PSYCHOTHERAPY: INJECTING DRUG USERS’ CLING TO NORMALITY. A SERBIAN CASE
Keywords:
anthropology, normality (as social construct/ cultural meaning), injecting drug users, psychotherapy, SerbiaAbstract
Psychotherapy is still more likely associated with mental disorders than with counselling in Serbia. Injecting drug users make a group whose members eagerly talk of being engaged in psychotherapy, contrary to the most of the other people who reluctantly reveal their visits to therapists. For this particular group of people psychotherapy operates as a tool of mental construction of the distinction between social and somatic illness. Injecting drug users are aware that the mainstream society looks upon them both as physically ill and as socially deviant, so in narratives about psychotherapy they tend to draw a line between their mental and physical appearance, suggesting that psychotherapy is their proof of being normal; physically damaged, yes, socially ostracised, also, but still sane and lucid. By doing this, they put strong accent on what they consider as emotional ability, i.e. that they are able to feel, express, and experience the same emotional charge in the same socially defined situations as the “normal” people do. This “triangulation” of psychotherapy as a means of self-explaining, mental model of being normal, and the place emotions play in such cognitive process in the injecting drug users’ narratives will make matter of our discussion. By displaying the explicit models of psychotherapy, normality and emotions in the cultural cognition of this group, we hope to point toward implicit models of these notions in Serbian culture.
References
Armstrong, Gregory, Amenla Nuken, Luke Samson, Shalini Singh, Anthony F Jorm and Michelle Kermode. 2013. Quality of life, depression, anxiety and suicidal ideation among men who inject drugs in Delhi, India. BMC Psychiatry 2013, 13:151 http://www.biomedcentral.com/1471–244X/13/151
Baumann Ellen C, Clara E. Hill. 2016. Client concealment and disclosure of secrets in outpatient psychotherapy. Counselling Psychology Quarterly 29 (1): 53–75, http://dx.doi.org/10.1080/09515070.2015.1023698
Brown, Jonathon D, Margaret A. Marshall. 2001. Self-esteem and emotion: Some thoughts about feelings. Personality and Social Psychology Bulletin 27 (5): 575–584.
Crocker, Jennifer, Amara T. Brook, Yu Niiya, Mark Villacorta. 2006. The pursuit of self-esteem: contingencies of self-worth and self-regulation. Journal of personality 74 (6): 1749– 1771. doi:10.1111/j.1467–6494.2006.00427.x
Dietze1, Paul, Mark Stoové, Peter Miller, Stuart Kinner, Raimondo Bruno, Rosa Alati & Lucy Burns. 2010. The self-reported personal wellbeing of a sample of Australian injecting drug users. Addiction 105: 2141–2148.
Greenberg, Leslie S, Antonio Pascual-Leone. 2006. Emotion in Psychotherapy: A Practice-Friendly Research Review, Journal Of Clinical Psychology: In Session 62 (5): 611–630.
Ilić, Vladimira. 2013. The Influence of Work and Leisure on Happiness (In Serbian: Uticaj rada i dokolice na sreću mladih ljudi u Beogradu). Etnološko-antropološke sveske 22: 7–26
Ilić, Vladimira. 2014a. Empathy as a strategy of bridging the gap between politicians and the people of Serbia (In Serbian: Empatija kao strategija premošćavanja jaza između političara i stanovništva Srbije). Etnoantropološki problemi 9 (4): 955–976.
Ilić, Vladimira. 2014b. Emotions as Cultural Constructs and their Use in Political Contexts in Contemporary Serbia (In Serbian: Emocije kao kulturni konstrukti i njihova upotreba u političkim kontekstima savremene Srbije). PhD thesis. Department of Ethnology and Anthropology, Faculty of Philosophy, Belgrade.
Ilić, Vladimira. 2017. “Having it all” and “not having yourself ” – An analysis of the representations of happiness and despair in the movie Happiness (In Serbian: „Imati sve“ i „nemati sebe“ – analiza predstava sreće i očajanja u filmu Sreća). Etnoantropološki problemi 12 (2): 379–413.
