The becoming‐methadone‐body: on the onto‐politics of health intervention translations.

In this paper, we reflect on health intervention translations as matters of their implementation practices. Our case is methadone treatment, an intervention promoted globally for treating opioid dependence and preventing HIV among people who inject drugs. Tracing methadone's translations in high‐sec...

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Published in:Sociology of Health & Illness Vol. 41; no. 8; pp. 1618 - 1637
Main Authors: Rhodes, Tim, Azbel, Lyuba, Lancaster, Kari, Meyer, Jaimie
Format: Article
Published: Wiley-Blackwell Nov2019
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Nov2019
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      pub: Wiley-Blackwell
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        139587723
        10.1111/1467-9566.12978
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        atl: The becoming‐methadone‐body: on the onto‐politics of health intervention translations.
      aug:
        au:
          Rhodes, Tim
          Azbel, Lyuba
          Lancaster, Kari
          Meyer, Jaimie
        affil:
          London School of Hygiene and Tropical Medicine, UK
          Centre for Social Research in Health, University of New South Wales, Sydney Australia
          Yale School of Medicine, Yale University, Connecticut USA
      su:
        Kyrgyzstan
        Methadone treatment programs
        Correctional institutions
        Drug addiction
        Prisoners
        Narcotics
        Practical politics
        HIV prevention
        Heroin
      sug:
        subj:
          Methadone treatment programs
          Correctional institutions
          Drug addiction
          Prisoners
          Narcotics
          Practical politics
          Kyrgyzstan
          Other Residential Care Facilities
          Federal correctional services
          Provincial correctional services
          Correctional Institutions
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Pharmaceutical and medicine manufacturing
          HIV prevention
          Heroin
      keyword:
        evidence‐making intervention
        implementation science
        methadone
        ontological politics
        evidence‐making intervention
        implementation science
        methadone
        ontological politics
      ab: In this paper, we reflect on health intervention translations as matters of their implementation practices. Our case is methadone treatment, an intervention promoted globally for treating opioid dependence and preventing HIV among people who inject drugs. Tracing methadone's translations in high‐security prisons in the Kyrgyz Republic, we notice the multiple methadones made possible, what these afford, and the onto‐political effects they make. We work with the idea of the 'becoming‐methadone‐body' to trace the making‐up of methadone treatment and its effects as an intra‐action of human and nonhuman substances and bodies. Methadone's embodied effects flow beyond the mere psycho‐activity of substances incorporating individual bodies, to material highs and lows incorporating the governing practices of prisoner society. The methadone‐in‐practice of prisoner society is altogether different to that imagined as being in translation as an intervention of HIV prevention and opioid treatment, and has material agency as a practice of societal governance. Heroin also emerges as an actor in these relations. Our analysis troubles practices of 'evidence‐based' intervention and 'implementation science' in the health field, by arguing for a move towards 'evidence‐making' intervention approaches. Noticing the onto‐politics of health intervention translations invites speculation on how intervening might be done differently.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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