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Psychoactive substances and the political ecology of mental distress 英文参考文献
Psychoactivesubstancesandthepoliticalecology
ofmentaldistress
Aggarwaletal.
Aggarwaletal.HarmReductionJournal2012,9:4
/content/9/1/4(18January2012)
Aggarwaletal.HarmReductionJournal2012,9:4
/content/9/1/4
REVIEW
OpenAccess
Psychoactivesubstancesandthepoliticalecology
ofmentaldistress
SunilKAggarwal1*,GregoryTCarter2,CraigZumbrunnen3,RichardMorrill3,MarkSullivan4,5 and
JonathanDMayer6,7,8,9,10
Abstract
Thegoalofthispaperistobothunderstandanddepathologizeclinicallysignificantmentaldistressrelatedto
criminalizedcontactwithpsychoactivebioticsubstancesbyemployingaframeworkknownascriticalpolitical
ecologyofhealthanddiseasefromthesubdisciplineofmedicalgeography.Thepoliticalecologyofdisease
frameworkjoinsdiseaseecologywiththepower-calculusofpoliticaleconomyandcallsforsituatinghealth-related
phenomenaintheirbroadsocialandeconomiccontext,demonstratinghowlarge-scaleglobalprocessesareat
workatthelocallevel,andgivingdueattentiontohistoricalanalysisinunderstandingtherelevanthuman-
environmentrelations.Criticalapproachestothepoliticalecologyofhealthanddiseasehavethepotentialto
incorporateever-broadeningsocial,political,economic,andculturalfactorstochallengetraditionalcauses,
definitions,andsociomedicalunderstandingsofdisease.Inspiredbythepatient-centeredmedicaldiagnosis
critiquesinmedicalgeography,thispaperwilluseacriticalpoliticalecologyofdiseaseapproachtochallenge
certainprevailingsociomedicalinterpretationsofdisease,ormorespecifically,mentaldisorder,foundinthefieldof
substanceabusediagnosticsandtherelatedAmericanpunitivepublicpolicyregimesofsubstanceabuse
preventionandcontrol,withregardstotheuseofbioticsubstances.Itwilldothisbyfirstcriticallyinterrogating
theconceptof“substances”andgroundingtheminanecologicalcontext,reviewingthehistoryofboththe
developmentofmodernsubstancecontrollawsandmodernsubstanceabusediagnostics,andunderstandingthe
biogeographicdimensionsofsuchapproaches.Itcloseswithproposinganon-criminalizingpublichealthapproach
forregulatinghumanclosecontactwi
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