Punishment or Protection? A Narrative Analysis of how Coercive, Judicial Treatment Initiation Pathways are Constructed in Drug Users' Life Stories

惩罚还是保护？

• 批准号: 1943991
• 金额: --
• 依托单位: University of York
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2017
• 资助国家: 英国
• 起止时间: 2017 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-1943991
• 关键词: Punishment; Protection; Narrative; Analysis; how

Addiction has come to be framed medically, rather than an issue of deviance (Shiner, 2003). Despite this, British drug policy allowed for the use of Drug Treatment and Testing Orders (DTTOs), and now utilises Drug Rehabilitation Requirements (DRRs) in Dedicated Drug Courts (DDCs) (MoJ, 2008). Court-ordered drug treatment can be seen as a necessary intervention, in the best interests of those who reject voluntary treatment. At worst, such measures could be considered tantamount to enforced wellness. But how are these measures constructed within the "storied lives" (Plummer, 1995) of those subjected to them?In the Security, Conflict and Justice Pathway, this thesis will question: to what extent are judicial treatment initiation interventions constructed as a beneficial pathway toward recovery that enables agency, within drug users' life-story narratives? The following sub-questions will operationalise this research question: do participants feel that being subjected to a DTTO, DRR or the DDC process helped them take control over their life, health, family, finances; or gave them less control? Do participants perceive coerced treatment as a genuine (if constrained) choice or as an imposition? Is personal motivation narratively emphasised in terms of treatment engagement? Is motivation to enter treatment constructed differently from ability to engage with it? Are some forms of coercion perceived more favourably, or as more effective, than others?This study will use narrative methods. Using targeted sampling, participants with experience of DTTOs or DDCs will be recruited from treatment centres and interviewed using the narrative technique (Irving, 2011). The interviews will be unstructured, encouraging participants to frame concepts of coercion and agency themselves, without being constrained to potentially conceptually unsound (Seddon, 2007) questions. The data will be analysed using the technique outlined by Riessman (2008), which comprises both thematic and structural analyses.This thesis will enhance our collective knowledge on coerced addiction treatment. Much of the theoretical literature is conceptually flawed (Seddon, 2007). By allowing participants to define coercion and agency for themselves, this thesis could contribute to the synthesis of sound conceptual definitions. Methodologically, narratives of coerced treatment are often ignored (Urbanoski, 2010). This thesis will contribute to the rising use of narrative methods in addiction studies (Damon et al, 2016). Moreover it will enhance the empirical research on DTTOs and DDCs, which for DDCs especially, is limited and mainly quantitative (McSweeney et al, 2006; Kerr et al, 2011). This study could also influence future drug policy.Background research Y1T1Methods planning Y1T2Develop Interview Material Y1T3Recruit Sample Y1T4-Y2T1Data Collection Y2T2-4Data Analysis Y3T1-2Drafting Y3T2-3Final Draft Y3T4(Y= Year, T=Term)

成瘾已经被定义为医学上的问题，而不是越轨问题（Shiner，2003）。尽管如此，英国毒品政策允许使用毒品治疗和测试令 (DTTO)，并且现在在专门毒品法庭 (DDC) 中采用戒毒康复要求 (DRR)（司法部，2008 年）。法院下令的戒毒治疗可以被视为一种必要的干预措施，符合那些拒绝自愿治疗的人的最大利益。在最坏的情况下，此类措施可能被视为等同于强制健康。但这些措施是如何在那些遭受这些措施的人的“故事生活”（Plummer，1995）中构建的？在安全、冲突和正义途径中，本文将提出问题：在吸毒者的生活故事叙述中，司法治疗启动干预在多大程度上被构建为一种实现康复的有益途径，使代理成为可能？以下子问题将具体化该研究问题：参与者是否认为接受 DTTO、DRR 或 DDC 流程有助于他们掌控自己的生活、健康、家庭、财务？或者给他们更少的控制权？参与者是否将强迫治疗视为真正的（如果受到限制）选择还是强加？在治疗参与方面是否强调了个人动机？进入治疗的动机与参与治疗的能力是否不同？某些形式的胁迫是否比其他形式更受欢迎或更有效？本研究将使用叙事方法。通过有针对性的抽样，将从治疗中心招募具有 DTTO 或 DDC 经验的参与者，并使用叙述技术进行访谈（Irving，2011）。访谈将是非结构化的，鼓励参与者自己构建强制和代理的概念，而不局限于概念上可能不合理的问题（Seddon，2007）。数据将使用 Riessman (2008) 概述的技术进行分析，其中包括主题分析和结构分析。本论文将增强我们对强迫成瘾治疗的集体知识。许多理论文献在概念上都存在缺陷（Seddon，2007）。通过允许参与者为自己定义强制和代理，本文可以有助于综合合理的概念定义。从方法论上讲，强迫治疗的叙述常常被忽视（Urbanoski，2010）。本论文将有助于在成瘾研究中越来越多地使用叙事方法（Damon 等，2016）。此外，它将加强对 DTTO 和 DDC 的实证研究，特别是对于 DDC 来说，实证研究是有限的并且主要是定量的（McSweeney 等，2006；Kerr 等，2011）。这项研究也可能影响未来的药物政策。背景研究Y1T1方法规划Y1T2制定访谈材料Y1T3招募样本Y1T4-Y2T1数据收集Y2T2-4数据分析Y3T1-2起草Y3T2-3最终草案Y3T4(Y=年份，T=学期)