Like many other areas of medicine, methadone maintenance treatment (MMT) inspires feelings of intense ambivalence among its consumers. As one of the participants in the study that forms the basis of this book makes clear, methadone is both meat and poison; it is pharmakon in Derrida’s fullest sense in that it combines remedy, toxin and is ‘a means of producing something’.1 Yet methadone also differs from almost all other areas of medicine in at least one devastatingly important way: it treats a condition widely seen as mainly social in significance. For heroin addiction, accompanied though it is by physical symptoms, and reframed though it has been in recent decades as a medical rather than moral issue, is not considered primarily physical in the sense that diabetes or cancer or heart disease usually are. If it were, it would undoubtedly enjoy more acceptance. Instead, it continues to register in Western discourse firstly as a political, cultural and social problem, a form of ‘deviance’, and, policing aside, methadone is Western liberal society’s main response to it.
- Methadone Treatment
- Methadone Maintenance Treatment
- Actor Network Theory
- Mutual Obligation
- Unmet Demand
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