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

凯斯西储大学的博士生Allison Schlosser将在Lee Hoffer博士的指导下，为成瘾治疗的客户进行社会政治包容如何由健康相关的权力和知识介导的研究。本研究考察了在临床混合成瘾治疗中结合生物医学技术、互助和各种心理治疗的客户中出现的公民形式。本研究将客户体验与经济效率、个人选择和自我责任的价值联系起来。Schlosser将在美国中西部一个后工业城市的住宅成瘾治疗机构及其周边社区进行19个月的实地研究。她将重点关注客户的公民身份是如何在临床混合成瘾治疗和治疗后的生活中构建的。本研究以纵向民族志设计为基础，包括参与者观察和治疗期间随机选择的客户（N=40）的重复深度访谈，以及治疗后6个月对客户子样本（N= 12）的集中民族志（民族志跟踪、非正式访谈和深度访谈）。分析将侧重于不同定位的客户（按性别、自我报告的种族和强制/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如何与他们的社会政治包容有关。这项研究有助于人类学和相关的社会理论，研究在受更广泛的文化和经济趋势影响的复杂健康干预措施背景下，新形式的公民身份是如何出现的。通过帮助我们理解结构和卫生服务提供的变化如何影响社会中最边缘群体的社会政治包容，这项研究还将为卫生服务和公共政策提供必要的知识。资助这项研究也支持了社会科学家的教育

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