crossing the rubicon: youth transitions, poverty, drugs and social exclusion
TRANSCRIPT
Crossing the Rubicon: youth transitions, poverty, drugs and socialexclusion
Robert MacDonald *, Jane Marsh
School of Social Sciences and Law, University of Teesside, Borough Road, Middlesbrough TS1 3BA, UK
Abstract
Descriptions of the ‘socially excluded underclass’ have listed illicit drug use amongst the plethora of social pathologies said to
typify their behaviour. Few studies, however, have explored in detail the impact of drug use on the transitions of ‘socially excluded’
youth. This paper reports research undertaken between 1999 and 2001 in a severely ‘excluded’ locale in Northeast England, which
had this as an aim. Qualitative interviews with 88 young people, and with professional ‘stake-holders’ who worked with them, are
used to interrogate some current debates within the drugs research literature. Firstly, a three-fold typology of the drug-using
behaviour of the sample is used to critique simplistic notions of ‘normalisation’. Complete drug abstinence (coupled with wholly
anti-drug views) co-existed alongside apparently widespread ‘recreational’ and ‘problematic’ drug use. At best, our evidence would
support a theory of differentiated normalisation. Secondly, a broad concept of transition, that explores youth experiences
holistically and that situates the shifting ‘choices’ of individual young people in the context of the legitimate and illegal opportunity
structures that prevail locally is used to investigate the emergence of careers of ‘problematic’ drug use. Our evidence supports the
conclusions of Parker and colleagues [New Heroin Outbreaks Amongst Young People in England and Wales (1998a)] that
normative, cultural barriers between ‘recreational’ and ‘problematic’ drug use may be being eroded and that increasing proportions
of ‘socially excluded’ youth are ‘crossing the Rubicon’ in drug careers that extend to heroin use. The paper concludes by emphasising
the value of research that seeks to situate the biographical analysis of drug careers in context (particularly of the opportunities
provided by local economies and changing drug markets) and of drugs strategies that seek to tackle the social and economic
conditions that give ‘poverty drugs’ their appeal. # 2002 Elsevier Science B.V. All rights reserved.
Keywords: Normalisation; Drug career; Problematic drug use; Social exclusion; Drug markets
Introduction
Few discussions of ‘social exclusion’ or ‘the under-
class’ have prioritised discussions of youth drug use.
Murray (1990) the champion of neo-liberal, cultural
theories, lists drug using amongst the plethora of social
pathologies which, he says, defines the welfare depen-
dent underclass in the US and UK, while the UK
Government Social Exclusion Unit (1998) has presented
drug misuse as a motif of ‘socially excluded’ places.
There has been little close analysis, however, within this
literature*/or that related to the study of youth
transitions*/of exactly how, and the extent to which,
illicit drug use can become a central element in the
‘social exclusion’ of young people (see Foster, 2000, for
an exception). This is despite the fact that rates of illicit
drug use in the UK tend to be much higher in poor
neighbourhoods (Advisory Council on the Misuse of
Drugs, 1998), that use of some of the most ‘serious’
drugs (such as heroin) has tended historically to be
concentrated in some of Britain’s most deprived areas
(Parker et al., 1988b; Pearson, Gilman & McIver, 1987)
and that ‘‘most of the new young users taking up heroin
can be described as socially excluded’’ (Parker, Bury &
Eggington, 1998a: vi, our emphasis).
This paper reports recent qualitative research that
explored youth transitions in a locality experiencing
social exclusion in extremis . Although, primarily con-* Corresponding author. Tel.: �/44-1642-342351.
E-mail address: [email protected] (R. MacDonald).
International Journal of Drug Policy 13 (2002) 27�/38
www.elsevier.com/locate/drugpo
0955-3959/02/$ - see front matter # 2002 Elsevier Science B.V. All rights reserved.
PII: S 0 9 5 5 - 3 9 5 9 ( 0 2 ) 0 0 0 0 4 - X
cerned with critiquing underclass theory (MacDonald,
1997) and the social exclusion paradigm (Watt &
Jacobs, 2000; MacDonald & Marsh, 2001), illicit drug
use emerged as a central, substantive element of suchtransitions.
It should be noted at the outset that we are not
completely satisfied with the analytical purchase pro-
vided by the concept of ‘social exclusion’ (see MacDo-
nald & Marsh, 2001; Levitas, 1998). At best, we regard it
as a general metaphor to refer to the range of socio-
economic problems which poor places and their resi-
dents might face. At worst, and like the underclassconcept before it, it has become a confusing and slippery
‘catch-all’ phrase meaning ‘all things to all people’
(Atkinson, 1998: 6). Rather than use inverted commas
around this term throughout, we note some of our
reservations here. The same applies to the terms
‘recreational’, ‘dependent’ and ‘problematic’ drug use,
concepts which also have various and contested mean-
ings (see Goldberg, 1999).The paper is organised as follows: next we describe
the methods and area of the study. Then we map the
sample’s drug-using experiences into a three-fold typol-
ogy and make a brief foray into debates about drug
normalisation. Our first two categories of drug-using
behaviour*/drug abstinence and recreational drug use
are fleshed out in turn, drawing in qualitative accounts
from across our set of interviews. Then the thirdcategory, problematic drug use, is illustrated with one
cameo, demonstrating (we hope) the value of a more
longitudinal, biographically focused analysis of drug
careers. The evidence here suggests erosion of the
cultural barriers that previously separated recreational
from problematic drug use. Finally, we seek to explain
these apparently shifting patterns of drug career, paying
particular reference to changing drug markets and to thecontext of social exclusion that gives ‘poverty drugs’
their appeal.
