Users' experiences of heroin and methadone treatment

Users' experiences of heroin and methadone treatment
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DOI:
10.1080/10826080500259497
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发表时间:
2005-01-01
影响因子:
2
通讯作者:
Ridge, D
Ridge, D
中科院分区:
医学4区
文献类型:
--
作者:
Gourlay, J;Ricciardelli, L;Ridge, D

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本研究于2003年在澳大利亚墨尔本进行,检查并比较了不同的个人和社会资源与参与者使用海洛因和美沙酮的关系,以及他们的耻辱和项目监管经历,以及他们的评价美沙酮治疗。深入访谈了10名参与者(5男5女),年龄在25至42岁之间。有目的地寻找具有不同个人和社会环境的参与者。研究结果表明,“非成瘾”或“功能性”自我概念的用户拥有更多的资源和支持性社会关系,帮助他们制定现实的治疗期望,避免与美沙酮相关的耻辱,并专注于治疗的好处。相反,资源有限、社会联系少、自我概念消极的“冲突”使用者认为美沙酮是一种成瘾,是一种高度污名化和剥夺权力的干预措施。现在需要有区分用户和设法改善用户个人和社会资源的社会政策。
The present study, conducted in 2003, Melbourne, Australia, examined and compared how different personal and social resources related to participants' use of both heroin and methadone, as well as their experiences of stigma and program regulation, and their evaluation of methadone treatment. In-depth interviews were conducted with 10 participants (five men, five women) aged between 25 and 42. Participants who had diverse personal and social circumstances were purposefully sought. Findings showed that users with "non-addict" or ''functional" self-concepts had more resources and supportive social relationships that assisted them to develop realistic treatment expectations, avoid the stigma associated with methadone, and focus on the benefits of the treatment. Conversely, "conflicted" users with limited resources, few social connections, and negative self-concept saw methadone as an addiction, and as a highly stigmatizing and disempowering intervention. Social policies that differentiate users and address ways of improving users' personal and social resources are now needed.