Roche A M, Evans K R, Stanton W R
Queensland Alcohol and Drug Research and Education Centre, University of Queensland, Herston, Australia.
Addiction. 1997 Sep;92(9):1207-12.
In recent years, a number of countries have embraced harm reduction as their principal philosophical stance and policy platform on alcohol and other drug-related problems. Harm reduction, while argued by some as not being a new concept, has dramatically changed the overall orientation of many health and human service approaches. We argue that as a result many important considerations have been overlooked. This paper explores the merits of harm reduction and examines the limitations and potential pitfalls that may exist in its application in the real world. For instance, where do we position non-drug-use? Such questions are raised in light of the impression perpetuated by some leading practitioners in this field that harm reduction is a global panacea for alcohol and drug problems. Without exploring all possible paths, progress toward our holy grail of minimising the harms and maximising the potential benefits of drug use will be hampered. An integrated model is discussed, which we believe provides an opportunity for wider acceptance and ownership by alcohol and drug stakeholders, politicians and the community.
近年来，一些国家已将减少伤害作为其在酒精及其他毒品相关问题上的主要哲学立场和政策平台。减少伤害，虽有人认为并非新概念，但已极大地改变了许多卫生和人类服务方法的总体方向。我们认为，结果是许多重要考量被忽视了。本文探讨了减少伤害的优点，并审视了其在现实世界应用中可能存在的局限性和潜在陷阱。例如，我们应如何看待非吸毒行为？鉴于该领域一些主要从业者所造成的一种印象，即减少伤害是解决酒精和毒品问题的全球万灵药，此类问题便被提了出来。若不探索所有可能的途径，朝着将吸毒危害降至最低并使潜在益处最大化这一圣杯式目标前进的进程将会受阻。文中讨论了一种综合模式，我们认为该模式为酒精和毒品相关利益攸关方、政界人士及社区更广泛地接受并认可提供了契机。
