暴力环境中药物康复包含哪些内容的基本问题。