A selection from Stockholm University publication database

• The social perspective and the BDMA's entry into the non-medical stronghold in Sweden and other Nordic countries

  2022. Jessica Storbjörk, Lena Eriksson, Katarina Winter. Evaluating the Brain Disease Model of Addiction, xxx-xxx

  Chapter

  Sweden and the other Nordic countries have held an alternative way to many other countries of understanding and responding to substance use and addiction. The non-medical approach grew particularly strong in the 1960s, but this social perspective has, since the 1990s, become increasingly challenged. This chapter outlines the social understanding and the developments within substance use treatment (SUT), policy, and everyday society in Sweden. A renewed medicalization began at the turn of the millennium, and has accelerated in more recent years, increasingly so due to an underlying brain disease model of addiction (BDMA) and sometimes also by outspoken BDMA arguments. Some explanations for the BDMA’s entry into the Nordic non-medical stronghold are: the medical perspective embedded in both evidence-based practices (EBP) and New Public Management (NPM), and the related fragmentation of the treatment system and demands for cost-effectiveness, communication and public outreach. Explanations are also found in worldwide trends, e.g., a mainstreaming of diagnoses; the public health movement; drug-related deaths and a push towards medical harm reduction measures; and, most recently, by a BDMA rhetoric emerging in public and policy debate and SUT. Understood from processes of ‘copresence’ and ‘vaguification’, the BDMA is in line with these forces driving towards a biomedical understanding of substance use problems.

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• Berusningens politiska aritmetik

  2021. Johan Edman (et al.). Samhällets långsiktiga kunskapsförsörjning 1-8

  Chapter

  Vetenskap syftar till att säkra kunskap, men är samtidigt en osäker process. Det märks exempelvis om man skärskådar relationen mellan vetenskap och politik i den svenska välfärdsstaten. I detta häfte undersöks och diskuteras utifrån ett vetenskapshistoriskt perspektiv hur berusningspolitiken utformades och begripliggjordes under 1960- och 1970-talen. Särskild vikt läggs vid den betydelse som statistiska kvantifieringar kom att få för att etablera kunskap.

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• Knowledge, Values, and Needle Exchange Programs in Sweden

  2017. Lena Eriksson, Johan Edman. Contemporary Drug Problems 44 (2), 105-124

  Article

  Since the turn of the millennium, calls for evidence-based drug policy have become increasingly louder. In response, researchers have generated a large body of evidence in support of measures such as needle exchange programs (NEPs), while another strand of research testifies that policy makers often neglect to take the research evidence into account and hence fail to introduce these programs. This article studies the interplay between research-based knowledge, values, and policy making during 16 years of intense parliamentary debate in Sweden on the needle exchange issue. In 2000, the future of the two existing experimental NEPs was uncertain; in 2006, the regulations were reformed; and in 2015, they underwent a government inquiry. Both the reform and the inquiry aimed at regulating and expanding the programs. The analysis is guided by work done within the tradition of science-policy nexus, where the increased emphasis on evidence-based political measures is problematized. As drug policy arouses normative and ethical concerns, the analysis also explores values. The study illustrates the central role that values play in a policy field which is repeatedly declared to be science based. Within the overall framework of the Swedish drug policy ideology of a drug-free society, the advocates of NEPs framed drug misuse as a consequence of either an unjust society or a disease, arguing that because misuse is a condition beyond the control of the individual, the Swedish welfare state has an obligation to take care of those affected. For their part, the opponents framed drug misuse as a result of misguided attitudes, which would only be corrected by restrictions and prohibition. In their view, NEPs are a tool for drug policy liberalization. In the debate between the two positions, research evidence played only a minor role.

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• Work as care?

  2005. Johan Edman, Lena Eriksson. Wefare Politics Cross-Examined

  Chapter

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