Defying Convention.
Defying Convention.
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违反惯例。
DOI：
10.1176/appi.ps.20240168
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发表时间：
2024
影响因子：
3.8
通讯作者：
Liba Blumberger
中科院分区：
文献类型：
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作者：
Liba Blumberger
“你只是服药过量;你需要回去接受治疗，“我母亲坚定地说。我摆弄着一个回形针以转移我对母亲所说的话的注意力。我愚蠢地希望忽略她的最后一句话，她会离开或改变话题。她满怀希望地问道：“我和你以前的治疗顾问谈过，你很喜欢的那个，他同意你应该重新接受治疗。你愿意回去吗？”我思考了她的问题，考虑了重新接受治疗的利弊。我可能沉默了太久，但我想确保我的决定是经过仔细考虑的。虽然我很幸运有这样一个支持和关怀的母亲，以及接受持续治疗的机会，但我怀疑治疗对我来说是否是最好的选择。思考了这个问题后，我终于回答说：“妈妈，我已经接受过多次治疗了。每次我回来，我都感到沮丧和沮丧，并最终在一周内复发。你知道我在学校表现很好。我就不能回去上课吗？”我预料母亲会不赞成这个建议。在这种情况下，她为什么要同意我？接受高等教育从来就不是阿片类药物使用障碍的治疗方式，就在前一周，我的衬衫在附近的急诊室被撕开，我被救活了。当我进一步思考我的提议时，我突然意识到这在我母亲听来是多么可笑。一个刚刚服药过量的人怎么能在课堂上充分参与呢？如果我还没有准备好回到课堂，我应该回去接受治疗吗？我参加过的大多数治疗中心都坚持12步计划，这是一个植根于基督教原则的常见治疗框架。在这个项目中，我经常被建议“工作你的步骤。只要你努力，这个计划就会奏效。”然而，每次我完成12个步骤时，这种方法都被证明是无效的。作为一个无神论者，我不赞成更高权力的概念。难道要我接受治疗，直到我相信这种力量吗？
“You just overdosed; you need to go back to treatment,” my mother said firmly. I fiddled with a paperclip to divert my attention from what my mother was saying. I had foolishly hoped that by ignoring her last remark, she would leave or change the topic. In a hopeful manner, she asked,“I had a conversation with your prior treatment counselor, the one you were so fond of, and he agreed that you should return to treatment. Would you be willing to go back?” I pondered her question, considering the advantages and disadvantages of returning to treatment. I may have been quiet for a bit too long, but I wanted to ensure that my decision was carefully considered. Although I felt fortunate to have such a supportive and caring mother, as well as the opportunity to receive continued treatment, I questioned whether treatment was the best choice for me. After contemplating the question, I finally replied,“Mommy, I’ve been to treatment numerous times. Each time I return, I feel depressed and dejected and end up relapsing within the week. You know I do well when I am in school. Can’t I just return to my classes?” I anticipated that my mother would frown on this suggestion. Given the circumstances, why would she agree with me? Enrollment in higher education has never served as a treatment modality for opioid use disorder, and in the previous week, my shirt had been ripped open in a nearby emergency room (ER) to resuscitate me. As I further reflected on my proposal, it dawned on me how ludicrous it must have sounded to my mother. How could someone who had just overdosed be fit to participate adequately in class? If I wasn’t ready to return to class, should I return to treatment instead? Most of the treatment centers I had attended adhered to the 12-step program, a common treatment framework rooted in Christian principles. In this program, I was frequently advised to “Work your steps. The program works if you work it.” However, that method proved ineffective each time I completed my 12 steps. Being an atheist, I didn’t subscribe to the concept of a higher power. Was I supposed to undergo treatment until I believed in such a power?