Entangled identities and psychotropic substance use
Entangled identities and psychotropic substance use
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DOI：
10.1111/j.0141-9889.2004.00407.x
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发表时间：
2004-07-01
影响因子：
2.9
通讯作者：
Robinson, PG
中科院分区：
文献类型：
--
作者：
Gibson, B;Acquah, S;Robinson, PG
本文报告了一项扎根理论研究的结果，该研究调查了吸毒者对口腔健康的关注和经历。本文的目的是展示这些发现如何与关注有问题的药物使用（传记重建）、慢性疾病文献（传记破坏）、公共/私人话语和成瘾神话的过程和话语的各种文献联系起来。数据收集自四个焦点小组，共包含25名参与者，并进行了15次深度访谈。参与者从戒毒项目（27人）、戒毒后康复单位（9人）和戒毒康复单位（4人）招募。数据分析显示，吸毒者最关心的问题是在吸毒期间谈论自己身份的“纠缠”性质。这种“纠缠的身份”出现在吸毒习惯和日常生活的逐渐沉淀过程中，取代了那些日常的自我。其他的问题是让自己远离使用毒品的自我（包括厌恶的表达）和恢复过程（解脱）。本文从药物使用康复的文献、慢性病文献和成瘾神话的角度来讨论这些核心问题。最后，它简要地反思了问题精神药物的使用作为另一种形式的传记破坏，这种破坏是在纠缠自我的私人话语和成瘾的公共话语之间的辩证基础上形成的。它建议在这些领域进行进一步的工作。
This paper reports the findings of a grounded theory study investigating drug users' concerns and experiences of their oral health. The aim of this paper is to demonstrate how the findings relate to various strands of literature which focus on processes and discourses of recovery from problematic drug use (biographical reconstruction), the chronic illness literature (biographical disruption), public/private discourses and the myth of addiction. Data were collected from four focus groups containing a total of 25 participants, and 15 in-depth interviews. Participants were recruited from drug detoxification programmes (27), recovery units following detoxification (9) and a drug rehabilitation unit (4). Data analysis revealed that the core concern of drug users' was talking about the 'entangled' nature of their identity whilst they were on drugs. Such 'entangled identities' emerged through what appeared to be a gradual sedimentation process of drug-using habits and routines that replaced those of the everyday self. Other concerns were distancing one's self from the drug using self (involving expressions of disgust) and recovery processes (disentangling). The paper discusses each of these core problems in the light of the literature on the recovery from drug use, the chronic illness literature and the myth of addiction. It concludes by briefly reflecting on problematic psychotropic substance use as another form of biographical disruption formed on the basis of a dialectic between private discourses of the entangled self and public discourses of addiction. It suggests that further work should be conducted in these areas.