Addiction Trajectories

Addiction Trajectories, 2013

1969

This discussion is concerned with addiction as a set of ideas which have a history and a cultural location." Addiction" is used here as a general term to cover a territory for which a number of other terms have been used--notably" alcoholism", and before that" inebriety", in the long history of thinking about alcohol;" dependence", in current nosologies. We are not concerned here with the truth value of addiction and cognate terms, or with their empirical applicability.

Informal, coercive residential centers for the treatment of addiction are widespread and growing throughout Latin America. In Mexico these centers are called " anexos " and they are run and utilized by low-income individuals and families with problems related to drugs and alcohol. This article draws on findings from a 3-year anthropological study of anexos in Mexico City. Participant observation and in-depth interviews were used to describe and analyze anexos, their therapeutic practices, and residents' own accounts of addiction and recovery. Our findings indicate that poverty, addiction, and drug-related violence have fueled the proliferation of anexos. They also suggest that anexos offer valuable health, social, and practical support, but risk exacerbating the suffering of residents through coercive rehabilitation techniques. Emphasizing this tension, this article considers the complex relationship between coercion and care, and poses fundamental questions about what drug recovery consists of in settings of poverty and violence.

2012

MOJ Addiction Medicine & Therapy

subordinate alternative model; INCB, international narcotics control board; WHO, world health organization; ECOSOC, economic and social council; UNODC, united nations office on drugs and crime; ASEP, south american agreement on narcotics and psychotropic drugs, INGEBI, institute in genetic engineering and molecular biology; EOL, lacanian orientation school; GRETA, research and study group on toxicomania and alcoholism This conception interprets the addictive phenomenon in different ways, but all of them have the common denominator of responding to

Cultural Anthropology, 2008

In biomedical and public health discourses, “chronicity” has emerged as the prevailing model to understanding drug addiction and addictive experience. This approach is predicated on constructing and responding to addictive experience in ways that underscore its presumed lifelong nature. In this essay, I examine the phenomenon of heroin addiction and heroin overdose in northern New Mexico’s Espanola Valley, which suffers the highest rate of heroin-induced death in the United States, and explore how the logic of chronicity is dangerously reworked through the Hispano ethos of endless suffering. Focusing on the narrative of Alma, a Hispana heroin addict who died of an overdose after many previous overdoses, I evoke a sense of the physical, historical, and institutional refrains in which she felt herself caught. By tracing Alma’s death back to these refrains, I describe the complex of entanglements in which her addiction took form and show how the discourse of chronicity provided a structure for her suffering and, ultimately, her death.

Cadernos de Saúde Pública

Heroin consumption in Mexico is low compared with its use in the United States; however, this practice is more common in the northern region of Mexico than in the rest of the country, being documented only in cities that are located exactly at the Mexico-U.S. border. The Mexican legal framework is focused on rehabilitation, but its effects on the lives of users are unknown. The objective of this research was to analyze how the regulatory Mexican framework is conceptualized and practiced in the daily life of a group of heroin users from a northern city, where consumption has recently spread and has not been documented. We collected the official registered data from users and conducted a qualitative study in Hermosillo, Sonora. A research on the legal framework was conducted, as well as on the city's context. Data on heroin users can be found at HIV health center, as there is no other source of such records. The Mexican legal framework aims at rehabilitation and at avoiding criminalization; however, the daily life of users drives them towards crime circuits: people commit crimes to stay in prison, where they can control the addiction and get heroin, in case of abstinence. The Mexican State has no empirical information to improve its programs and laws related to the use of heroin. The daily practices of users become not only epidemiological but social risks to the community and to the users themselves. Also, the lack of access due to stigmatization, criminalization and violence, increases the inequities, creating a cycle that reproduces poverty and suffering as part of a social structure. Therefore, changes are needed in the justice system.

This article provides a critical survey of sociological research on addiction. It begins with the seminal research of Alfred Lindesmith on heroin addiction then proceeds through discussions of functionalist contributions, research that exemplifies what David Matza called the 'appreciative' turn in the sociology of deviance, rational choice theories, and social constructionist approaches. It is confined to research on addiction in its original meaning as putative enslavement to a substance or activity rather than merely deviant or disapproved activity more broadly. As will be seen, though, there is a ubiquitous and theoretically interesting tendency even among those who contend to be writing about addiction as such to slip into modes of analysis that effectively substitute questions regarding the social approval of an activity for questions concerning whether it is voluntary or involuntary. Hence, one purpose of this article is to explore whether, and how, this slippage might be avoided.

Social Science & Medicine, 1993

The anthropological world has changed. The ethnographic Other is no longer available and pliant, awaiting anthropological representation, but has acquired a voice of his/her own. As a result, anthropology is faced with a dilemma. What is to be the anthropological role in this transformed world? Two alternatives are examined. The first, postmodernism, stresses the development of experimental ethnographic texts that inscribe the voice of the transformed Other. Noting the weaknesses of the postmodem 'solution,' this paper proposes community-centered research as a more appropriate response to contemporary social realities. In this approach, the anthropologist seeks collaboration with the Other in the struggle for self-determination. Illustration is provided with the case study of anthropologists employed in a Puerto Rican community based organization (CBO), with specific reference to the emergence and development of the substance abuse prevention and treatment work of this CBO. While noting the difficulties of this role, the paper argues that scholarly activism, a model adopted from the Third World, is well suited to the postmodern world.

Alcoholism Treatment Quarterly, 2013

This commentary conceptualizes recovery mutual aid organizations and other grassroots, non-professional recovery support institutions as indigenous cultures, identifies ethical issues that can arise in professional and scientific collaboration with such cultures, and provides a checklist that can guide professional and scientific collaborations with grassroots recovery support organizations.