The becoming-methadone-body: on the onto-politics of health intervention translations
The becoming-methadone-body: on the onto-politics of health intervention translations
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DOI：
10.1111/1467-9566.12978
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发表时间：
2019-07-16
影响因子：
2.9
通讯作者：
Meyer, Jaimie
中科院分区：
文献类型：
--
作者：
Rhodes, Tim;Azbel, Lyuba;Meyer, Jaimie
在本文中，我们反映了健康干预措施的翻译，其实施实践的问题。我们的案例是美沙酮治疗，这是一种在全球推广的干预措施，用于治疗阿片类药物依赖和预防注射毒品者感染艾滋病毒。追踪美沙酮在吉尔吉斯共和国高安全监狱中的翻译，我们注意到多种美沙酮成为可能，这些提供了什么，以及它们所产生的个体政治影响。我们的工作与“替代美沙酮身体”的想法来跟踪美沙酮治疗的组成及其作为人类和非人类物质和身体的相互作用的影响。美沙酮的具体效果超出了物质结合个体身体的纯粹精神活动，达到了物质的高潮和低谷，结合了囚犯社会的管理实践。美沙酮在囚犯社会的实践与想象中作为艾滋病毒预防和阿片类药物治疗的干预措施完全不同，并且具有作为社会治理实践的物质作用。海洛因也在这些关系中扮演了一个角色。我们的分析麻烦的做法“循证”的干预和“实施科学”在健康领域，主张走向“证据”的干预方法。注意到健康干预翻译的本体政治，人们就如何以不同的方式进行干预进行了猜测。
In this paper, we reflect on health intervention translations as matters of their implementation practices. Our case is methadone treatment, an intervention promoted globally for treating opioid dependence and preventing HIV among people who inject drugs. Tracing methadone's translations in high-security prisons in the Kyrgyz Republic, we notice the multiple methadones made possible, what these afford, and the onto-political effects they make. We work with the idea of the 'becoming-methadone-body' to trace the making-up of methadone treatment and its effects as an intra-action of human and nonhuman substances and bodies. Methadone's embodied effects flow beyond the mere psycho-activity of substances incorporating individual bodies, to material highs and lows incorporating the governing practices of prisoner society. The methadone-in-practice of prisoner society is altogether different to that imagined as being in translation as an intervention of HIV prevention and opioid treatment, and has material agency as a practice of societal governance. Heroin also emerges as an actor in these relations. Our analysis troubles practices of 'evidence-based' intervention and 'implementation science' in the health field, by arguing for a move towards 'evidence-making' intervention approaches. Noticing the onto-politics of health intervention translations invites speculation on how intervening might be done differently.