Empowered and self-managing users in methadone treatment?
Empowered and self-managing users in methadone treatment?
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DOI：
10.1080/13691457.2012.739560
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发表时间：
2014-01-01
影响因子：
1.5
通讯作者：
Nielsen, Bjarke
中科院分区：
文献类型：
--
作者：
Bjerge, Bagga;Nielsen, Bjarke
赋权是治疗的关键词。用户应该有方法和可能性来影响他们的治疗并进行自我管理。根据丹麦美沙酮治疗项目的人种学实地调查，我们发现使用者和工作人员的做法往往不符合政府的意图。我们发现官方的治疗理念和实践之间存在差距。我们通过应用两种分析视角来分析赋权的概念和实践。首先，我们运用建构主义的视角，将赋权分析为“想要让用户自由”，同时也将其作为治理的方式。我们通过应用更加注重实践的焦点来详细阐述分析。借鉴这个视角，我们分析了工作人员和使用者不断产生、构建和协商与政府待遇意图不同的制度实践的方式。
Empowerment is a keyword in treatment. Users should have the means and possibilities to influence their treatment and become self-managing. Drawing on ethnographic fieldwork in a Danish methadone treatment project, we find that the practices of users and staff are often not carried out in accordance with governmental intentions. We identify a gap between the official notions of treatment and practices. We analyse the notions and practices of empowerment by applying two analytical perspectives. First, we apply a constructionist perspective in which empowerment is analysed as wanting to set users free' but also as ways to govern. We elaborate the analysis by applying a more practice-oriented focus. Drawing on this perspective, we analyse the ways in which staff and users constantly produce, construct and negotiate institutional practices that differ from the governmental intentions for treatment.