More-than-harm reduction: Engaging with alternative ontologies of 'movement' in UK drug services
More-than-harm reduction: Engaging with alternative ontologies of 'movement' in UK drug services
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DOI：
10.1016/j.drugpo.2020.102771
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发表时间：
2020-08-01
影响因子：
4.4
通讯作者：
Harris, Magdalena
中科院分区：
文献类型：
--
作者：
Dennis, Fay;Rhodes, Tim;Harris, Magdalena
在过去的十年里，英国的药物政策已经转向以禁欲为基础的恢复，而不是减少伤害。借鉴民族志实地考察参与者的观察和采访，在两个伦敦药物服务，我们探讨如何通过药物服务提供的做法，作为一个“证据制作干预”实现这种转变。我们理解复苏是在“运动”方面进行的。以前的政策通过“让人们接受治疗”和“让他们在治疗中保持安全”来减少伤害，而新政策据说是关于“让人们通过治疗”。接近运动作为一个sociomaterial过程，我们观察到运动是如何制定在两个狭窄的方式，从毒品的禁欲，和更开放的方式，我们称之为“超过伤害减少”。我们认为后者是一种投机性的做法，即进行或“修补”恢复，为不受禁欲影响的客户提供护理。鉴于以复苏为导向的政策动力的局限性，这一点很重要。通过与这些运动的替代本体论，我们强调了一种干预方法，既颠覆和坚持恢复的看法，拥抱它的运动，同时保持其禁欲的愿景至关重要。
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.