Department of Medicine, Division of Social Medicine, University of British Columbia, Vancouver, Canada.
British Columbia Centre on Substance Use, Vancouver, Canada.
Cult Med Psychiatry. 2023 Dec;47(4):1043-1066. doi: 10.1007/s11013-022-09813-1. Epub 2023 Jan 24.
Among young people who use drugs in the context of entrenched poverty and homelessness, pregnancy is often viewed as an event that can meaningfully change the trajectory of their lives. However, youth's desires and decision-making do not always align with the perspectives of various professionals and systems regarding how best to intervene during pregnancies and early parenting. Drawing on longitudinal interviews and fieldwork with young people in Vancouver, Canada, we explore how their romantic relationships powerfully shaped understandings of what was right and wrong and which actions to take during pregnancy and early parenting, and how these moral worlds frequently clashed with the imperatives of healthcare, criminal justice, and child protection systems. We demonstrate how a disjuncture between youth's desires, decision-making and moralities, and the systems that are intended to help them, can further entrench young people in cycles of loss, defeat, and harm. These cycles are powerfully racialized for young Indigenous people in our context.
在深陷贫困和无家可归环境中使用毒品的年轻人中,怀孕通常被视为可以显著改变他们生活轨迹的事件。然而,年轻人的愿望和决策并不总是与各个专业人士和系统的观点一致,后者认为在怀孕期间和早期育儿期间如何进行干预才是最好的。本研究通过对加拿大温哥华的年轻人进行纵向访谈和实地调查,探讨了他们的浪漫关系如何有力地塑造了他们对什么是对什么是错的理解,以及在怀孕期间和早期育儿期间应采取哪些行动,以及这些道德世界如何经常与医疗保健、刑事司法和儿童保护系统的要求发生冲突。我们展示了年轻人的愿望、决策和道德观念与旨在帮助他们的系统之间的脱节如何进一步使年轻人陷入失落、失败和伤害的循环中。在我们的背景下,这种循环对年轻的原住民来说是强有力的种族化的。