LIVING WITH THE DIRTY SECRET - PROBLEMS OF DISCLOSURE FOR METHADONE-MAINTENANCE CLIENTS
LIVING WITH THE DIRTY SECRET - PROBLEMS OF DISCLOSURE FOR METHADONE-MAINTENANCE CLIENTS
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DOI：
10.1080/02791072.1992.10471646
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发表时间：
1992-07-01
影响因子：
2.8
通讯作者：
IRWIN, J
中科院分区：
文献类型：
--
作者：
MURPHY, S;IRWIN, J
这篇文章的重点是美沙酮维持治疗患者的污名管理。它探讨了（1）这种持续的耻辱，这需要保密的后果，（2）为了成功地“通过正常”和（3）美沙酮维持的个人决定透露他们的污名化的地位的情况下所作的调整。报告和分析的数据是在1980年至1989年期间由国家药物滥用研究所资助的一系列研究中收集的。这三项研究-“使用美沙酮的妇女”、“摆脱美沙酮”和“阿拉米达县美沙酮研究”-利用了定性、深入访谈和人种学抽样技术，主要是连锁转诊抽样。经过十年的采访，在美沙酮维持生涯的各个阶段，反复出现的主题，其中之一是，作为一个美沙酮患者是一个边缘的身份;不太吸毒，暴乱相当传统。客户管理这种污名化身份的努力往往笼罩在痛苦和秘密之中。美沙酮患者处于一种身份的边缘;两个极端不同的社会世界之间的持有模式。他们试图改变自己的身份;然而，在许多情况下，他们仍然与自己的“肮脏秘密”联系在一起，并被其所定义。"
This article focuses on the management of stigma by methadone maintenance patients. It explores (1) the consequences of this persistent stigma, which necessitates the need for secrecy, (2) the adaptations made in order to successfully "pass as normal" and (3) the contexts in which methadone-maintained individuals decide to disclose their stigmatized status. The data reported and analyzed were gathered between 1980 and 1989 during a series of studies funded by the National Institute on Drug Abuse. The three studies-"Women on Methadone," "Getting Off Methadone," and "Alameda County Methadone Study"-utilized qualitative, in-depth interviews and ethnographic sampling techniques, primarily chain referral sampling. After ten years of interviewing women and men in various stages of their methadone maintenance careers, recurring themes emerged, one of which was that being a methadone patient is a marginal identity; not quite junkie, riot quite conventional. Clients' efforts to manage this stigmatized identity were often shrouded in anguish and secrecy. Methadone patients were in a kind of identity limbo; a holding pattern between two extremely different social worlds. They were trying to effect an identity transformation; however, in many circumstances they were still associated with and defined by their "dirty secret."