Matthews Steve, Dwyer Robyn, Snoek Anke
Plunkett Centre for Ethics, Centre for Moral Philosophy and Applied Ethics, Australian Catholic University (ACU), Institute for Religion and Critical Inquiry (IRCI), 7 Ice Street, Darlinghurst, Sydney, NSW, 2010, Australia.
Social Studies of Addiction Concepts (SSAC) Research Program, National Drug Research Institute (Melbourne Office), Faculty of Health Sciences, Curtin University, Bentley, Australia.
J Bioeth Inq. 2017 Jun;14(2):275-286. doi: 10.1007/s11673-017-9784-y. Epub 2017 May 3.
Addictions are commonly accompanied by a sense of shame or self-stigmatization. Self-stigmatization results from public stigmatization in a process leading to the internalization of the social opprobrium attaching to the negative stereotypes associated with addiction. We offer an account of how this process works in terms of a range of looping effects, and this leads to our main claim that for a significant range of cases public stigma figures in the social construction of addiction. This rests on a social constructivist account in which those affected by public stigmatization internalize its norms. Stigma figures as part-constituent of the dynamic process in which addiction is formed. Our thesis is partly theoretical, partly empirical, as we source our claims about the process of internalization from interviews with people in treatment for substance use problems.
成瘾通常伴随着羞耻感或自我污名化。自我污名化源于公众污名化,在这个过程中,与成瘾相关的负面刻板印象所附带的社会责难被内化。我们从一系列循环效应的角度阐述了这个过程是如何运作的,这导致了我们的主要观点,即在相当多的案例中,公众污名在成瘾的社会建构中发挥了作用。这基于一种社会建构主义的观点,即那些受到公众污名化影响的人会将其规范内化。污名是成瘾形成的动态过程的一部分。我们的论点部分是理论性的,部分是实证性的,因为我们关于内化过程的主张来源于对接受物质使用问题治疗的人的访谈。