Totalavhold og skadereduksjon

Olsen, Hilgunn

doi:10.18261/issn.2535-2512-2019-06-04

Cited by 4 publications

(6 citation statements)

References 19 publications

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Section: Merging Medical and Penal Spheresmentioning

confidence: 99%

“…Scholars have identified two traditionally dominant and competing discourses operating within Norwegian drug policy: a health or "harm reduction" discourse, versus a moral and abstinence-oriented, penal discourse (Olsen, 2019, Skretting, 2014. While not novel, these perspectives have become increasingly prominent during the gradual move towards harm reduction after the opioid crisis of the 1980s (Olsen, 2019, Skretting, 2014. This conflict Operating between recovery and desistance Rose Elisabeth Boyle can be seen as rooted in a long history of traditionally restrictive drug policy and diverging societal attitudes towards substance use and substance users in Norway.…”

Section: Merging Medical and Penal Spheresmentioning

confidence: 99%

“…The seventies and eighties' rhetoric of repression and zero-tolerance strategies, influenced by the global 'war on drugs', was seen expressed in increased sentence length, an increase in imprisonments for substance-related offences and an expansion of police powers. The latter resulted in 'crackdowns' on street use before the turn towards harm reduction, increased focus on treatment and 'medicalisation' of substance use against the backdrop of the opioid and AIDS crises of the eighties (Skretting, 1991, Tallaksen, 2017, Olsen, 2019. Both this historical backdrop and the charged political climate around punishment and treatment of substance use in Norway today reflect that this merge overall has not been a harmonious consolidation of differing perspectives resulting in a unified approach, but rather a conflict of ideologies resulting in a complex working relationship.…”

Section: Merging Medical and Penal Spheresmentioning

confidence: 99%

“…In addition, Norway currently holds the overall position of having the highest control intensity of illicit substances, given that rates of drug seizures among the proportionally larger Swedish population have in fact decreased (Moeller, 2019). Although concepts like 'recovery' and 'harm reduction' have become more commonplace in Norwegian policy documents since the nineties, concrete harm reduction initiatives in the community, such as safe injecting rooms and the introduction of opioid maintenance therapy, have in turn met with considerable opposition before their eventual adoption (Skjaelaaen, 2019, Olsen, 2019.…”

Section: Substance Use Disorders: Nordic and International Contextsmentioning

confidence: 99%

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Operating between recovery and desistance

Boyle¹

2022

NTfK

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Section: Merging Medical and Penal Spheresmentioning

confidence: 99%

Section: Merging Medical and Penal Spheresmentioning

confidence: 99%

Section: Merging Medical and Penal Spheresmentioning

confidence: 99%

Section: Substance Use Disorders: Nordic and International Contextsmentioning

confidence: 99%

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Operating between recovery and desistance

Boyle¹

2022

NTfK

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“…In Norway, SUD treatment has traditionally focused on the complete cessation of substance use among patients, and some treatments still do so to a certain extent. However, over the last two to three decades, the focus has gradually shifted toward harm reduction and improved quality of life during treatment and after discharge (Olsen, 2019; Skretting, 2014). Furthermore, this has generated discussions about what should be regarded as an indicator of successful treatment outcome.…”

mentioning

confidence: 99%

Former inpatients’ narratives of substance use four years after substance use disorder treatment: A qualitative follow-up study

