Farrugia Adrian, Fraser Suzanne, Dwyer Robyn, Fomiatti Renae, Neale Joanne, Dietze Paul, Strang John
Social Studies of Addiction Concepts Research Program, Faculty of Health Sciences, National Drug Research Institute, Curtin University, Melbourne, Vic, Australia.
Centre for Social Research in Health, Faculty of Arts and Social Sciences, University of New South Wales, Sydney, New South Wales, Australia.
Sociol Health Illn. 2019 Feb;41(2):427-443. doi: 10.1111/1467-9566.12848.
'Take-home naloxone' refers to a life-saving intervention in which a drug (naloxone) is made available to nonmedically trained people for administration to other people experiencing an opioid overdose. In Australia, it has not been taken up as widely as would be expected, given its life-saving potential. We consider the actions of take-home naloxone, focusing on how care relations shape its uses and effects. Mobilising Science and Technology Studies insights, we suggest that the uses and effects of naloxone are co-produced within social relations and, therefore, this initiative 'affords' multiple outcomes. We argue that these affordances are shaped by a politics of care, and that these politics relate to uptake. We analyse two complementary case studies, drawn from an interview-based project, in which opioid consumers discussed take-home naloxone and its uses. Our analysis maps the ways take-home naloxone can afford (i) a regime of care within an intimate partnership (allowing a terminally ill man to more safely consume opioids) and (ii) a political process of care (in which a consumer takes care of others treated with the medication by administering it 'gently'). We conclude by exploring the political affordances of a politics of care approach for the uptake of take-home naloxone.
“带回家的纳洛酮”指的是一种挽救生命的干预措施，即向未经医学培训的人员提供一种药物（纳洛酮），以便他们给其他阿片类药物过量使用者使用。在澳大利亚，鉴于其挽救生命的潜力，它并未得到预期的广泛应用。我们考察“带回家的纳洛酮”的作用，重点关注照护关系如何塑造其使用方式和效果。运用科学技术研究的见解，我们认为纳洛酮的使用方式和效果是在社会关系中共同产生的，因此，这一举措“带来”多种结果。我们认为，这些可能性是由照护政治塑造的，并且这些政治与应用情况相关。我们分析了两个互补的案例研究，这些案例来自一个基于访谈的项目，在该项目中，阿片类药物使用者讨论了“带回家的纳洛酮”及其使用情况。我们的分析描绘了“带回家的纳洛酮”能够带来的两种方式：（i）在亲密伴侣关系中形成一种照护机制（让一名绝症男子更安全地使用阿片类药物）；（ii）一个照护的政治过程（一名使用者通过“轻柔地”给药来照顾其他使用该药物治疗的人）。我们通过探讨照护政治方法对“带回家的纳洛酮”应用的政治可能性来得出结论。
