DDIG: China's Heroin Treatment Complex: Addiction and a New Era of Government-citizen Relations

博士生Nicholas A Bartlett将在加州大学旧金山分校Vincanne Adams博士的指导下，对物质成瘾的理解和治疗方式进行跨文化差异研究。这项研究将在中国进行，他将在那里专注于“社区戒毒”，这是对一系列试图让海洛因吸毒者康复的国家批准的做法的新称呼。这一标签下的干预措施，包括国家美沙酮替代计划、心理社会支持和其他服务，经常取代劳改营和强制戒毒成为国家治疗的首选形式。在这些背景下，对患者和提供者之间互动的人种学关注，使得人们能够将成瘾作为中国的一个社会问题来审视，并标志着改革后生活的特殊挑战，这是通过治疗系统产生的一种有争议的状况，也是文化大革命结束前后出生的一代人的一个历史背景下的决定性特征。研究将在北京和西南的中国两个城市进行，不同的政府部门负责监管一个机构网络，负责为全国100万注册吸毒者提供护理。作者将依靠人种学田野调查和有针对性的定性访谈，对治疗提供者、家庭成员、政府干部和康复中的个人进行访谈。他将与许多当地组织合作，包括政府公共卫生提供者、禁毒志愿者和非政府组织(NGO)，以探索实施这一新的治疗指定。这项研究关注通过改变治疗实践来理解中国人对成瘾的理解，将有助于社会科学理论，即在快速变化的后社会主义背景下，国家与公民之间互动的性质。资助这项研究还支持社会科学家的教育。

Doctoral student Nicholas A Bartlett, under the guidance of Dr. Vincanne Adams (University of California, San Francisco), will undertake research on cross-cultural variation in how substance addiction is understood and treated. The research will be carried out in China where he will focus on "community drug treatment," a new designation for a range of state-sanctioned practices attempting to rehabilitate heroin users. Interventions grouped under this label, including a national methadone substitution program, psycho-social support, and other services, often replace labor camp and compulsory detoxification as preferred forms of state treatment. Ethnographic attention to interactions between patients and providers in these settings allows an examination of addiction as a Chinese social problem and marker of particular challenges of post-reform life, a contested condition produced through the treatment system, and a historically-situated defining characteristic for a sub-set of a generation born around the end of the Cultural Revolution. Research will be carried out in two cities, Beijing and a small prefecture in the Southwest in China, where different government ministries oversee a network of institutions charged with providing care for the country's one million registered drug users. The author will rely on ethnographic fieldwork and targeted qualitative interviews with treatment providers, family members, government cadres, and individuals in recovery. He will work with a number of local organizations, including government public health providers, anti-drug volunteers, and non-governmental organizations (NGOs) to explore the implementation of this new designation of treatment. This study's attention to a Chinese understanding of addiction through shifting treatment practices will contribute to social science theory about the nature of the interaction between the state and its citizens in a rapidly shifting post-socialist context. Funding this research also supports the education of a social scientist.