The harm-reduction school of thought: three fractions

摘要

Despite its relatively long history in the international drug policy field, the meaning of the term harm reduction is still disputed. From a description of the different actor-based footings of the international harm-reduction school of thought, the analysis concludes that the diverse conceptualizations of harm reduction are to be understood as interpretive frameworks that are functionally different according to the different types of actors and their social and professional positions. Three epistemic fractions of harm reduction are recognized: a professional new public health fraction; a mutual-help and identity movement fraction of the drug users; and a globally oriented fraction. It is argued that, rather than one, the international harm-reduction school of thought is a policy community of the three epistemic fractions that are in dialogue with each other and thus are constantly redefining the meaning of harm reduction.