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Polluting pharmaceutical atmospheres: Compulsion, resistance, and symbolism of buprenorphine in Norway

This article offers a counter narrative to the current ethnographic studies on treatment with buprenorphine, in which notions of promised and experienced normality dominate. In some countries, introduction of buprenorphine led to a perceived “normalisation” of opioid substitution treatment, and this...

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Detalles Bibliográficos
Autor principal: Bartoszko, Aleksandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434164/
https://www.ncbi.nlm.nih.gov/pubmed/32934564
http://dx.doi.org/10.1177/1455072518814313
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author Bartoszko, Aleksandra
author_facet Bartoszko, Aleksandra
author_sort Bartoszko, Aleksandra
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description This article offers a counter narrative to the current ethnographic studies on treatment with buprenorphine, in which notions of promised and experienced normality dominate. In some countries, introduction of buprenorphine led to a perceived “normalisation” of opioid substitution treatment, and this new modality was well received. However, in Norway the response has been almost the opposite: patients have reacted with feelings of disenfranchisement, failure, and mistrust. Based on ethnographic fieldwork in Norway, this article offers comparative insight into local experiences and subjectivities in the context of the globalisation of buprenorphine. By outlining the ethnographic description of the pharmaceutical atmosphere of forced transfers to buprenorphine-naloxone, I show that the social history of the medication is as significant as its pharmacological qualities for various treatment effects. An analysis of the reactions to this treatment modality highlights the reciprocal shaping of lived experiences and institutional forces surrounding pharmaceutical use in general and opioids in particular.
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spelling pubmed-74341642020-09-14 Polluting pharmaceutical atmospheres: Compulsion, resistance, and symbolism of buprenorphine in Norway Bartoszko, Aleksandra Nordisk Alkohol Nark Research Reports This article offers a counter narrative to the current ethnographic studies on treatment with buprenorphine, in which notions of promised and experienced normality dominate. In some countries, introduction of buprenorphine led to a perceived “normalisation” of opioid substitution treatment, and this new modality was well received. However, in Norway the response has been almost the opposite: patients have reacted with feelings of disenfranchisement, failure, and mistrust. Based on ethnographic fieldwork in Norway, this article offers comparative insight into local experiences and subjectivities in the context of the globalisation of buprenorphine. By outlining the ethnographic description of the pharmaceutical atmosphere of forced transfers to buprenorphine-naloxone, I show that the social history of the medication is as significant as its pharmacological qualities for various treatment effects. An analysis of the reactions to this treatment modality highlights the reciprocal shaping of lived experiences and institutional forces surrounding pharmaceutical use in general and opioids in particular. SAGE Publications 2018-12-19 2019-06 /pmc/articles/PMC7434164/ /pubmed/32934564 http://dx.doi.org/10.1177/1455072518814313 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Research Reports
Bartoszko, Aleksandra
Polluting pharmaceutical atmospheres: Compulsion, resistance, and symbolism of buprenorphine in Norway
title Polluting pharmaceutical atmospheres: Compulsion, resistance, and symbolism of buprenorphine in Norway
title_full Polluting pharmaceutical atmospheres: Compulsion, resistance, and symbolism of buprenorphine in Norway
title_fullStr Polluting pharmaceutical atmospheres: Compulsion, resistance, and symbolism of buprenorphine in Norway
title_full_unstemmed Polluting pharmaceutical atmospheres: Compulsion, resistance, and symbolism of buprenorphine in Norway
title_short Polluting pharmaceutical atmospheres: Compulsion, resistance, and symbolism of buprenorphine in Norway
title_sort polluting pharmaceutical atmospheres: compulsion, resistance, and symbolism of buprenorphine in norway
topic Research Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7434164/
https://www.ncbi.nlm.nih.gov/pubmed/32934564
http://dx.doi.org/10.1177/1455072518814313
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