A Feminist Approach to the Opioid Epidemic - page 7
Nonmedical prescription opioid abuse (NPOA) is an ongoing problem in America, with data showing an increase in this phenomenon in every state (Paulozzi & Xi, 2008). This phenomenon found its genesis... Read More
Dec 7Quote from Lil NelAs always, FOLLOW THE MONEY.The current opioid crisis was brought about the marketing of OxyContin by it's manufacturer. That is the
plain, and simple truth.
This article just left me thinking: Huh?
How did the author overlook the obvious: The role of Capitalism in Modern Medicine.
It is amazingly gender neutral.
If you want to understand the opioid crisis, investigate and learn about the pharmaceutical company that makes OxyContin. It is all the education you will need on the topic.
THis thread is so very interesting to read. My first thought in any seemingly intractable situation is to ask, "who benefits from maintaining the status quo?"
When you find those people, you have some direction.
Who will be paid to take the time to do motivational interviewing?
Dec 7Quote from FlatlineTHANK YOU FOR POSTING THIS!!!!!This is a very strange, very arrogant, and very ignorant thread.
We are taking specifics and making large generalized statements about them.
I would recommend we all familiarize ourselves with opioid use from a historical perspective, just take a look at laudanum, cocaine, and heroin for starters. What we see today is nothing new, nothing exciting, just a different flavor of the same poo sandwich.
We need to be students of history to make sense of the present.
Dec 7Hey OP. Getting a lot of flak about addiction and feminism there.
Readiness for change through motivational interviewing is something that few HCPs have the skills or inclincation to assess. It's far easier to say "bad addict" and bring judgement to every patient who requires pain control, as some of the comments have illustrated. It's also easier to blame society than take the time to do reflective work on your nursing practice. I'm looking at YOU, commentators.
I like how you are making the connection betweeen looking at the balance of power in health care through feminist theory. That's what feminist theory is all about.
That said, balancing power and empowerment must be accompanied by building capacity in our patients. At this point, we have an uphill battle because we are reaching beyond healthcare into social and political arenas. It seems to me that you are hinting at building capacity when you talk about motivational interviewing.
I want to challenge you on your statment that the opiod crisis finds its genesis in a (paraphrase) paternalistic framework of care. I'd like to see you expound on that (in a separate post?) because, like one other commentor, my inclincation is to say that it is in combination with financial/capitalist forces.
Let us also review the literature and marketing that originally supported and encouraged the over prescription trend. I know you meant it to be a short post, but these are topics worth pursuing, given the current crisis.
I'm a firm believer that as HCPs we have a duty to apply pressure to political and financial powers in order to accomplish the kind of changes that will improve health. On that point, I shy away from framing the opiod crisis within social theory alone. I would like to see you apply an economic perspective to the genesis and proposed treatment.
Thanks for posting and responding in a mature and professional manner. It makes the thread fun to read.
Dec 8On that point, I shy away from framing the opiod crisis within social theory alone. I would like to see you apply an economic perspective to the genesis and proposed treatment.
Economic theory would state that, minus regulation, and with the proper resources, supply obliges demand. Abundant supply is prbably one of the driving factors of the issue today. However regulation alone can't solve this problem. We can't forget black and grey markets, which would react to pick up demand the legal market falls short of supplying.
So then, we have to look at why there is such demand in the first place. Well, maybe it's because opiates are highly addictive that's one thing that would create demand. But in my opinion the real question to ask is WHY are so many people turning to opiates (and other narcotics) in the first place?? The answer to that question lies somewhere in the social realm, and the social realm is irrational and nebulous. That's part of why this problem is so tough.
It is true that opiod "epidemics" are nothing new. Thinking back to China, the Chinese had long fought to keep opium use at bay in their people. Then along came the Opium wars b/t China and Britain...those had a massive impact on shaping the world as we know it today. Those wars were fought for economic reasons, but also led to massive social issues. (If you haven't, read about the opium wars. Not very nice, but very important.).
Many other nations have zero tolerance for drug use, and much harsher punishments than some of us might fathom (look at the Philippies today, being accused of drug use is often a death sentence). Such methods are not historically effective, and disrupt cultures and economies in ways unintended. That's not the way to go for sure.
Now, I might sound tough on opiates and addiction...but the truth is I feel pity for anyone (and their friends, loved ones) caught in the grasp of addiction. It's hell on Earth. I have extensive experience with the subject, and opiate addiction is an insidious, formidable enemy. Every person battling to overcome opiates faces challenges not unlike the stresses of battle in a live war. The sorrows, the losses, the pain are all real. The stakes are very high, often life or death.
Okay, argh well I have to start getting ready to leave, but really what I am trying to say is that the problem is extremely complex, there is no easy approach. The feminist approach, while I admire the philosphical side and thought, and as a woman I like the sentiment... the method is seemingly academic and can be summed up as "treat each case as unique, and practice empathy not judgment." That is nice, but it's already in use. Please let me know if I'm way off there.
I will end on saying that, after all my talk, I sure as heck don't have the answer either! I appreciate being able to discuss the issue with you great people. I'm trying to keep with the somewhat formal tone we've been using. If DO NOT mean to speak in absolutes (I def don't believe in are absolutes). If anything is most important, it's our talking about the issues and trying to wrap our heads around the problem.Last edit by NunNurseCat on Dec 8
Dec 8Thank you for your insightful article on the opioid crisis. I think that your detractors have misconstrued feministic ethics of care to mean feminine ethics of care. These are two separate constructs. The other model which fits within a paradigm to assist people with substance use issues is a trauma informed care perspective. Perhaps others might find this model more acceptable. But nevertheless you have been very brave and you should publish in a peer reviewed journal in the future.
Dec 9Quote from Issaiah1332So you assume you speak for all males on the topic? Another male cannot counter with his contrasting opinion? Interesting. It does go along with your 'all males lack empathy' and 'all females approach pt care in a motherly manner' attitude.Well, my hope was that my photo would tip readers off that I am a male; but I guess that wasn't the case.
Dec 9Quote from Issaiah1332If you have to repeatedly reply to "every critique," perhaps you should consider that you did not prove your thesis. You can either accept that others do not hold your beliefs and that that is ok, or go back and do some editing/rewriting and come back with a 2nd attempt at getting others to see from your view.Sigh...in an effort to reply to every critique, I've found myself constantly saying to see an above reply I posted. It wasn't a boy and girl thing, it was a social perspective thing. The way in which we approach these patients is analogous to the way we see maternal and paternal care.
Dec 9Quote from Issaiah1332"Feminist" screams war between the sexes. How did you not expect critics? Have you not realized that the very word has become quite triggering in the past few years? I repeat my earlier post. Go back and do some major editing since you have to repeatedly defend your article.Thanks! I'm a guy by the way, haha. Yeah, it was never meant to incite a war between the sexes.
Dec 12Quote from Orion81RNFeminist does not mean "war between the sexes"! Feminism is a movement for equality between the sexes."Feminist" screams war between the sexes. How did you not expect critics? Have you not realized that the very word has become quite triggering in the past few years? I repeat my earlier post. Go back and do some major editing since you have to repeatedly defend your article.