Pleasure, drugs, materiality and tensions in harm reduction in practice: The case of safer injection programmes

Original research
par
Jauffret-Roustide, Marie

Date de publication

2023

Géographie

France

Langue de la ressource

English

Texte disponible en version intégrale

Oui

Open Access / OK to Reproduce

Oui

Évalué par des pairs

Yes

L’objectif

Within the context of a public health programme called ‘safer injection education', this article explores how the materialises of drug use (such as paraphernalia and space) intersect with habitual behaviours and expectations. The article compares the diverse accounts of people who inject drugs with the biomedical knowledge of professionals to argue that people experience different forms of pleasure which challenge clinical understandings of addiction as driven by a desire to alleviate the pain of withdrawal symptoms.

Constatations/points à retenir

The analysis critiques the assumption that people who use drugs are enslaved or unaware of their behaviours, showing instead that they are well aware of their patterns of psychoactive substance use and actively manage them in order to increase pleasure, and produce expertise and agency. During safer injection education sessions, people who inject drugs challenge normative assumptions and prescriptions on drug-related risks, and deploy practices and accounts that resonate with narcofeminist approaches, which produces solidarity between peers, social transformation and new forms of resistance to prohibitionist drug policy regimes and the pathologisation of drug use.

La conception ou méthodologie de recherche

The methodology used in this research combined ethnographic observations and semi-structured interviews. A total of 95 injection sessions were observed as well as everyday activities in the structures, group-work sessions, and supervision meetings about safer injection education. Nineteen semi-structured interviews were conducted with clients and 34 with supervisors (including harm reduction workers and volunteers).

Mots clés

About PWUD
Harm reduction
Illegal drugs
Injecting drugs
SCS/OPS