For lack of wanting: Discourses of desire in Ukrainian opiate substitution therapy programs
For lack of wanting: Discourses of desire in Ukrainian opiate substitution therapy programs
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DOI：
10.1177/1363461515581543
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发表时间：
2016-04-01
影响因子：
2.5
通讯作者：
Carroll, Jennifer J.
中科院分区：
文献类型：
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作者：
Carroll, Jennifer J.
乌克兰独立后发生的经济、政治和社会变化影响了乌克兰现有的成瘾和药物滥用治疗方法。针对阿片类药物成瘾者推出的基于美沙酮的阿片类药物替代疗法（OST）尤其具有代表性。由国际捐助者和全球精英卫生实体推动和资助的成瘾生物医学范式、其病因学及其治疗方法，在公共话语和临床环境中都与乌克兰的人格和心理学概念相一致。在 OST 项目中工作的乌克兰医生经常将欲望 (???a??) 视为决定治疗成功或失败的最重要因素。它们指的是渴望得到治疗、渴望变得更好、渴望生活。在很多方面，拥有这种变得更好的愿望的道德要求反映了乌克兰背景下如何构建和理解成瘾和成瘾心理。通过探索成瘾和治疗叙述中的欲望话语，我研究了心理学、意志和自我控制的概念如何交叉，塑造了这一弱势群体的主观性、能动性和日常经历。
Available treatments for addiction and substance abuse in Ukraine have been shaped by the economic, political, and social shifts that have followed the country's independence. The introduction of methadone-based opiate substitution therapy (OST) for opiate addicts is especially representative of this. Biomedical paradigms of addiction, its etiology, and its treatment, promoted and paid for by international donors and elite global health entities, are being met by Ukrainian notions of personhood and psychology in both public discourse and clinical settings. Ukrainian physicians who work in OST programs frequently reference desire (???a??) as the most significant factor in determining the success or failure of treatment. They refer to a desire to be treated, desire to get better, desire to live. The moralized imperative to possess this desire to get better is, in many ways, a reflection of how addiction and the addicted psyche is constructed and understood in the Ukrainian context. By exploring discourses of desire in narratives of addiction and treatment, I examine how notions of psychology, will, and self-control intersect, shaping the subjectivity, agency, and daily experiences of this vulnerable population.