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Willem Luyt © Koninklijke Brill NV, Leiden, 2007 DOI: 10.1163/092895607X209157 Harm Reduction, Substance Abuse and Methadone Maintenance in Scottish Prisons Willem FM Luyt Professor at the University of South Africa 1. Introduction For several years various countries have been

Luigi Esposito and Fernando Pérez

© Koninklijke Brill NV, Leiden, 2010 DOI: 10.1163/156914910X487933 PGDT 9 (2010) 84-100 P E R S P E C T I V E S O N G L O B A L D E V E L O P M E N T A N D T E C H N O L O G Y Th e Global Addiction and Human Rights: Insatiable Consumerism, Neoliberalism, and Harm Reduction

Robin Geiß and Daniel Wisehart

The contribution analyses whether the un Drug Conventions still serve their original purpose, namely the furtherance of the health and welfare of mankind in the 21st century. To this end the contribution begins with an outline of how the un Drug Conventions aim to protect mankind’s health and welfare. On this basis it is inquired whether un Drug Conventions are somehow irreversibly imbued with a zero-tolerance approach that undermines the health and welfare of vulnerable groups on both ends of the supply chain respectively. Thus, with respect to the supply side the question is pursued whether the un Drug Conventions provisions on crop cultivation imperil the livelihoods of rural communities. With regard to the demand side it is examined whether the un Drug Conventions forestall the adoption of more liberal, i.e. non-punitive and health-oriented approaches towards illicit drug users. In a next step, the analysis turns to a long-standing and currently particularly prevalent criticism according to which the international drug control regime puts disproportionate pressure on so-called drug producing and drug transit States, while turning a blind eye on the so-called drug consuming States. In concluding, the contribution turns to the question how the international drug control system could be enhanced to better meet its proper goals of protecting mankind’s health and welfare.

Henriette Roscam Abbing

Europe, transmissible diseases have emerged as a dramatic problem. The final report (2008) on prevention, treatment and harm-reduction services in prison, 4 showed an overall lack of systematic monitoring and research on drugs, infectious diseases and risk behaviours in the prison population in Europe

Janelle Stanley and Sarah Strole

Trauma studies tend to focus on traumatic narratives - the telling and re-telling of trauma stories. Current evidence-based trauma therapies work almost exclusively with trauma narratives, and assume a basic level of client safety. When clients continue to live in unsafe and unstable environments, however, working towards a trauma narrative can be ineffective and even harmful. This chapter will look at the critical question of how clinicians provide effective trauma therapy even in an environment with limited resources. We will explore how to identify and strengthen existing coping skills; assist with limited and contained processing; and enhance client resilience. Our chapter will discuss differences between acute and chronic trauma, and highlight major theories and evidence-based trauma practices. We will then look at limitations and risks of current modalities when working with clients still living in chronically traumatizing and/or stressful environments. We highlight the danger of focusing solely on the traumatic experience when the client remains in an unsafe environment, arguing it can emphasize the fragmentation of the person and potentially reinforce cognitive distortions. We will share our adaptations of trauma therapies, which combine existing evidence-based trauma practices with insights from the harm-reduction framework common in addiction counselling. We will show how working with chronically traumatized clients requires a strongly relational approach for maximum efficacy. Our model can also be used when there are other significant constraints, such as limited or sporadic access to therapy. Our approach highlights working collaboratively with the client towards a goal of increased resiliency and skill-building, rather than the cessation of most or all symptoms. We will show how this approach can later be used as a foundation for traumatic processing if / when the client’s environment becomes more stable.


Syringe Exchange and Care in the Resistance to Biomedical Governmentality


Aashish Hemrajani

homelessness ( Clarke, Shim, Mamo, Fosket, & Fishman, 2003 , p. 174; Ecks, 2010 ). SEP s, however, navigate neoliberal realms of disciplinary care and promote a perspective rooted in the philosophy of harm reduction. Through engagement in “public health-public safety partnerships” like Law Enforcement

Katherine Irene Pettus

-provision of life-saving harm reduction services, 1 crop eradication and forced migration of land-based communities, vulnerability to lethal drug market violence especially in “producer countries” such as Mexico and Colombia, historically unprecedented incarceration rates for non-violent drug possession in

Willem F.M. Luyt and Gomolemu M. Moshoeu

International Harm Reduction Association the Medical Research Council conducted an assessment of drug use, injection drug use, HIV, and harm reduction in ten Southern African countries, including South Africa. The Medical Research Council found that injecting drug use was prevalent in Gauteng (40%), Mpumalanga

Aoife Daly

is clearly identifiable as ‘a current gap in the literature’ ( Mahgoub, 2012 ). The authors are well placed to engage in this examination. Barrett is Deputy Director of Harm Reduction International which works to reduce drug-related harms and Philip Veerman is a psychologist and expert in the