This article uses the concept of “political pharmacology” to show that drugs are complex and mutable entities, the constitution of which is as much a political (power) issue as it is a technical one. The article analyzes the negotiations and struggles that have been involved in the constitution of methadone and heroin as maintenance drugs in Denmark. Danish drug policy on medical-maintenance treatment was for many years dominated by a medico-administrative technocracy. But from the mid-1990s, this technocracy, and the way it defined maintenance treatment and maintenance drugs, was challenged by drug users and other actors. They were, among other things, dissatisfied with the medical constitution of maintenance drugs as “stabilizing medications” and demanded that the drugs should also be allowed to function as “intoxicating substances.”
Addiction: Control kills (1998, August 10). Politiken, p. 4.
2.
Addicts want to decide for themselves. (1999, November 4). Berlingske Tidende, p. 6.
3.
Alkohol- og Narkotikarådet. (1984). At møde mennesket hvor det er. København: Alkohol- og Narkotikarådet.
4.
Alkohol- og Narkotikarådet. (1988). Metadonretningslinier. København: Alkohol- og Narkotikarådet.
5.
AnkerJ. (2006). Active drug users—struggling for rights and recognition [Research Paper No. 5/06]. Roskilde: Roskilde University.
6.
AnkerJ. (2007). Limits and opportunities for autonomous user organizations in Denmark and Sweden. Journal of Social Sciences, 3(2), 78–87.
7.
AnkerJ.AsmussenV.KouvonenP., & TopsD. (Eds.). (2006). Drug users and spaces for legitimate action. Helsinki: Nordic Council for Alcohol and Drug Research.
8.
AsmussenV., & JöhnckeS. R. (2004). Brugerperspektiver. Fra stofmisbrug til socialpolitik. Aarhus: Aarhus Universitetsforlag.
BeckerH. S. (1953). Becoming a marihuana user. The American Journal of Sociology, 59(3), 235–242.
11.
BohmJ.EgeP.GrothA.HaastrupS.IngerslevN.JacobsenM. (1971). Ambulant metadonbehandling. Ugeskrift for læger, 133(15), 701.
12.
BourgoisP. (2000). Disciplining Addictions: The Bio-politics of Methadone and Heroin in the United States. Culture, Medicine and Psychiatry, 24(2), 165–195.
13.
BømlerT. U. (2000). Når samfundet udstøder. København: Gyldendal.
14.
CallonM. (1986a). The sociology of an actor-network: The case of the electric vehicle. In CallonM. L. & RipA. (Eds.), Mapping the dynamics of science and technology (19–34). London: Macmillan Press.
15.
CallonM. (1986b). Some elements of a sociology of translation: Domestication of the scallops and the fishermen of St Brieuc Bay. In LawJ. (Ed.), Power, action and belief. London: Routledge.
16.
CallonM. (1999). The role of lay people in the production and dissemination of scientific knowledge, Science, Technology & Society, 41(1), 81–94.
17.
CallonM.LascoumesP., & BartheY. (2009). Acting in an uncertain world. An essay on technical democracy. Cambridge, MA: The MIT Press.
18.
CallonM., & RabeharisioaV. (2003). Research “in the wild” and the shaping of new social identities. Techonology in Society, 25, 193–204.
19.
CallonM., & RabeharisioaV. (2008). The growing engagement of emergent concerned groups in political and economic life: Lessons from the French Association of Neuromuscular Disease Patients. Science, Technology & Human Values, 33(2), 230–261.
20.
CampbellN. D. (2007). Discovering addiction. The science and politics of substance abuse research. Ann Arbor: The University of Michigan Press.
21.
CohenD.McCubbinM.CollinJ., & PérodeauG. (2001). Medications as social phenomena. Health, 5(4), 441–469.
22.
DahlH. (2006). The methadone game: Control strategies and responses. In HansonG. R.VenturelliP. J., & FleckensteinA. E. (Eds.), Drugs and society (pp. 102–115). Boston: Jones and Bartlett Publishers.
23.
de LeatM., & MolA. (2000). The Zimbabwe bush pump: Mechanics of a fluid technology. Social Studies of Science, 30, 225–263.
