Agency and dependency within treatment: drug treatment clients negotiating methadone and antidepressants Holt, Martin en_US 2021-11-25T13:37:23Z 2021-11-25T13:37:23Z 2007 en_US
dc.description.abstract This paper explores how drug treatment clients exercise agency while finding their ability to act curtailed by the strictures of treatment itself. Drawing on interviews with drug treatment clients collected in an Australian study of drug treatment and mental health, the experience of methadone maintenance treatment (MMT) and that of commonly prescribed medications for depression (antidepressants) are examined. The ways that clients engage with MMT and antidepressants are detailed, illustrating how both types of treatment can make clients feel dependent, but can also motivate clients to modify their treatment regimens. These modifications are ‘tactical’ responses generated within the constraints of treatment regulations but can also be against clinical recommendations e.g. stopping treatment. Rather than seeing this as ‘non-compliance’, it is suggested that the negotiation of treatment is an inevitable response of clients who are trying to adapt to imperfect treatment conditions, and who may have understandable anxieties about taking medication. The ways in which treatment providers might better acknowledge the capacities of MMT clients to engage with or modify treatment are discussed, as is the need to acknowledge drug treatment clients’ anxieties about dependency and pharmaceutical drugs. en_US
dc.identifier.issn 0277-9536 en_US
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri en_US
dc.source Legacy MARC en_US
dc.subject.other Antidepressants en_US
dc.subject.other Agency en_US
dc.subject.other Dependence en_US
dc.subject.other Methadone en_US
dc.subject.other Non-compliance en_US
dc.subject.other Client perspectives en_US
dc.subject.other Australia en_US
dc.title Agency and dependency within treatment: drug treatment clients negotiating methadone and antidepressants en_US
dc.type Journal Article en
dcterms.accessRights open access
dspace.entity.type Publication en_US
unsw.description.notePublic Published version available at: en_US
unsw.description.publisherStatement Journal Homepage: en_US
unsw.identifier.doiPublisher en_US
unsw.relation.faculty Arts Design & Architecture
unsw.relation.ispartofissue 9 en_US
unsw.relation.ispartofjournal Social Science and Medicine en_US
unsw.relation.ispartofpagefrompageto 1937-1947 en_US
unsw.relation.ispartofvolume 64 en_US
unsw.relation.originalPublicationAffiliation Holt, Martin , National Centre in HIV Social Research, Faculty of Arts & Social Sciences, UNSW en_US Centre for Social Research in Health *
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