Affiliation:
1. candidate Centre for Social Research on Alcohol and Drugs (SoRAD) Stockholm University, Sweden
Abstract
Aims Against the background of an increased interest in community participation in political processes, this article critically examines how the “community” is constituted as a political entity in the Communities That Care drug prevention programme. Method Through an examination of 14 publications written by the programme developers and other collaborators, I have analysed the programme's theoretical foundation. Results The programme seeks to constitute the community as an expert community, drawing on the principles of prevention science in its decision-making processes and thereby asserting the primacy of scientific reasoning in politics. Disagreement, otherwise regarded as the “essence” of democratic politics, is to be neutralised through the establishment of a common language based on prevention science. The programme constitutes needs as existing independently of any culturally and politically informed interpretations and promptly met by ready-tested, evidence-based interventions. By combining a consumer subject and an instrumental-rational subject, the programme establishes a specific kind of democratic subject expected to exert its choices on a market offering instant solutions to problems formulated outside of the community's decision-making processes. Conclusion The analysis points to a range of limitations and issues on how community empowerment and democratic participation are conceptualised in the programme. By asserting the primacy of scientific reasoning in drug-policy processes, the programme sets limits to what counts as a political problem and which responses are deemed legitimate. This risks exerting significant closure on the ability of communities to speak in properly political terms.
Subject
Health Policy,Health (social science)
Cited by
3 articles.
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