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

成瘾已经被医学框架，而不是一个越轨行为的问题（Shiner，2003）。尽管如此，英国的毒品政策允许使用戒毒治疗和检测令，现在在专门的毒品法庭使用戒毒康复要求（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，符合拒绝自愿治疗者的最大利益。在最坏的情况下，这些措施可以被认为等同于强制健康。但是，这些措施是如何在那些受其影响的人的“传奇生活”（Plummer，1995年）中构建的？在安全，冲突和正义的途径，本文将质疑：在多大程度上是司法治疗启动干预措施的建设，使机构，在吸毒者的生活故事叙述的一个有益的途径走向复苏？以下子问题将使这一研究问题具有可操作性：参与者是否认为接受DTTO、DRR或DDC程序有助于他们控制自己的生活、健康、家庭、财务;还是减少了他们的控制？受试者是否认为强迫治疗是一种真正的（如果受到限制的话）选择还是一种强加？在治疗参与方面，个人动机是否被叙事性地强调？参与治疗的动机是否与参与治疗的能力不同？是否认为某些形式的胁迫比其他形式更有利或更有效？本研究将采用叙事方法。将使用目标抽样，从治疗中心招募有DTTO或DDC经验的受试者，并使用叙述技术进行访谈（欧文，2011）。访谈将是非结构化的，鼓励参与者自己构建胁迫和代理的概念，而不限于潜在的概念上不合理的问题（Seddon，2007）。数据将使用Riessman（2008）概述的技术进行分析，该技术包括主题分析和结构分析。许多理论文献在概念上是有缺陷的（Seddon，2007）。通过允许参与者为自己定义胁迫和代理，本论文可以有助于综合合理的概念定义。从方法论上讲，强迫治疗的叙述往往被忽视（Urbanoski，2010年）。这篇论文将有助于成瘾研究中叙事方法的使用（Damon et al，2016）。此外，它将加强对DTTO和DDCs的实证研究，特别是对DDCs的实证研究是有限的，主要是定量的（McSweeney等人，2006年; Kerr等人，2011年）。这项研究也可能影响未来的药物政策。背景研究Y1 T1方法规划Y1 T2开发面试材料Y1 T3招募样本Y1 T4-Y2 T1数据收集Y2 T2 - 4数据分析Y3 T1 - 2起草Y3 T2 - 3最终草案Y3 T4（Y=年份，T=期限）

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)