A socially excluded area
The project was funded under the ESRC’s Youth,
Citizenship and Social Change Programme and under-
taken in ‘East Kelby’ in Teesside, Northeast England
between 1999 and 2001. The site chosen is comprised ofnine council housing estates and has a population of
30 000 people. As recently as the 1960s, Teesside was a
thriving centre of heavy industry and virtually full
employment. Economic success underpinned social
cohesion and stability. Since then large-scale restructur-
ing and redundancies have led to persistent, structural
unemployment and long-term, concentrated poverty
(Tees Valley Joint Strategy Unit, 2000). East Kelby’sresidents live in one of five ‘poverty wards’ (Glennerster,
Lupton, Noden & Power, 1999); wards that are in the
top 5% most deprived in the country (DETR, 1998). A
report on resident dissatisfaction identified two of them
as amongst the most ‘unpopular places’ to live in
England (Burrows & Rhodes, 1998).
East Kelby has some of the lowest levels of educa-tional achievement in the country. In three of its
secondary schools, less than 15% of pupils leave with
five or more GCSEs graded A�/C, compared with
almost 50% nationally (DfEE, 1999). Less than one-
third of young people continue in education after age 16
and in Orchard Bank the figure is as low as 17% (Future
Steps, 1998). In addition to problems of youth and adult
unemployment and educational underachievement, EastKelby experiences the other objective indicators of
socially excluded places (Byrne, 1995). A lone parent
heads almost half of all families and almost one in five
people suffer from a serious health or disability pro-
blem. Car crime, burglary and drug-related offending
blighted the area during the 1990s (Kelby Borough
Council, 1999; Johnston, MacDonald, Mason, Ridley &
Webster, 2000). Teesside has been dealt a full-house ofarea regeneration programmes and many of these have
been based in East Kelby: New Deal for Communities,
New Start, Sure Start, a Crime Reduction Programme
run by the Home Office, a Health Action Zone, an
Employment Zone, an Education Action Zone, and
various Singe Regeneration Budget and European
Social Fund projects.
In short, East Kelby suffers from all the ‘joined up’problems of social exclusion and has undergone the
spiralling decline that concentrates the problems of poor
areas and further separates them from more prosperous
ones (Wilson, 1987; H.M. Treasury, 1999; Power, 1998;
Lee and Hills, 1998). It provides a good, if extreme,
example of the ‘several thousand neighbourhoods and
estates whose condition is critical, or soon could be’
(Social Exclusion Unit, 1998: 1) and it should be notedthat Murray (1994) picked out Kelby as a prime
example of an area in which his ‘new rabble’ underclass
might be found.
The fieldwork and sample
The first strand of fieldwork involved interviews with
40 professional ‘stake-holders’ who work with young
people (e.g. probation officers, drugs workers, NewDeal advisors). The second was participant observation
carried out over 1 year in youth clubs, unwaged groups
and ‘on the street’. The third and major element was a
set of detailed, qualitative interviews with 88 young
people aged between 15 and 25 years (45 young women
and 43 young men). Virtually all were ethnically white
and all were from ‘working-class’ backgrounds (i.e.
typical of the population of East Kelby). This samplewas selected purposefully so as to reflect a wide range of
youth experiences. It included youth trainees, single
parents, young offenders, clients of drug advice centres,
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/3828
the employed and unemployed, college and University
students and ‘New Dealers’. They were recruited via the
first two strands of fieldwork and through ‘snowbal-
ling’, whereby an interviewee would suggest others to beapproached. The interviews, which took place in, for
instance, people’s homes or workplaces were normally
tape-recorded and usually lasted for up to two hours.
Second interviews were completed with around 60% of
the sample within a year of the first. Notwithstanding
the problems often reported in gaining research partici-
pation from excluded youth, we feel that we have
generated a sample that is large and varied enough(for a qualitative study) to allow for a relatively rare
insight into the place of illicit drug use in processes of
youth transition and social exclusion.
Mapping illicit drug use: three categories and some brief
reflections on the ‘normalisation thesis’
As a starting point for our more qualitative discus-
sion, we sketch out some basic statistics. Seventy-seven
people (from the core sample of 88) provided accounts
that were deemed reliable and detailed enough to use as
the basis for a quantitative description of patterns of
drug using behaviour. Three categories of drug-using
behaviour were apparent. Firstly, 27 people reported
never having used an illegal drug. Secondly, 39reported recreational drug use (i.e. any life time use of
at least one of the following: cannabis, amphetamines,
ecstasy, amyl nitrate, LSD, ‘magic mushrooms’ and
illicit use of prescription tablets). Eleven can be de-
scribed as problematic drug users (i.e. they reported
sustained and dependent use of heroin and sometimes
cocaine).
Some points of clarification and caveats need to bemade.
First, ours was not a representative sample of East
Kelby youth and we cannot use this description of
prevalence to comment on those from representative
surveys. It is simply a starting point for a more
qualitative analysis.
Second, any typology necessitates the drawing of
discrete boundaries around sets of experiences that arenot necessarily discrete. There are differences within
these sub-groups and the boundaries between them are
not hard and fast. Another way to present these findings
would be in the form of a continuum with the complete
absence of drug use at one extreme, through one-off
experiences of cannabis use, through more committed
recreational use and*/in a few cases*/‘persistent’ use of
some of these such as amphetamine, through to one-offuse of ‘serious’ drugs such as heroin or cocaine (the two
cases of this in our sample have been categorised as
recreational drug use) to, finally, individual lives being
organised around sustained, long-term ‘problematic’ use
of heroin and cocaine.
Nevertheless, and third, most individuals could be
placed squarely within one of these three categories. Thetypology helps us to convey the complexities of our
qualitative material and to orient it toward common
categorisations and debates within the drugs research
literature.
Fourth, this cross-sectional mapping presents a static
picture of young people’s drug-using behaviour. The
nature of the interviews (which sought retrospective
accounts of transition) and the sample (which containedpeople of different ages, from 15 to 25 years) allowed us
to examine changes in individual’s drug-using behaviour
over time (i.e. their drug career). Combining cross-
sectional (horizontal) description of drug-using cate-
gories with quasi-longitudinal (vertical) description of
drug careers provides, we believe, a powerful means of
understanding the changing relationship of young
people to drug use and its consequences for otheraspects of youth transition.
