STORIES OF PAIN AND THE PROBLEM OF AIDS-PREVENTION - INJECTION-DRUG WITHDRAWAL AND ITS EFFECT ON RISK BEHAVIOR
STORIES OF PAIN AND THE PROBLEM OF AIDS-PREVENTION - INJECTION-DRUG WITHDRAWAL AND ITS EFFECT ON RISK BEHAVIOR
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DOI：
10.1525/maq.1994.8.1.02a00040
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发表时间：
1994-03-01
影响因子：
2.2
通讯作者：
CONNORS, MM
中科院分区：
文献类型：
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作者：
CONNORS, MM
这项研究表明，药物戒断可以被解释为一种慢性疼痛状态，它连接了身体和情感上的疼痛体验，特别是关于拒绝、羞耻、不足和孤立的感觉。通过问卷调查、访谈和人种学观察，研究了马萨诸塞州一个以工人阶级为主的工业城市18.5万名吸毒者的戒毒经历，包括正在接受治疗和正在积极使用毒品的吸毒者。研究结果表明，药物使用对身体的影响需要作为一种更广泛的慢性疾病的症状来探索，在这种慢性疾病中，疼痛既是药物成瘾的原因，也是药物成瘾的后果。这种疼痛状况使得许多吸毒者难以避免共用针头和用漂白剂清洁注射设备，因为耐受戒断症状不仅需要耐受身体症状，还需要耐受更复杂的一系列症状。这项研究表明，艾滋病教育可能需要解决戒毒的概念及其对冒险行为的影响。
This study shows that drug withdrawal can be interpreted as a chronic pain condition that bridges the physical and emotional experiences of pain, especially regarding feelings of rejection, shame, inadequacy, and isolation. The experience of withdrawal among drug users, both in treatment and actively using drugs, in a predominantly working-class, industrial Massachusetts city of 185,000 was studied through questionnaires, interviews, and ethnographic observation. The results suggest that the physical effects of drug use need to be explored as a symptom of a more extensive chronic condition in which pain is both the reason for and the consequence of drug addiction. This pain condition makes avoiding needle sharing and cleaning injection equipment with bleach difficult for many drug users because tolerance of withdrawal symptoms requires tolerating not only physical symptoms but also a more complex constellation of symptoms. This research suggests that AIDS education may need to address the notion of drug withdrawal and its effect on risk-taking behavior.