Dissertation Research: Changing Views of Social Roles among Clients in a Residential Addiction Treatment Program

凯斯西储大学博士生艾莉森·施洛瑟将在李·霍弗博士的指导下，研究如何通过与健康相关的权力和知识为客户提供成瘾治疗方面的社会政治包容。这项研究考察了在结合了生物医学技术、互助和各种心理疗法的临床混合成瘾治疗中客户的新出现的公民身份形式。这项研究将客户体验与经济效率、个人选择和自我责任的价值观联系起来。施洛瑟将在美国中西部一个后工业化城市的一个住宅成瘾治疗设施和周围社区进行为期19个月的实地研究。她将专注于客户的公民身份是如何在临床混合成瘾治疗和治疗后生活中构建的。本研究基于纵向人种学设计，包括在治疗期间对随机选择的受试者(N=40)进行参与者观察和重复深入访谈，以及对治疗后6个月的受试者(n=12)进行有重点的人种学(人种学阴影、非正式访谈和深度访谈)。分析将侧重于不同位置的客户(按性别、自我报告的种族和受托/自愿治疗状态)如何经历治疗，以及他们参与各种形式的治疗与他们的社会政治融入有何关系。这项研究有助于人类学和相关的社会理论，探讨在更广泛的文化和经济趋势塑造的复杂卫生干预背景下，新形式的公民身份是如何出现的。这项研究有助于我们了解卫生服务结构和提供的变化如何影响社会中最边缘群体的社会政治融入，从而也将为卫生服务和公共政策提供必要的知识。资助这项研究还支持社会科学家的教育

Case Western Reserve University doctoral student Allison Schlosser, guided by Dr. Lee Hoffer, will undertake research on how socio-political inclusion is mediated by health-related power and knowledge for clients in addiction treatment. This study examines emergent forms of citizenship among clients in clinically hybrid addiction treatment that combines biomedical technologies, mutual-aid, and various psychotherapies. This research situates client experience in relation to values of economic efficiency, individual choice, and self-responsibility. Schlosser will conduct 19 months of field research at a residential addiction treatment facility and the surrounding community in a post-Industrial city in the Midwestern United States. She will focus on how clients' citizenship is constructed in relation to clinically hybrid addiction treatment and in post-treatment life. This study is grounded in a longitudinal ethnographic design including participant-observation and repeated in-depth interviews with randomly selected clients (N=40) during treatment and focused ethnography (ethnographic shadowing, informal interviews, and in-depth interviews) with a sub-sample of clients (n=12) for 6 months of post-treatment. Analyses will focus on how diversely positioned clients (by gender, self-reported race, and mandated/voluntary treatment status) experience treatment and how their engagement with various forms of treatment relates to their socio-political inclusion. This research contributes to anthropological and related social theory examining how novel forms of citizenship emerge in the context of complex health interventions that are shaped by broader cultural and economic trends. By contributing to our understanding of how shifts in the structure and provision of health services in a influence the socio-political inclusion of the most marginal in society, this study will also provide essential knowledge to inform health services and public policy. Funding this research also supports the education of a social scientist