Fotopoulou Maria, Munro Alison, Taylor Avril
School of Social and Political Sciences, University of Glasgow, Adam Smith Building, Glasgow G12 8RT, Scotland, United Kingdom.
School of Media, Culture and Society, University of the West of Scotland, High Street, Paisley PA1 2BE, Scotland, United Kingdom.
Int J Drug Policy. 2015 Aug;26(8):723-30. doi: 10.1016/j.drugpo.2015.04.005. Epub 2015 Apr 15.
Evidence suggests that problem drug users are still subject to high levels of stigmatization. In countries, like Greece, where families occupy a central position and honour is collectively attained, secondary drug stigma is also highly prevalent. However, little is known about how drug users and their families manage drug stigma in the specific cultural milieu that makes up Greece. This article presents findings from a qualitative study exploring how drug stigma both manifests itself and is managed by drug users and parents in the context of Greek familial culture.
The study was conducted in two state drug agencies in Thessaloniki - Greece and involved the participation of 40 problem drug users (PDU) (23 male/17 female) and 8 parents of PDU. Qualitative, in-depth, interviews were used to collect narrative accounts about experiences of managing addiction, drug stigma and secondary stigma in the Greek parental home.
'Allowing the right' - broadly understood as referring to passing to others information which might devalue a person and consequently that person's family - is discussed in terms of drug stigma management in Greece. We highlight how this culturally specific notion can be viewed as an active strategy adopted by both individual drug users and parents of PDU to manage stigmatization by illustrating the various way in which not 'allowing the right' was described by participants, including drug problem discovery or disclosure and subsequent management of drug using careers and drug stigma within the Greek family context.
Given the significance of the cultural notion of 'allowing the right' in the trajectory of drug use amongst PDU and more particularly in stigma management and secondary stigma management, the paper highlights the need for further research into the field in Greece. The need for targeted culturally specific and culturally relevant interventions aimed at reducing drug stigma is also highlighted in relation to both policy and practice.
有证据表明，吸毒问题者仍然受到高度的污名化。在希腊这样的国家，家庭占据核心地位且荣誉是集体获得的，二级药物污名也非常普遍。然而，对于吸毒者及其家人在构成希腊的特定文化环境中如何应对药物污名，人们知之甚少。本文呈现了一项定性研究的结果，该研究探讨了在希腊家庭文化背景下，药物污名是如何表现以及吸毒者和家长是如何应对的。
该研究在希腊塞萨洛尼基的两个国家毒品机构进行，有40名吸毒问题者（23名男性/17名女性）和8名吸毒问题者的家长参与。采用定性、深入访谈的方式，收集关于在希腊家庭环境中应对成瘾、药物污名和二级污名经历的叙述。
在希腊，“给予权利”被广泛理解为向他人传递可能贬低一个人进而贬低其家庭的信息，这在药物污名管理方面得到了讨论。我们强调，这种特定文化概念如何被视为个体吸毒者和吸毒问题者家长采用的一种积极策略，以应对污名化，通过举例说明参与者描述不“给予权利 ”的各种方式，包括在希腊家庭环境中发现或披露毒品问题以及随后对吸毒生涯和药物污名的管理。
鉴于“给予权利”这一文化概念在吸毒问题者吸毒轨迹中，特别是在污名管理和二级污名管理方面的重要性，本文强调了在希腊该领域进一步研究的必要性。同时也强调了在政策和实践方面，需要有针对性的、特定文化且与文化相关的干预措施来减少药物污名。
