Isla Evangelista -: A story of church and state:: Puerto Rico's faith-based initiatives in drug treatment

Isla Evangelista -: A story of church and state:: Puerto Rico's faith-based initiatives in drug treatment
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DOI:
10.1007/s11013-006-9002-6
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发表时间:
2005-12-01
影响因子:
1.7
通讯作者:
Hansen, Helena
Hansen, Helena
中科院分区:
医学3区
文献类型:
--
作者:
Hansen, Helena

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本文描述了导致波多黎各 2000 年心理健康法的争论,该法将成瘾定义为精神和社会问题,而不是精神障碍,以追踪波多黎各针对成瘾的三种相互竞争的方法:传道者、生物医学和减少伤害者。本文重点介绍了波多黎各街头事工的福音派方法如何挑战美国基于信仰的倡议和美国禁毒战争的惩罚性方法背后的个人主义,本文的结论是,在多元化的成瘾治疗体系内对生物医学和减少伤害方法的公共资助将最好地支持对成瘾问题的福音派方法的优点。
This article describes the debates leading to Puerto Rico's Mental Health Law of 2000, which defined addiction as a spiritual and social problem rather than a mental disorder, in order to trace three competing approaches to addiction in Puerto Rico: evangelist, biomedical, and harm-reductionist. Highlighting the ways in which the evangelist approach of Puerto Rican street ministries challenges the individualism underlying US faith-based initiatives and the punitive approach of the US War on Drugs, this article concludes that the virtues of the evangelist approach to addiction would be best supported by public funding for biomedical and harm-reduction approaches within a pluralistic system of treatment for addiction.