Dennis Fay, Rhodes Tim, Harris Magdalena
Goldsmiths, University of London, London, United Kingdom.
London School of Hygiene & Tropical Medicine, London, United Kingdom; The University of New South Wales, Sydney, Australia.
Int J Drug Policy. 2020 Aug;82:102771. doi: 10.1016/j.drugpo.2020.102771. Epub 2020 Jun 6.
Over the last ten years, UK drug policy has moved towards making abstinence-based recovery rather than harm reduction its primary focus. Drawing on ethnographic fieldwork involving participant observations and interviews at two London drug services, we explore how this shift towards recovery materialises through the practices of drug service delivery as an 'evidence-making intervention'. We understand recovery's making in terms of 'movement'. Where previous policies performed harm reduction through 'getting people into treatment' and 'keeping them safe in treatment', new policies were said to be about 'moving people through treatment'. Approaching movement as a sociomaterial process, we observe how movement is enacted in both narrow ways, towards abstinence from drugs, and more open ways, in what we call 'more-than-harm reduction'. We think of the latter as a speculative practice of doing or 'tinkering with' recovery to afford a care for clients not bound to abstinence-based outcomes. This is important given the limits associated with a recovery-orientated policy impetus. By engaging with these alternative ontologies of movement, we highlight an approach to intervening that both subverts and adheres to perceptions of recovery, embracing its movement, while remaining critical to its vision of abstinence.
在过去十年里，英国的毒品政策已朝着将基于戒断的康复而非减少伤害作为主要重点转变。基于在伦敦两家毒品服务机构进行的参与观察和访谈的人种志实地调查，我们探讨了这种向康复的转变如何通过作为一种“证据制造干预”的毒品服务提供实践得以实现。我们从“行动”的角度理解康复的形成。以往的政策通过“让人们接受治疗”和“在治疗中保障他们的安全”来减少伤害，而新政策据说则是关于“让人们完成治疗”。将行动视为一个社会物质过程，我们观察到行动以两种方式得以体现：狭义上是朝着戒除毒品的方向，广义上则是在我们所谓的“超越减少伤害”方面。我们将后者视为一种对康复进行实践或“摸索”的推测性做法，以便为客户提供一种不局限于基于戒断结果的关怀。鉴于以康复为导向的政策动力存在局限性，这一点很重要。通过探讨这些关于行动的不同本体论，我们突出了一种干预方法，这种方法既颠覆又坚持对康复的认知，接纳其行动，同时对其戒断愿景保持批判性。
