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理解“成瘾”的文化转向。

The cultural turn in understanding 'addiction'.

机构信息

Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

University of Exeter, Exeter, UK.

出版信息

Int J Drug Policy. 2024 Jul;129:104473. doi: 10.1016/j.drugpo.2024.104473. Epub 2024 Jun 13.

Abstract

In this essay we want to foreground a question: what happens to 'addiction' when we take seriously cultural scripts informing its trajectories? Can this bring us to unthink addiction as problematic notion and move it onto new paradigms that fit better the now acknowledged fluidity and pluralistic episteme of 'addiction' and more broadly of chronic life conditions? Indeed, 'addiction' has become a pivotal concept in the contemporary world. A powerful diagnostic framework in interpreting human behaviour, for some 'addiction' has become the 'new normal' with chronic relations with different things such as food, sex, gambling, and mind-altering substances touching upon the lifestyle of a majority of individuals, making everyone 'addicts in practice'. Perhaps this has something to do with the constituent force that 'habit' - as in 'addiction' - has in defining our present and future. Though 'addiction' goes beyond the question of mind-altering drugs, the politics of 'addiction' is intimately tied to substances such as opioids and opiates, cocaine, cannabis, and psychedelics that have been the object of durable systemic political control and security repression. Contextually the line between licit/illicit substances is softening and blurring, the 'dual' purpose that drugs serve is now recognised in scientific and popular analysis moving the question of 'addiction' beyond the medicine/drug dichotomy. Yet, culture is generally absent in understanding 'addiction.' When it is referred to, this happens in diminutive terms limited to Anglo-American modern culture. Culture matters and it matters with different weights and measures as it moves across the world. There are cultural environments of health informed by practices and epistemologies of well-being that have evolved in lines opposites from or only intersecting with the Anglo-American, and generally Western, world. Exploring these spaces and cultural scripts enables our scholarship on drugs and 'addiction' to move the barycentre of discussion towards novel considerations around the historical trajectories and potential futures of our diagnostic terms and policy interventions.

摘要

在本文中,我们想提出一个问题:当我们认真对待构成“成瘾”轨迹的文化脚本时,“成瘾”会发生什么变化?这是否能使我们不再将“成瘾”视为有问题的概念,并将其纳入更符合当前公认的“成瘾”以及更广泛的慢性生活条件的流动性和多元认识论的新范式? 事实上,“成瘾”已成为当代世界的一个关键概念。在解释人类行为方面,它是一个强有力的诊断框架,对某些人来说,“成瘾”已经成为“新常态”,与不同事物(如食物、性、赌博和致幻物质)的慢性关系触及到大多数人的生活方式,使每个人都成为“事实上的瘾君子”。也许这与“习惯”(如“成瘾”)在定义我们的现在和未来方面所具有的构成力量有关。虽然“成瘾”超出了改变思维的药物的问题,但“成瘾”的政治与阿片类药物和鸦片、可卡因、大麻和迷幻剂等物质密切相关,这些物质一直是持久的系统政治控制和安全镇压的对象。从上下文来看,合法/非法物质之间的界限正在变得模糊,毒品的“双重”用途现在在科学和流行分析中得到认可,使“成瘾”问题超越了医学/药物二分法。然而,在理解“成瘾”时,文化通常是缺失的。当涉及到文化时,这种情况是以微不足道的方式出现的,仅限于英美现代文化。文化很重要,而且它在全世界的影响是不同的。有一些健康的文化环境,这些环境受到幸福感的实践和认识论的影响,这些实践和认识论与英美以及一般西方世界的实践和认识论相反或只有交叉。探索这些空间和文化脚本可以使我们对毒品和“成瘾”的研究将讨论的重心转移到围绕我们的诊断术语和政策干预的历史轨迹和潜在未来的新考虑因素上。

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