Painful Subjects

Treating Chronic Pain among People Living with HIV in the Age of Opioid Risk

Bibliographic Data

ID2289010
AuthorsJennifer J Carroll (0000-0001-5711-7419, Department of Sociology and Anthropology Elon University, corresponding author), Marlene C Lira (0000-0001-7967-1963, Clinical Addiction Research and Education (CARE) Unit Department of Medicine Boston Medical Center), Karsten Lunze (0000-0001-8495-0350, Clinical Addiction Research and Education (CARE) Unit Department of Medicine Boston Medical Center), Jonathan A Colasanti (Hubert Department of Global Health Rollins Scholl of Public Health of Emory University), Jonathan Colasanti (0000-0002-0536-9769, Emory University), Carlos Del Rio (0000-0002-0153-3517, Hubert Department of Global Health Rollins Scholl of Public Health of Emory University), Jeffrey H Samet (0000-0002-0897-3400, Clinical Addiction Research and Education (CARE) Unit Department of Medicine Boston Medical Center)
Year2021
Volume35
Issue2
Pages141-158
Publication date2021-06-01
Open AccessYes
TypeARTICLE
VenueMedical Anthropology Quarterly (JOURNAL)
Journal identifiersISSN: 0745-5194 • E-ISSN: 1548-1387
PublisherWiley (PUBLISHER • GB)
DOI10.1111/maq.12618
PMID33152133
OpenAlexW3096936485
LanguageEN
Citations received4
References cited40

Public narratives often attribute the opioid overdose epidemic in the United States to liberal prescribing practices by health care providers. Consequently, new monitoring guidelines for the management of opioid prescriptions in patients with chronic pain have become recognized as key strategies for slowing this tide of overdose deaths. This article examines the social and ontological terrain of opioid-based pain management in an HIV clinic in the context of today's opioid overdose epidemic. We engage with anthropological analyses of contemporary drug policy and the nonverbal/performative ways patients and clinicians communicate to theorize the social context of the opioid overdose epidemic as a "situation," arguing that the establishment of new monitoring strategies (essentially biomedical audit strategies) trouble patient subjectivity in the HIV clinic-a place where that subjectivity has historically been protected and prioritized in the establishment of care

Addiction · Chronic pain · Context (archaeology · Medical prescription · Narrative · Opioid · Opioid overdose · Psychiatry · Public health · Subjectivity · History · HIV, Drug Use, Sexual Risk · Medicine · Nursing · Opioid Use Disorder Treatment · Prenatal Substance Exposure Effects

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