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

博士论文研究：生物医学成瘾治疗对母亲实践的影响

• 批准号: 1728524
• 负责人: Lee Hoffer
• 金额: $ 1.5万
• 依托单位: Case Western Reserve University
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-08-01 至 2019-11-30
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1728524&HistoricalAwards=false
• 关键词: Doctoral; Dissertation; Research; Influence; Biomedicalized

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.

医学实践正在迅速地更加生物医学化：高度科学化和技术化，增加了获得更多新药的机会。这些变化并不完全是医学上的。生物医学化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环境内外的行为。生物医学治疗研究的结果引发了新的问题，例如药物使用是否影响文化习俗。该奖项支持的研究将通过成瘾治疗的透镜探索这些问题。这个项目，培训毕业生在严格的，以药物为基础的科学实地考察的方法，研究是否成瘾治疗和成瘾药物的使用影响育儿的做法和身份。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提供的组织和个人。凯利·坎普曼将在凯斯韦斯特大学的李·霍弗博士的监督下，探索生物医学化成瘾治疗对育儿实践的影响。成瘾医学的科学进步导致了新药物（如Suboxone）和新方法（如药物辅助治疗（MAT））的产生。这些新的药物被认为是治疗他们的疾病和改善他们的育儿实践的一种方式。尽管将使用成瘾药物和加强母性实践联系起来的话语，但很少有人了解母亲如何回应这些信息。该项目的目标是（1）了解寻求接受成瘾治疗的孕妇如何理解和应对成瘾治疗计划，以及（2）检查当前成瘾治疗计划的实践是否以及如何影响育儿实践。研究人员位于俄亥俄州东北部，目前阿片类药物流行的中心，将在MAT项目和项目工作人员中对项目患者（n=40）进行为期16个月的实地调查。将使用社会科学方法的组合来收集数据，包括与患者及其医疗保健提供者的访谈、调查、案例研究以及在治疗计划中和在妇女日常生活中的计划外的参与者观察。这项研究的结果将提高我们对人们如何与药物互动，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席的。