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在加拿大大学背景下对教师成瘾披露和污名的定性探索。

A Qualitative Exploration of Addiction Disclosure and Stigma among Faculty Members in a Canadian University Context.

机构信息

Faculty of Social Work, University of Calgary, Calgary, AB T2E 1M2, Canada.

出版信息

Int J Environ Res Public Health. 2021 Jul 7;18(14):7274. doi: 10.3390/ijerph18147274.

DOI:10.3390/ijerph18147274
PMID:34299723
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8306368/
Abstract

Addiction is one of the most stigmatized public health issues, which serves to silence individuals who need help. Despite emerging global interest in workplace mental health and addiction, scholarship examining addiction among university faculty members (FMs) is lacking, particularly in a Canadian context. Using a Communication Privacy Management (CPM) framework and semi-structured interviews with key informants (deans and campus mental health professionals), this qualitative study aimed to answer the following research questions: (1) What is the experience of key informants who encounter FM addiction? (2) How may addiction stigma affect FM disclosure and help-seeking? and (3) What may help reduce addiction stigma for FMs? Thematic analysis was used to identify three main themes: (1) Disclosure was rare, and most often involved alcohol; (2) Addiction stigma and non-disclosure were reported to be affected by university alcohol and productivity cultures, faculty type, and gender; (3) Reducing addiction stigma may involve peer support, vulnerable leadership (e.g., openly sharing addiction-recovery stories), and non-discriminatory protective policies. This study offers novel insights into how addiction stigma may operate for FMs in relation to university-specific norms (e.g., drinking and productivity culture), and outlines some recommendations for creating more recovery-friendly campuses.

摘要

成瘾是最受污名化的公共卫生问题之一,这使得那些需要帮助的人保持沉默。尽管全球对工作场所心理健康和成瘾问题的兴趣日益浓厚,但在加拿大背景下,关于大学教师(FM)成瘾的学术研究却很少。本研究使用沟通隐私管理(CPM)框架和对主要知情人(院长和校园心理健康专业人员)的半结构化访谈,旨在回答以下研究问题:(1)遇到 FM 成瘾的主要知情人的经历是什么?(2)成瘾污名如何影响 FM 的披露和寻求帮助?(3)什么可以帮助减少 FM 的成瘾污名?主题分析用于确定三个主要主题:(1)披露很少,大多数涉及酒精;(2)成瘾污名和不披露被报告受到大学酒精和生产力文化、教师类型和性别影响;(3)减少成瘾污名可能涉及同伴支持、脆弱的领导力(例如,公开分享成瘾康复故事)和非歧视性的保护政策。这项研究提供了有关成瘾污名如何在与大学特定规范(例如,饮酒和生产力文化)相关的 FM 中运作的新见解,并概述了一些关于创建更有利于康复的校园的建议。

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本文引用的文献

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College programming for students in addiction recovery: A PRISMA-guided scoping review.成瘾康复学生的大学编程:一项 PRISMA 指导的范围综述。
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