For lack of wanting

Discourses of desire in Ukrainian opiate substitution therapy programs

Datos Bibliográficos

ID2395062
AutoresJennifer J Carroll (0000-0001-5711-7419, University of Washington, autor de correspondencia)
Año2016
Volumen53
Número2
Páginas198-216
Fecha de publicación2016-04-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaTranscultural Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1363-4615 • E-ISSN: 1461-7471
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363461515581543
PMID25934651
OpenAlexW2090104276
IdiomaEN
Citas recibidas6
Referencias citadas26

Available treatments for addiction and substance abuse in Ukraine have been shaped by the economic, political, and social shifts that have followed the country's independence. The introduction of methadone-based opiate substitution therapy (OST) for opiate addicts is especially representative of this. Biomedical paradigms of addiction, its etiology, and its treatment, promoted and paid for by international donors and elite global health entities, are being met by Ukrainian notions of personhood and psychology in both public discourse and clinical settings. Ukrainian physicians who work in OST programs frequently reference desire (желание) as the most significant factor in determining the success or failure of treatment. They refer to a desire to be treated, desire to get better, desire to live. The moralized imperative to possess this desire to get better is, in many ways, a reflection of how addiction and the addicted psyche is constructed and understood in the Ukrainian context. By exploring discourses of desire in narratives of addiction and treatment, I examine how notions of psychology, will, and self-control intersect, shaping the subjectivity, agency, and daily experiences of this vulnerable population

Addiction · Epistemology · Population · Psychiatry · Psychotherapist · Social science · Sociology · Subjectivity · Ukrainian · Crime, Illicit Activities, and Governance · HIV, Drug Use, Sexual Risk · Medicine · Psychology · Substance Abuse Treatment and Outcomes