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“这并不是什么好生活”:在定性减少伤害研究中使用生活史方法对注射毒品者的益处和伦理考量。

"It's Not Much of a Life": The Benefits and Ethics of Using Life History Methods With People Who Inject Drugs in Qualitative Harm Reduction Research.

机构信息

1 London School of Hygiene & Tropical Medicine, London, United Kingdom.

出版信息

Qual Health Res. 2018 Jun;28(7):1123-1134. doi: 10.1177/1049732318764393. Epub 2018 Mar 20.

DOI:10.1177/1049732318764393
PMID:29557296
Abstract

A life history approach enables study of how risk or health protection is shaped by critical transitions and turning points in a life trajectory and in the context of social environment and time. We employed visual and narrative life history methods with people who inject drugs to explore how hepatitis C protection was enabled and maintained over the life course. We overview our methodological approach, with a focus on the ethics in practice of using life history timelines and life-grids with 37 participants. The life-grid evoked mixed emotions for participants: pleasure in receiving a personalized visual history and pain elicited by its contents. A minority managed this pain with additional heroin use. The methodological benefits of using life history methods and visual aids have been extensively reported. Crucial to consider are the ethical implications of this process, particularly for people who lack socially ascribed markers of a "successful life."

摘要

一种生命历程方法使我们能够研究风险或健康保护是如何通过生命轨迹中的关键转变和转折点,并在社会环境和时间的背景下形成的。我们采用视觉和叙述性生命历程方法,对注射吸毒者进行研究,以探索丙型肝炎保护是如何在整个生命过程中得以实现和维持的。我们概述了我们的方法,重点介绍了使用生命历程时间线和生命网格的实践中的伦理问题,该方法涉及 37 名参与者。生命网格引起了参与者的复杂情绪:他们很高兴收到个性化的视觉历史,但又对其内容感到痛苦。少数人通过额外使用海洛因来应对这种痛苦。使用生命历程方法和视觉辅助工具的方法具有广泛的益处。需要考虑的关键是这一过程的伦理含义,特别是对于那些缺乏社会赋予的“成功生活”标志的人。

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