Always a Junkie?: The Ardous Task of Getting off Methadone Maintenance

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Abstract
Getting off maintenance is problematic for methadone clients. This paper, based on data from qualitative/ethnographic data from 100 depth interviews with women on methadone, attempts to document and analyze this problem. We begin with a discussion of women's conceptions of readiness to detoxify from methadone, the components of this state and the illusions which are operative. Next is a discussion of obstacles to detachment from methadone: models of failure so visible in the clinic setting; being a success in the eyes of clinic staff and clients; and ever-present and intensive fears of clients about this process. We examine the actual detoxification process: the clinic's role, methadone withdrawal, and aids and accessories in this endeavor. Finally we look at the failure to complete a detoxification or remain abstinent upon getting off methadone, the meaning this has for the addict, and its implications.

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