Drug normalisation?
How does this schematic typology fit with popular
theories about the ‘normalisation’ of recreational drug
use amongst British youth (see Parker, Measham &
Aldridge, 1995; Parker, Aldridge & Measham, 1998b;
Measham, Newcombe & Parker, 1994; Parker & Mea-sham, 1994)? There are various foci within the drug
normalisation literature. At the simplest level, it is an
argument about the prevalence of illicit drug use by
young people. The findings of a range of national and
regional social surveys are claimed to show that the use
of an illicit drug by early adulthood is becoming a
statistical probability. A second theme concerns the
normative context of youth drug use: that there is anincreasing trend towards the normative tolerance of
drug use amongst youth. A third emphasises the
increased availability of drugs (e.g. drug offers) in youth
cultural worlds. A fourth theme refers to the prolifera-
tion of symbolic references to drugs and drug use within
the consumer cultures occupied by young (and adult)
people (Blackman, 1996; South, 1999).
On the one hand, our data seem to offer some supportfor the normalisation thesis (especially the first and
second elements of it). The largest, single category was
people who had been involved in recreational drug use.
As we document later, they operated with a cultural
orientation that emphasised its unproblematic and
taken-for-granted nature. Yet, on the other hand, there
co-existed alongside this group another significant sub-
sample who displayed complete drug abstinence andwho, as we shall also see, were normatively opposed to
drug use of any sort. Finally, this evidence suggests
relatively high levels of problematic drug use amongst
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/38 29
(some sections of) East Kelby youth (in comparison
with the findings of national surveys: Shiner & New-
burn, 1999). To reiterate, this was not a randomly
representative study. Nevertheless, the simple fact of theexistence of the first category type, especially when
coupled with the coming qualitative analysis of their
views on drug use, lead us to seriously question
simplistic notions of normalisation (for more detailed
criticisms, see Perri et al., 1997; Shiner & Newburn,
1997, 1999; South, 1999). At best, our study would
support an approach that sought to theorise differen-
tiated normalisation and that paid attention to the waythat different sections of a heterogeneous youth popula-
tion are oriented towards different forms of drug-using
behaviour (Shildrick, 2001).
Observing ‘the straight law’: (just) saying no and anti-
drug attitudes
Whilst we found relatively large proportions of youngpeople involved in recreational and problematic drug
use, there remained a large group of young people (27 in
number) who proclaimed complete non-involvement in
drug use of any sort, at any time. They spanned the age
range of the sample and, as such, their reported non-use
cannot be read as an age effect (i.e. younger members
who might later turn to drugs). Typically, this group
displayed wholly anti-drug sentiments, personally dis-tancing themselves from their use and from other young
people who were users. Perhaps surprisingly, within this
group there was also a minority who professed to know
no one who used drugs and to know little or nothing
about drug issues (e.g. in terms of the real or street
names of illicit substances, pharmacological effects, and
local outlets). Leanne, who was 16 and on the point of
leaving school, said that she had never used drugs andnor had she been in a situation where they had been
offered:
‘‘I do not know about, like, knowing the names
and that. In my family, nobody. In my friend’s
family, they smoke that marijuana stuff. Some of
them will know the names and stuff. None of my
friends have tried it, none of them’’.
Most of the non-users did , however, have some
knowledge of local drug use, even if at times their grasp
of the differences between drugs, and their effects, was
shaky. The following interview extracts give some of the
typical viewpoints of the non-users:
‘‘I do know people who have sort of took drugs,
yeah. Not me friends. I have seen them*/not
taking them, but I can tell when they have been on
‘em. I never touched it. That was my straight law ,
yeah. I did have a can of lager, a drink, a laugh
with your mates but they did smoke mari. . .blow
or anything’’ (Linda, 23, parent: our emphasis).
‘‘Well, it might sound strange but I never ever had
an appeal for drugs. It never appealed. It was
never something I’d want to do. Whether it was
the fact that I might be disappointing my father if
he found out, whether it be the fact that it was
expensive and I always had better things to spend
my money on, or whether it was just stupid todo. . .’’ (Fox, 19, New Deal trainee).
‘‘One, it’s illegal and it just damages your brain,
you can get a blood clot and everything on your
brain, so. . .I would never touch it’’ (Lindsay, 17,
YT trainee)
Whilst this group of abstainers expressed opposition
to all illegal drug use, the strongest condemnation wasreserved for ‘harder drugs’ (typically heroin) and those
who used them. The flow of their commentaries
suggested that their views about heroin and heroin users
coloured their feelings about all illegal drug use. Ricky
and Kayleigh, who were both 17-year-old YT trainees,
summed up some of the vituperative feelings expressed
by many in the sample:
‘‘We hate smackheads. They’re horrible, aren’t
they? It’s just a dirty thing, innit? Injecting,
injecting yourself with shit’’. (Ricky)
‘‘I wouldn’t touch it [heroin]. I look at them and I
think ‘‘I don’t wanna be like them cause they don’t
look scruffy and they do not look after themselves
and they’re just mingin’ [stinking] and horrible’’.They have no life. They just walk about like
a. . .they do your head in’’. (Kayleigh)
Whilst abstinence was explained in a variety of ways
(and Fox, above, notes most of them), the most
frequently given explanation related to the negative
health risks that they associated with the use of drugs,particularly heroin. Heroin was the worst case drug and
several interviewees reported heroin-related deaths of
which they knew. In this sense again, they did not
differentiate clearly between the physical consequences
of different types of drug use. Drug use meant heroin
use which meant danger: non-drug use meant safety.
