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Research Article

What is a problem drug user?

Pages 334-343 | Published online: 07 Sep 2010
 

Abstract

The term ‘problem drug user’ (PDU) has risen to prominence in policy and research discourse over the past 25 years or so, particularly in the UK and Europe, largely at the expense of the older ‘addiction’ and ‘dependence’ concepts. How should we understand this shift? Is it merely a change in terminological fashion or does it signify something more significant? In exploring this question, the work of the philosopher Ian Hacking is drawn on, in particular his related ideas of ‘making up people’ and ‘looping effects’. Although it first emerged in the early 1980s, it is shown how the idea of the ‘PDU’ in fact has a long and mixed genealogy which can be traced back at least as far as the 1930s, a heritage which continues to exert influence today. Following Hacking, it is argued that the invention just over 25 years ago of the ‘PDU’ constituted the creation of a new kind of person which did not exist before and which has shaped how those so labelled are governed and controlled.

Notes

Notes

1. The concept of inebriety was an umbrella term for the predisposing condition believed to be connected to excessive consumption of alcohol, opium, morphine and other substances. It rose to prominence in the second half of the nineteenth century – see Berridge (Citation1979) and Courtwright (Citation2005).

2. Professor Neil McKeganey speaking in March 2004. See http://news.bbc.co.uk/1/hi/scotland/3508084.stm (last accessed 4 May 2010).

3. Duncan McNeil MSP speaking in the Scottish Parliament in May 2006. See http://news.bbc.co.uk/1/hi/scotland/4763137.stm (last accessed May 5 2010).

5. Thanks to Robin Room for generous help in pointing me towards some of these early references to the idea of the ‘problem drinker’.

6. UKDPC press release, ‘Commission wins grant to examine drug shame’, January 7 2010. http://www.ukdpc.org.uk/resources/PHF_stigma_grant_announcement.pdf (last accessed May 12 2010).

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