Smith Frances M, Marshall Lisa A
Department of Psychology, Glasgow Caledonian University, Glasgow, UK.
Crim Behav Ment Health. 2007;17(3):163-70. doi: 10.1002/cbm.654.
To examine barriers to effective drug addiction treatment for women involved in street-level prostitution.
A qualitative approach was selected to enable a detailed exploration, in an informal and unthreatening manner, of the barriers to drug addiction treatment from the women's perspective. Nine in-depth interviews were conducted with women who were involved in street-level prostitution. Transcripts of one-to-one interviews were analysed for recurrent themes using Interpretative Phenomenological Analysis.
Barriers to effective addiction treatment are present at psychological, interpersonal, and wider societal levels. Themes identified included: an impoverished sense of self-worth, a lack of trust and consistency in treatment, and the absence of a comprehensive treatment package.
Current services could be improved by the provision of a structured treatment programme designed to target the specific physical and psychological requirements of this population. Also, efforts to correct the fictitious, negative portrayals of women involved in prostitution are required, if treatment efficacy is to be improved.
探讨参与街头卖淫的女性在有效药物成瘾治疗方面所面临的障碍。
选择定性研究方法，以便以非正式且无威胁的方式，从女性视角详细探究药物成瘾治疗的障碍。对九名参与街头卖淫的女性进行了深入访谈。使用解释现象学分析法对一对一访谈的文字记录进行分析，以找出反复出现的主题。
在心理、人际和更广泛的社会层面均存在有效成瘾治疗的障碍。确定的主题包括：自我价值感匮乏、治疗中缺乏信任和连贯性，以及缺乏综合治疗方案。
通过提供针对该人群特定身体和心理需求的结构化治疗方案，可改善当前服务。此外，若要提高治疗效果，还需努力纠正对参与卖淫女性的虚假负面描述。
