Joseph J. Zilber School of Public Health, University of Wisconsin-Milwaukee.
College of Nursing, University of Wisconsin-Milwaukee.
Exp Clin Psychopharmacol. 2022 Oct;30(5):714-724. doi: 10.1037/pha0000527. Epub 2022 Feb 24.
Through the lens of Black Feminist Thought, the intersectionality of poverty, racism, and sexism in the lives of urban dwelling African American women was explored. Reflections on recovery among women previously enrolled in a transitional housing treatment program were gathered via semistructured interviews, using an instrumental case study design. Four major themes surrounding the context of recovery were identified and analyzed: Knowledge and awareness of addiction, importance of social support and support groups, peace of mind that resulted from a new lifestyle, and women's desire to maintain their recovery status. Many women did not realize that their drug use constituted an addiction prior to their enrollment in the program. Social support and support groups such as AA, NA, and AODA helped the women to maintain their recovery, and this newfound recovery resulted in additional stress relief. Finally, many women felt empowered to maintain their recovery, not only for themselves but also their children. Paradigm shifts in treatment and recovery processes are needed to better serve minority populations, specifically focusing on women and African Americans. Recovery services must shift from previously male centered, hegemonic, pathology-oriented treatment modalities to serve populations more efficiently and equitably. Furthermore, to create effective social change in recovery, programs must address the social determinants of substance misuse, addictive behaviors, and underlying structural inequalities resulting from the intersection of racism, sexism, and classism. Deeper understandings of complex social issues must be disseminated, particularly for women battling substance misuse who are homeless, racially discriminated against and marginalized. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
通过黑人女性主义思想的视角，探讨了城市中居住的非裔美国女性生活中贫困、种族主义和性别歧视的交叉问题。通过半结构化访谈，采用工具案例研究设计，收集了以前参加过过渡性住房治疗计划的女性的康复反思。确定并分析了围绕康复背景的四个主要主题：对成瘾的认识和了解、社会支持和支持小组的重要性、新生活方式带来的内心平静，以及女性保持康复状态的愿望。许多女性在参加该项目之前并没有意识到自己的吸毒行为构成了成瘾。AA、NA 和 AODA 等社会支持和支持小组帮助女性维持康复，这种新的康复状态带来了额外的压力缓解。最后，许多女性感到有能力维持自己的康复，不仅是为了自己，也是为了她们的孩子。需要在治疗和康复过程中进行范式转变，以更好地为少数族裔服务，特别是关注女性和非裔美国人。康复服务必须从以前以男性为中心、霸权、以病理学为导向的治疗模式转变，以更有效地为人群服务，并实现公平。此外，为了在康复中创造有效的社会变革，项目必须解决物质滥用、成瘾行为以及种族主义、性别歧视和阶级主义交叉产生的潜在结构不平等的社会决定因素。必须传播对复杂社会问题的更深入理解，特别是对于无家可归、遭受种族歧视和边缘化的与药物滥用作斗争的女性。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
