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Lecture 4

ANT204H5 Lecture Notes - Lecture 4: Payphone, Shoplifting, Medicalization

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Andrea Muehlebach

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Lecture 4: Righteous Dopefiend
Criminalization Vs. Medicalization
- Talk about what are these different appraoches to the Edgewater homeless, and what have
we learnt to the people we’ve gotten to know
- “I believe that with strong determination and willpower, I could get clean one hundre
percent. I think I could do it in twenty-one days. Im going to try my damnedest,
Philippe. Let me say that” (Carter)
o This citation was used for the chapter of treatment
o Self-fulfilling prophecy
o Shows the homeless really do want to get clean, but it is just the situation they
are in (factors) are against them)
o Authors: the homeless themselves have already internalized the model of healthy
(subject that has this strong will to pull themselves up)
o He goes to this 21 day detox program
o One of the message, yes you need will power, but you cannot do it alone
o You could get clean after 21 days, but if everything that follows those days don’t
help to stabilize you and don’t keep you there you’re setting yourself up to fail
o Hes always been on the boundary of suicidal (of overdose)
o What we see that internalization of one kind of theory of healthy it is all on
you. And we know this is the most difficult way to healing
o And if he doesn’t manage, it will be his fault
Criminalization vs. medicalization: A Falase binary?
- Last chapter: heroin
- It looks like criminalization is the opposite of medicalization
- A lot of the programs that are already available (not many) are already quite punitive
o On hand you treat them as patients, on the other hand you treat them as criminals
- A lot of the medical possibilies offered to the homeless are punitive
- Many medical services are highly punitive…
- ,, with scolding nurses and discriminatory doctors
- A methodone program
o What does someone have to do to get into this program?
o Many of these programs are full profit they ask for money
o We have good evidence of some of the homeless who actually try to save up
(since the cost is the problem of gtting into the program)
o Some programs only take in patients (or addicts) whom they consier appropriate
(whre they would go through testing addmissions where addicts would have to
phone everyday for 3 weeks before they are admitted)
o On one day, it makes sense where you are showing you really want to do it,
you’re reliable and that you are committed
o But if you know anything about these homeless, in the morning they are doing
anything to get their first fix if they had the choice to use .25$ and go to the
payphone to call (especially in the morning)
o It is interesting to choose that time (the morning)
- Also, distinctions are mad between deserving and undeserving (risky) patients
o Why would that be a distinction to be made?
o The way the system operates, some of these medical programs are non-for-profit
programs that really rely on funding from donors
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