Booty Marisa D, Olvera Ramona G, Balvanz Peter, Oser Carrie B, Shouse Alexandrea, McGladrey Margaret
Department of Sociology, University of Kentucky, Lexington, Kentucky, USA.
CATALYST, College of Medicine, The Ohio State University, Columbus, Ohio, USA.
Sociol Health Illn. 2025 Jun;47(5):e70056. doi: 10.1111/1467-9566.70056.
Substance use disorder is highly stigmatised despite its contemporary medicalisation. Because of the criminalisation of substance use, parents with substance use disorder must often navigate recovery while interacting with the criminal legal and child welfare systems. Restitution narratives of illness do not sufficiently capture the recovery experiences of parents with substance use disorder whose recoveries may better align with a quest narrative. This study uses qualitative photovoice discussion data to examine the recovery narratives constructed by parents with substance use disorder as they navigate institutional and interpersonal obligations. Using template analysis of 23 transcripts from photovoice group sessions with 29 individuals who have substance use disorder, we find that criminal legal system and child welfare system obligations limit participants' ability to fully engage in the recovery process. Carceral institutions act as a barrier to substance use recovery and parenting capacity by conferring punitive consequences that prioritise restitution. Parents in recovery must navigate these restitutive institutions while seeking self-improvement and using their lived experiences to rebuild community with their families. Understanding parental recovery experiences may inform the improved design and implementation of parenting and behavioural health supports available to help break intergenerational cycles of trauma and addiction.
尽管物质使用障碍在当代已被医学化，但它仍备受污名化。由于物质使用被定罪，患有物质使用障碍的父母在与刑事法律和儿童福利系统互动时，往往必须在康复过程中艰难前行。疾病的恢复性叙事不足以捕捉患有物质使用障碍的父母的康复经历，他们的康复可能更符合一种探索叙事。本研究使用定性照片叙事讨论数据，来审视患有物质使用障碍的父母在履行机构和人际义务过程中构建的康复叙事。通过对来自照片叙事小组会议的23份记录进行模板分析，这些记录涉及29名患有物质使用障碍的个体，我们发现刑事法律系统和儿童福利系统的义务限制了参与者充分参与康复过程的能力。监禁机构通过赋予优先考虑恢复原状的惩罚性后果，成为物质使用康复和育儿能力的障碍。正在康复的父母在寻求自我提升并利用自身生活经历与家人重建社区的同时，必须应对这些恢复性机构。了解父母的康复经历可能有助于改进育儿和行为健康支持的设计与实施，以帮助打破创伤和成瘾的代际循环。
