"I don't have to know why it snows, I just have to shovel it!": Addiction Recovery, Genetic Frameworks, and Biological Citizenship.

"I don't have to know why it snows, I just have to shovel it!": Addiction Recovery, Genetic Frameworks, and Biological Citizenship.
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DOI:
10.1057/s41292-017-0045-4
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发表时间:
2017-12
期刊:
影响因子:
1.6
通讯作者:
McCormick J
McCormick J
中科院分区:
医学4区
文献类型:
--
作者:
Dingel MJ;Ostergren J;Heaney K;Koenig BA;McCormick J

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这种基因已经渗透到公民看待自己和健康的方式中。然而,很少有研究探讨遗传概念如何渗透到个人对自身健康的理解中,因为它与成瘾等行为特征有关。寻求成瘾治疗的人是否以一种塑造他们经历的方式将他们的自我认知建立在生物学基础上?我们采访了63名成瘾治疗项目的参与者,询问他们如何在康复的背景下理解成瘾的遗传学意义,以及如何处理成瘾的耻辱。在我们的样本中,大约三分之二的人没有发现成瘾的遗传概念对他们个人在治疗中有用,相反,他们认为成瘾的原因与他们每天保持禁欲的斗争无关。三分之一的受访者认为,对成瘾遗传倾向的个性化确认将有助于他们处理羞耻感并接受治疗。我们的绝大多数样本认为,对成瘾的遗传理解将减少与成瘾相关的耻辱感,这表明了遗传解释在美国社会中的感知力量。我们的研究结果表明,受访者(不均匀)地面自己作为一个上瘾的个人在生物学上的自我认知。
The gene has infiltrated the way citizens perceive themselves and their health. However, there is scant research that explores the ways genetic conceptions infiltrate individuals’ understanding of their own health as it relates to a behavioral trait, like addiction. Do people seeking treatment for addiction ground their self-perception in biology in a way that shapes their experiences? We interviewed 63 participants in addiction treatment programs, asking how they make meaning of a genetic understanding of addiction in the context of their recovery, and in dealing with the stigma of addiction. About two-thirds of people in our sample did not find a genetic conception of addiction personally useful to them in treatment, instead believing that the cause was irrelevant to their daily struggle to remain abstinent. One-third of respondents believed that an individualized confirmation of a genetic predisposition to addiction would facilitate their dealing with feelings of shame and accept treatment. The vast majority of our sample believed that a genetic understanding of addiction would reduce the stigma associated with addiction, which demonstrates the perceived power of genetic explanations in U.S. society. Our results indicate that respondents (unevenly) ground their self-perception of themselves as an addicted individual in biology.
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