A qualitative examination of social identity and stigma among adolescents recovering from alcohol or drug use.
A qualitative examination of social identity and stigma among adolescents recovering from alcohol or drug use.
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DOI：
10.1016/j.abrep.2023.100505
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发表时间：
2023-12
影响因子：
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通讯作者：
Hennessy, Emily A
中科院分区：
文献类型：
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作者：
Blyth, Sophia H;Cowie, Kiefer;Jurinsky, Jordan;Hennessy, Emily A
恢复青春有时会在社交网络中感受到他人的耻辱。家庭成员、朋友和其他同龄人都经历过耻辱。恢复青春有时会将耻辱内在化（即自我耻辱） 朋友/家人披露后的支持可以消除耻辱。酒精和其他药物（AOD）使用障碍是一种耻辱状况，但人们对年轻人的这种耻辱经历知之甚少，这可能会威胁到他们正在发展的社会身份和康复过程。本研究调查了青少年在其社会身份背景下对 AOD 使用相关耻辱的看法。这项研究使用了 12 名正在从 AOD 使用问题中恢复的青少年（17-19 岁）的数据。参与者完成了成瘾康复中的社会身份映射（SIM-AR）练习，其中他们创建了其社交群体的可视化地图，并完成了半结构化访谈，其中参与者被问及创建 SIM-AR 的经验以及对其社交网络的反思。对 SIM-AR 数据进行了描述性分析，并对访谈进行了主题分析，以了解耻辱的情况。使用污名化术语，参与者对自己和网络中使用药物的其他人表达了一些污名化态度，并从那些了解他们的疾病的人那里感受到了积极和消极的反应。研究结果表明，青少年可能会经历一些内在的耻辱，并在社交网络中感受到来自其他人的耻辱，这可能会成为发展健康的社会身份和参与康复支持的障碍。在寻求让青少年参与治疗和康复计划时应考虑这些发现。尽管样本很小，但研究结果表明，必须考虑耻辱感如何影响青少年在社会环境中的治疗和康复经历。
Recovering youth sometimes perceive stigma from others in their social networks. Stigma was experienced from family members, friends, and other peers. Recovering youth sometimes internalize stigma (i.e., self-stigmatize) Support after disclosure from friends/family can combat stigma. Alcohol and other drug (AOD) use disorders are stigmatized conditions, but little is known about youth’s experience of this stigma, which may threaten their developing social identity and recovery process. This study investigates youth’s perceptions of AOD use-related stigma in the context of their social identity. This study uses data from 12 youth (ages 17–19) who were in recovery from problematic AOD use. Participants completed a Social Identity Mapping in Addiction Recovery (SIM-AR) exercise, in which they created a visual map of their social groups, and semi-structured interview, in which participants were asked about their experience creating their SIM-AR and reflections on their social network. SIM-AR data were descriptively analyzed, and interviews were thematically analyzed for instances of stigma. Using stigmatizing terminology, participants expressed some stigmatizing attitudes towards themselves and others in their network who used substances and perceived both positive and negative reactions from those who knew about their disorder. Findings suggest that youth may experience some internalized stigma and perceive stigma from others in their social networks, which may be a barrier to the development of a healthy social identity and engagement in recovery supports. These findings should be considered when seeking to engage youth in treatment and recovery programming. Despite the small sample, the findings suggest the importance of considering how stigma may influence adolescents’ treatment and recovery experience in the context of their social environment.