24.
DischL. (2010). “Faitiche”-zing the people: What representative democracy might learn from science studies. In BraunB., & WhatmoreS.. (Eds.) Political matter: Technoscience, demoracy and public life (267–295). Minneapolis: University of Minnesota Press.
EgeP. (1997). Stofmisbrug. Baggrund, konsekvenser, behandling. København: Hans Reitzels Forlag.
30.
Folketinget. (1998). Høring om lægelig ordinering af heroin til hårdt belastede narkomaner.
31.
FraserS. & ValentineK. (2008). Substance and substitution: Methadone subjects in liberal societies. Basingstoke: Palgrave Macmillan.
32.
GomartE. (2002). Methadone: Six effects in search of substance. Social Studies of Science, 32(1), 93–135.
33.
GrothA. (1979). Metadonvedligeholdelse i Danmark. Betragtninger over en politik. Ugeskrift for Læger, 141(6), 403–406.
34.
HallgrimssonO. (1980). Methadone treatment: The Nordic attitude. Journal of Drug Issues, 10, 463–476.
35.
HealyS.A. (2010). Facilitating public participation in toxic waste management through engaging “The Object of Politics.”East Asian Science, Technology and Society, 4, 585–599.
36.
HouborgE. (2006). Stofmisbrug, metadon, subjektivering. Historiske og aktuelle fremstillinger af stofmisbrug. København: Sociologisk Institut.
37.
HouborgE. (2008). Youth, drugs and the welfare state. In AsmussenV.BaggaB., & HouborgE. (Eds.), Drug Policy. History, Theory and Consequences (181–207). Aarhus: Aarhus University Press.
38.
HouborgE. (2010). Control and welfare in Danish drug policy. Journal of Drug Issues, 40(4), 783–804.
39.
Indenrigsministeriet. (1953). Betænkning om misbrug af euforiserende stoffer. København.
40.
JärvinenM.KreinerS.SpannowK. E., & JepsenJ. (1998). Udtalelse om de schweiziske heroinforsøg. København: Sociologisk Institut, Københavns Universitet Center for rusmiddelforskning, Aarhus Universitet.
41.
JensenT.E., & BlokA. (2010). Bruno Latour. København: Hans Reitzels Forlag.
42.
JepsenJ. (1996). Vdr. udtalelse om evt. forsøg i Danmark med heroin. København: Narkotikarådet.
43.
JepsenJ. (2004). Brugerforeninger—Selvorganisering, interessevaretagelse og gensidig støtte. In AsmussenV. & JöhnckeS. (Eds.), Brugerperspektiver. Fra stofmisbrug til socialpolitik? (pp. 169–191). Aarhus: Aarhus University Press.
44.
JöhnckeS. (1997). Brugererfaringer. Undersøgelse af brugernes erfaringer med de fire distriktscentre i Københavns Kommunes behandlingssystem for stofmisbrugere 1996–97. København: Københavns kommune.
45.
KeaneH. (2008). Pleasure and discipline in the uses of Ritalin. International Journal of Drug Policy, 19(5), 401–409.
46.
Koch, heroin and the plot. (1998, May 6). Aktuelt, p. 14.
47.
Kontaktudvalget. (1973). Metadon i behandlingen af unge stofmisbrugere. København: Kontaktudvalget vedrørende ungdomsnarkomanien.
48.
LatourB. (1987). Science in Action. Cambridge, MA: Harvard University Press.
49.
LatourB. (1993). The Pasteurization of France. Cambridge, MA: Harvard University Press.
50.
LatourB. (2005). From realpolitik to dingpolitik. Or how to make things public. In LatourB. & WeibelP. (Eds.), Making things public. Atmospheres of democracy (pp. 4–31). Cambridge, MA: MIT Press.
51.
LatourB., & WoolgarS. (1986). Laboratory life. The construction of scientific facts. Princeton, NJ: Princeton University Press.
52.
LawJ. (1986) Technology and heterogenous engineering: The case of Portuguese expansion. In BijkerW. E.HughesT. P., and PinchT. J. (Eds.), The Social Construction of Technological Systems. New Directions in the Sociology and History of Technology (pp. 111–134). Cambridge, MA: MIT Press.
