Editor Substance Abuse Treatment, Prevention and Policy, UCS Healthcare, 4908 Franklin Ave, Des Moines, IA 50310, USA.
University of Minnesota Duluth, 320 Bohannon Hall, 1207 Ordean Court, Duluth, MN, 55812, USA.
Subst Abuse Treat Prev Policy. 2020 Jul 27;15(1):50. doi: 10.1186/s13011-020-00288-0.
The stigma surrounding individuals who have substance use disorders is a pervasive phenomenon that has had detrimental effects on treatment outcomes, health care providers, treatments, research, policies, and society as a whole (Kelly JF, Dow SJ, Westerhoff C , J Drug Issues_40:805-818, Kelly JF, Westerhoff, Int J Drug Policy_21:202-207, 2010). Stigma can be cultivated by various sources, but this article specifically focuses on the impact words have. Individuals influence each other through dynamic language processes. Language, which we use to communicate, represents shared values, history, beliefs, and customs. Moreover, language can be used to promote stigma or decrease it [Snodgrass S: The Power of Words: Changing the Language of Addiction, 2920]. Language usage for addiction medical care is dated in comparison to other standards. Research and organizations are recognizing that substance use treatment, policies, and language need to evolve to aid this crisis and those affected by this disease. Language sustains the stigma surrounding substance use. The stigmatized language used to describe substance use behaviors, individuals with substance use disorders, and substance use treatment can create barriers in essential areas, such as health care, employment, insurance policies, and laws for individuals who are trying to heal and make meaningful contributions to society. There are many ways to contribute to a more accepting society, but it starts with bottom-up processes like language choices in day-to-day conversations. An effort must be made to normalize destigmatized language when referring to substance use and individuals with substance use disorders.
围绕物质使用障碍患者的污名化现象普遍存在,对治疗结果、医疗保健提供者、治疗方法、研究、政策以及整个社会都产生了不利影响 (Kelly JF, Dow SJ, Westerhoff C, J Drug Issues_40:805-818, Kelly JF, Westerhoff, Int J Drug Policy_21:202-207, 2010)。污名可能由各种来源造成,但本文特别关注词语的影响。个体通过动态语言过程相互影响。我们用于交流的语言代表着共同的价值观、历史、信仰和习俗。此外,语言可用于助长污名化或减少污名化 [Snodgrass S: The Power of Words: Changing the Language of Addiction, 2920]。与其他标准相比,用于成瘾医疗的语言用法已经过时。研究和组织都认识到,物质使用治疗、政策和语言需要发展,以帮助应对这场危机和受这种疾病影响的人。语言助长了对物质使用的污名化。用于描述物质使用行为、物质使用障碍患者和物质使用治疗的污名化语言会在医疗保健、就业、保险政策和法律等重要领域为试图康复并为社会做出有意义贡献的个体制造障碍。有很多方法可以为一个更包容的社会做出贡献,但这首先要从日常对话中的语言选择等自下而上的过程开始。必须努力使提到物质使用和物质使用障碍患者时使用去污名化语言成为常态。