Cristin-prosjekt-ID: 424380
Sist endret: 7. juni 2018 12:28

Cristin-prosjekt-ID: 424380
Sist endret: 7. juni 2018 12:28
Prosjekt

Ph.d.-program i sosialt arbeid og sosialpolitikk: The Pharmaceutical Other. Negotiating Drugs, Rights and Lives in Multidisciplinary Treatment of Addiction in Norway

prosjektleder

Aleksandra Bartoszko
ved Masterstudiene i sosialfag ved OsloMet - storbyuniversitetet

prosjekteier / koordinerende forskningsansvarlig enhet

  • Institutt for sosialfag ved OsloMet - storbyuniversitetet

Klassifisering

Vitenskapsdisipliner

Sosialantropologi • Sosialt arbeid

Emneord

Rusmidler, misbruk/behandling • Medikalisering • Statsborgerskap

Kategorier

Prosjektkategori

  • Doktorgradsprosjekt

Tidsramme

Avsluttet
Start: 21. mai 2013 Slutt: 21. mai 2016

Beskrivelse Beskrivelse

Tittel

Ph.d.-program i sosialt arbeid og sosialpolitikk: The Pharmaceutical Other. Negotiating Drugs, Rights and Lives in Multidisciplinary Treatment of Addiction in Norway

Vitenskapelig sammendrag

Norway is one of those European countries with the highest rates of drug-related deaths. In attempt to improve the situation, Norwegian government chooses a “medical” approach to substance dependence and removes responsibility for the field from social welfare services into specialized health care. The main aim of the Substance Abuse Treatment Reform, introduced in 2004, was to improve the health of drug users by guaranteeing them access to specialized health care as other patients. This was supposed to be achieved by establishing “multidisciplinary specialized services for substance dependent”, standardization of treatment and GPs' right to refer drug users to treatment. The users' rights have been formulated in a new language - language of the patient's rights and possibilities. But also duties and responsibilities became defined within a medical discourse. We find also important moral undertones behind the reform, and these aspects are more central to this project than the organizational changes. In its hearing comment on the reform proposal the Standing Committee on Labour and Social Affairs has strongly encouraged government to give the “addicts” the patient status as it will “free [the addicts] from the degrading and stigmatizing client stamp” they had had. Thus, this reform created not only new administrative, financial and organizational framework for substance use and addiction, but it also expressed a quite explicit desire to construct a new identity - patient identity. Committee's report is interesting in itself because it points to the special role of patient in contemporary society. It points to a certain “sanctification” of patients (or patient category) and the social respect and acknowledgment one gets through that role. This phenomenon informs my project and the relationship between the state, patient role, substance use and identity is an overreaching theme for my study.

In this study, I focus on an increasing, but still controversial form of treatment for opiate dependent users. In the pharmaceutical treatment, an opiate dependent patient receives a (preferably) long-lasting opioid - the substitution for the illegal opiates – in controlled conditions. In Norway, the treatment is organized as Medicine Assisted Rehabilitation - a multidisciplinary program, which includes social service centers, general practitioners and specialized health care, where the latter is given authority to assess the need for treatment and responsibility for the medications. MAR national guidelines emphasizes user involvement in treatment and choice of medication. There are three medications, which are recommended for use in treatment, but the guidelines open for other medications as long as soundness of treatment is documented.

In this project, I explore how patients and practitioners interpret, understand and negotiate user involvement in context of choice of medication. By tracing these negotiations, I will shed a light on how local health care policies and technologies shape the experience of being a patient with opioid drug dependence diagnosis. The project moves thus between a social analysis of the institutional practices shaping Norwegian response to opiate addiction, and the stories and lives of people affected by it. The following questions are central: How are culturally construced selves transformed by ingestion of drugs and by treatment? What forms of subjectivity are produced through treatment/ treatment negotiations? How drug and health policies shape relation between user/patient and social/health worker? How do specific technologies of addiction/treatment intersect with institutional and historical formations to shape the lives of people with dependence diagnosis? What's at stakes for the actors in these negotiations?

Metode

Ethnographic fieldwork

prosjektdeltakere

prosjektleder
Aktiv cristin-person

Aleksandra Bartoszko

  • Tilknyttet:
    Prosjektleder
    ved Masterstudiene i sosialfag ved OsloMet - storbyuniversitetet
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Resultater Resultater

The Lethal Burden of Survival: Making New Subjects at Risk and the Paradoxes of Opioid Substitution Treatment in Norway.

Bartoszko, Aleksandra. 2018, Contemporary Drug Problems. OSLOMETVitenskapelig artikkel

Forskerprofilen: "Forsker på heroinavhengige".

Bartoszko, Aleksandra. 2015, OSLOMETIntervju

Overlevelsens dødelige byrde. Brukermedvirkning, nye risikosubjekter og paradokser i legemiddelassistert rehabilitering (LAR).

Bartoszko, Aleksandra. 2017, Kritisk blikk på rusbehandling. OSLOMETVitenskapelig foredrag

The Lethal Burden of Survival. Making of Subjects at Risk and Paradoxes of Opioid Substitution Treatment in Norway.

Bartoszko, Aleksandra. 2017, Fourth Contemporary Drug Problems Conference: 'Making alcohol and other drug realities'. OSLOMETVitenskapelig foredrag
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