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From wanting to willing – controlled drug use as a treatment goal

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  • Järvinen, Margaretha

Abstract

This paper uses rational choice theory to analyse a new – and controversial – treatment approach to drug problems: services aimed at making clients capable of controlled use of illegal drugs. The paper highlights three mechanisms used in control-focused treatment: attempts to move drug use from the sphere of “wanting” to the sphere of “willing”; temporal framing of illegal drug use; and a therapeutic focus on clients' resources rather than their problems. Furthermore, the paper identifies some of the main challenges associated with this kind of treatment. The paper is based on 30 qualitative interviews with young people (aged 18–25) enrolled in drug treatment in Copenhagen, Denmark.

Suggested Citation

  • Järvinen, Margaretha, 2017. "From wanting to willing – controlled drug use as a treatment goal," Social Science & Medicine, Elsevier, vol. 176(C), pages 69-76.
    • Handle: RePEc:eee:socmed:v:176:y:2017:i:c:p:69-76
    DOI: 10.1016/j.socscimed.2017.01.030
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    References listed on IDEAS

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    1. Järvinen, Margaretha & Ravn, Signe, 2014. "Cannabis careers revisited: Applying Howard S. Becker's theory to present-day cannabis use," Social Science & Medicine, Elsevier, vol. 100(C), pages 133-140.
    2. Radcliffe, Polly & Stevens, Alex, 2008. "Are drug treatment services only for 'thieving junkie scumbags'? Drug users and the management of stigmatised identities," Social Science & Medicine, Elsevier, vol. 67(7), pages 1065-1073, October.
    3. McIntosh, James & McKeganey, Neil, 2000. "Addicts' narratives of recovery from drug use: constructing a non-addict identity," Social Science & Medicine, Elsevier, vol. 50(10), pages 1501-1510, May.
    4. Becker, Gary S & Murphy, Kevin M, 1988. "A Theory of Rational Addiction," Journal of Political Economy, University of Chicago Press, vol. 96(4), pages 675-700, August.
    5. Gowan, Teresa & Whetstone, Sarah & Andic, Tanja, 2012. "Addiction, agency, and the politics of self-control: Doing harm reduction in a heroin users’ group," Social Science & Medicine, Elsevier, vol. 74(8), pages 1251-1260.
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