To understand this equation, we need to appreciate
the local cultural significance of heroin users. Theproliferation of heroin use was a central, if not the,
central theme of the interviews as a whole. There was an
over-riding consensus that area decline could be ex-
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/3830
plained in terms of the influx of heroin. Young adults
favoured often quite draconian ‘policy responses’:
‘‘shoot all the dealers! That causes all the crime; the
drugs, it’s the drugs’’ (Emma, 25). Again, it is hard tosquare the idea of the increased availability of drugs
with the idea of normalisation, given the violent
opposition of many to this increased drug prevalence.
With the exception of (most) of those to whom the
label applied, young people universally detested heroin
users, as did the majority of the professional ‘stake-
holders’ that we interviewed. They were described as
‘criminal’, ‘addicted’, ‘smelly’, ‘scruffy’, ‘slouching’,‘spotty’, ‘pale’, ‘weak’ and ‘infected’. One could ‘spot
them a mile off’. At the time of our study, ‘smack heads’
had become the popular folk devils of East Kelby,
blamed for all its social ills and the decline of the place
over recent years. And in normatively disassociating
themselves from these ‘wasted youths’, to use one young
man’s phrase, this sub-sample of non-users distanced
themselves from all drug use. As a consequence, themajority of this group also distanced themselves from
theories that posit the ‘normalisation’ of drug use
amongst young people:
‘‘No, it’s not a normal part of growing up. If they
wanna be daft and take that stuff [drugs], they can
be daft, to be honest with yer. . .it can hurt yer, kill
yer. . .you don’t know what you are doing, do yer?
Not interested at all’’. (Leigh, 17, YT trainee)
RM: Some people say that using drugs is now a
normal part of growing up. . .
Whitey (16, YT trainee): ‘‘No, it’s not a normal
part of growing up. Because it is not, is it? Nowt
normal about taking drugs through yer life.’’
RM: I suppose it means normal in the sense of
common. That if you asked 100 young people,
over half would say that they have used some sort
of drugs. Normal in that sense.
Whitey: ‘‘I don’t think it’s normal.’’
‘Normal’ was interpreted as meaning ‘morally accep-
table’, ‘understandable’, ‘correct’ and was rejected in
these terms, even when an alternative definition was
offered. Whilst people like Whitey acknowledged youngpeople’s widespread use of illegal drugs (he said ‘‘it’s
swarming with drugs round here’’), they resisted offering
support for a thesis that they felt condoned what they
saw as reprehensible, dangerous behaviour and which
positioned them , the non-users, as unusual and abnor-
mal.’’
‘I wouldn’t be a normal person if I didn’t: the joys of
recreational drug use
The same question was put to Martin, a 20-year-oldjunior manager:
JM: A lot of academics have talked about how
drugs are now a normal part of growing up, would
you agree with that? Has it become a normalactivity?
Martin: ‘‘Yeah, I mean. . .//. . .
I think I did try one or two things. I have
experimented with things, even me. It’s just one
of these things you go along with. Everyone knows
someone on the street that’s actually tried some-
thing. . .it’s not peer pressure. I have never been
stuck on that. I was just inquisitive. . .
I mean I wouldn’t be a normal person if I didn’t’’.
Martin was typical of a larger group within our
sample (n. 39): those who had experience of recreational
drug use. By this we mean those people who reported
any life time use of at least one of a variety of substances
(see earlier). In line with other studies, cannabis was
reported as by far the most frequently used illicit drug,
followed by amphetamines, ecstasy and so on. There
were differences in the degree of recreational drug useamongst these 39 people. A handful of them had only
ever used one drug (cannabis) on a few occasions and
had then moved away from drug use. At the other end
of the continuum of recreational drug use was the
persistent use of amphetamine. ‘Persistent drug use’ is a
term coined by Simpson (2000) to try to capture drug-
using behaviour that is not recreational but that is also
not the problematic drug use associated with opiatedependency. A handful of our interviewees reported this
sort of sustained, daily use of substances that are not
normally regarded as inducing physical dependency.
For instance, a small group of female interviewees
claimed to be ‘addicted to speed’. Two sisters, Gail (17
years) and Carrie (21), initially announced that they did
not and had not ever used drugs. A back and forth
conversation between the two of them and the inter-viewer revealed, though, that prior to becoming a
mother Gail had been a regular amphetamine user and
that Carrie had been using speed to control her weight:
‘‘Roger [her partner] told me that I had got a fat
arse. I did lose a lot of weight. I used to take it and
not eat at all but now I can eat and sleep. It was
just to burn the excess fat, I think’’.
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/38 31
Since there were few obvious, overall differences
between young women’s and young men’s drug-using
behaviour and attitudes we have not dissected young
people’s drug use by gender here (see Henderson, 1999).The use of amphetamines to aid weight loss was one
such difference (and mentioned by a few young women)
as was an apparently complex relationship between drug
use and motherhood. For some women, pregnancy and
childbirth signalled the termination of drug use. A few,
however, talked about using amphetamine to help cope
with the increased physical and mental demands of
motherhood (especially where combined with employ-ment).
For recreational users, however, the typical picture
was of individuals who had consumed two or three
different substances often over a period of years,
starting in their early to mid-teens. This form of drug
use can be classed as recreational in the sense that these
young people associated these drugs with a particular
social and temporal context. Drug use was occasional(in both senses of the word): it was restricted to
particular leisure events or occasions and used regularly
but intermittently, rather than on a daily basis, as one
element in the repertoire of young people’s consumer,
‘leisure-centred lifestyles’ (Perri et al., 1997: 7). Canna-
bis, amphetamine and ecstasy use became an established
element of the youth cultural routines of ‘going out’ to
pubs and clubs at weekends; ‘‘a normal part of theleisure-pleasure landscape’’ (Parker et al., 1995: 25).
Interviews emphasised the fun, the pleasures and the
joys that came from the use of these drugs in these
contexts.
