Document Detail


The making of the chronic addict.
MedLine Citation:
PMID:  19444727     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Inspired by social problems theory, this article analyzes the "formula story" of harm reduction in a Danish addiction-treatment context. In Denmark, very few opiate addicts are in drug-free therapeutic treatment. Instead, they are offered methadone (often on a permanent basis) accompanied by practical help in tackling the negative social, economic, and health-related consequences of their drug use. The aim of this article is to show how the formula story of harm reduction-and first and foremost the idea that opiate addiction is an incurable condition-tends to work as a self-fulfilling prophesy. Opiate addicts entering the treatment system risk being "made up" as chronic addicts regardless of how they themselves look upon their own addiction problem and notwithstanding that many of them have not given up their hope of becoming drug-free. The article is based on two types of data: (1) file records (gathered in 2007) describing the addiction problems and treatment careers of clients enrolled at outpatient treatment centers in Copenhagen, and (2) qualitative interviews (conducted in 2006) with 30 methadone-program participants at the centers. The analysis is qualitative and the empirical results cannot necessarily be generalized to other methadone-maintenance programs. Yet the theoretical message of the article is applicable to all treatment institutions and social problems work in general. Definitions and categorizations of clients are not innocent, and naming people and their problems is the same as changing them.
Authors:
Margaretha Järvinen; Ditte Andersen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Substance use & misuse     Volume:  44     ISSN:  1532-2491     ISO Abbreviation:  Subst Use Misuse     Publication Date:  2009  
Date Detail:
Created Date:  2009-05-15     Completed Date:  2009-08-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9602153     Medline TA:  Subst Use Misuse     Country:  United States    
Other Details:
Languages:  eng     Pagination:  865-85     Citation Subset:  IM    
Affiliation:
The Danish National Centre for Social Research and Department of Sociology, University of Copenhagen, Copenhagen, Denmark. mja@sfi.dk
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesics, Opioid / administration & dosage,  therapeutic use
Behavior, Addictive / drug therapy*
Chronic Disease
Denmark
Drug Users*
Female
Harm Reduction
Humans
Interviews as Topic
Male
Methadone / administration & dosage,  therapeutic use
Opioid-Related Disorders / rehabilitation
Substance Abuse Treatment Centers
Young Adult
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 76-99-3/Methadone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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