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Silverstein SM. Narco‐Infrastructures and the Persistence of Illicit Coca in Loreto. JOURNAL OF LATIN AMERICAN AND CARIBBEAN ANTHROPOLOGY 2022. [DOI: 10.1111/jlca.12582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Silverstein SM, Milligan K, Osborn A, Aamir I, Gainer D, Daniulaityte R. Visualizing a Calculus of Recovery: Calibrating Relations in an Opioid Epicenter. Cult Med Psychiatry 2022; 46:798-826. [PMID: 34800236 PMCID: PMC8605473 DOI: 10.1007/s11013-021-09758-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/25/2021] [Indexed: 11/25/2022]
Abstract
This article uses participatory photography to explore the relationships animating efforts towards recovery from opioid use disorder (OUD) in the Dayton, Ohio area, an epicenter of illicit opioid use and overdose death. A photo-elicitation project was conducted with thirteen people who met the DSM-5 criteria for OUD. Photographs were used as prompts during qualitative interviews, which were thematically analyzed. Analysis of both visual and textual data demonstrated the ways in which recovery became an unfolding process of calculation as participants made strategic choices to navigate relations and encounters with things, people, and places. Relationships across each of these domains could, under some circumstances, serve as supports or motivators in the recovery process, but, in alternate settings, be experienced as "triggers" prompting a resumption of problematic drug use or, at the very least, a reckoning with the feelings and emotions associated with painful or problematic aspects of personal histories and drug use experiences. Findings highlight the importance of understanding recovery as a calibration of the ambiguous relations animating experiences of everyday life. We argue for continued emphasis on recovery as an active performance and ongoing practice of calculation-of risks and benefits, of supports and triggers, of gratification and heartbreak-rather than a goal or static state.
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Affiliation(s)
- Sydney M Silverstein
- Center for Interventions, Treatment, and Addictions Research, Department of Population and Public Health Sciences, Boonshoft School of Medicine, Wright State University, 2555 University Blvd., Suite 200, Dayton, OH, 45324, USA.
| | - Katie Milligan
- Mount Holyoke College, 50 College Street, South Hadley, MA, 01075, USA
| | - Annette Osborn
- Mount Holyoke College, 50 College Street, South Hadley, MA, 01075, USA
| | - Iman Aamir
- Mount Holyoke College, 50 College Street, South Hadley, MA, 01075, USA
| | - Danielle Gainer
- Center for Interventions, Treatment, and Addictions Research, Department of Population and Public Health Sciences, Boonshoft School of Medicine, Wright State University, 2555 University Blvd., Suite 200, Dayton, OH, 45324, USA
- Department of Psychiatry, Boonshoft School of Medicine, Wright State University, 2555 University Blvd., Suite 100, Dayton, OH, 45324, USA
| | - Raminta Daniulaityte
- College of Health Solutions, Arizona State University, 425 N 5th Street, Arizona Biomedical Collaborative Room 121, Phoenix, AZ, 85004, USA
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