Recovery, Identity, Resistance: Exploring Substance Use Stigma in Rural Ontario

IF 2.3 Q1 SOCIAL WORK

Journal of Progressive Human Services Pub Date : 2023-09-20 DOI:10.1080/10428232.2023.2259781

Sandra R. McNeil

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引用次数: 0

Abstract

ABSTRACTAlthough much attention focuses on mental health recovery and stigma, less attention is paid to substance use especially in rural areas. This qualitative study draws on Foucauldian and intersectional approaches to examine the sociocultural processes by which stigmatized identities are constructed and rejected at micro and macro levels. A thematic analysis is applied to 40 interviews with people with substance use issues in two rural communities. Findings illustrate that stigma is constructed through binary identity categories and intersectional identities rooted in neoliberal contexts. Resistance is demonstrated at personal, peer, public, and structural levels, offering counter narratives of strength and resilience.KEYWORDS: Recoverystigmasubstance useresistancerural Disclosure statementNo potential conflict of interest was reported by the author(s).Data availability statementData available on request due to privacy/ethical restrictionsEthics approvalThis work was approved on November 21, 2018 by the University of Toronto Research Ethics Board for Human Participants. RIS Human Protocol Number 36,833 and Protocol #11319.Additional informationFundingThis work was supported by the Social Sciences and Humanities Research Council of Canada under Grant 752-2016-1135.

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康复，身份，抵抗:探索物质使用耻辱在农村安大略省

摘要:尽管人们对心理健康的恢复和病耻感关注甚多，但对药物使用的关注却很少，尤其是在农村地区。这一定性研究借鉴了福柯式和交叉性的方法，在微观和宏观层面上考察了被污名化的身份被建构和拒绝的社会文化过程。对两个农村社区中有药物使用问题的人进行了40次访谈，并对其进行了专题分析。研究结果表明，耻辱是通过二元身份类别和根植于新自由主义背景下的交叉身份构建的。阻力表现在个人、同伴、公共和结构层面，提供了力量和弹性的反叙述。关键词:药物回收、药物使用、药物耐受性披露声明作者未报告潜在利益冲突。数据可用性声明由于隐私/伦理限制，应要求提供数据伦理批准本工作于2018年11月21日由多伦多大学人类参与者研究伦理委员会批准。RIS人类协议编号36,833和协议#11319。本研究由加拿大社会科学与人文研究理事会资助，项目编号752-2016-1135。

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来源期刊

Journal of Progressive Human Services SOCIAL WORK-

CiteScore

3.20

自引率

8.30%

发文量

期刊介绍： The only journal of its kind in the United States, the Journal of Progressive Human Services covers political, social, personal, and professional problems in human services from a progressive perspective. The journal stimulates debate about major social issues and contributes to the development of the analytical tools needed for building a caring society based on equality and justice. The journal"s contributors examine oppressed and vulnerable groups, struggles by workers and clients on the job and in the community, dilemmas of practice in conservative contexts, and strategies for ending racism, sexism, ageism, heterosexism, and discrimination of persons who are disabled and psychologically distressed.