2019
DOI: 10.1093/bjc/azz055
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Controlling Drug Users: Forms of Power and Behavioural Regulation in Drug Treatment Services

Abstract: This article examines the control practices used in drug treatment services to regulate the behaviour of people with drug problems. Drawing on an extensive qualitative study, we developed a conceptual framework, integrating the notion of responsive regulation with Wrong’s sociology of power. The picture that emerges is of a complex ‘web of controls’, combining diverse forms of power and control techniques, used to steer action and shape behavioural outcomes. It is argued that we can understand these control pr… Show more

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Cited by 6 publications
(14 citation statements)
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“…People who need substantial change and development to manage their everyday lives and overcome the psychosocial consequences of SUD, often require specialised inpatient treatment [ 24 , 25 , 26 , 27 ]. People with SUD have long been the subject of controlling measures in society in general, and in SUD treatment in particular [ 28 , 29 ], and the environment at the services to which people refer to undergo vast change processes, such as inpatient SUD treatment, is tightly controlled [ 30 ]. The treatment practice and the service staff that undertake it perform an essential function in, and exert a profound influence on, inpatients’ everyday lives and their change processes [ 30 ].…”
Section: Introductionmentioning
confidence: 99%
“…People who need substantial change and development to manage their everyday lives and overcome the psychosocial consequences of SUD, often require specialised inpatient treatment [ 24 , 25 , 26 , 27 ]. People with SUD have long been the subject of controlling measures in society in general, and in SUD treatment in particular [ 28 , 29 ], and the environment at the services to which people refer to undergo vast change processes, such as inpatient SUD treatment, is tightly controlled [ 30 ]. The treatment practice and the service staff that undertake it perform an essential function in, and exert a profound influence on, inpatients’ everyday lives and their change processes [ 30 ].…”
Section: Introductionmentioning
confidence: 99%
“…As a result of the strict regulatory framework surrounding OST, the work of OST professionals requires an ability to combine both control and supportive functions. A number of studies have examined OST clinics’ perceptions with regard to this duality (see, e.g., Bacon & Seddon, 2020 ; Lilly et al, 1999 ; Petersson, 2013a , 2013b ). Lilly et al (1999) have argued that there is a tension between the roles of being “gatekeepers” for methadone, and counsellors, since there is some level of conflict between the two.…”
Section: Control and Power Imbalance In Ostmentioning
confidence: 99%
“…However, staff reported wanting to develop working methods that were able to integrate these two areas of responsibility. A study by Bacon and Seddon (2020) examined how control was exercised in substance use treatment, both in OST and in non-pharmaceutical treatment provision. For OST staff, there is an element of control in the treatment, and a clear power imbalance between staff and patients.…”
Section: Control and Power Imbalance In Ostmentioning
confidence: 99%
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“…In particular, Bourgois (2000) illustrates the debilitating effects of OST documenting negative impacts on self-esteem and the collapse of relationships among OST clients. Making reference to indicators of socioeconomic disadvantage, such as the high rates of unemployment and low income commonly associated with the drug treatment population (Jones et al 2007), Bacon and Seddon (2019) also suggest that drug treatment has become another tool to regulate the poor. Moreover, OST has been criticised for "parking" patients by inner city pharmacists that are tasked with supervising consumption (Bryan 2013).…”
Section: Situating the Treatment Experiences Of Ous: Negative Portrayals And Contempt Within Drug Treatment Policymentioning
confidence: 99%