Cristin-resultat-ID: 1578125
Sist endret: 7. april 2018, 21:22

The Pharmaceutical Other. Negotiating Drugs, Rights, and Lives in Substitution Treatment of Heroin Addiction in Norway

  • Aleksandra Bartoszko



OsloMet - storbyuniversitetet

Om resultatet

Publiseringsår: 2018
Antall sider: 305

Beskrivelse Beskrivelse


The Pharmaceutical Other. Negotiating Drugs, Rights, and Lives in Substitution Treatment of Heroin Addiction in Norway


In the Opioid Substitution Treatment (OST), persons with heroin addiction receive one of the available opioid substitutes for illegal heroin. Patients respond differently to treatments and prescribed medications. For instance, some experience disabling side effects, persistent cravings, or a general feeling of being unwell. Patients who wish to switch medications or stick to them are required to negotiate with the OST multidisciplinary treatment teams. During these negotiations the OST appears as a domain of contested knowledge and expertise with the inherent paradoxes of treatment emerging. For instance, the law regulates patients’ involvement in treatment while the clinics operate with an intrinsic suspicion of the patients’ knowledge and pharmaceutical preferences. In many ways, the OST constitutes the realities it is meant to address. For instance, the OST focuses predominantly on overdose prevention setting life quality aside owing to its harm-reduction approach and abstinence-oriented ideologies. By doing so, it maintains the risks of diversion, poly-drug use, and overdose. Drawing upon a year-long ethnographic fieldwork in several Norwegian municipalities, this dissertation offers an analytical insight into the following phenomena asking: What is at stake for the parties involved in the process of choosing medications in the OST? How do they navigate in a landscape of political, clinical, legal, and moral contradictions? Paying attention to the ways in which patients, clinicians, and state bureaucrats have engaged with this type of therapeutic technology I examine how, through these engagements, they represent specific ideas about normality, health, clinical authority, citizenship, patienthood, morality, risk, and the good life. Moral economies, medical and legal reforms, and the acceleration of claims to involvement and patients’ rights shape patients’ subjectivities and self-perception in particular ways. I also show how they influence the local production and transformation of social citizenship in a contemporary welfare state.


Aktiv cristin-person

Aleksandra Bartoszko

  • Tilknyttet:
    ved Ph.d. i sosialt arbeid og sosialpolitikk ved OsloMet - storbyuniversitetet
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