Telling different stories, making new realities: The ontological politics of 'addiction' biographies

被引:43
作者
Pienaar, Kiran [1 ]
Dilkes-Frayne, Ella [2 ]
机构
[1] Curtin Univ, NDRI Melbourne Off, Fac Hlth Sci, Social Studies Addict Concepts Res Program,Natl D, 6-19-35 Gertrude St, Fitzroy, Vic 3065, Australia
[2] Monash Univ, Social Studies Hlth & Med Res Program, Sociol, Arts Fac, 20 Chancellors Walk, Clayton, Vic 3800, Australia
基金
澳大利亚研究理事会;
关键词
Addiction biographies; Qualitative research; Science and technology studies; Ontological politics; PUBLIC DISCOURSE; DRUG-TREATMENT; USERS; SPACE; RECOVERY; PLEASURE; ACCOUNTS;
D O I
10.1016/j.drugpo.2017.05.011
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Personal narratives of alcohol and other drug addiction circulate widely in popular culture and they also have currency in professional therapeutic settings. Despite this, relatively little research has explored the conventions operating in these narratives and how they shape people's experiences and identities. While research in this area often proceeds on the premise that addiction biographies are straightforwardly 'true' accounts, in this paper we draw on the insights of critical alcohol and other drug scholarship, and the concept of 'ontological politics' to argue that biographies produce normative ideas about addiction and those said to be experiencing it. Our analysis compares traditional addiction narratives with the biographies we reconstructed from qualitative interviews with 60 people in Australia who describe themselves as having an 'addiction', 'dependence' or drug 'habit'. We track how addiction is variously enacted in these accounts and comment on the effects of particular enactments. By attending to the ways in which people cope, even thrive, with the kind of consumption that would attract a diagnosis of addiction or dependence, the biographies we produced disrupt the classic narrative of increasing drug use, decline and eventual collapse. Doing so allows for consideration of the benefits of consumption, as well as the ways that people carefully regulate it to minimise harms. It also constitutes individuals as active in managing consumption an important move that challenges dominant understandings of addiction as a disorder of compulsivity. We conclude by considering the implications of our attempt to provide an alternative range of narratives, which resonate with people's diverse experiences. Crown Copyright (C) 2017 Published by Elsevier B.V. All rights reserved.
引用
收藏
页码:145 / 154
页数:10
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