LawJ. (1999). After ANT: Complexity, naming and topology. In LawJ. & HassardJ. (Eds.), Actor network theory and after (pp. 1–14). Oxford: Blackwell Publishers.
55.
LawJ. (2002). Aircraft stories. Decentering the object in technoscience. Durham, NC: Duke University Press.
56.
LawJ., & MoserI. B. (1999). Managing, subjectivities and desires. Concepts & Transformation: International Journal of Action Research and Organizational Renewal, 4(3), 249–279.
LevineH. G. (1979). The discovery of addiction: Changing conceptions of habitual drunkenness in America. Journal of Studies on Alcohol, 15, 493–506.
59.
LindesmithA. A. (1968). Addiction and opiates. Chicago: Aldine Publishing Company.
60.
MolA. (2002). The body multiple. Ontology in medical practice. Durham: Duke University Press.
61.
MolA., & LawJ. (2004). Embodied action, enacted bodies: The example of hypoglycaemia. Body & Society, 10(2), 43–62.
62.
MontagneM. (1996). The pharmacon phenomenon: Cultural conceptions of drugs and drug use. In DavisP. (Ed.), Contested ground. Public purpose and private interest in the regulation of prescription drugs (pp. 11–26). Oxford: Oxford University Press.
63.
MoserI. B. (2003). Road traffic accidents: The ordering of subjects, bodies and disability. Oslo: Unipub.
64.
MoserI. B. (2008). Making Alzheimer's disease matter. Enacting, interfering and doing politics of nature. Geoforum, 39, 98–110.
65.
Narkotikarådet. (1996). Rapport fra heroinarbejdsgruppen. København: Author.
NichterM., & VukovicN. (1994). Agenda for an anthropology of pharmaceutical practice. Social Science and Medicine, 39(11), 1509–1525.
69.
NimbM. (1961). Narkotika, sovemidler og stimulanser. København: Berlingske Forlag.
70.
NimbM. (1971). Ambulant metadonbehandling. Ugeskrift for Læger, 133(15), 692.
71.
NimbM. (1972). Misbrug af euforiserende stoffer i Danmark i 1950erne med efterundersøgelse i 1972. København: Københavns Universitet.
72.
Out of the misery with heroin on prescription. (1998, November 1). Politiken, p. 5.
73.
PedersenE. H. (2002). Practices of government in methadone treatment. Outlines, 4(2), 61–69.
74.
Political storm against minister. (1998, March 23). Politiken, p. 7.
75.
ProutA. (1996). Actor-network theory, technology and medical sociology: An illustrative analysis of the metered dose inhaler. Sociology of Health and Illness, 18(2), 198–219.
76.
RinellaM. A. (2010). Pharmakon: Plato, drug culture, and identity in ancient Athens. Plymouth: Lexington Books.
77.
State-Heroin. (1998, October 22). BT, p. 8.
78.
StengersI. (1997). Power and invention. Minneapolis: University of Minnesota Press.
79.
StengersI. (1999). For en demokratisering av vitenskapene. Oslo: Spartakus Forlag.
80.
StengersI. (2000). The invention of modern science. Minneapolis: University of Minnesota Press.
81.
Sundhedsstyrelsen. (1995). Cirkulære nr. 184 af 12.12.1995 om ordination af afhængighedsskabende lægemidler. København: Author.
WhatmoreS. (2009). Mapping knowledge controversies: Science, democracy and the redistribution of expertise. Progress in Human Geography, 33(5), 587–598.
89.
WillemsD. (1998). Inhaling drugs and making worlds: A Proliferation of lungs and asthmas. In BergM. & MolA. (Eds.), Differences in medicine: Unraveling practices, techniques, and bodies (pp. 105–118). Durham, NC: Duke University Press.
90.
WinsløwJ. H. (1984). Narreskibet. En rejse i stofmisbrugerens landskab. København: Forlaget SOCPOL.
91.
ZinbergN. E. (1984). Drug, set and setting. The basis for controlled intoxicant use. New Haven, CT: Yale University Press.
