“I was already there once”: Cumulative attempt capital of marginalized women exiting substance use and street prostitution contributes to their recovery capital

IF 3.4 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY
Nili Gesser
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Abstract

Despite a move to view substance use as a disease of the brain, relapse into drugs is still often viewed as a personal failure. Low recovery capital has been used to explain relapse among certain marginalized populations. Recovery capital is a recent framework that refers to the individual's sum of all internal and external assets that may assist in their recovery process. It includes four categories: physical, human, social, and cultural capital. However, this framework does not relate to the role of actual relapses in the recovery process, despite their common occurrence. To bridge this gap, in-depth interviews with 29 women formerly engaged in substance use and street prostitution in a large urban area were used to probe women about their relapse and recovery experiences. The current study demonstrates the value in repeat recovery setbacks, what I term “cumulative attempt capital”: lessons learned from previous recovery attempts. I argue that previous attempts improve women's social and professional networks, help them learn from past mistakes, improve and maintain their health, and provide them with a sense of self-efficacy. This research expands our understanding of the positive role failed attempts play in one's recovery. Such reframing by service providers can alleviate a sense of shame and low self-worth for women in street prostitution and substance use and has implications for policy and program development.

"我已经去过那里一次":摆脱药物使用和街头卖淫的边缘化妇女的累积尝试资本有助于她们的恢复资本
尽管人们开始将药物使用视为一种脑部疾病,但复吸毒品仍常常被视为一种个人失败。低康复资本被用来解释某些边缘人群的复吸问题。康复资本是一个最新的框架,指的是个人在康复过程中可能获得的所有内部和外部资产的总和。它包括四个类别:物质资本、人力资本、社会资本和文化资本。然而,尽管复发经常发生,但这一框架并没有涉及实际复发在康复过程中的作用。为了弥补这一不足,研究人员对 29 名曾在大城市地区从事药物使用和街头卖淫的妇女进行了深入访谈,以了解她们的复发和康复经历。当前的研究证明了重复戒毒挫折的价值,即我所说的 "累积尝试资本":从以前的戒毒尝试中学到的经验教训。我认为,以前的尝试可以改善妇女的社会和职业网络,帮助她们从过去的错误中吸取教训,改善和保持健康,并为她们提供一种自我效能感。这项研究拓展了我们对失败的尝试在康复过程中发挥的积极作用的认识。服务提供者的这种重新定位可以减轻街头卖淫和使用药物的妇女的羞耻感和低自我价值感,并对政策和计划的制定产生影响。
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来源期刊
CiteScore
6.30
自引率
9.70%
发文量
55
期刊介绍: The American Journal of Community Psychology publishes original quantitative, qualitative, and mixed methods research; theoretical papers; empirical reviews; reports of innovative community programs or policies; and first person accounts of stakeholders involved in research, programs, or policy. The journal encourages submissions of innovative multi-level research and interventions, and encourages international submissions. The journal also encourages the submission of manuscripts concerned with underrepresented populations and issues of human diversity. The American Journal of Community Psychology publishes research, theory, and descriptions of innovative interventions on a wide range of topics, including, but not limited to: individual, family, peer, and community mental health, physical health, and substance use; risk and protective factors for health and well being; educational, legal, and work environment processes, policies, and opportunities; social ecological approaches, including the interplay of individual family, peer, institutional, neighborhood, and community processes; social welfare, social justice, and human rights; social problems and social change; program, system, and policy evaluations; and, understanding people within their social, cultural, economic, geographic, and historical contexts.
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