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“滥用成瘾”:我们的语言仍不够完善。

"Abusing Addiction": Our Language Still Isn't Good Enough.

作者信息

Ashford Robert D, Brown Austin M, Curtis Brenda

机构信息

Center on the Continuum of Care in the Addictions, University of Pennsylvania.

Center for Young Adult Addiction and Recovery, Kennesaw State University.

出版信息

Alcohol Treat Q. 2019;37(2):257-272. doi: 10.1080/07347324.2018.1513777. Epub 2018 Sep 5.

DOI:10.1080/07347324.2018.1513777
PMID:31551647
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6758913/
Abstract

BACKGROUND

Previous research has found initial evidence that word choice impacts the perception and treatment of those with behavioral health disorders. These previous studies have relied on vignette-based methodologies, however, and a more quantifiable index of the stigma words can produce is needed.

METHOD

The current study uses the Go/No-Go Association Task to calculate a d-prime (sensitivity) indexed score of automatic attitudes to two terms, "substance abuser" and "person with substance use disorder".

RESULTS

Participants have significantly more negative automatic attitudes towards the term "substance abuser", as compared to "person with a substance use disorder".

CONCLUSION

Consistent with previous research, implicit bias does exist for terms commonly used in the behavioral health field. "Substance Abuser" and its derivatives should not be used in professional or lay settings.

摘要

背景

先前的研究已初步证明,词汇选择会影响对患有行为健康障碍者的认知和治疗。然而,这些先前的研究依赖基于 vignette 的方法,因此需要一个更可量化的污名化词汇指标。

方法

本研究使用“是/否联想任务”来计算对“药物滥用者”和“患有药物使用障碍者”这两个术语的自动态度的 d-prime(敏感性)指数得分。

结果

与“患有药物使用障碍者”相比,参与者对“药物滥用者”一词有着明显更多的负面自动态度。

结论

与先前的研究一致,行为健康领域常用术语确实存在隐性偏见。“药物滥用者”及其衍生词不应在专业或普通语境中使用。

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本文引用的文献

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Stigma as a Barrier to Substance Abuse Treatment Among Those With Unmet Need: An Analysis of Parenthood and Marital Status.耻辱感成为有未满足需求者接受药物滥用治疗的障碍:对为人父母状况和婚姻状况的分析
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Prevalence and pathways of recovery from drug and alcohol problems in the United States population: Implications for practice, research, and policy.美国人口中药物和酒精问题的康复发生率和途径:对实践、研究和政策的启示。
Drug Alcohol Depend. 2017 Dec 1;181:162-169. doi: 10.1016/j.drugalcdep.2017.09.028. Epub 2017 Oct 18.
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Increases in Drug and Opioid-Involved Overdose Deaths - United States, 2010-2015.药物和阿片类药物滥用相关过量死亡人数增加 - 美国,2010-2015 年。
MMWR Morb Mortal Wkly Rep. 2016 Dec 30;65(50-51):1445-1452. doi: 10.15585/mmwr.mm655051e1.
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Epidemiology of DSM-5 Drug Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions-III.《精神疾病诊断与统计手册》第5版药物使用障碍的流行病学:来自酒精及相关状况全国流行病学调查-III的结果
JAMA Psychiatry. 2016 Jan;73(1):39-47. doi: 10.1001/jamapsychiatry.2015.2132.
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Portraying mental illness and drug addiction as treatable health conditions: effects of a randomized experiment on stigma and discrimination.将精神疾病和药物成瘾描述为可治疗的健康状况:一项随机实验对耻辱感和歧视的影响。
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Stigma, discrimination, treatment effectiveness, and policy: public views about drug addiction and mental illness.污名、歧视、治疗效果与政策:公众对药物成瘾及精神疾病的看法
Psychiatr Serv. 2014 Oct;65(10):1269-72. doi: 10.1176/appi.ps.201400140.
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The global epidemiology and burden of opioid dependence: results from the global burden of disease 2010 study.全球阿片类药物依赖的流行病学和负担:来自 2010 年全球疾病负担研究的结果。
Addiction. 2014 Aug;109(8):1320-33. doi: 10.1111/add.12551. Epub 2014 Apr 24.
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What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies.与心理健康相关的污名对寻求帮助有何影响?对定量和定性研究的系统评价。
Psychol Med. 2015 Jan;45(1):11-27. doi: 10.1017/S0033291714000129. Epub 2014 Feb 26.
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Social distance and the dying.社交距离与临终关怀。
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Stigma among health professionals towards patients with substance use disorders and its consequences for healthcare delivery: systematic review.卫生专业人员对药物使用障碍患者的污名化及其对医疗服务提供的影响:系统评价。
Drug Alcohol Depend. 2013 Jul 1;131(1-2):23-35. doi: 10.1016/j.drugalcdep.2013.02.018. Epub 2013 Mar 13.