'Workers', 'clients' and the struggle over needs: Understanding encounters between service providers and injecting drug users in an Australian city

被引:31
|
作者
Moore, David [1 ]
机构
[1] Curtin Univ Technol, Melbourne Off, Natl Drug Res Inst, Fitzroy, Vic 3065, Australia
关键词
Australia; Service provision; Neo-liberalism; Injecting drug use; Ethnography; NEOLIBERALISM; PREVENTION; DISCOURSE; POLITICS; HEROIN;
D O I
10.1016/j.socscimed.2008.12.015
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A feature of contemporary Western, neo-liberal democracies is the frequent interaction between representatives of health and social services and the members of stigmatised and 'unruly' populations, such as injecting drug users. Previous research on drugs has tended to ignore the power relations and cultural dynamics at work in these encounters, and the ways in which they are framed by the wider neo-liberal context. Drawing on an ethnography of street-based heroin use in Melbourne, Australia's second largest city, I show how the discourses of both service providers and injecting drug users draw on wider neo-liberal values of independence, autonomy, rationality and responsibility. Service providers negotiate a framework of needs interpretation that creates and reproduces professional identities, and maintains boundaries between 'workers' and 'clients'. It also includes tensions around the definition of injecting drug users as 'chaotic' (i.e., failed neo-liberal) subjects, and slippage between service philosophies that emphasise a social model of health and forms of service delivery that emphasise the production of responsibilised subjects. For their part, street-based injectors construct an alternative framework of needs interpretation that emphasises their self-reliance, autonomy and independence, attributes and capacities largely denied them in service-provider discourse. In encounters with service providers, street-based injectors respond in various ways that include elements of resistance, strategic accommodation and the incorporation of therapeutic discourse. I conclude by considering the implications of my analysis for the future development of drug policy and practice. (C) 2008 Elsevier Ltd. All rights reserved.
引用
收藏
页码:1161 / 1168
页数:8
相关论文
empty
未找到相关数据