Producing the “Problem” of Addiction in Drug Treatment

In this article, we argue that the “problem” of addiction emerges as an effect of treatment policy and practice as well as a precursor to it. We draw on the work of Marrati to analyze interviews with policy makers and practitioners in Australia. The interviews suggest that the episode-of-care system...

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Main Authors: Moore, David, Fraser, Suzanne
Format: Journal Article
Published: Sage Publications, Inc 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/5850
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author Moore, David
Fraser, Suzanne
author_facet Moore, David
Fraser, Suzanne
author_sort Moore, David
building Curtin Institutional Repository
collection Online Access
description In this article, we argue that the “problem” of addiction emerges as an effect of treatment policy and practice as well as a precursor to it. We draw on the work of Marrati to analyze interviews with policy makers and practitioners in Australia. The interviews suggest that the episode-of-care system governing service activity, outcomes, and funding relies on certain notions of addiction and treatment that compel service providers to designate service users as addicts to receive funding. This has a range of effects, not least that in acquiring the labels of “addict”, service users enter into bureaucratic and epidemiological systems aimed at quantifying addiction. Rather than treating pre-existing addicts, the system produces “addicts” as an effect of policy imperatives. Because addiction comes to be produced by the very system designed to treat it, the scale of the problem appears to be growing rather than shrinking.
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spelling curtin-20.500.11937-58502017-09-13T14:39:53Z Producing the “Problem” of Addiction in Drug Treatment Moore, David Fraser, Suzanne health policy / policy analysis health care sociology interviews addiction / substance use In this article, we argue that the “problem” of addiction emerges as an effect of treatment policy and practice as well as a precursor to it. We draw on the work of Marrati to analyze interviews with policy makers and practitioners in Australia. The interviews suggest that the episode-of-care system governing service activity, outcomes, and funding relies on certain notions of addiction and treatment that compel service providers to designate service users as addicts to receive funding. This has a range of effects, not least that in acquiring the labels of “addict”, service users enter into bureaucratic and epidemiological systems aimed at quantifying addiction. Rather than treating pre-existing addicts, the system produces “addicts” as an effect of policy imperatives. Because addiction comes to be produced by the very system designed to treat it, the scale of the problem appears to be growing rather than shrinking. 2013 Journal Article http://hdl.handle.net/20.500.11937/5850 10.1177/1049732313487027 Sage Publications, Inc restricted
spellingShingle health policy / policy analysis
health care
sociology
interviews
addiction / substance use
Moore, David
Fraser, Suzanne
Producing the “Problem” of Addiction in Drug Treatment
title Producing the “Problem” of Addiction in Drug Treatment
title_full Producing the “Problem” of Addiction in Drug Treatment
title_fullStr Producing the “Problem” of Addiction in Drug Treatment
title_full_unstemmed Producing the “Problem” of Addiction in Drug Treatment
title_short Producing the “Problem” of Addiction in Drug Treatment
title_sort producing the “problem” of addiction in drug treatment
topic health policy / policy analysis
health care
sociology
interviews
addiction / substance use
url http://hdl.handle.net/20.500.11937/5850