Unsurprisingly, the normalisation thesis received a
much warmer reception here than amongst the non-
users. One young woman argued that she only knew one
person who did not use drugs. Susan echoed theconclusions of Parker et al. (1995) about non-drug users
becoming a statistical minority in the future. She said:
‘‘if no kid has a go at drugs, I know it’s horrible to say,
but they are not normal cause everybody’s had a go of at
least one drug’’. Cannabis use in particular was regarded
as very common and unremarkable, to the point that it
sometimes did not register in interviewee’s minds as an
illicit drug:
Elizabeth (19, New Deal participant): I’ve never
used no drugs.
JM: Not even smoked tack [cannabis] or anything?
Elizabeth: ‘‘Oh yeah, but I don’t see that as. . .that
doesn’t harm anyone and I don’t see that as a
proper drug anyway. . .//. . .
It just doesn’t hurt anybody. You don’t see people
going round doing things after they have had a
joint, burgling houses just to get some money,
whereas with smack. . .’’
Abstainers like Linda (earlier) observed a ‘straightlaw’ of never using any illicit drug. This group were also
keen to ‘draw a line’ around their drug-using behaviour,
limiting it to recreational use. They were also equally
critical of the use of ‘hard drugs’ like heroin:
‘‘I have tried cannabis, ecstasy, you know every-
thing like that. . .But I dunno, heroin, you’re
shooting it into your veins aren’t you? I wouldn’tdare put a dirty needle in my arm. I mean you have
seen ‘‘Trainspotting’’ haven’t you? It’s more or less
what goes on. It’s disgusting. I think heroin is an
evil drug. E’s and whizz when you have it a rave or
summat, that’s alright. When you come off it,
that’s it. Heroin*/you are constantly and con-
stantly on it. You have just got to have it. It’s
disgusting.’’ (Allan, 21, unemployed)
So far our analysis has been cross-sectional. We have
reviewed non-use and recreational use as it occurred
across the sample with little attention to changing
patterns of drug-using behaviour by individuals over
time. Our typology included a third, smaller sub-group:
problematic users of heroin and cocaine. In the follow-
ing section, we turn to an analysis of their experiences.We will argue that it is difficult to comprehend them
without adopting a more longitudinal perspective on
individual drug careers. After all, none of these indivi-
duals commenced their drug careers with heroin and
many, like the informant below, previously shunned
‘dirty junkies’ in the same way as rest of the sample.
‘Once a smackhead. . .’: Richard, heroin and drug careers
Our third category refers to those 11 people who had
displayed sustained and what they regarded as proble-
matic and dependent use of opiates. They had used
heroin, in some cases combined with cocaine and/or
crack cocaine, usually on a daily basis over months and
years. The central elements of their accounts were
strikingly similar and here we discuss one such accountin order to describe in detail some of the factors we
consider of importance in analysing drug careers of this
sort.
Richard’s story
Richard was 20-years-old when we first interviewed
him in a Young Offenders Institution. We talked to him
again, 10 months later, in a probation hostel in Kelby.His mother (who worked as a cleaner) and his stepfather
(a bricklayer) brought up Richard in a council house in
Primrose Vale, East Kelby. His natural father left the
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/3832
family when Richard was 4-years-old and worked
abroad as a scaffolder for much of Richard’s childhood.
More recently some contact had been re-established,
with the pair occasionally meeting for a drink on Fridayevenings.
Richard spent much of the first few years of compre-
hensive schooling involved in ‘loads of truancy’ with
friends, sometimes doing a little shoplifting to relieve the
boredom (receiving two police cautions for these
offences). He said of this period: ‘‘I think I went off
the rails a bit with my Dad being away’’. His mother did
what she could do deter his truancy: ‘‘she used to giveme a good hiding’’. At 14, Richard desisted from crime
to concentrate on his schoolwork. He gained five
GCSEs*/‘‘not great, not rubbish grades’’*/but he
could not remember exactly what these were. His post-
school labour market experiences were pretty represen-
tative of the majority of the sample: he spent time
unemployed, in the occasional low-level, low paid job
and on several Youth Training and New Deal schemes.The frequency of Richard’s changes in labour market
status (e.g. the number of times he swapped between
uncompleted schemes, employment and unemployment)
may have been higher than the majority, but the nature
of his school to work career (i.e. leaving school with
poor educational qualifications and then circulating
around the various ‘options’ available at the bottom of
the local youth labour market) was unexceptional.What set him apart from the majority of the others in
the sample*/and united his experiences with an im-
portant minority*/was his engagement with a concerted
criminal and drug-using career. Richard describes how
he and his friends made the shift from cannabis to
heroin use:
‘We had all been smoking tack [cannabis] for ages.
Ever since we were 14 or 15. We did smoke it allday and it did get to the point where it had no
effect. It was not getting us stoned. . .[so]. . .me and
my friends thought we did have a daft go at it
[heroin] and before we knew it a few of us were
[cold] turkeying and then we all were. Hooked. It’s
dead hard to come off. . .they say ‘‘once a smack-
head, always a smackhead’’. Maybe they’re right’.
He became more fully embroiled in shoplifting to
support what was now an addiction: ‘‘I was nicking
pretty quickly. I had no choice about that really. It was
the only way I had of funding the smack’’. He estimated
that he committed around 150 separate thefts from
shops in different towns around the Northeast during
this period (having been ‘barred out’ of Kelby town
centre by private security guards that were aware of hiscriminal record). At one point he was making around
£300 per day from the selling on of stolen goods and
‘‘most of it was going on heroin’’.
