Doctoral Dissertation Research: The Influence of Biomedicalized Addiction Treatment on Mothering Practices

医学实践迅速变得更加生物医学化：高度科学化和技术化，增加了获得更多新药物的机会。这些变化并不是严格意义上的医学变化。生物医学治疗还创造并巩固了以减少风险和优化健康为重点的文化信息。社会科学研究表明，这种新型医学可以显著影响临床内外的行为。生物医学治疗的研究结果引发了新的问题，例如药物的使用是否会影响文化习俗。该奖项支持的研究将通过成瘾治疗的视角来探索这些问题。该项目以严谨的、以经验为基础的科学实地考察方法培训毕业生，研究成瘾治疗和成瘾药物的使用是否会影响母亲的做法和身份。除了为人类学研究生的培训提供资金外，研究结果还将传播给参与最佳医疗保健服务的组织和个人。在凯斯西大学李·霍弗博士的指导下，凯利·坎普曼将探索生物医学成瘾治疗对育儿实践的影响。在成瘾药物方面的科学进步导致了诸如Suboxone之类的新药物和诸如药物辅助治疗（MAT）之类的新方法的产生。这些新药物被设计成既能治疗她们的疾病，又能改善她们的育儿方式。尽管有一些论述将成瘾药物的使用与加强育儿实践联系起来，但人们对母亲如何回应这些信息却知之甚少。该项目的目标是(1)了解寻求成瘾治疗的孕妇如何理解和应对成瘾治疗方案，以及(2)检查当前成瘾治疗方案的做法是否以及如何影响母亲的做法。该研究位于俄亥俄州东北部，是当前阿片类药物流行的中心，研究人员将在MAT项目和项目工作人员中有目的的项目患者样本（n=40）中进行16个月的实地调查。数据的收集将使用多种社会科学方法，包括与患者及其医疗保健提供者的访谈、调查、案例研究以及治疗方案内和方案外妇女日常生活中的参与者观察。这项研究的发现将提高我们对人们如何与药物相互作用、药物如何影响文化行为和自我概念的理解，并提供有关怀孕和成瘾的生活经历的信息，这些信息在研究和公共政策讨论中基本上是缺失的。

The practice of medicine is rapidly more biomedicalized: highly scientific and technological, with enhanced access to increased amounts of new medications. The changes are not strictly medical. Biomedicalized treatment has also created and entrenched cultural messages focused on reducing risks and optimizing health. Social science research has shown that this new style of medicine can significantly influence behavior, both inside and outside the clinical setting. Findings from research on biomedicalized treatment have led to new questions, such as whether or not pharmaceutical use affects cultural practices. The research supported by this award will explore such questions through the lens of addiction treatment. This project, which trains a graduate in methods of rigorous, empirically-grounded scientific fieldwork, examines whether addiction treatment and addiction pharmaceutical use influences mothering practices and identities. In addition to providing funding for the training of a graduate student in anthropology, findings will be disseminated to organizations and individuals involved in optimal health care delivery.Kelley Kampman, under the supervision of Dr. Lee Hoffer of Case Western University, will explore what influence biomedicalized addiction treatment has on mothering practices. Scientific advances in addiction medicine have led to the creation of new pharmaceuticals, such as Suboxone, and new methodologies such as medication-assisted treatment (MAT). These new medications are framed as a way to both treat their disease and improve their mothering practices. Despite discourses that link the use of addiction medications and the enhancement of mothering practices, there is little understanding of how mothers respond to these messages. The objectives of the project are (1) to understand how pregnant women seeking undergoing addiction treatment understand and respond to an addiction treatment program, and (2) to examine if and how current addiction treatment program practices influence mothering practices. Situated in Northeast Ohio, at the center of the current opioid epidemic, the researcher will conduct 16 months of fieldwork among a purposive sample of program patients (n=40) in a MAT program and program staff. Data will be collected using a mix of social science methods including interviews with both patients and their healthcare providers, surveys, case studies, and participant observation in the treatment program and outside the program in the women's daily lives. Findings from this research will improve our understanding of how people interact with pharmaceuticals, how pharmaceuticals influence cultural behaviors and concepts of self, and provide information on the lived experiences of pregnancy and addiction which has largely been absent in research and public policy discussions.