title: Trauma, damage and pleasure: rethinking problematic drug use.
abstract: BACKGROUND
  While the pleasures of drug use are sometimes acknowledged, they are normally limited to those who are socially privileged. The drug use of those who are impoverished and marginalised is linked instead to crime, social misery and addiction. Studying poverty in connection with drug use enriches our understanding of both poverty and drugs, but there are limitations to these connections, including their neglect of pleasure.
  
  
  METHODS
  This paper draws on 85 qualitative interviews with service providers and clients, conducted for a project entitled 'Comparing the role of takeaways in methadone maintenance treatment in New South Wales and Victoria'. Critical readings of psychoanalysis are used as a conceptual frame.
  
  
  RESULTS
  Although pleasurable and problematic drug use are often thought to be mutually exclusive, pleasure is reported from both the effects of drugs such as heroin and methadone, and from the social worlds of methadone maintenance treatment. Attention to drug users' narratives of pleasure has the potential for new understandings of drug use and social disadvantage.
  
  
  CONCLUSIONS
  Common distinctions between kinds of drug use, such as problematic and recreational, are less useful than is normally thought.
authors: Social Policy Research Centre, University of New South Wales, Sydney 2052, Australia. k.valentine@unsw.edu.au
authors: Kylie
authors: K
authors: Valentine
authors: Suzanne
authors: S
authors: Fraser
mesh_terms: D001315:Australia; D006556:Heroin Dependence / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic; D008691:Methadone / Q000627:therapeutic use; D009294:Narcotics / Q000627:therapeutic use; D010990:Pleasure-Pain Principle; D011203:Poverty / Q000523:psychology; D036301:Qualitative Research; D012924:Social Conditions; D012931:Social Environment; D012959:Socioeconomic Factors; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000188:drug therapy / Q000523:psychology*
chemical_list: D009294:Narcotics; D008691:Methadone