Stigmatizing imagery for substance use disorders: a qualitative exploration.
Stigmatizing imagery for substance use disorders: a qualitative exploration.
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DOI：
10.1186/s40352-023-00229-6
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发表时间：
2023-07-04
期刊：
影响因子：
3.5
通讯作者：
Earnshaw, Valerie
中科院分区：
文献类型：
--
作者：
Hulsey, Jessica;Zawislak, Kayla;Sawyer-Morris, Ginnie;Earnshaw, Valerie
耻辱是药物滥用障碍患者治疗的一个重大障碍。虽然之前已经做出了努力来改变污名化语言，以指代患有药物滥用障碍 (SUD) 的个体，但人们对污名化图像的影响知之甚少。需要进行补充性定性研究来识别 SUD 领域中的污名化和非污名化图像。本研究使用定性方法来识别 SUD 的污名化和非污名化图像，并探讨有 SUD 生活经历的人对 SUD 相关图像的反应。我们对 14 名正在从一系列 SUD 中恢复的人进行了焦点小组和简短的半结构化定性访谈。参与者确定了负面或污名化的药物使用和刑事司法接触的图像，以及认可使用的替代图像。访谈中出现了意料之外的意象引发的触发和提示反应的概念，同时强调所有意象中患者和临床医生的种族/民族、性别和年龄的多样性。这些发现有助于为描绘成瘾者、患有 SUD 的个人以及涉及从研究到媒体、公共卫生和社区规划等各个领域的司法系统的个人的图像提供信息。根据患者对视觉线索的触发效应和反应性的定性反馈，使用吸毒和吸毒用具图像来描述药物使用或滥用或笼子里的人的照片是不合适的。
Stigma is a significant barrier to the treatment of individuals with substance use disorders. While prior efforts have been made to change stigmatizing language to refer to individuals with substance use disorders (SUD), little is known about the effects of stigmatizing imagery. There is a need for complementary qualitative research to identify both stigmatizing and non-stigmatizing imagery in the field of SUD. This study used qualitative methods to identify stigmatizing and non-stigmatizing imagery for SUD and explore the reactions of people with lived experience with SUD to SUD-related imagery. We conducted focus groups and brief semi-structured qualitative interviews with 14 individuals in recovery from a range of SUD. Participants identified images of substance use and criminal justice contact that are negative or stigmatizing, along with alternative images that were endorsed for use. The unanticipated concept of imagery-induced triggering and cue reactivity emerged in the interviews, along with an emphasis on diversity in race/ethnicity, gender, and age for representations of both patients and clinicians in all imagery. The findings can be helpful in informing imagery that can depict addiction, individuals with SUD, and individuals involved in the justice system for various fields from research to media, public health, and community-based programming. Based on qualitative feedback from patients on triggering effects and reactivity to visual cues, it is never appropriate to use drug use and drug paraphernalia imagery to depict substance use or misuse or pictures of people in cages.
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DOI：
10.1111/josi.12219
发表时间：
2017-06
期刊：
The Journal of social issues
影响因子：
--
作者：
Moore KE;Tangney JP
通讯作者：
Tangney JP
影响因子：
1.7
作者：
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通讯作者：
Barr, Leah
影响因子：
6
作者：
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通讯作者：
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影响因子：
4.4
作者：
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通讯作者：
Westerhoff, Cassandra M.
影响因子：
4.2
作者：
Ashford, Robert D.;Brown, Austin M.;Curtis, Brenda
通讯作者：
Curtis, Brenda