Mothers at the Intersection of Trauma, Addiction, and Involvement with the Criminal Legal System: An Analysis of Multiple Case Studies.

IF 2.3 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Monica Solinas-Saunders, Maureen L Petrunich-Rutherford, Mark D Thomas, Natasha R Brown, Kevin L McElmurry, Melissa A Jones, Abigail M Cognetti, Lytina Andrews, Amira Zahabi
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Abstract

The study focuses on the complex interconnection of race, sexuality, and socioeconomic background in shaping the stories of mothers struggling with addiction disorders as they attempt to recover from traumatic experiences. A sample of 45 mothers was employed in the study. Using case study analysis methodologies, the stories of 6 mothers were used as representative cases based on their individual characteristics, community settings, and institutional experiences. Further, the 6 cases were used to describe the difficulties experienced by participants across 3 major life transitions: (1) childhood (2) initiation to drug use and addiction disorders (3) motherhood. Across these life transitions, participants emphasized the relevance of traumatic experiences and mental health disorders as main reasons for their drug addiction. For each theme highlighted in the narrative of each case, a connection to all other participants was made to summarize the findings in the whole sample. The analysis indicates that while most mothers experienced trauma during their lifetime, mothers who identified as members of racial/ethnic minorities and those who identified as lesbians were more likely to report trauma from prejudice and discrimination. Furthermore, the analysis highlights that mothers who identified as members of racial minorities were more likely to have their children placed in foster care. In the study, mothers' involvement with the criminal legal system contributed to the challenges they experienced while renegotiating their relationships with their children. These mothers' lived experiences and the complexity of the dynamics they described-especially their interactions with the legal system-could potentially help other researchers frame new hypotheses that could be tested by larger empirical studies.

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母亲在创伤,成瘾和参与刑事法律制度的交叉点:多个案例研究的分析。
这项研究的重点是种族、性别和社会经济背景之间的复杂联系,这些因素塑造了母亲们在试图从创伤经历中恢复过来的过程中与成瘾障碍作斗争的故事。45位母亲参与了这项研究。采用案例分析方法,根据6位母亲的个体特征、社区背景和机构经验,选取她们的故事作为代表性案例。此外,这6个案例描述了参与者在3个主要生命转变中所经历的困难:(1)童年;(2)开始吸毒和成瘾障碍;(3)成为母亲。在这些生活转变过程中,与会者强调创伤经历和精神健康障碍的相关性是他们吸毒成瘾的主要原因。对于每个案例叙述中突出的每个主题,与所有其他参与者建立了联系,以总结整个样本中的发现。分析表明,虽然大多数母亲在其一生中都经历过创伤,但那些被认为是少数种族/民族成员的母亲和那些被认为是女同性恋的母亲更有可能报告偏见和歧视造成的创伤。此外,分析还强调,被认定为少数族裔的母亲更有可能把孩子送到寄养机构。在这项研究中,母亲参与刑事法律体系导致她们在重新谈判与孩子的关系时遇到挑战。这些母亲的生活经历和她们所描述的动态的复杂性——尤其是她们与法律体系的相互作用——可能会帮助其他研究人员构建新的假设,这些假设可以通过更大规模的实证研究来验证。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
0.00%
发文量
192
审稿时长
>12 weeks
期刊介绍: INQUIRY is a peer-reviewed open access journal whose msision is to to improve health by sharing research spanning health care, including public health, health services, and health policy.
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