Department of Psychology, University of Bridgeport.
Department of Internal Medicine, Yale School of Medicine.
Psychol Serv. 2021 Aug;18(3):287-294. doi: 10.1037/ser0000394. Epub 2019 Oct 3.
Psychologists in medication for addiction treatment (MAT) settings routinely oversee the work of addiction counselors as supervisors, administrators, and human resource specialists. Limited research has explored the lived experiences of counselors who work in programs that have scaled-up MAT in response to the opioid crisis in the U.S. Thirty-one addiction counselors who worked in MAT programs that had scaled-up treatment capacity were interviewed about 3 facets of their lived experiences: work roles, work motivation, and perceived responses of others to their work. Interviews were taped and transcribed. An interdisciplinary team reviewed and coded the transcripts using grounded theory analysis. The main work roles that emerged were counselor, educator, and advocate. Counselors described multiple factors related to intrinsic motivation for their work: family and personal history, altruism, enjoyment of challenges and client complexity, and witnessing and facilitating change. Factors related to extrinsic motivation were workplace opportunities and positive feedback. The main themes concerning responses of nonclients were positive feedback; others' narratives; negative feedback focused on the stigma associated with the treatment, the clients who receive it, and the counselors who provide it; and responses to anticipated negative feedback. Responses from clients were largely positive and focused on appreciation and respect. Psychologists in MAT settings can enhance the lived experiences of addiction counselors by helping them to savor positive feedback from clients and others, to recognize and appreciate their unique skillsets, and to recognize and address (not internalize) the multiple sources of stigma they encounter as addiction counselors. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
在药物成瘾治疗（MAT）环境中，心理学家通常作为监督者、管理者和人力资源专家来监督成瘾顾问的工作。有限的研究探讨了在应对美国阿片类药物危机而扩大 MAT 的项目中工作的顾问的生活体验。对 31 名在扩大治疗能力的 MAT 项目中工作的成瘾顾问进行了采访，内容涉及他们生活体验的 3 个方面：工作角色、工作动机和他人对其工作的感知反应。采访进行了录音和转录。一个跨学科团队使用扎根理论分析对转录本进行了审查和编码。出现的主要工作角色是顾问、教育者和倡导者。顾问描述了与工作内在动机相关的多个因素：家庭和个人经历、利他主义、享受挑战和客户的复杂性，以及见证和促进变化。与外在动机相关的因素是工作场所的机会和积极的反馈。关于非客户反应的主要主题是积极的反馈；他人的叙述；负面反馈主要集中在与治疗、接受治疗的患者和提供治疗的顾问相关的污名上；以及对预期负面反馈的反应。客户的反应主要是积极的，重点是感激和尊重。MAT 环境中的心理学家可以通过帮助成瘾顾问享受客户和他人的积极反馈、认识和欣赏他们独特的技能集、以及认识和解决（而不是内化）他们作为成瘾顾问所遇到的多种污名来源，来增强他们的生活体验。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
