Department of Public Health Sciences/SoRAD, Stockholm University, SE-10691 Stockholm, Sweden.
National Institute for Health and Welfare, P.O. Box 30, FI-00271 Helsinki, Finland.
Int J Drug Policy. 2018 Apr;54:60-67. doi: 10.1016/j.drugpo.2018.01.011. Epub 2018 Feb 8.
The article applies actor network theory (ANT) to autobiographical data on alcohol dependence to explore what ANT can offer to the analysis of 'addiction stories'. By defining 'addiction' as a relational achievement, as the effect of elements acting together as a configuration of human and non-human actors, the article demonstrates how the moving and changing attachments of addiction can be dynamically analyzed with concepts of 'assemblage', 'mediator', 'tendency', 'translation', 'trajectory', 'immutable mobile', 'fluid' and 'bush fire'. The article shows how the reduction of alcohol dependence simply to genetic factors, neurobiological causes, personality disorders and self-medication constitutes an inadequate explanation. As 'meta theories', they illuminate addiction one-sidedly. Instead, as ANT pays attention to multiple heterogeneous mediators, it specifies in what way the causes identified in 'meta theories' may together with other actors participate in addiction assemblages. When following the development of addiction assemblages, we focus on situational sequences of action, in which human and non-human elements are linked to each other, and we trace how the relational shape of addiction changes from one sequence to another as a transforming assemblage of heterogeneous attachments that either maintain healthy subjectivities or destabilize them. The more attachments assemblages of addiction are able to make that are flexible and durable from one event to another, the stronger also the addiction-based subjectivities. Similarly, the fewer attachments that assemblages of addiction are able to keep in their various translations, the weaker the addiction-based subjectivities also become. An ANT-inspired analysis has a number of implications for the prevention and treatment of addiction: it suggests that in the prevention and treatment of addiction, the aim should hardly be to get rid of dependencies. Rather, the ambition should be the identification of attachments and relations that enable unhealthy practices and the development of harm as part of specific actor networks.
本文运用行动者网络理论(ANT)分析关于酒精依赖的自传数据,以探讨 ANT 能为“成瘾故事”分析提供哪些见解。通过将“成瘾”定义为一种关系成就,即各种要素共同作用的配置,作为人类和非人类行动者的组合效果,本文展示了如何用“组合体”“中介物”“倾向”“转化”“轨迹”“不可变的移动体”“流动性”和“丛林之火”等概念来动态分析成瘾的移动和变化的依附关系。本文表明,将酒精依赖简单地归结为遗传因素、神经生物学原因、人格障碍和自我治疗,这种做法构成了一种不充分的解释。作为“元理论”,它们片面地阐明了成瘾。相反,由于 ANT 关注多种异质的中介物,因此它能具体说明“元理论”中确定的原因如何与其他行动者一起参与成瘾组合体。当我们跟踪成瘾组合体的发展时,我们关注行动的情境序列,在这些序列中,人类和非人类要素相互联系,我们追踪成瘾的关系形态如何从一个序列转变为另一个序列,作为一个由异质依附关系组成的转化组合体,这些依附关系要么保持健康的主体身份,要么使它们失去稳定性。成瘾组合体能够从一个事件到另一个事件保持灵活和持久的依附关系越多,基于成瘾的主体身份就越强大。同样,成瘾组合体能够保持的依附关系越少,基于成瘾的主体身份也会变得越弱。受 ANT 启发的分析对成瘾的预防和治疗有若干启示:它表明,在预防和治疗成瘾时,目标几乎不应是摆脱依赖,而是确定能使不健康行为和伤害发展成为特定行动者网络一部分的依附关系和联系。