relationality and methamphetamine use

Upload: pboshears

Post on 30-May-2018

218 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/9/2019 Relationality and Methamphetamine Use

    1/15

    Relationality and idRelationality and id

    mm

    Paul Boshearsthe European Graduate Sch

    Kennesaw State University

    The project described was supported by Award NuInstitute on Drug Abuse. The content is solely the rnecessarily represent the official views of the NatioInstitutes of Health.

    entity migration amongentity migration among

    thamphetamine users:thamphetamine users:An exploratory studyAn exploratory study

    ol (CH)

    mber 1R15DA021164-01A1 from the Nationalesponsibility of the author and does notnal Institute on Drug Abuse or the National

  • 8/9/2019 Relationality and Methamphetamine Use

    2/15

    That process through whiproblematic use of methsame mechanism by wtheir problematic usage.

    I mean crystal meth can takdark paths. And youve seeI just really dont want to be

    h

    an individual developsamphetamine is theich they can overcome

    you down really, really, you hear horror stories that person.

    (22-year-old white male)

  • 8/9/2019 Relationality and Methamphetamine Use

    3/15

    Based on an ethnographicformer users of methamparticipants in this studythe social pressures andinitiate, spur, and inhibit

    methamphetamine and

    In privileging the social cocontribute to the develoconceptualization of addin light of this model.

    (Latkin, Knowlton, Hoover, & Mandell, 1Gibson, Acquah, & Robinson, 2004; Pilki2008; Adams, 2008)

    study of 100 current andhetamine, I found thatoverwhelmingly, referencetheirenvironments that

    their use or cessation of

    ther drugs.

    ponent of addiction, Iing literature on the socialiction by interpreting my data

    99; Weinberg, 2000; May 2001;ngton, 2007; Graham, Young, & Wood,

  • 8/9/2019 Relationality and Methamphetamine Use

    4/15

    The primary problem facinterventions is managWeinshenker, 2009)

    Relapse is intimately relinitiation and reiteratio

    Substance use initiation

    primarily social procesa properly social interv

    Gaval-Cruz, M. & D. Weinshenker. (2009) Mcocaine abstinence: Antabuse and cocaine r

    ing pharmacologicaling relapse. (Gaval-Cruz &

    ted to substance use.

    and reiteration are

    es and as such requireention.

    chanisms of Disulfiram-inducedlapse. Molecular Interventions. 9(4)

  • 8/9/2019 Relationality and Methamphetamine Use

    5/15

    Therapeutic group dyna

    programs illustrate a kan individual that chanbehaviors as well as tas well as tmore likely to abstain f

    ics found in 12-Step

    y social truth:es their individual

    eir social contexteir social contextisrom problematic use

    dams (2008) Kitchin (2002); Latkin,nowlton, Hoover, & Mandell (1999)

  • 8/9/2019 Relationality and Methamphetamine Use

    6/15

    What insights might a focus uselfhood provide to underst

    methamphetamine practicethe drug-use career?The interdependencies that fo

    users pursue opportunities:disclose the consequences

    display their recovering idefundamentally relational chuse.

    Relationality

    on the relational dynamics ofnding how

    are negotiated throughout

    rm as methamphetamineto practice meth use, toof their practices, and to

    tities, illustrate aracter to methamphetamine

  • 8/9/2019 Relationality and Methamphetamine Use

    7/15

    The popular mode in whichdiscussed limits how wepractices as well as howphenomenon.

    Addiction (Volkow & Li, 20a narrative that people pediscourse those that pracand reinvigorate their ide

    Hughes (2007, 2009) propoconceptualization of addisubstance use as a set opractices.

    addiction is thought of andan understand drug usee might transform the

    4) is a discursive practice rform. In performing thisice substance use affirmtities as addicts.

    ses a socialtion emphasizingf embodied social

    igrating Identities

  • 8/9/2019 Relationality and Methamphetamine Use

    8/15

    There are three stages iprocess:

    Apprenticeship The Performative U Performing Recove

    Hughes, K. (2007) Migrating identities:and addiction. Sociology of Healt

    Hughes, K., G. Valentine, & C. Kenten.space-time understanding of InteSociology(forthcoming).

    Identity Migration

    the identity migration

    terancey

    The relational constitution of drug useh & Illness, 29(5), 673-691The time of our lives: Towards a

    rnet gambling. The British Journal of

  • 8/9/2019 Relationality and Methamphetamine Use

    9/15

    Identity MigrationIdentity Migration:

    1) ApprenticeshipApprenticeship methabehavior.

    So all my dads friends w

    was twelve Id seen theseshooting dope up.... But osaid, Let me try some ofspoon, shot some water itell my dad, You need to

    or something. Before heand fired it in my arm justwas a professional at it.

    phetamine use is a learned

    re junkies....from the time I

    dudes firing dope,ne day I come in and Ihat. I poured some in aitthe dude was trying to

    help him or let me help him

    ad it out I had it pulled uplike a champ. Just like I

    (34-year-old white male)

  • 8/9/2019 Relationality and Methamphetamine Use

    10/15

    Identity MigrationIdentity Migration:2) the Performative Utteranthe Performative Utteran

    In order to succeed youhave to be willing to bec

    be willing to take directiothat youre [...] not in cha

    Because until youve qui

    break. You have a mentself[....] Youre not delusmuch lost your mind. Yoreal mindset again.

    ee - I have a problem

    ave to surrenderand youme teachable, you have to

    ns, and you have to realizerge.

    (42-year-old white male)

    doing it you have a mental

    l break from your normalional but you have pretty

    have to regroup, find your

    (52-year-old white male)

  • 8/9/2019 Relationality and Methamphetamine Use

    11/15

    Identity MigrationIdentity Migration:3) Performing RecoveryPerforming Recoverypractices are now substitut

    You know that was one of tdo this interview: maybe I

    would help just one perso

    I started counseling addicts.with the county to where t

    and parole people that ha

    ethamphetamine used with recovery practices.

    e reasons why I wanted tocould say something that

    n(43-year-old white male)

    We have a connectionhey send all their probation

    e problems with drugs.(23-year-old white male)

  • 8/9/2019 Relationality and Methamphetamine Use

    12/15

    The neurophysiology of learfunction differently without t

    is the context in which I use

    to perform recovery means t

    which it functions.

    Discussion

    ing suggests that brain wille learned cues signaling this

    methamphetamine. Learning

    he brain changes the way in

  • 8/9/2019 Relationality and Methamphetamine Use

    13/15

    Apprenticing explains the gaway from sites of substamemory acquisition, whicneurobiological models of

    ApprenticingApprenticing within a commus to reconcile notions of

    preconceptions (i.e. riskyfor me vs. what is at riskidentity-anchoring social

    Discussion

    ographic cure (movingnce use) as the process of

    squares with currentsalience.

    unity of meth users enablesrisk based on individualist

    behavior is what is riskyis the stability of the myetwork. (Pilkington, 2007)

  • 8/9/2019 Relationality and Methamphetamine Use

    14/15

    The Performative UtteranceThe Performative Utterancecreates an arche. This is lso often described by tho

    then transform our notionarchaeological activity.

    For the performative utterastatement must be reiteracommunities that would sproblematic usage, leadinrecovery.

    Discussion

    : stating I have a problemiterally the bottoming-oute in the field. This would

    of recovery into an

    ce to be sensible, theted and reinvigorated, inek to transform

    g us to performing

  • 8/9/2019 Relationality and Methamphetamine Use

    15/15

    To learn to perform recover

    an experienced recoveringtendency of apprenticeship.

    Discussion

    , one must apprentice under

    ddict, thus the reinforcing