Richard was ambivalent about heroin. He acknowl-
edged that it was ‘‘a bad drug’’ in terms of its wider
consequences for him and his family, but he quickly
added that he:
‘‘liked it. . .I thought it was good and I was having
it everyday. I thought it was brilliant. Just made
you sleepy and dead relaxed. A good feeling. It
made all your worries and that go away. . .//. . .but
when I look back now I just wish I had never done
it. . .//. . .it’s affected me mentally as well as physi-
cally. It just puts me to shame. I feel a lot of guilt. Ijust feel sick for what I have done to her [his
mother], like what I must have put her
through. . .You just don’t think about what you
are doing when you are on smack. You don’t think
about anything else at all. All you think is
heroin*/where do you want to go for a mooch
[to thieve], where to score a bag [purchase heroin],
where to do it [to administer the drug]. If youpinch off your sister, you don’t think about it. It’s
a vicious circle. When you stop, you start to think
about it. I don’t want to get into it no more’’.
When he was 18, Richard tried to get off heroin. He
had some short-lived success, with the help of a
methadone programme accessed though the local drugs
service. In late 1999, his mother accused him of stealing
some her jewellery (which Richard denied) and askedhim to leave the family home. He became homeless,
staying with his sister and then sleeping rough in a
derelict house for several weeks. At this point he was
hospitalised following a violent assault by a group of
young men. His doctor arranged for Richard to move
into hostel accommodation, shortly before Christmas.
This step in his housing career precipitated a further
stage in his drug and criminal careers, as he explained ina tearful interview:
RM: So what went wrong?
Richard: ‘‘Well, I was just like down, you know,
‘cos it was the first time me Mam’s kicked me
out. . .I felt low and sick cause I wasn’t with meMam over Christmas. . .I was in the hostel for
Christmas and New Year and I got mixed in with a
few lads who were on drugs and, like, I was having
a go now and again and I ended up an addict so I
had to go out and burgle for it and that’’.
RM: So straight back into heroin?
Richard: ‘‘Yeah, and I ended up getting caught
‘cos I was no good at it, as I now know!’’
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/38 33
Richard was charged with commercial burglary
(smashing a window and stealing a pair of shoes from
a shop). The first interview with him was when he wason remand awaiting a court appearance on this charge.
He saw imprisonment as a ‘definite choice*/to do me
rattle [the physical withdrawal from heroin dependency].
The solicitor said that I could get bailed to me Mam’s,
but I wanted to go inside to help me get off it’. He
received a 3-month sentence and was released in April
2000. Shortly afterwards he was prosecuted for a further
shoplifting offence and spent another period on remand.Perhaps because of a particularly sympathetic report
from a Probation Officer (which Richard showed us), he
then received a non-custodial sentence, part of the
conditions for which involved residence in a bail hostel
and participation in a methadone treatment programme.
We interviewed him for a second time in this hostel,
where he reported making a determined effort to ‘go
straight’ and to resist the lure of heroin, which was mademore difficult by the constant temptation provided by
co-residents continuing to use (without the knowledge of
Probation staff). Asked why he recurrently had relapsed
into heroin use, he said:
‘‘It is ‘cos I do not occupy myself. No job to keep
me busy. It does me head in just wandering
around. Nothing to do. So I end up knocking
around with me old mates. I just get back into it. Idon’t have enough to do. I just hang around here.
Play pool. Go to me sister’s. I need more purpose.
I want to go to college. I wish it would come
around quicker. . .’’
His aim to re-enter education was a vague one. He did
not have a particular college or course in mind. He spent
his days completing some basic literacy worksheets(provided by his Probation Officer), administering a
daily methadone dose, undergoing tests (to detect illicit
heroin use), visiting his sister and looking forward to
occasional drinking sessions with his father. His main
ambition remained to be re-united with his mother, who
still resisted contact with her son, and to ‘‘have grand
kids for her one day’’.
Enter the dragon: youth transitions, drug careers and drug
using categories
We suggest that the sociological concept of ‘career’
(Becker, 1963; Berger & Berger, 1972; Coles, 1995) to
map changes in drug-using behaviour within an indivi-
dual biography provides for a more powerful theoretical
approach than can be found in studies that onlyconsider patterns of drug use cross-sectionally, across
youth populations. Individual factors (e.g. family back-
ground, degrees of engagement with peer networks)
interact*/at different points in time-with the structured
opportunities facing youth (e.g. access to decent employ-
ment or training, to health/drugs services, to local drug
markets, etc.) in shaping the form and direction of drugcareers. This perspective can also reveal the way that
school to work, housing, family, drug and criminal
careers act interdependently with often unpredictable
consequences (see also Johnston et al., 2000; MacDo-
nald, Mason, Shildrick, Webster, Johnston and Ridley,
2001).
Our study suggests, for instance, that ‘critical mo-
ments’ in family or housing careers*/in Richard’s casebeing ‘thrown out’ of the family home*/can have
dramatic, negative consequences for individual’s drug
careers (in his case, periods of homelessness and hostel
dwelling that precipitated re-immersion in problematic
drug use). Unravelling and understanding the processes
whereby young people take*/or do not take*/the sort
of steps in their drug careers recounted by Richard is
one of the main contributions that qualitative studies ofthe transitions of socially excluded youth can make.
Of particular importance is the investigation of
transitions between recreational and more problematic
drug use (Gilman, 1992, 1998). Perri et al. (1997): 45)
describe young recreational users as being as ‘‘sociable,
sensible, and morally aware as non-users’’. On the other
hand, more problematic, dependent drug users have
been defined as being socially excluded and ‘‘from theedges’’ (Parker et al., 1998a). The received wisdom in the
UK drugs research literature, certainly until the mid-
1990s, saw these two categories of drug use/young
people as being largely distinct. Parker et al. (1998b):
132) claim that most young people view ‘‘taking hard
drugs and actually injecting as anathema: a Rubicon
they will never cross’’. Yet our study of East Kelby
youth shows how recreational drug use in the early tomid-teens can, as in Richard’s case, progress into heroin
dependency shortly afterwards, even when the young
people in question originally ascribed to the common,
normative view of heroin users (i.e. ‘dirty, smelly
junkies’). Local drugs workers also report seeing (in-
creasingly younger) clients whose first experience of
illicit drugs use was of heroin and nationally the age of
onset of heroin use also seems to be falling (comparedwith the 1980s) (Parker et al., 1998a).
