Keeping it in the family: The moral economy of Suboxone in southwest Virginia
Keeping it in the family: The moral economy of Suboxone in southwest Virginia
复制标题
将其保留在家庭中：弗吉尼亚州西南部 Suboxone 的道德经济
DOI：
10.1111/amet.13105
复制
发表时间：
2022
影响因子：
2.3
通讯作者：
BURRAWAY, JOSHUA
中科院分区：
文献类型：
--
作者：
SCHERZ, CHINA;BURRAWAY, JOSHUA
阿片类激动剂药物，如基于丁丙诺啡的Suboxone，正在成为治疗阿片类药物使用障碍患者的越来越重要的工具。然而，无论是在家庭、诊所还是制药公司层面，Suboxone的流通都可能涉及隐瞒、保密和欺骗等形式，即使它被用来提供一种重要的护理形式。在探索塑造合法和非法流通的Suboxone在弗吉尼亚州西南部的道德经济，我们的目标是解开的义务，护理和保密的逻辑，出现在一个家庭网络陷入一套社会政治，经济和治疗条件。在探索如何Suboxone循环在这些不同的规模在家庭中，在诊所，并在全球制药经济这篇文章显示了秘密如何润滑的社会，经济和道德机制，通过这些关系是持续的和物质循环。[道德经济，保密，物质使用，护理，美国农村]
Opioid agonist medications, such as the buprenorphine‐based Suboxone, are becoming increasingly important tools for caring for people with opioid use disorders. Yet, whether at the level of the family, the clinic, or pharmaceutical companies, the circulation of Suboxone can involve forms of concealment, secrecy, and deceit, even as it is used to provide a vital form of care. In exploring the moral economies that shape the licit and illicit circulation of Suboxone in southwest Virginia, we aim to unpack the logics of obligation, care, and secrecy that emerge within a family network caught in a set of sociopolitical, economic, and therapeutic conditions. In exploring how Suboxone circulates at these different scales—in families, in clinics, and in the global pharmaceutical economy—this article shows how secrets lubricate the social, economic, and moral mechanisms through which relationships are sustained and substances circulate. [moral economy,secrecy,substance use,care,rural United States]