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Discipline and Empower: "Doing Something" about Addiction in Mexico City
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| 자료유형 | 학위논문 |
|---|---|
| 서명/저자사항 | Discipline and Empower: "Doing Something" about Addiction in Mexico City. |
| 개인저자 | Guisti, Joseph. |
| 단체저자명 | Northwestern University. Sociology. |
| 발행사항 | [S.l.]: Northwestern University., 2019. |
| 발행사항 | Ann Arbor: ProQuest Dissertations & Theses, 2019. |
| 형태사항 | 470 p. |
| 기본자료 저록 | Dissertations Abstracts International 81-06A. Dissertation Abstract International |
| ISBN | 9781392854396 |
| 학위논문주기 | Thesis (Ph.D.)--Northwestern University, 2019. |
| 일반주기 |
Source: Dissertations Abstracts International, Volume: 81-06, Section: A.
Advisor: Heimer, Carol. |
| 이용제한사항 | This item must not be sold to any third party vendors. |
| 요약 | This is a study of efforts to regulate, standardize and deliver residential addiction treatment in Mexico City. The central aim of the dissertation is to explain the ways that treatment standardization efforts, counterintuitively, reproduce disagreements among stakeholders in the treatment arena about the meaning of addiction and the best ways to ameliorate the suffering it causes.The main generalizable finding of the dissertation entails a revision to the sociological concept of "boundary objects," or things and ideas that enable collaboration without consensus because they are legible to multiple social worlds as single entities while nevertheless enabling flexible interpretation in local sites of practice. While most scholarship that employs the boundary object concept to explain the ways that interpretive flexibility allows for arenas to solve problems and answer questions, I show that boundary objects can also encourage non-knowledge through the reproduction of arena wide dissensus.Drawing on the theoretical and methodological framework of Situational Analysis proposed by Adele Clarke, the dissertation combines historical and ethnographic data to assemble a genealogical account of the efforts that led to the current situation, followed by an analysis of the ways that actors navigate that situation in their current work. The first half of the dissertation combines analysis of archival documents produced by regulators, interviews with the architects of current regulatory policy and a close reading of AA literature to show the ways that challenges specific to the context of late 20th century Mexico, along with AA ideas, both informed interpretively flexible regulatory standards that reproduce dissensus. The second half of the dissertation relies primarily on ethnographic and interview data gathered in two different treatment centers to show how standards encourage an approach to addiction work that not only makes it difficult for stakeholders to come to a collective agreement about how to improve treatment, it also sends mixed messages to treatment clients that might negatively impact treatment outcomes.Ultimately, my case reveals tensions between governance and knowledge production: governance, in this case, requires standards to preserve the interpretive flexibility of key terms, whereas filling in the gaps of what society consensually agrees to be true about addiction would require limiting the interpretive flexibility of those terms. Under current standards, then, the arena can keep addicts safe, or it can synthesize a unified understanding of addiction, but standards make it difficult for the arena a whole to both keep addicts safe and to understand them. |
| 일반주제명 | Sociology. |
| 언어 | 영어 |
| 바로가기 | 
: 이 자료의 원문은 한국교육학술정보원에서 제공합니다. |
