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The becoming‐methadone‐body: on the onto‐politics of health intervention translations

机译:成为美沙酮 - 身体:关于健康干预翻译的政治

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Abstract In this paper, we reflect on health intervention translations as matters of their implementation practices. Our case is methadone treatment, an intervention promoted globally for treating opioid dependence and preventing HIV among people who inject drugs. Tracing methadone's translations in high‐security prisons in the Kyrgyz Republic, we notice the multiple methadones made possible, what these afford, and the onto‐political effects they make. We work with the idea of the ‘becoming‐methadone‐body’ to trace the making‐up of methadone treatment and its effects as an intra‐action of human and nonhuman substances and bodies. Methadone's embodied effects flow beyond the mere psycho‐activity of substances incorporating individual bodies, to material highs and lows incorporating the governing practices of prisoner society. The methadone‐in‐practice of prisoner society is altogether different to that imagined as being in translation as an intervention of HIV prevention and opioid treatment, and has material agency as a practice of societal governance. Heroin also emerges as an actor in these relations. Our analysis troubles practices of ‘evidence‐based’ intervention and ‘implementation science’ in the health field, by arguing for a move towards ‘evidence‐making’ intervention approaches. Noticing the onto‐politics of health intervention translations invites speculation on how intervening might be done differently.
机译:摘要在本文中,我们反映了卫生干预翻译作为其实施实践的事项。我们的案例是美沙酮治疗,在全球范围内促进的干预治疗阿片类药物依赖性,并预防注射药物的人群中的艾滋病毒。追踪美沙酮在吉尔吉斯共和国的高安全监狱中的翻译,我们注意到多种美的美容,这些都提供了什么,以及他们所做的政治影响。我们与“成为美沙酮体”的想法追踪美沙酮治疗的化妆及其作为人类和非人类物质和体内的内含内的作用。美沙酮的体现效果超越了纳入各个体的物质的精神活性,以纳入囚犯社会的管理实践的材料高和低谷。囚犯社会的海上实践完全不同于认为,作为艾滋病毒预防和阿片类药物治疗的干预,并将物质代理作为社会治理的介入。海洛因也出现在这些关系中的演员。我们的分析通过争论“循证”干预方法的举措,我们在健康领域“基于证据的”干预和“实施科学”的分析。注意到健康干预翻译的境内政治邀请猜测如何介入如何不同。

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