Social patterns of substance use among people with dual diagnoses.
Social patterns of substance use among people with dual diagnoses.
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DOI：
10.1023/a:1010104317348
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发表时间：
2001-03-01
期刊：
影响因子：
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通讯作者：
Drake, R E
中科院分区：
文献类型：
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作者：
Alverson, H;Alverson, M;Drake, R E
一项人种学研究是更大的新罕布什尔州双重诊断研究的一部分，在一个小子样本（n = 16）中发现，客户参与了 4 种不同的物质使用社会模式中的 1 种（有时是 2 种）。这四种模式，（1）“孤独的使用者”，（2）“小型、封闭的社会集团”，（3）“大型、开放的使用者集团”，以及（4）“创业型毒品提供者”，体现了此类物质使用的重要社会功能。当案件管理者试图说服客户放弃使用药物时，需要考虑这些社会功能，因为改变一个人的药物使用会立即影响一个人对这些用户网络的参与。个案管理者可以通过关注特定物质使用模式的社会模式来了解对某种物质使用模式的社会压力。如果客户一旦被说服尝试禁欲，要在清醒状态下得到有效支持，这些社会模式提供的许多社会功能就必须通过其他方式继续下去。
An ethnography, part of the larger New Hampshire Dual Diagnosis Study, discovered in a small subsample (n = 16) that clients participated in 1 (or sometimes 2) of 4 distinct and different social patterns of substance-use. These 4 patterns, (1) "the lone user," (2) "the small, closed social clique," (3) "the large, open user syndicate," and (4) the "entrepreneurial drug provider," manifest important social functions of such substance-use. These social functions need to be taken into account as case managers attempt to persuade clients to abstain from using substances, because changing one's substance-use immediately affects one's participation in these user networks. Case managers can understand the social pressures toward certain patterns of substance-use by attending to the social patterning of that use. Many social functions provided by these social patterns must be continued by other means if clients, once persuaded to attempt abstinence, are to be effectively supported in their sobriety.