title: Articulating Connections between the Harm-Reduction Paradigm and the Marginalisation of People Who Use Illicit Drugs.
abstract: In this paper, we argue for the importance of unsettling dominant narratives in the current terrain of harm-reduction policy, practice and research. To accomplish this, we trace the historical developments regarding the Human Immunodeficiency Virus (HIV), the Hepatitis C Virus (HCV) and harm-reduction policies and practice. We argue that multiple historical junctures rather than single causes of social exclusion engender the processes of marginalisation, propelled by social movements, institutional interests, state legislation, community practices, neo-liberalism and governmentality techniques. We analyse interests (activist, lay expert, institutional and state) in the harm-reduction field, and consider conceptualisations of risk, pleasure, stigma, social control and exclusionary moral identities. Based on our review of the literature, this paper provides recommendations for social workers and others delivering health and social care interested in the fields of substance use, HIV prevention and harm reduction.
authors: Factor-Inwentash Faculty of Social Work, University of Toronto, Canadian Institutes for Health Research Fellow in Public Health Policy, Toronto, ON, Canada, M5S 1V4.
authors: Rusty
authors: R
authors: Souleymanov
authors: Dalla Lana School of Public Health, Faculty of the University of Toronto, 155 College Street, 5th Floor, Toronto, ON, Canada, M5 T 3M7.
authors: Dan
authors: D
authors: Allman
keywords: HIV/AIDS; Harm reduction; critical theory; epistemology