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Violence in harm reduction: Exploring the social, political, and emotional conditions of harm reduction work
Journal article   Peer reviewed

Violence in harm reduction: Exploring the social, political, and emotional conditions of harm reduction work

Guillaume DUMONT and Marie Jauffret-Roustide
Medical Anthropology Quarterly
30/12/2025

Abstract

drug policies harm reduction harm reduction work people who use drugs workplace violence Drugs or Drug Abuse France Spain Violence
Harm reduction professionals strive to reduce the health, social, and legal consequences associated with drug use in contexts permeated by violence. Building on fieldwork in Paris and Barcelona, we examine how they make sense of this violence. In Paris, the discussion of violence primarily hinges on the narratives of suffering from people who use drugs and the obstacles posed by the political context. In Barcelona, the narrative emphasizes precariousness and deficiencies in organizational violence management, which intensifies perceptions of violence. Moving beyond polarized understandings of violence, we argue that violence is socially constructed as an inherent aspect of the culture of harm reduction work. This process involves mechanisms of naturalization, delegitimization, and normalization, shaping work experiences and the construction of the professional self. Although violence manifests in similar forms and manifestations across settings, experiences of that violence differ based on how it perpetuates power dynamics and inequalities within the workplace.
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Collaboration types
Domestic collaboration
International collaboration
Citation topics
1 Clinical & Life Sciences
1.100 Substance Abuse
1.100.180 Substance Use Disorders
Web of Science research areas
Anthropology
Public, Environmental & Occupational Health
Social Sciences, Biomedical
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