Harm reduction as paradigm: Is better than bad good enough? The origins of harm reduction

Critical Public Health

Volumn 15, Issue 3, 2005, Pages 243-250

  Roe, Gordon ^a  

^a SIMON FRASER UNIVERSITY   (Canada)

Author keywords

Canada; Critical public health; Governmentality; Harm reduction

Indexed keywords

ALCOHOLISM; ARTICLE; DRUG DEPENDENCE; GOVERNMENT REGULATION; HARM REDUCTION; HEALTH CARE POLICY; HEALTH CARE SYSTEM; HEALTH PROGRAM; HEALTH SERVICE; HUMAN; LEGAL ASPECT; POLITICAL SYSTEM; POPULATION RESEARCH; PUBLIC HEALTH SERVICE; SMOKING CESSATION; SOCIAL ASPECT; SOCIAL PROBLEM; SOCIETY;

EID: 31144478391     PISSN: 09581596     EISSN: 14693682     Source Type: Journal    
DOI: 10.1080/09581590500372188     Document Type: Article

References (69)

1. Alexander, BK and Van De Wijngaart, GF.(1997) Readiness for harm reduction: Coming to grips with the 'temperance mentality'. In Harm Reduction: A New Direction for Drug Policies and Programs. Toronto: University of Toronto Press.
2. Anderson, DJF.(1996) AIDS and Overdose Deaths in British Columbia. In Canadian HIV/AIDS Policy & Law Newsletter. (pp. 2).
3. Baer, JS and Murch, HB.(1998) Harm reduction, nicotine, and smoking. In Harm Reduction: Pragmatic Strategies for Managing High-Risk Behaviors. New York: Guilford Press.
4. Balian, R and White, C.(1998) Myth, Truth, & HIV: A User's Perspective on the Seroconversion Rates in Vancouver. In.Montreal Ottawa: Toronto.
5. Barry, A and Osborne, T and Rose, N.(1996) Foucault and Political Reason: Liberalism, Neo-liberalism and Rationalities of Government. In. London: UCL Press.
6. Beck, U.(2000) Risk society revisited: Theory, politics and research programmes. In The Risk Society And Beyond: Critical Issues For Social Theory. London: Sage.
7. Blackwell, J.(1988) An overview of Canadian illicit drug use epidemiology. In Illicit Drugs in Canada: A Risky Business. Scarborough: Nelson Canada.
8. Blatherwick, J. (1989) How to 'sell' a needle exchange program. Canadian Journal of Public Health, 80, pp. S26 - 27. (Suppl. 1)
9. Bourgois, P and Bruneau, J. (2000) Needle exchange, HIV infection, and the politics of science: Confronting Canada's cocaine injection epidemic with participant observation Medical Anthropology, 18, pp. 325 - 350.
10. Castel, R.(1991) From dangerousness to risk. In The Foucault Effect: Studies in Governmentality. London: Harvester Wheatsheaf.
11. Cheung, YW. (2000) Substance abuse and developments in harm reduction Canadian Medical Association Journal, 162, pp. 1697 - 1700.
12. Clatts, MC and Mutchler, KM. (1989) Aids and the dangerous other: metaphors of sex and deviance in the representation of disease Medical Anthropology, 10, pp. 105 - 114.
13. Cohen, PDA.(1997) The case of the two Dutch Drug-Policy Commissions: An exercise in harm reduction, 1968-1976. In Harm Reduction: A New Direction For Drug Policies And Programs. Toronto: University of Toronto Press.
14. Crofts, N and Herkt, D. (1995) A history of peer-based drug-user groups in Australia Journal of Drug Issues, 25, pp. 599 - 616.
15. Crook, S and Pakulski, J and Waters, M.(1992) Postmodernization: Change in Advanced Society. London/Newbury Park CA: Sage.
16. Cruikshank, B.(1999) The Will To Empower: Democratic Citizens and Other Subjects. Ithaca NY: Cornell University Press.
17. Dean, M. (1992) A genealogy of the government of poverty Economy and Society, 21, pp. 215 - 251.
18. Dean, M.(1999a) Governmentality: Power and Rule in Modern Society. In. London; Thousand Oaks CA: Sage Publications.
19. Dean, M.(1999b) Risk, calculable and incalculable. In Risk and Sociocultural Theory: New Directions and Perspectives. Cambridge: Cambridge University Press.
20. Denning, P.(2000) Practising Harm Reduction Psychotherapy: An Alternative Approach to Addictions. New York: Guilford Press.
