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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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Formato: | Online Artículo Texto |
Lenguaje: | English |
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SAGE Publications
2018
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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 |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-7434164 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT bartoszkoaleksandra pollutingpharmaceuticalatmospherescompulsionresistanceandsymbolismofbuprenorphineinnorway |