This paper attends to the sociality available in the clozapine clinic regimen and suggests that the social dimensions of clozapine treatment may be as important as the biochemical efficacy of clozapine. The clozapine clinic is where people diagnosed with chronic schizophrenia who take the antipsychotic clozapine go for routine monitoring of clozapine side effects, particularly haematological effects. Psychopharmaceutical treatments are often criticized for being reductionistic and dehumanizing, but clozapine clinics offer increased clinical contact in the age of deinstitutionalization. The inadvertent social benefits of biomedically reductive treatments have not previously been ethnographically attended to in the clozapine-only context. Drawing on 18 months of ethnographic fieldwork with 43 clozapine clients and 16 clinical caregivers in two clozapine clinics in the United Kingdom in Australia, I argue that routine clinical attachments in the clozapine clinic can serve a therapeutic role in terms of providing opportunities for clients' health agency, social competence and accountability. This socio-therapeutic quality appeared to be available because the clinical emphasis was not on psychotic illness. It depended, however, on reliable and familiar social exchanges inside the clinic and on the predictability of clinical activity. The importance of unemotional but unfailing relationships and rhythms in the clozapine clinic context echoes cross-cultural findings about how schizophrenia is managed more productively in environments that invite more neutral and equal social exchanges.

中文翻译：

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降级精神病：氯氮平诊所的血液工作和“常规联系”。

本文关注氯氮平临床治疗方案中的社交性，并建议氯氮平治疗的社会层面与氯氮平的生化功效同等重要。氯氮平诊所是诊断出患有慢性精神分裂症并服用抗精神病药氯氮平的人去常规监测氯氮平副作用，尤其是血液学副作用的方法。人们常常批评心理药物治疗具有还原性和去人性化的特点，但是氯氮平诊所在去机构化时代提供了更多的临床联系。在纯氯氮平的背景下，以前没有人种学上重视生物医学还原疗法的无意社会效益。我在澳大利亚英国的两家氯氮平诊所中对43名氯氮平客户和16名临床护理人员进行了18个月的人种学调查，我认为氯氮平诊所的常规临床依恋可以为治疗者提供健康机会代理，社会能力和问责制。由于临床重点不在精神病上，因此这种社会治疗质量似乎可以得到。但是，这取决于诊所内部可靠且熟悉的社交活动以及临床活动的可预测性。