Despite harm reduction’s social justice roots, the broader understanding of harm reduction is often influenced by morals and values which leaves harm reduction to be conceptualized within a morality policy domain. This study adopts the Qualitative-Narrative Policy Framework (Q-NPF) (Gray & Jones, 2016), to explore the policy beliefs and values that steer current harm reduction policy documents in British Columbia. Four questions guide this study: i) What are the underlying beliefs and values steering harm reduction policy in B.C.? ii) How are these beliefs and values narrated through policy?, iii) In what way do the underlying policy beliefs align with principles of social justice for harm reduction?, and iv) How have policy beliefs shifted since the 2016 public health emergency declaration? The social justice lens for harm reduction (Pauly, 2008) serves as this study’s analytical framework and is supplemented by the Systems Health Equity Lens (Pauly, Shahram, van Roode, Strosher & MacDonald, 2018); both of which emphasize the need for harm reduction to acknowledge and address social and structural conditions that contribute to substance use harms and their inequitable distribution. As this study reveals, there is an ongoing tension between equity-related and non-equity policy beliefs and values characterized within policy documents, thus fueling a policy climate with incongruent and contradictory beliefs. Further, equity-related beliefs are positioned in the confines of equitable access, thus they are not equity-oriented in entirety. Additionally, there have been minimal shifts in policy beliefs since the post-2016 public health emergency declaration yet shifts occur in terms of the specific constructs which form equity-related and non-equity beliefs. Finally, the study outlines potential implications of these beliefs and proposes recommendations to improve harm reduction policy in terms of becoming equity-oriented. This study also outlines methodological contributions to the Q-NPF for future policy narrative and analysis studies. / Graduate / 2022-08-15

By “taking a knee” during the performance of the U.S. national anthem, National Football League (NFL) players have been protesting “the oppression of people of colour and ongoing issues with police brutality” in America (Colin Kaepernick, the movement’s founder, quoted in Coombs et. al., 2017). Despite this clarity of intention, the meaning of these protests (whether they are necessary and patriotic or counterproductive and ‘un-American’, for example) has been hotly contested in the public sphere, indicating the presence of a deeply seated counter-hegemonic struggle that is both expressed and contributed to by the anthem protest discourse. This project explores this struggle through the lens of narrative assembly, or the individual and intertextual construction of meaning through the selection and arrangement of narrative objects. Special attention is paid to the treatment of social, symbolic, and normative boundaries by storytellers responding to the anthem protest and by the anthem protesters themselves, especially those related to political expression in professional sports, American national and racial identity, and racial exclusion and marginalization. The project utilizes a structural approach to narrative analysis called the Qualitative Narrative Policy Framework (QNPF) supplemented by insights from Arthur Frank’s (2010) method of Dialogical Narrative Analysis (DNA). These methods are applied in a sociological study of a segment of the NFL anthem protest discourse published in newspaper articles during the first 16 months following the start of the controversy. This sample captures narrative responses to three significant moments—Kaepernick’s initiation of the protest, U.S. president Donald Trump’s verbal attack on protesting players in speeches and over social media (which also resulted in mass-displays of unified resistance from NFL players), and Kaepernick’s failure to obtain an NFL contract the year following his protest. Findings indicate that by transgressing several normative boundaries related to work, sports, protest, and signalling patriotism, NFL anthem protest subverts a hegemonic tale of national unity and exposes the systemic discrimination and symbolic/social exclusion that continue to produce experiences of oppression for people of colour and others in the United States. By attending to their assembly of settings, characters, plotlines, memories, solutions, and moral lessons, authors that support the protests are shown forming an intertextual or collective narrative around a central demand for justice that challenges the American status quo and projects a preferred future of enhanced racial equality yet to be achieved by the nation. Alternately, authors who oppose the protests are observed assembling a collective narrative around a demand for respect that defends boundaries essential to the maintenance of the status quo and expresses a desire to return to a past America of uninterrupted white dominance. In addition to providing a detailed case study that focuses on processes of narrative assembly in relation to counter-hegemony and social, symbolic, and normative boundaries, the project serves as an example of how the emergent methodology of the QNPF can be applied to the study of dynamic instances of everyday cultural-political struggle that may fall outside the sphere of policy research in which it has typically been employed. / Graduate / 2021-01-06