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首页> 外文期刊>The International journal of drug policy >Living with addiction: The perspectives of drug using and non-using individuals about sharing space in a hospital setting
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Living with addiction: The perspectives of drug using and non-using individuals about sharing space in a hospital setting

机译：上瘾生活：吸毒和不使用毒品的人关于共享医院环境的观点

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Hospitals seem to be places where harm reduction approaches could have great benefit but few have responded to the needs of people who use drugs. Drawing on recent theoretical contributions to harm reduction from health geography, we examine how the implementation of harm reduction is shaped by space and contested understandings of place and health. We examine how drug use and harm reduction approaches pose challenges and offer opportunities in hospital-based care using interview data from people living with HIV and who were or had recently been admitted to a hospital with an innovative harm reduction policy. Our data reveal the contested spatial arrangements (and the related practices and corporeal relations) that occur due to the discordance between harm reduction and hospital regulatory policy. Rather than de-stigmatising drug use at Casey House Hospital, the adoption of the harm reduction policy sparked inter-client conflict, reproduced dominant discourses about health and drug users, and highlights the challenges of sharing space when drug use is involved. The hospital setting produces particular ways of being for people who use and those who do not use drugs and the demarcation of space in a drug using context. Moving forward, harm reduction practice and research needs to consider more than just interactions between drug users and healthcare providers, or the role of administrative policies; it needs to position ethics at the forefront of understanding the collisions between people, drug use, place, and space. We raise questions about the relationship between subjectivity and spatial arrangements in mediating the success of harm reduction.
机译：医院似乎是减少伤害的方法可能会带来巨大好处的地方，但很少有人对吸毒者的需求做出回应。利用健康地理学对减少危害的最新理论贡献，我们研究了减少伤害的实施方式是如何受到空间以及对场所与健康的有争议理解的影响。我们使用来自艾滋病毒感染者以及最近或最近因创新性减害政策入院的艾滋病患者的访谈数据，研究了药物使用和减少伤害的方法如何构成挑战，并为医院护理提供了机会。我们的数据揭示了由于减少伤害与医院监管政策之间的不一致而发生的有争议的空间安排（以及相关的实践和物质关系）。减少伤害政策的采用并没有在凯西之家医院给毒品使用造成污名化，而是引发了服务对象之间的冲突，重现了有关健康和吸毒者的主流言论，并强调了在涉及毒品使用时共享空间的挑战。医院环境为吸毒者和不吸毒者提供了特殊的生活方式，并根据具体情况对毒品进行了划分。今后，减少危害的实践和研究不仅需要考虑吸毒者与医疗保健提供者之间的互动，还需要考虑行政政策的作用;它需要将伦理学置于了解人，毒品，位置和空间之间的冲突的最前沿。在调解减害成功方面，我们提出有关主观性与空间安排之间关系的问题。

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