Parker and colleagues describe how ‘‘heroin uptake is
primarily found in the poorest estates’’, how it is
associated with poverty, educational under-achievement
and unemployment and how the ‘‘basic identi-kit of the
most likely heroin user’’ is one of ‘‘poor school
performance and attendance, light parental supervision’’
and having grown up ‘‘at the wrong end of town’’. Theyconclude by saying that:
‘‘the least worst scenario is that heroin ‘trying’
does not become accommodated within the far
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/3834
larger ‘recreational’ drugs scene but remains pre-
dominantly associated with ‘degrees’ of social
exclusion. The whole issue needs careful monitor-
ing and profiling’’ (1998: 45�/46, our emphasis).
The problem, though, for places like East Kelby is
that this profile of those at most risk of heroin uptake
would perfectly match a large proportion of the young
people who live there. They all experience ‘degrees of
social exclusion’. Some, as we have seen, resist entry into
drug use of any sort and for many drug careers, for the
present, extend only to recreational drugs. This andother studies have, however, unearthed accounts from
young people which would suggest that the Rubicon
dividing recreational and dependent heroin use is being
bridged by an apparently growing number of young
people in poor areas of the Northeast (Simpson, 2000;
Johnston et al., 2000). Rebecca, a local drugs worker,
said:
‘‘I see a lot of heroin users who went through that
thing in the late 1980s/early 1990s when E [ecstasy]
was out, who did the dance thing, who did that
rave scene, and did all that and then fell into
heroin use later on. They say ‘‘I cannot believe I
am here, I am so ashamed of being here because,
you know, I used to call them [verbally abuse
heroin users] and now I am one’’. If I had a poundfor every time they say that! They really honestly
think that they can [just] try it; it’s the trying, the
trying. . .’’ (her emphasis)
Changing drug markets and the appeal of ‘poverty drugs’
The micro-processes of youth transition that we have
described do not, however, occur in a social vacuum and
it is necessary to understand the spatial and temporalcontext in which they are shaped. Here we stress the
significance of changing local drug markets (see Pearson
et al., 1987; Parker et al., 1998a; Taylor, 1999).
Until the mid-1990s, Kelby was regarded as not
having a major heroin problem (Pearson et al., 1987).
It was one of those smaller urban centres that tended to
be missed out of a UK drugs research literature that
focused on the major cities and larger conurbations.Now this place ‘‘. . .not only hosts [heroin] outbreaks but
is the dealing/distribution base for surrounding towns’’
(Parker et al., 1998b: 37�/8). It is claimed to have the
cheapest heroin in the UK (Munro, 1999) and high rates
of acquisitive crime are said to be driven by heroin
(Johnston et al., 2000; see also Bennett, 1998; Foster,
2000). Drugs workers confirmed the newness of stories
like Richard’s. They said that the profile of their workhad changed over the 1990s: a shift towards serving
recreational users in the early 1990s had been reversed in
the mid to late 1990s because of an upsurge in new
heroin and (crack cocaine) referrals. One agency had
increased its staffing from 3 to 19 to cope with up to 20
new clients a week seeking consultations about heroin
use. They also described how crack cocaine ‘arrived witha vengeance’ in Kelby in 1998 and how clients now
reported using it in combination with heroin.
Police, drugs workers and young people told us how
heroin entered the Teesside ‘scene’ in a substantial way
in the mid-1990s: at exactly the moment identified as the
start of ‘‘the second wave of heroin outbreaks’’ in
Britain (Parker et al., 1998b). Heroin was available in
Kelby prior to this date but, since then, the area haswitnessed a surge in availability. Some of those inter-
viewees who were in their mid-20s and who had long-
term recreational drug using careers, reported no con-
tact with heroin when they were passing through their
teens. Other drugs (or solvents) had become their
‘‘drug(s) of choice’’. Conversely, younger interviewees
like Richard had encountered heroin at critical points in
their drug careers (and their transitions to adulthoodmore generally). By 1996, when Richard was aged 16,
heroin had become widely available in East Kelby and
he and his peer group made a speedy transition from
recreational to problematic drug use.
He said:
‘‘Heroin came into Kelby in about 1995, didn’t it?
I had a go at it in 1996. I didn’t even know it was
heroin. It was just brown powder on a bit of foil.Like tack. No one was bang on to it [knew much
about it] then. Didn’t know it was heroin or what
the risks were’’ (his emphasis)
Pearson et al. (1987) and Parker et al. (1998a) have
suggested that this lack of knowledge about heroin, the
dearth of health education campaigns about it since the
late ‘80s and the availability of cheap, smokeable heroinmay all have been factors behind the apparent suscept-
ibility of young people to this new heroin outbreak.
Local drugs workers also saw changes in drugs markets
as critical in explaining the new outbreak. One of them,
Rebecca, had been working in this field for several years.
She described how police had successfully targeted local
cannabis dealers (following tip-offs rumoured to have
come from a major local heroin supplier) and produced‘‘an absolute drought in 1996’’, how at the same
moment ‘‘someone had targeted this fucking town for
heroin’’ and how street dealers switched from trading
cannabis to trading ‘dirt cheap’ heroin to their ill-
prepared clients (under the name of ‘brown’ and bearing
a physical resemblance to cannabis resin).
