‘I was just doing what a normal gay man would do, right?’: The biopolitics of substance use and the mental health of sexual minority men

dc.contributor.authorGaspar, Mark
dc.contributor.authorMarshall, Zack
dc.contributor.authorAdam, Barry D.
dc.contributor.authorBrennan, David J.
dc.contributor.authorCox, Joseph
dc.contributor.authorLachowsky, Nathan J.
dc.contributor.authorLambert, Gilles
dc.contributor.authorMoore, David
dc.contributor.authorHart, Trevor A.
dc.contributor.authorGrace, Daniel
dc.date.accessioned2022-04-01T16:12:05Z
dc.date.available2022-04-01T16:12:05Z
dc.date.copyright2021en_US
dc.date.issued2021
dc.descriptionThe authors are grateful for the generous contributions of the Engage study participants and members of the Community Engagement Committee in Toronto.en_US
dc.description.abstractDrawing on 24 interviews conducted with gay, bisexual, queer and other men who have sex with men (GBM) living in Toronto, Canada, we examined how they are making sense of the relationship between their mental health and substance use. We draw from the literature on the biopolitics of substance use to document how GBM self-regulate and use alcohol and other drugs (AODC) as technologies of the self. Despite cultural understandings of substance use as integral to GBM communities and subjectivity, GBM can be ambivalent about their AODC. Participants discussed taking substances positively as a therapeutic mental health aid and negatively as being corrosive to their mental wellbeing. A fine line was communicated between substance use being selfproductive or self-destructive. Some discussed having made ‘problematic’ or ‘unhealthy’ drug-taking decisions, while others presented themselves as self-controlled, responsible neoliberal actors doing ‘what a normal gay man would do’. This ambivalence is related to the polarizing binary community and scientific discourses on substances (i.e. addiction/ healthy use, irrational/rational, uncontrolled/controlled). Our findings add to the critical drug literature by demonstrating how reifying and/or dismantling the coherency of such substance use binaries can serve as a biopolitical site for some GBM to construct their identities and demonstrate healthy, ‘responsible’ subjectivity.en_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipThe author(s) disclosed receipt of the following financial support for the research, authorship and/ or publication of this article: This study was supported by the Canadian Institutes of Health Research [#TE2-138299]; the Canadian Association for HIV/AIDS Research [#Engage]; and the Ontario HIV Treatment Network [#1051]. Daniel Grace is supported by a Canada Research Chair in Sexual and Gender Minority Health.en_US
dc.identifier.citationGaspar, M., Marshall, Z., Adam, B. D., Brennan, D. J., Cox, J., Lachowsky, N. J., Lambert, G., Moore, D., Hart, T. A., & Grace, D. (2021). “‘I was just doing what a normal gay man would do, right?’: The biopolitics of substance use and the mental health of sexual minority men.” Health. DOI: https://doi.org/10.1177/1363459321996753en_US
dc.identifier.urihttps://doi.org/10.1177/1363459321996753
dc.identifier.urihttp://hdl.handle.net/1828/13834
dc.language.isoenen_US
dc.publisherHealthen_US
dc.subjectbiopoliticsen_US
dc.subjecttechnologies of the selfen_US
dc.subjectambivalenceen_US
dc.subjectmental healthen_US
dc.subjectsubstance useen_US
dc.subjectgay, bisexual, queer and other men who have sex with menen_US
dc.title‘I was just doing what a normal gay man would do, right?’: The biopolitics of substance use and the mental health of sexual minority menen_US
dc.typeArticleen_US

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