Toward a psychology of harm reduction

Toward a psychology of harm reduction
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DOI:
10.1037/0003-066x.53.11.1199
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发表时间:
1998-11-01
影响因子:
16.4
通讯作者:
MacCoun, RJ
MacCoun, RJ
中科院分区:
心理学1区
文献类型:
--
作者:
MacCoun, RJ

文献摘要

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本文讨论了处理吸毒和其他危险行为的有害后果的三种不同策略:我们可以阻止人们从事这种行为(流行率降低),我们可以鼓励人们减少行为的频率或程度(减少数量),或者我们可以尝试在行为发生时减少有害后果(减少伤害)。这些策略并不是相互排斥的;本文提供了一个集成它们的框架。这个框架对于检验经常声称的减少危害“发出了错误的信息”很有用。对减少危害的反对在一定程度上是基于对这些战略之间潜在权衡的认识,但它也受到几个更具象征意义的心理因素的推动。探讨了成功整合患病率、减量和减害的策略。
This article discusses 3 different strategies for dealing with the harmful consequences of drug use and other risky behaviors: We can discourage people from engaging in the behavior (prevalence reduction), we can encourage people to reduce the frequency or extent of the behavior (quantity reduction), or we can try to reduce the harmful consequences of the behavior when it occurs (harm reduction). These strategies are not mutually exclusive; this article offers a framework for integrating them. The framework is useful for examining frequent claims that harm reduction "sends the wrong message." Opposition to harm reduction is based in part on a recognition of potential trade-offs among the strategies, but it is also fueled by several more symbolic psychological factors. Strategies for successfully integrating prevalence reduction, quantity reduction, and harm reduction are explored.