Judd, Ali, Tim Rhodes, Lisa G Johnston, Lucy Platt, Violeta Andjelkovic, Danijela Simić, Boban Mugosa, Milena Simić, Sonja Žerjav, Ruth P Parry and John V Parry. 2009. Improving survey methods in sero-epidemiological studies of injecting drug users: a case example of two cross sectional surveys in Serbia and Montenegro. BMC Infectious Diseases 9:14 doi:10.1186/1471–2334–9–14.
Kirmayer, Laurence J, Harry Minas 2000. The future of cultural psychiatry: an international perspective. Canadian Journal of Psychiatry 45 (5): 438–446.
Kleinman, Arthur, Peter Benson 2006. Anthropology in the Clinic: The Problem of Cultural Competency and How to Fix It. PLoS Med 3(10): e294. https://doi. org/10.1371/journal.pmed.0030294
Lutz, Catherine, Geoffrey M White. 1986. The anthropology of emotions. Annual Review of Anthropology 15: 405–436.
Ministry of Health. 2007. Strategy for the development of mental healthcare (In Serbian: Strategija razvoja zaštite mentalnog zdravlja). Belgrade: Ministry of Health of the Republic of Serbia.
Morris, Charlotte, Jane Simpson, Mark Sampson and Frank Beesley 2014. Cultivating Positive Emotions: A Useful Adjunct When Working with People Who Self-Harm? Clinical Psychology and Psychotherapy 21 (4): 352–362.
Rhodes, Tim, Ana Prodanovic, Bojan Žikić, Elena Kuneski, Tijana Pavićević, Davor Karadžić and Sarah Bernays. 2008a. Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk. Health, Risk & Society 10 (3): 221–240.
Rhodes, Tim, Bojan Žikić, Ana Prodanović, Elena Kuneski, Sarah Bernays. 2008b. Hygiene and uncertainty in qualitative accounts of hepatitis C transmission among drug injectors in Serbia. Social Science & Medicine 66 (6): 1437–1447.
Žikić, Bojan. 2006. The Anthropology of AIDS. Risk Behavior of the Injecting Drug Users (In Serbian: Антропологија AIDS-а. Ризично понашање интравенских корисника дроге), Belgrade: Department of Ethnology and Anthropology, Faculty of Philosophy/ SGC.
Žikić, Bojan. 2009. The Same Risk, the Different Vulnerability? Social Environment as Risk-Generating Factor in Injecting Drug Users and Sex Workers. Issues in Ethnology and Anthropology 4 (1): 2009, 149–162.
Žikić, Bojan. 2011a. Cultural Identity, Cultural Values and Social Order in Belgrade at the Beginnig of the XXI Century (In Serbian: Поимање културног идентитета, културних вредности и друштвеног реда у Београду на почетку XXI века, Antropologija 11 (2): 9–40.
Žikić, Bojan. 2011b. How Serbian Is a Serbian Movie? The Conceptualization of the Culturally Normal and Abnormal in Present-Day Serbia (In Serbian: Колико је „српски“ Српски филм? Концептуализација културно нормалног и ненормалног у савременој Србији). Etnoantropološki problemi 6 (2): 381–412.
Žikić, Bojan. 2013. Intravenous Drug Use in Belgrade as a Syndemic Environment (In Serbian: Интравенско коришћење дрогу у Београду као синдемијско окружење). Etnoantropološki problemi 8 (4): 927–943.
Žikić, Bojan. 2015. What Makes People Good or Bad? (Mis)Anthropological Essay on Searching for Social/ Cultural Reasons on Judging the Other People. Issues in Ethnology and Anthropology 10 (4): 927–943.

ERIH PLUS - European Reference Index for the Humanities
CEEOL - Central and Eastern European Online Library
The DOI Foundation