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Governing habits: Addiction and the ...

Raikhel, Eugene A.

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Governing habits: Addiction and the therapeutic market in Russia.

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Governing habits: Addiction and the therapeutic market in Russia./
作者:	Raikhel, Eugene A.
面頁冊數:	353 p.
附註:	Source: Dissertation Abstracts International, Volume: 67-07, Section: A, page: 2630.
Contained By:	Dissertation Abstracts International67-07A.
標題:	Anthropology, Cultural. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3227325
ISBN:	9780542789045

Governing habits: Addiction and the therapeutic market in Russia.
Raikhel, Eugene A.

Governing habits: Addiction and the therapeutic market in Russia. - 353 p.

Source: Dissertation Abstracts International, Volume: 67-07, Section: A, page: 2630.

Thesis (Ph.D.)--Princeton University, 2006.

This thesis is an ethnographic study of clinical encounters between physicians and other practitioners specializing in narcology (as addiction medicine is known in Russia) and their patients based in research conducted in a number of institutional settings in St. Petersburg between 2002 and 2004. I trace the emergence of Soviet narcology: a hybrid medical specialty shaped both by internal scientific and clinical discourses and by the juridical notions which underlay its institutional organization. The core chapters of the dissertation examine the broad changes which this discipline has seen over the past fifteen years, including its transformation from a system of nationalized medicine into a market as well as its loss of monopoly over the treatment of addiction. I argue that within the redefined field of knowledge and practice which has emerged, practitioners compete to build and maintain the therapeutic legitimacy of their treatments, which patients often judge on the grounds of their institutional or political contexts, rather than according to "purely medical" criteria.

ISBN: 9780542789045Subjects--Topical Terms:

735016
Anthropology, Cultural.

Governing habits: Addiction and the therapeutic market in Russia.
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245 1 0 $a Governing habits: Addiction and the therapeutic market in Russia.
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502 $a Thesis (Ph.D.)--Princeton University, 2006.
520 $a This thesis is an ethnographic study of clinical encounters between physicians and other practitioners specializing in narcology (as addiction medicine is known in Russia) and their patients based in research conducted in a number of institutional settings in St. Petersburg between 2002 and 2004. I trace the emergence of Soviet narcology: a hybrid medical specialty shaped both by internal scientific and clinical discourses and by the juridical notions which underlay its institutional organization. The core chapters of the dissertation examine the broad changes which this discipline has seen over the past fifteen years, including its transformation from a system of nationalized medicine into a market as well as its loss of monopoly over the treatment of addiction. I argue that within the redefined field of knowledge and practice which has emerged, practitioners compete to build and maintain the therapeutic legitimacy of their treatments, which patients often judge on the grounds of their institutional or political contexts, rather than according to "purely medical" criteria.
520 $a I suggest that these shifts are representative of broader transformations in the contours of health and social citizenship in Russia; ones which disrupt any unilinear narrative of post-socialist transformation. With the state's withdrawal from an interventionist public health role during the 1990s, the responsibility for alcoholism and addiction has become increasingly individualized. As individuals suffering from addiction and their families draw upon techniques ranging from Alcoholics Anonymous to placebo-therapy for treatment, rehabilitation and hope, novel forms of domestic life and subjectivity are emerging. I argue that as physicians (as well as non-biomedical practitioners) and patients engage in the cultural work of building, maintaining, undermining, questioning or resisting the therapeutic legitimacy of addiction treatments, they continually rework key notions of personhood, belonging and agency.
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