Wyse Jessica J
VA Portland Healthcare System, 3010 SW US Veteran's Hospital Road, Portland, OR 97239.
Alcohol Treat Q. 2018;36(1):32-53. doi: 10.1080/07347324.2017.1355222. Epub 2017 Aug 17.
This study explores how older age shapes processes of substance abuse cessation among male substance users recently released from prison. Semi-structured in-depth interviews and brief surveys were conducted with 15 men aged 49+, released from prison in a large, Eastern U.S. city. A follow-up interview was conducted with each participant (n=15). Conventional content analysis was used to analyze these data. Aging was central to the stories men told about attaining and maintaining sobriety. Men gained clarity after forced detoxification in prison, which was often followed by a period of reflection and evaluation of their lives. Older age seemed integral for this period of sobriety and reflection to catalyze cognitive change, a phenomenon I term . Further, men described a heightened awareness of mortality that had come with older age, and were deeply afraid of dying in prison. This fear helped inspire a new commitment to sobriety and concordant rejection of the crime that had been linked with their drug use in the past. Finally, men revealed identities and goals that had changed with time, changes incompatible with on-going drug use. Policy implications are discussed.
本研究探讨了年龄增长如何影响刚从监狱释放的男性吸毒者的戒毒过程。对美国东部一个大城市中15名年龄在49岁及以上、刚从监狱释放的男性进行了半结构化深度访谈和简短调查。对每位参与者（n = 15）进行了后续访谈。采用传统内容分析法对这些数据进行分析。在男性讲述的关于实现和保持清醒的故事中，年龄增长是核心内容。男性在监狱中强制戒毒后变得清醒，随后往往会经历一段对自己生活的反思和评估期。年龄增长似乎是这段清醒和反思期促成认知改变的一个不可或缺的因素，我将这一现象称为 。此外，男性描述了随着年龄增长而增强的对死亡的意识，并且非常害怕死在监狱里。这种恐惧促使他们重新致力于保持清醒，并一致拒绝过去与吸毒相关的犯罪行为。最后，男性透露了随着时间推移而发生变化的身份和目标，这些变化与持续吸毒是不相容的。文中还讨论了政策含义。