This rapid transformation in the nature of the local
drugs markets*/and the apparent lack of preparednessof young people when faced with the choice of heroin*/
highlights the need for re-evaluation of national and
local drugs policies and services. Perri and colleagues
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/38 35
argue that effective drugs strategies must work at
‘‘empowering local networks to work with young people
in ways that engage with local youth cultures’’ (1997: 45)
and that we cannot design such strategies unless ‘‘weunderstand that the motivations of young people are
rooted in opportunities and constraints that can only be
understood at local level’’ (8). The paradox uncovered
by our research in East Kelby shows these observations
to be astute ones. Co-existing in the same neighbour-
hoods at the same time are substantial numbers of
young people who seem to have made clear anti-drug
choices and, living next door to them (sometimesliterally), young people whose lives have become
fully absorbed into problematic drug use. To understand
how and why some overcome the local cultural barriers
to problematic use where others do not, we also need to
appreciate, as Taylor notes, the particular appeal and
‘‘conditions of existence’’ of different forms of drug use
‘‘among differentiated fractions of the youthful popula-
tion’’ (1999: 86, cited in MacGregor, 2000).An important distinction emerged in young people’s
descriptions of drug use. As we noted earlier, some
described their recreational drug use in terms of the joys
of ‘leisure and pleasure’ lifestyles. Heroin users reached
for quite different words to explain its attraction. Like
Richard earlier, they talked variously about ‘‘not having
a care in the world’’ after using heroin, about it ‘‘taking
all [their] worries away’’ and it ‘‘wiping away all the badthings that have happened’’. Given the profile of the
new, young heroin users of the 1990s as the ‘socially
excluded’, and the meanings given to its use by these
informants, it is not too difficult to understand heroin’s
appeal in this context as a poverty drug; a form of self-
medication for the socially excluded, a drug that they
find compelling because its pharmacological effects
‘blank out’ the day to day realities of their socialexclusion. One of the respondents to Foster’s study of
a poor estate in Northeast England described how
‘drugs fill the void [and] make life bearable’ (2000:
322). Goldberg put it well. He says:
‘‘much of what I have observed in the field can be
best explained by the attempts of problematic
consumers to escape*/escape from the past,
from the present, from society, from their feelings,from everything that passes through their heads,
and from not having any future’’. (1999, 133)
The particular political orientation and levels of
resourcing of drugs services and strategies are of course
important in seeking to limit the personal and social
damage that can come from sustained heroin depen-
dency. For us, though, one of the long-term and morefundamental aims of a truly ‘joined up’ drugs policy
would be to tackle the social and economic conditions
that give poverty drugs their appeal; that have ‘created a
class of losers and discarded youth who continue to
provide new recruits to the ranks of problematic drug
misusers’ (MacGregor, 2000:315).
Summary and conclusions
Illicit drug use is often listed as one of the multiple
social pathologies said to typify the socially excluded
underclass. Yet our study showed that young people
who reside in a place that faces all the objective
conditions of social exclusion in extremis can possess
markedly different orientations to illicit drug use (i.e.abstinence, recreational drug use and problematic drug
use). This led us to question simplistic theories that
imply the homogeneity of young people and of drug
using behaviour and, at best, to support notions of
differentiated normalisation. The first two sub-sets*/
those who observed ‘the straight law’ and abstained
from all drug use and those who enjoyed the pleasures of
recreational drug use*/shared transitions in which illicitdrug use was largely unimportant in processes of social
inclusion and exclusion. Whilst the majority had the sort
of school to work careers said to typify the socially
excluded, this was not an outcome of their drug-using
behaviour but more a fact of the economic marginality
experienced by all young people growing up in this place
at this time (MacDonald & Marsh, 2001).
Drug use was, however, much more clearly implicatedin the exclusionary transitions of our third sub-set:
problematic users of heroin and cocaine. For a minority
of the sample, heroin use had become central to an
understanding of their unfolding biographies. For
Richard, dependency fuelled increasingly desperate
acquisitive criminality. By the age of 20, his inter-linked
drug and crime careers had progressively closed down
options for a more ‘mainstream’ lifestyle (Bennett, 1998;Edmunds, Hough, Turnbull & May, 1999; Foster, 2000;
Simpson, 2000; Davies, 2001). He had failed to complete
several government training programmes, had been
employed only once (and briefly), had been unemployed
recurrently, had become estranged from his family, had
been homeless and slept rough, had a lengthy and
worsening record of offending, had been imprisoned
twice and, at the age of 20, was living in a bail hostel,struggling to maintain his commitment to a methadone
programme and scratching around trying to find ways,
beyond heroin, to fill tedious, direction-less days.
Whilst we are not completely convinced by the
descriptive purchase provided by the concept (MacDo-
nald & Marsh, 2001), we would argue that if anyone is
‘socially excluded’ Richard is. Cases like his represent
perhaps the most entrenched forms of social exclusionand the hardest challenges that face government policy
in this field (Social Exclusion Unit, 2000). We stressed
the theoretical value and policy potential in attempting
to understand, through qualitative research, how young
R. MacDonald, J. Marsh / International Journal of Drug Policy 13 (2002) 27�/3836
people’s multiple and interdependent careers take shape
in relation to the legitimate (and illegal) opportunity
structures that prevail in a locality. Of key importance
here was the changing local drug market and the influxof heroin at a particular historical moment; a moment in
which Richard and others were leaving school and
facing the depressing limitations of the formal labour
market. Educating young people about the hazards of
problematic drug use is, of course, a laudable exercise,
as are attempts to control their supply. But given that
the social and economic experiences that gave root to
Richard’s heroin career are shared by all young peoplein East Kelby-and that more ‘excluded youth’ now seem
to be pursuing drug careers that extend to heroin use-for
us the most fundamental, long-term political challenge is
to combat the conditions of social exclusion that create
the demand for poverty drugs.
Acknowledgements
We are indebted to the ESRC who supported this
study (grant reference: L134251024), to the University
of Teesside, to Mark Simpson, Tracy Shildrick andColin Webster for their comments (and whose own
research has influenced our ideas), to the journal’s editor
and reviewers for their valuable criticisms and, particu-
larly, to the people who took part in the study. All
names of people and places have been changed.
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