21. Des JarlaiA, DC. (1995) Editorial: Harm reduction: a framework for incorporating science into drug policy American Journal of Public Health, 85, pp. 4.
22. Foucault, M.(1979) Discipline and Punish: The Birth of the Prison. New York: Vintage Books.
23. Foucault, M.(1991) Governmentality. In The Foucault Effect: Studies in Governmentality. London: Harvester Wheatsheaf.
24. Foucault, M.(1994[1976]) Two lectures. In Culture/Power/History: A Reader in Contemporary Theory. Princeton NJ: Princeton University Press.
25. Freeman, R.(1992) The idea of prevention: A critical overview. In Private Risks & Public Dangers. Aldershot: Avebury.
26. Gabardi, W.(2001) Negotiating Postmodernism. Minneapolis MN: University of Minnesota Press.
27. Giffen, PJ and Endicott, S and Lambert, S.(1991) Panic and Indifference: The Politics of Canada's Drug Laws: A Study in The Sociology of Law. Ottawa: Canadian Centre On Substance Abuse.
28. Gordon, C.(1991) Governmental rationality: An introduction. In The Foucault Effect: Studies in Governmentality. London: Harvester Wheatsheaf.
29. Grund, J-PC and Blanken, P and Adriaans, NFP and Kaplan, CD and Barendregt, C and Meeuwsen, M. (1992) Reaching the unreached: Targeting hidden IDU populations with clean needles via known user groups Journal of Psychoactive Drugs, 24, pp. 41 - 47.
30. Gusfield, JR.(1996) Contested Meanings: The Construction of Alcohol Problems. Madison: University of Wisconsin Press.
31. Handler, JF.(1996) Down From Bureaucracy: The Ambiguity of Privatization and Empowerment. In.Princeton NJ: Princeton University Press.
32. Hanvelt, RA and Ruedy, NS and Hogg, RS and Strathdee, S and Montaner, JS and O'shaughnessy, MV and Schechter, MT. (1994) Indirect costs of HIV/ AIDS mortality in Canada Aids, 8, pp. F7 - 11.
33. Hass, J. (2001) Harm-reduction initiative provides alcohol to Ottawa's street alcoholics Canadian Medical Association Journal, 165, pp. 937.
34. Health Canada. (1998) Canada's drug strategy. Available at: (accessed 17 June 2001)
35. (1993) Psychoactive Drugs and Harm Reduction: From Faith to Science. In. London: Whurr Publishers.
36. Herkt, D.(1993) Peer-based user groups: The Australian experience. In Psychoactive Drugs and Harm Reduction: From Faith to Science. London: Whurr Publishers.
37. Hurley, SF and Kaldor, JM and Gardiner, S and Carlin, JB and Assunção, RM and Evans, DB. (1996) Lifetime cost of human immunodeficiency virus-related health care Journal of Acquired Immune Deficiency Syndrome, 12, pp. 371 - 378.
38. Jose, B and Friedman, SR and Neaigus, A and Curtis, R and Sufian, M and Stepherson, B and Jarlais, DCD.(1996) Collective organization of injecting: Drug users and the struggle against AIDS. In Aids, Drugs and Prevention: Perspectives on Individual and Community Action. London: Routledge.
39. Leitzel, J.(2003) The Political Economy of Rule Evasion and Policy Reform. London/New York: Routledge.
40. Lenton, S and Single, E. (1998) The definition of harm reduction Drug and Alcohol Review, 17, pp. 213 - 220.
41. Lia Nower, JD, Ph.D and Alex Blaszczynski, PD. (2004) The Pathways Model as harm minimization for youth gamblers in educational settings Child and Adolescent Social Work Journal, 21, pp. 25 - 45.
42. Lindesmith, AR.(1947) Opiate Addiction. Bloomington IN: Principia Press.
43. Livingston, A.(1999) Empowering the Voice of Citizens who Use Illicit Drugs: One Model of an Illicit Drug User Group. In Prevention, Support & Research, Hepatitis C Division, Health Canada. Vancouver: Vancouver Area Network of Drug Users.
44. MacCoun, RJ and Reuter, P.(2001) Harm reduction in Europe. In Drug War Heresies: Learning from Other Vices, Times, and Places. Cambridge/New York: Cambridge University Press.
