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Drug regulatory regimes and the art of governance.

机译：药品监管制度和治理艺术。

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摘要

This dissertation examines how drug use and users have been regulated in the U.S. since the 1980s by assessing the regulatory regimes that govern: tobacco, cocaine, marijuana, steroids and selective serotonin reuptake inhibitors (SSRIs). The first section investigates the practical means (tactics, procedures, and mechanisms) used by regulators to achieve their goals with regard to drug control, and probes how regulators perceive drug use as a social and/or public health problem, how this perception changes over time, and the cultural shifts and/or political movements that facilitate these changes. In so doing, it identifies the modes of thought and forms of knowledge or expertise that undergird the use of regulatory mechanisms.; This dissertation's second section analyzes the regulation of all five drugs comparatively by examining the role of the regulatory regime in the production of "good" and "bad" drugs, drug use and users. The current variability in drug regulatory polices is not based upon the pharmacological properties of each drug, nor is it the result of social or political conflicts over specific drug users or consumption sites. Rather, the variation in the way drugs are regulated is a consequence of each drug's regime designation. This is because the regime designation circumscribes the range of political choices available to regulators and compels certain outcomes. Regime designation decisions determine the social meaning and legal status of each drug and those who consume it.; This section contemplates how these regulatory regime designations are made, and the extent to which they are based upon scientific evidence or political, ethical and/or moral judgments about denying the sick versus those labeled healthy, idle or dangerous, and to entitlement based on race, gender or class. This section also examine how drug regulatory regimes produce particular forms of "truth"---that is to say, how regulatory regimes create certain presumed facts about specific drugs that shape or reconfigure popular understandings of the drugs and those who consume them. Thus, it examines the forms of user/consumer identity that drug regulatory regimes seek to forge by investigating the way each regime problematizes drug use and penalizes and/or reforms drug users.
机译：本论文通过评估以下法规来研究自1980年代以来美国对药物使用和使用者的监管情况：烟草，可卡因，大麻，类固醇和选择性5-羟色胺再摄取抑制剂（SSRIs）。第一部分调查了监管机构用于实现其药物管制目标的实践手段（策略，程序和机制），并探讨了监管机构如何将毒品使用视为社会和/或公共卫生问题，以及这种观念如何转变时间以及促进这些变化的文化变迁和/或政治运动。通过这种方式，它确定了支持监管机制使用的思维方式和知识或专长形式。本论文的第二部分通过考察监管制度在“好”和“坏”药品的生产，毒品使用和使用者中的作用，比较地分析了所有五种药品的监管。药品监管政策的当前可变性不是基于每种药物的药理特性，也不是针对特定吸毒者或消费地点的社会或政治冲突的结果。相反，药物监管方式的差异是每种药物方案指定的结果。这是因为政权的指定限制了监管机构可以选择的政治选择范围，并强迫某些结果。政权指定决定决定了每种药物以及食用该药物的人的社会意义和法律地位。本节考虑如何制定这些监管制度，以及它们在多大程度上基于科学证据或政治，伦理和/或道德判断，即拒绝生病的人与标记为健康，无所事事或危险的人以及基于种族的应享权利，性别或班级。本节还研究了药物监管制度如何产生特定形式的“真相”，也就是说，监管制度如何创建有关特定药物的某些推定事实，这些事实塑造或重新构成了人们对药物及其消费者的普遍理解。因此，它通过调查每种制度给毒品使用带来问题以及惩罚和/或改造毒品使用者的方式，来研究毒品监管制度试图伪造的用户/消费者身份形式。

著录项

  • 作者

    Paul-Emile, Kimani.;

  • 作者单位

    New York University.;

  • 授予单位 New York University.;
  • 学科 American Studies.; Law.; Health Sciences Public Health.
  • 学位 Ph.D.
  • 年度 2006
  • 页码 285 p.
  • 总页数 285
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 法律;预防医学、卫生学;
  • 关键词

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