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“We’re supposed to be a family here”: An ethnography of preserving, achieving, and performing normality within methamphetamine recovery

The perception of being abnormal, and a visceral desire to ‘feel normal again’, is a common feature of the literature on drug use and recovery. Normality is constructed, however, in response to context-dependent values and priorities, thereby legitimating certain behaviours as normative and therefor...

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Autores principales: Brookfield, Samuel, Fitzgerald, Lisa, Selvey, Linda, Maher, Lisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8637633/
https://www.ncbi.nlm.nih.gov/pubmed/34901376
http://dx.doi.org/10.1016/j.ssmph.2021.100969
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author Brookfield, Samuel
Fitzgerald, Lisa
Selvey, Linda
Maher, Lisa
author_facet Brookfield, Samuel
Fitzgerald, Lisa
Selvey, Linda
Maher, Lisa
author_sort Brookfield, Samuel
collection PubMed
description The perception of being abnormal, and a visceral desire to ‘feel normal again’, is a common feature of the literature on drug use and recovery. Normality is constructed, however, in response to context-dependent values and priorities, thereby legitimating certain behaviours as normative and therefore the assumed goal of people in recovery. In this paper we draw on an ethnographic study with twelve people attempting to reduce harmful methamphetamine use to explore how they engaged with ‘normality’. Semi-structured interviews and ethnographic observations were conducted across a range of settings related to participants’ recovery, including private residences, withdrawal services, doctor’s offices, counselling rooms, and court houses. We used a relational lens to conduct thematic analysis on interview transcripts and fieldnotes collected over six months, following the steps of Iterative Categorisation. Our analysis explores the central organising theme of normality as something that can be ‘preserved’, ‘achieved’, or ‘performed’ by people using methamphetamine. Findings are understood through the original concept of ‘ambient paternalism’, where neoliberal norms and values shape recovery trajectories even outside of engagement with services. Exhibiting normality enabled participants to work against the stigmatisation and moralisation of methamphetamine use by demonstrating their socio-political acceptability. Methamphetamine use could also be strategically used to enable participants to keep up with neoliberal normative standards of independent self-management. Increasing awareness of these complex repertoires of normality, and a more critical understanding of how this ideal is constructed and can impact service interactions, can support a less homogenising or coercive approach towards treatment and policy for people in methamphetamine recovery.
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spelling pubmed-86376332021-12-09 “We’re supposed to be a family here”: An ethnography of preserving, achieving, and performing normality within methamphetamine recovery Brookfield, Samuel Fitzgerald, Lisa Selvey, Linda Maher, Lisa SSM Popul Health Article The perception of being abnormal, and a visceral desire to ‘feel normal again’, is a common feature of the literature on drug use and recovery. Normality is constructed, however, in response to context-dependent values and priorities, thereby legitimating certain behaviours as normative and therefore the assumed goal of people in recovery. In this paper we draw on an ethnographic study with twelve people attempting to reduce harmful methamphetamine use to explore how they engaged with ‘normality’. Semi-structured interviews and ethnographic observations were conducted across a range of settings related to participants’ recovery, including private residences, withdrawal services, doctor’s offices, counselling rooms, and court houses. We used a relational lens to conduct thematic analysis on interview transcripts and fieldnotes collected over six months, following the steps of Iterative Categorisation. Our analysis explores the central organising theme of normality as something that can be ‘preserved’, ‘achieved’, or ‘performed’ by people using methamphetamine. Findings are understood through the original concept of ‘ambient paternalism’, where neoliberal norms and values shape recovery trajectories even outside of engagement with services. Exhibiting normality enabled participants to work against the stigmatisation and moralisation of methamphetamine use by demonstrating their socio-political acceptability. Methamphetamine use could also be strategically used to enable participants to keep up with neoliberal normative standards of independent self-management. Increasing awareness of these complex repertoires of normality, and a more critical understanding of how this ideal is constructed and can impact service interactions, can support a less homogenising or coercive approach towards treatment and policy for people in methamphetamine recovery. Elsevier 2021-11-19 /pmc/articles/PMC8637633/ /pubmed/34901376 http://dx.doi.org/10.1016/j.ssmph.2021.100969 Text en © 2021 The Authors. Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Brookfield, Samuel
Fitzgerald, Lisa
Selvey, Linda
Maher, Lisa
“We’re supposed to be a family here”: An ethnography of preserving, achieving, and performing normality within methamphetamine recovery
title “We’re supposed to be a family here”: An ethnography of preserving, achieving, and performing normality within methamphetamine recovery
title_full “We’re supposed to be a family here”: An ethnography of preserving, achieving, and performing normality within methamphetamine recovery
title_fullStr “We’re supposed to be a family here”: An ethnography of preserving, achieving, and performing normality within methamphetamine recovery
title_full_unstemmed “We’re supposed to be a family here”: An ethnography of preserving, achieving, and performing normality within methamphetamine recovery
title_short “We’re supposed to be a family here”: An ethnography of preserving, achieving, and performing normality within methamphetamine recovery
title_sort “we’re supposed to be a family here”: an ethnography of preserving, achieving, and performing normality within methamphetamine recovery
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8637633/
https://www.ncbi.nlm.nih.gov/pubmed/34901376
http://dx.doi.org/10.1016/j.ssmph.2021.100969
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