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Artsen en moreel ondernemerschap. De casus van de normalisering van verslavende opioïde pijnstillers in de Verenigde Staten

Tijdschrift Tijdschrift over Cultuur & Criminaliteit, Aflevering 3 2018
Trefwoorden Opioid crisis, Addictive painkillers, Medical doctors, Moral entrepreneurs, Big Pharma
Auteurs Dr. Thaddeus Müller
SamenvattingAuteursinformatie

    In this article, I am using Becker’s concept of moral entrepreneur to analyse the role of pain specialists in the labelling process, which has led to the normalisation of the use of opioid painkillers in the United States and ultimately to the death over 200.000 Americans. In general, the literature on labelling centres on crusading reformers, and the criminalisation and stigmatisation of transgressive behaviour. Here I will focus on the moral entrepreneurship of medical experts. What was their role in the normalisation process of opioid painkiller use and are there any similarities with the strategies of crusading reformers? My findings, based on qualitative analysis of documents such as newspaper articles and academic publications, show that, with two exceptions, pain specialists use the strategies of moral crusaders. First, in their narratives, pain specialists represented themselves as neutral objective experts without the emotional stance of moral crusaders. The second exception, which is related to the first, is that there was less emphasis in their narrative on creating villains, as they could not blame openly standard medical practice because they needed the support of the established medical world in order to normalise and legalise opioid painkillers.


Dr. Thaddeus Müller
Thaddeus Müller Docent criminologie, Lancaster University t.muller@lancaster.ac.uk
Discussie

Access_open Positieve criminologie

Tijdschrift Tijdschrift over Cultuur & Criminaliteit, Aflevering 3 2016
Trefwoorden securitas, rule of law, Polizeiwissenschaft, politeia, democracy
Auteurs prof. dr. Bob Hoogenboom
SamenvattingAuteursinformatie

    Positive security is a very promising development in criminology. The ‘movement’ reconnects the current debate on crime with the origins of ancient Greek thinking on the positive nature of politeia, policy and policing. Securitas - providing safety and security for the common good - has a long and rich tradition. Good governance is about many things, but foremost about providing security in society. Polizeiwissenschaft in 18th and 19th century Prussia made a distinction between Wohlfahrt- and Sicherheitspolizei.
    The latter is outright dangerous because security becomes equated with negative connotations: the other, the enemies of the state, the drug war and more recently the war in terror. In times like these the positive qualities of securitas become inflated. Human rights, privacy and the rule of law are no longer viewed in positive terms. Therefore I advocate the positive security movement. But the author is worried about two things. Firstly, the current Zeitgeist which is charged with xenophobia and war like languages. And, secondly the fact that the ‘movement’ is limited to a few rebels with a cause. The mainstream of criminology is not really interested in reconnecting with the philosophical positive roots of securitas. Mainstream criminology fosters the status quo and is financially too depended on the state to actually follow the new heroes of positivity. The only way out is to develop a following but this requires academics to actually take a stand.


prof. dr. Bob Hoogenboom
Prof. dr. Bob Hoogenboom is hoogleraar fraude en regulering aan de Nyenrode Business Universiteit.
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