Hystad¹,

Wangensteen²

2021

Nordic Studies on Alcohol and Drugs

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Aim: The aim of this study was to explore the narratives of former substance use disorder (SUD) inpatients about substance use after their discharge from long-term SUD treatment in 2017. Method: We conducted semi-structured in-depth interviews with 11 former inpatients of SUD treatment. The data were analysed using a qualitative, thematic analysis model. Findings: During the analysis, two main themes emerged pertaining to participant reflections on substance use – their experience of non-problematic substance use (that is, substance use without declining into pre-treatment levels of misuse behaviours) and problematic substance use (that is, substance use associated with destructive patterns). All participants except one had engaged in substance use after their discharge three to four years ago. The commonly used substance was alcohol, which also appeared to be the most common substance for which there was consensus among the informants regarding non-problematic use. Conclusions: Most of the participants continued to use substances in some way, and some reported that such use did not affect them negatively. Healthcare providers and therapists in SUD treatment should avoid defining a relapse or failed treatment outcome in concrete terms. What is perceived as an actual relapse or a failed treatment outcome is highly subjective. Furthermore, complete sobriety might not necessarily be the best or the only way to measure the SUD treatment stay. An improvement in the quality of life and well-being, even when core symptoms are still present, may be considered a successful treatment outcome.

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Innledning

Buvik¹,

Bye²

2019

NOST

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Rusfeltet er i kontinuerlig endring. Vi drikker mindre brennevin, men mer vin. I hvert fall noen av oss. Ungdom drikker langt mindre enn før, samtidig som alkoholkonsumet blant de over 60 år øker. I forbindelse med #Metoo diskuteres det om alkohol er elefanten i rommet i det norske arbeidslivet. Samtidig er alkohol høykultur og vindrikkerne får siste tips om terningkast-seks-viner fra avisene. Alkoholen har en sentral plass i feiringen av mange av livets store og små begivenheter. Og i manges hverdag. Vi ser samtidig at røyking av sigaretter er denormalisert, og dagligrøykere forteller om økende stigmatisering. Men vi snuser mer, og benytter oss av utallige nye tobakksprodukter i form av pastiller, tyggis, munnspray, pulver og nikotininhalator. Narkotikafeltet er også i bevegelse. Cannabis er det mest utbredte illegale rusmidlet i Norge. Debatten om avkriminalisering og legalisering av cannabis kan bety at vi står overfor et mulig vaeromslag i narkotikapolitikken. Nye psykoaktive stoffer dukker opp, både syntetiske cannabinoider og opioider. Og statistikken endres: i dag er det registrert flere overdoser av legemidler som morfin, kodein og oksykodon enn av heroin. Diskusjonen om avhengighet av rusmidler er en sykdom eller et resultat av sosiale faktorer og personlig disposisjon er heller ikke lagt død. Rusmidlenes skiftende posisjon speiler med andre ord samfunnsnormer og politikk. Rus kan inkludere eller ekskludere, alt etter kontekst og strukturelle rammer. Alkoholberuselse på formiddagen bryter sosiale normer, mens kokainrus bryter rettslige normer. Julebordsfylla bryter i utgangspunktet ingen av disse. Sosiologisk sett er rus derfor interessant på mange områder og involverer en rekke av sosiologiens nøkkelbegreper på felter som klasse og sosial ulikhet, politikk og lovgivning, kjønn og etnisitet, avvik og konformitet, avhengighet og frihet, til sykdom og nytelse. Sosiologien angriper spørsmål om rus ved hjelp av en rekke ulike tilnaerminger og har slik sett mye å tilby et felt som ofte er gjenstand for politiske, normative, medisinske og sosiale diskusjoner i offentligheten. Et lite knippe eksempler fra den siste tiden handler om bruk av sprøyterom, skjenketider, lovreguleringer av e-sigaretter og andre tobakksprodukter, tax-free ordningen, samt legalisering og avkriminalisering av cannabis. Norge har en saeregen alkoholpolitisk historie med en kontroversiell og restriktiv politikk. Folk skulle oppdras, tilgangen på alkohol skulle reduseres og totalavhold var målet. I dette lå grunnlaget for en moralsk og ideologisk utvikling av rusfeltet. Da narkotikaen kom på 60

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Totalavhold og skadereduksjon

Abstract: Vitenskapelig publikasjon Totalavhold og skadereduksjon Om offentlig styring av rusbehandling Abstemious versus harm reduction On public administration of drug treatment.

Cited by 4 publications

References 19 publications

Operating between recovery and desistance

Operating between recovery and desistance

Former inpatients’ narratives of substance use four years after substance use disorder treatment: A qualitative follow-up study

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