Implementation of substitution treatment in Finland. Beyond rationalisation and medicalisation.

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dc.contributor.author Selin, Jani
dc.date.accessioned 2011-08-24T03:34:22Z
dc.date.available 2011-08-24T03:34:22Z
dc.date.issued 2011
dc.identifier.citation Selin, J. (2011). Implementation of substitution treatment in Finland. Beyond rationalisation and medicalisation. Nordic studies on alcohol and drugs, 28 (1), 29-42.
dc.identifier.issn 1455-0725
dc.identifier.other TUTKAID_45551
dc.identifier.uri http://hdl.handle.net/123456789/36578
dc.description.abstract Aims – Finnish treatment of drug abuse has during the last two decades shifted from a predominantly psychosocial approach to a more medical mode. This is especially evident in the rapid implementation of substitution treatments (STs). My aim is to show that labelling this development as ‘medicalisation’ or ‘rationalisation’ as a form of medical progress will not increase our understanding of the change. Material and design – I analysed texts from several periodicals with psychosocial, social policy and medical perspectives between 1997 and 2005. Four basic conceptual and argumentative underpinnings emerged which gave credence to the medical and rational approach, and the validity of these four elements was then investigated. I also collected all the texts on drug addiction and its treatment from two medical journals in 1965–1976 to examine the way in which drug addiction was conceptualised during this earlier phase. Results – The material shows that there are at least four reasons why medicalisation and rationalisation cannot explain the implementation of substitution treatments in Finland. First, progress in medical research on addiction did not make STs necessary. Second, the effectiveness of substitution treatments hinges on a particular kind of scientific rationality that cannot be equated with rationality per se. Third, it was not the 1990s and 2000s that drug addiction was coded as a medical problem for the first time. Fourth, it is difficult to include into the medicalisation theory how people actively want to be ‘medicalised’. Medical knowledge and technology open up new domains of knowledge with possible relations to practices of power and offer people new ways of self-understanding. How these different practices work is a question of empirical research. Both ‘rationalisation’ and ‘medicalisation’ are concepts often used in an inflationary way, and this may make them insensitive as analytical instruments. Keywords – Drug addiction, history, medicalisation, rationalisation, social theory, substitution treatment.
dc.language.iso fin
dc.publisher Nordens Välfärdscenter
dc.relation.ispartof Nordic studies on alcohol and drugs
dc.relation.uri http://versita.metapress.com/content/q22u338784145804
dc.relation.uri http://versitaopen.com/nad
dc.subject.other huumeriippuvuus fi
dc.subject.other historia fi
dc.subject.other medikalisaatio fi
dc.subject.other rationalisaatio fi
dc.subject.other yhteiskuntateoria fi
dc.subject.other korvaushoito fi
dc.subject.other drugs en
dc.subject.other addiction en
dc.subject.other medicalisation en
dc.subject.other rationalisation en
dc.subject.other social theory en
dc.subject.other substitution en
dc.subject.other history en
dc.title Implementation of substitution treatment in Finland. Beyond rationalisation and medicalisation.
dc.type Article en
dc.identifier.urn URN:NBN:fi:jyu-2011081911255
dc.subject.kota 514
dc.contributor.laitos Yhteiskuntatieteiden ja filosofian laitos fi
dc.contributor.laitos Faculty of Social Sciences en
dc.contributor.oppiaine sosiologia fi
jyx.tutka.volyme 28
jyx.tutka.mnumber 1
jyx.tutka.pagetopage 29-42
dc.type.uri http://purl.org/eprint/type/JournalArticle
dc.date.updated 2011-08-18T21:30:05Z
dc.description.version Publisher's PDF
eprint.status http://purl.org/eprint/type/status/PeerReviewed

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