Stigma and substance use disorders: A clinical, research, and advocacy agenda.
Stigma and substance use disorders: A clinical, research, and advocacy agenda.
复制标题
DOI：
10.1037/amp0000744
复制
发表时间：
2020-12
期刊：
影响因子：
--
通讯作者：
Earnshaw VA
中科院分区：
文献类型：
--
作者：
Earnshaw VA
美国目前正在经历阿片类药物流行病，许多社区因阿片类药物过量而死亡。这一流行病是一系列与药物使用有关的全球公共卫生危机中的最新一波。作为卫生不平等的一个根本原因，污名化导致物质使用障碍（SUD）的发展，破坏SUD治疗工作，并推动这些危机中的持续差异。鉴于他们在心理和行为健康方面的专业知识，心理学家在解决SUD污名方面发挥着独特的作用。本文的目标是为心理学家制定一个议程，通过临床护理，研究和宣传来解决SUD污名。为了为这一议程奠定基础，引入了与耻辱和SUD相关的关键概念，并审查了有关耻辱和药物使用相关结果之间关联的证据。作为临床医生，心理学家有机会促进对耻辱的复原力，以防止SUD的发展，并利用接受和正念方法来减少SUD患者的内化耻辱。作为研究人员，心理学家可以澄清随着时间的推移，SUD患者的耻辱感的经历和影响，并调整减少耻辱感的工具箱来解决SUD耻辱感。作为倡导者，心理学家可以呼吁改变结构性污名，例如将SUD患者定为刑事犯罪的政策，抗议故意使用SUD污名，并在专业和社会环境中采用无污名的语言。
The United States is currently experiencing an opioid epidemic, with deaths due to opioid overdoses persisting in many communities. This epidemic is the latest wave in a series of global substance use-related public health crises. As a fundamental cause of health inequities, stigma leads to the development of substance use disorders (SUDs), undermines SUD treatment efforts, and drives persistent disparities within these crises. Given their expertise in mental and behavioral health, psychologists are uniquely positioned to play a frontline role in addressing SUD stigma. The goal of this paper is to set an agenda for psychologists to address SUD stigma through clinical care, research, and advocacy. To set the stage for this agenda, key concepts are introduced related to stigma and SUDs, and evidence is reviewed regarding associations between stigma and substance use-related outcomes. As clinicians, psychologists have opportunities to promote resilience to stigma to prevent the development of SUDs, and leverage acceptance and mindfulness approaches to reduce internalized stigma among people with SUDs. As researchers, psychologists can clarify the experiences and impacts of stigma among people with SUDs over time and adapt the stigma-reduction toolbox to address SUD stigma. As advocates, psychologists can call for changes in structural stigma such as policies that criminalize people with SUDs, protest the intentional use of SUD stigma, and adopt stigma-free language in professional and social settings.
登录
查看更多内容
DOI：
10.1111/josi.12233
发表时间：
2017-09
期刊：
The Journal of social issues
影响因子：
--
作者：
Chaudoir SR;Wang K;Pachankis JE
通讯作者：
Pachankis JE
影响因子：
120.7
作者：
Chandler, Redonna K.;Fletcher, Bennett W.;Volkow, Nora D.
通讯作者：
Volkow, Nora D.
影响因子：
2.4
作者：
Chaudoir SR;Earnshaw VA;Andel S
通讯作者：
Andel S
影响因子：
5.4
作者：
Dovidio, John F.;Penner, Louis A.;Shelton, J. Nicole
通讯作者：
Shelton, J. Nicole
影响因子：
22.4
作者：
Chaudoir, Stephenie R.;Fisher, Jeffrey D.
通讯作者：
Fisher, Jeffrey D.