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的机会。这些变化并不是严格意义上的医学上的。生物医疗化治疗也创造了并根深蒂固的文化信息，专注于降低风险和优化健康。社会科学研究表明，这种新的药物风格可以显著影响临床环境内外的行为。对生物医学治疗的研究发现引发了新的问题，例如药物使用是否会影响文化实践。这项由该奖项支持的研究将通过成瘾治疗的镜头来探索这些问题。这个项目对毕业生进行严格的、有经验的科学田野调查方法的培训，调查成瘾治疗和成瘾药物的使用是否会影响育儿实践和身份认同。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。凯斯·坎普曼将在凯斯西大学的李·霍弗博士的指导下，探索生物医学成瘾治疗对育儿实践的影响。成瘾医学的科学进步催生了新的药物，如Suboxone，以及新的方法，如药物辅助治疗(MAT)。这些新药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。尽管有论述将吸毒成瘾药物的使用与加强育儿实践联系在一起，但人们对母亲如何回应这些信息知之甚少。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回应成瘾治疗方案，以及(2)检查当前成瘾治疗方案的做法是否以及如何影响育儿实践。位于俄亥俄州东北部，处于当前阿片类药物流行的中心，研究人员将在MAT计划和计划工作人员中对有目的的计划患者(n=40)进行为期16个月的实地工作。数据将使用社会科学方法的组合来收集，包括对患者和他们的医疗保健提供者的采访、调查、案例研究以及治疗计划内和计划外对女性日常生活的参与者观察。这项研究的发现将提高我们对人们如何与药物互动，药物如何影响自我的文化行为和概念的理解，并提供关于怀孕和成瘾的生活经历的信息，这在很大程度上是研究和公共政策讨论中缺失的。

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.