45. Marlatt, GA.(1998a) Harm reduction around the world: A brief history. In Harm Reduction: Pragmatic Strategies For Managing High-risk Behaviors. New York: Guilford Press.
46. (1998b) Harm Reduction: Pragmatic Strategies For Managing High Risk Behaviors. New York: Guilford Press.
47. Millar, JS.(1998) HIV, Hepatitis and Injection Drug Use in British Columbia: Pay Now Or Pay Later?. In.Victoria: Office of The Provincial Health officer, B.C. Ministry of Health.
48. Miller, PG. (2001) A critical review of the harm minimization ideology in Australia Critical Public Health, 11, pp. 167 - 78.
49. Ministry of Health Welfare and Sport.(1997) Drug Policy in the Netherlands. Available at: (accessed 9 February 2000)
50. Moffat, K.(1999) Surveillance and government of the welfare recipient. In Reading Foucault for Social Work. New York: Columbia University Press.
51. Morgan, HW.(1981) Drugs in America: A Social History, 1800-1980. Syracuse NY: Syracuse University Press.
52. Mugford, S. (1993) Social change and the control of psychotropic drugs - Risk management, harm reduction and 'postmodernity' Drug and Alcohol Review, 12, pp. 369 - 75.
53. Newmeyer, JA.(1988) Why bleach? development of a strategy to combat HIVv contagion among San Francisco intravenous drug users. In Needle Sharing among Intravenous Drug Abusers: National and International Perspectives, 1st edn. Rockville MD: US Government Printing office.
54. Palepu, A and Tyndall, MW and Leon, H and Muller, J and O'shaughnessy, MV and Schechter, MT and Anis, AH. (2001) Hospital utilization and costs in a cohort of injection drug users Canadian Medical Association Journal, 165, pp. 415 - 420.
55. Pascal, CB.(1988) Intravenous drug abuse and aids transmission: Federal and state laws regulating needle availability. In Needle Sharing among Intravenous Drug Abusers: National and International Perspectives, 1st edn. Rockville MD: US Government Printing office.
56. Pratt, J.(1999) Governmentality, neo-liberalism and dangerousness. In Governable Places: Readings on Governmentality and Crime Control. Aldershot: Ashgate.
57. Reporter, S. (2003) Just say maybe The Economist, 366, pp. 72 - 73.
58. Savitz, DA and Poole, C and Miller, WC. (1999) Reassessing the role of epidemiology in public health American Journal of Public Health, 89, pp. 1158 - 1161.
59. Shell-Duncan, B. (2001) The medicalization of female 'circumcision': harm reduction or promotion of a dangerous practice? Social Science & Medicine, 52, pp. 1013 - 1028.
60. Smith, SR and Lipsky, M.(1993) Nonprofits for Hire: The Welfare State in the Age of Contracting. Cambridge MA: Harvard University Press.
61. Spruit, I.(1998) Deviant or just different? Dutch alcohol and drug policy. In Addictions and Problem Drug Use: Issues in Behaviour, Policy and Practice. London: Jessica Kingsley.
62. Tsui, M-S. (2000) The harm reduction approach revisited International Social Work, 43, pp. 243 - 251.
63. Van De Wijngaart, GF. (1990) The Dutch approach: Normalization of drug problems Journal of Drug Issues, 20, pp. 667 - 678.
64. Van Wormer, K and McKinney, R. (2003) What schools can do to help gay/ lesbian/bisexual youth: A harm reduction approach Adolescence, 38, pp. 409 - 420.
65. Vellemen, R and Rigby, J. (1990) Harm-minimisation: Old wine in new bottles?. Available at: (accessed: 23 April 2001)
66. (2003) Sexual Deviance: Issues and Controversies. Thousand Oaks CA: Sage Publications.
67. Weingardt, KR and Marlatt, GA.(1998) Harm reduction and public policy. In Harm Reduction: Pragmatic Strategies For Managing High-risk Behaviors. New York: Guilford Press.
68. (2001) Rethinking Law, Society and Governance: Foucault's Bequest. Oxford: Hart.
69. Wieloch, N. (2002) Collective mobilization and identity from the underground: The deployment of 'oppositional capital' in the harm reduction movement Sociology Quarterly, 43, pp. 45 - 72c.