Implementation of Substitution Treatment in Finland: Beyond Rationalisation and Medicalisation:

Nordic Studies on Alcohol and Drugs

JaniSelin¹ 

关键词: Drug addiction;    history;    medicalisation;    rationalisation;    social theory;    substitution treatment;   

DOI  :  10.2478/v10199-011-0003-6

学科分类：生物化学/生物物理

来源: Sage Journals

【 摘 要 】

AIMSFinnish treatment of drug abuse has during the last two decades shifted from a predominantly psychosocial approach to a more medical mode. This is especially evident in the rapid implementation of substitution treatments (STs). My aim is to show that labelling this development as ‘medicalisation’ or ‘rationalisation’ as a form of medical progress will not increase our understanding of the change.MATERIAL AND DESIGNI analysed texts from several periodicals with psychosocial, social policy and medical perspectives between 1997 and 2005. Four basic conceptual and argumentative underpinnings emerged which gave credence to the medical and rationalapproach, and the validity of these four elements was then investigated. I also collected all the texts on drug addiction and its treatment from two medical journals in 1965–1976 to examine the way in which drug addiction was conceptualised during this earlier phase.ResultsThe material shows that there are at least four reasons why medicalisation and rationalisati...

【 授权许可】

CC BY