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‘Chicks on the Corner’ in Budapest: Visualising Harm and Harm Reduction at a Women-Only Syringe Exchange Programme

Stengel, Camille May (2015) ‘Chicks on the Corner’ in Budapest: Visualising Harm and Harm Reduction at a Women-Only Syringe Exchange Programme. Doctor of Philosophy (PhD) thesis, University of Kent,. (Access to this publication is currently restricted. You may be able to access a copy if URLs are provided) (KAR id:54858)

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Abstract

Harm reduction is an approach that aims to reduce harms related to using drugs. Harm reduction services often fail to consider the needs of women who inject drugs or minimise responses to women’s needs in service design and implementation (Bennett et al., 2000; Brown et al., 2005; EMCDDA, 2006; Levy, 2014a; Pinkham, Stoicesu and Myers, 2012; UNODC et al., 2014). It is therefore crucial to understand the experiences of women who inject drugs from their own perspectives, as well as those of harm reduction workers, in order to develop and implement effective responses to injecting drug use.

Data were co-produced with respondents according to the principles of Feminist- informed Participatory Action Research, using the method of ‘photovoice’. This method involved providing cameras for clients and employees of the women-only day to photograph their experiences and understandings of harm, harm production, and harm reduction. A significant portion of the data collected for this study was created by female harm reduction workers who worked at the women-only syringe exchange programme. Employees and clients’ images guided the research observations, interviews, and analysis. This meant collaboration between the participants and the researcher through the fieldwork, including the development and implementation of a research output in the form of a public photo exhibition and fundraiser event. The event was called ‘Chicks on the Corner’, and is the source of the thesis title as well as the title of the research project.

Harms identified by research participants were categorised using Hillyard and Tombs (2004; 2005) zemiological typology. This typology consists of: physical harms, emotional harms, economic harms, and cultural harms (also known as lack of cultural safety). In addition, a new fifth category of harm was created based on participants’ responses, and is called institutional and political harms. The data from the Chicks on the Corner project show how institutional and political harms contributed to the production of the other four categories of harm. Furthermore, the analysis outlines the numerous challenges workers faced in attempting to provide adequate harm reduction responses while experiencing multiple social harms as well. These novel findings suggest the need for expanded definitions of ‘harm’ in harm reduction theory and practices.

The findings from the Chicks on the Corner project complement existing literature on harm reduction theory and practice while also adding to the limited body of research on gender- sensitive approaches to harm reduction. This thesis contributes to an expansion of theoretical understandings of harm and harm reduction in relation to women who inject drugs and harm reduction workers, as well as discussing implications for gender sensitive harm reduction practices. Based on this analysis, I propose the development of feminist zemiology as a way to better understanding harm.

Item Type: Thesis (Doctor of Philosophy (PhD))
Thesis advisor: Chatwin, Caroline
Thesis advisor: Stevens, Alex
Thesis advisor: Levay, Miklos
Uncontrolled keywords: harm reduction; photovoice; syringe exchange programme; drug use; feminist theory; participatory action research; zemiology; visual criminology; photo elicitation; Hungary; people who inject drugs; women who inject drugs
Subjects: H Social Sciences > H Social Sciences (General)
H Social Sciences > HT Communities. Classes. Races
H Social Sciences > HV Social pathology. Social and public welfare > HV5800 Drug habits and abuse
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research
Depositing User: Users 1 not found.
Date Deposited: 08 Apr 2016 13:00 UTC
Last Modified: 06 Feb 2020 04:14 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/54858 (The current URI for this page, for reference purposes)
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