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“重大清理通知”:对扫荡营地对无家可归的吸毒者的本体论安全产生的负面影响的定性研究。

"Notice of major cleaning": A qualitative study of the negative impact of encampment sweeps on the ontological security of unhoused people who use drugs.

机构信息

Keck Medicine of University of Southern California, Department of Population and Public Health Sciences, United States; University of California San Diego School of Medicine, Department of Medicine, Division of Infectious Diseases & Global Public Health, United States.

Angeles Workshop School, Palms Unhoused Mutual Aid, United States.

出版信息

Soc Sci Med. 2023 Dec;339:116408. doi: 10.1016/j.socscimed.2023.116408. Epub 2023 Nov 13.

Abstract

BACKGROUND

Unhoused people who use drugs in the United States are at risk for a variety of negative health outcomes. As the crisis of houselessness continues to impact major urban areas, a wave of punitive policies has been enacted to remove visible unhoused people from public spaces. There is reason to believe that harsh policies of encampment displacement will have negative immediate and downstream impacts on this community.

METHODS

Participant observation was conducted weekly or bi-weekly at unhoused encampments in Los Angeles County, USA over the course of two years (2021, 2022). Data were generated through the lens of ontological security theory via in-field jottings and comprehensive field notes. Formal, semi-structured qualitative interviews were conducted with 30 unhoused people who use drugs recruited primarily through peer-referral sampling at these same venues. Data were coded and analyzed thematically using the Template Analysis approach. Field notes were used to triangulate and further contextualize thematic analysis of interview data.

RESULTS

Encampment sweeps impacted nearly all participants and occurred multiple times at every visited field site. They were observed to occur both with and without the presence of police, but always resulted in the loss of the personal property of encampment residents. Sweeps occurred across seasons, hazardous weather, and without offers of alternative shelter. Participants described sweeps as impacting all aspects of their ontological security, including dismantling material and social constancy, disrupting routines of daily life and resource management, increasing feelings of surveillance, and potentially creating negative identity formation.

CONCLUSIONS

In both ethnographic observation and participant interviews, encampment sweeps were noted to be physically, psychologically, and socially destructive. Sweeps left participants feeling anger, loss, and hopelessness while further driving the societal marginalization of unhoused people who use drugs. Sweeps should be discontinued as they harm the capacity of unhoused people to improve their well-being.

摘要

背景

在美国,无家可归且吸毒的人面临着各种负面健康后果的风险。随着无家可归危机继续影响主要城市地区,一波惩罚性政策已被颁布,以将可见的无家可归者从公共场所清除。有理由相信,对营地的严厉驱逐政策将对该社区产生直接和下游的负面影响。

方法

在两年的时间里(2021 年和 2022 年),每周或每两周在美国洛杉矶县的无家可归者营地进行参与者观察。数据是通过本体安全理论的视角,通过实地记录和综合实地笔记生成的。通过在这些相同场所的同伴推荐抽样,对 30 名无家可归且吸毒的参与者进行了正式的半结构化定性访谈。使用模板分析方法对数据进行编码和主题分析。使用实地笔记对访谈数据的主题分析进行三角剖分和进一步情境化。

结果

营地扫荡几乎影响了所有参与者,并且在每个访问的场地都发生了多次。观察到扫荡既在警察在场时发生,也在警察不在场时发生,但总是导致营地居民的个人财产损失。扫荡发生在不同的季节、恶劣的天气条件下,而且没有提供替代住所的选择。参与者描述扫荡影响了他们本体安全的各个方面,包括破坏物质和社会稳定性、扰乱日常生活和资源管理的常规、增加监视感,并可能导致负面的身份形成。

结论

在民族志观察和参与者访谈中,都注意到营地扫荡具有身体、心理和社会破坏性。扫荡让参与者感到愤怒、失落和绝望,同时进一步推动了无家可归且吸毒者的社会边缘化。由于扫荡会损害无家可归者改善福祉的能力,因此应予以停止。

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