Painful Subjects: Treating Chronic Pain among People Living with HIV in the Age of Opioid Risk.

Public narratives often attribute the opioid overdose epidemic in the United States to liberal prescribing practices by health care providers. Consequently, new monitoring guidelines for the management of opioid prescriptions in patients with chronic pain have become recognized as key strategies for...

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Published in:Medical Anthropology Quarterly Vol. 35; no. 2; pp. 141 - 159
Main Authors: Carroll, Jennifer J., Lira, Marlene C., Lunze, Karsten, Colasanti, Jonathan A., del Rio, Carlos, Samet, Jeffrey H.
Format: Article
Published: Wiley-Blackwell Jun2021
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Jun2021
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        atl: Painful Subjects: Treating Chronic Pain among People Living with HIV in the Age of Opioid Risk.
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          Carroll, Jennifer J.
          Lira, Marlene C.
          Lunze, Karsten
          Colasanti, Jonathan A.
          del Rio, Carlos
          Samet, Jeffrey H.
        affil:
          Department of Sociology and Anthropology, Elon University
          Department of Medicine, Brown University
          Clinical Addiction Research and Education (CARE) Unit, Department of Medicine, Boston Medical Center
          School of Medicine, Boston University
          Hubert Department of Global Health, Rollins Scholl of Public Health of Emory University
          Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine
          Department of Community Health Sciences, Boston University School of Public Health
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        United States
        Medical personnel
        Pain management
        HIV-positive persons
        Chronic pain
        Pharmaceutical policy
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          Medical personnel
          Pain management
          United States
          Drugs and Druggists' Sundries Merchant Wholesalers
          Pharmaceuticals and pharmacy supplies merchant wholesalers
          Pharmaceutical and medicine manufacturing
          HIV-positive persons
          Chronic pain
          Pharmaceutical policy
      keyword:
        HIV
        opioids
        pain
        situation
        subjectivity
        therapeutic encounters
        HIV
        opioids
        pain
        situation
        subjectivity
        therapeutic encounters
      ab: Public narratives often attribute the opioid overdose epidemic in the United States to liberal prescribing practices by health care providers. Consequently, new monitoring guidelines for the management of opioid prescriptions in patients with chronic pain have become recognized as key strategies for slowing this tide of overdose deaths. This article examines the social and ontological terrain of opioid‐based pain management in an HIV clinic in the context of today's opioid overdose epidemic. We engage with anthropological analyses of contemporary drug policy and the nonverbal/performative ways patients and clinicians communicate to theorize the social context of the opioid overdose epidemic as a "situation," arguing that the establishment of new monitoring strategies (essentially biomedical audit strategies) trouble patient subjectivity in the HIV clinic—a place where that subjectivity has historically been protected and prioritized in the establishment of care.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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