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

博士生Nicholas A Bartlett，在Vincanne Adams博士（加州大学旧金山分校）的指导下，将进行关于如何理解和治疗物质成瘾的跨文化差异的研究。这项研究将在中国进行，他将把重点放在“社区药物治疗”上，这是一个新名称，指的是一系列国家批准的旨在使海洛因使用者康复的做法。在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。在这些环境中，对患者和提供者之间互动的民族志关注，允许将成瘾作为中国社会问题和改革后生活特殊挑战的标志进行检查，成瘾是通过治疗系统产生的有争议的状况，也是文革末期出生的一代人的历史定位特征。研究将在两个城市进行，北京和中国西南部的一个小地区，不同的政府部门负责监督一个机构网络，负责为全国100万注册吸毒者提供护理。作者将依靠民族志田野调查和有针对性的定性访谈治疗提供者，家庭成员，政府干部和个人在康复。他将与一些地方组织合作，包括政府公共卫生提供者、禁毒志愿人员和非政府组织，探讨实施这一新的治疗方法。本研究通过改变治疗实践来关注中国人对成瘾的理解，这将有助于在快速变化的后社会主义背景下，研究国家与公民之间互动本质的社会科学理论。资助这项研究也支持了社会科学家的教育。

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.