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This case study was developed using a qualitative approach, in order to explore experiences of§alienation and marginalisation of men with substance misuse issues. The subject group involved§men in a residential treatment centre in Ottawa, Ontario. A structural social work approach was§used in the analysis of the data. The findings are used to suggest that the participants perceived§alienation and marginalisation as being central to the development of addiction. Participants also§perceived the role of specific government operated systems and bureaucracies as exacerbating§the feelings of alienation and marginalisation. Participants also discussed their view that they§were being exploited by current government management of addictive products and services.