Narrative Perspectives on Substance Use, Power, and Injustice: Policy and Practice Implications

The dominant U.S. narrative regarding substance use and users is characterized by themes of moral weakness, criminality, and interdiction. This is at odds both with the cause of social justice and the aims of Social Work. Following an overview of narrative theory, this paper identifies and deconstructs this dominant narrative and explores its impact on practice and policy. Social justice issues inherent in this dominant narrative are described along with the ways it conflicts with the mission and values of Social Work. A model for a socially just narrative of substance use policy, prevention, and treatment is proposed.