東華大學圖書館 |

Bad Doctors, Enablers, and the Powerless : = The United States Opioid Crisis and the Redefining of Help.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Bad Doctors, Enablers, and the Powerless :/
其他題名:	The United States Opioid Crisis and the Redefining of Help.
作者:	Sobotka, Tagart Cain.
面頁冊數:	1 online resource (168 pages)
附註:	Source: Dissertations Abstracts International, Volume: 84-04, Section: B.
Contained By:	Dissertations Abstracts International84-04B.
標題:	Drug addiction. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29408091click for full text (PQDT)
ISBN:	9798352650875

Bad Doctors, Enablers, and the Powerless : = The United States Opioid Crisis and the Redefining of Help.
Sobotka, Tagart Cain.

Bad Doctors, Enablers, and the Powerless :The United States Opioid Crisis and the Redefining of Help. - 1 online resource (168 pages)

Source: Dissertations Abstracts International, Volume: 84-04, Section: B.

Thesis (Ph.D.)--Stanford University, 2022.

Includes bibliographical references

The opioid crisis has coincided with a notable shift towards more public-health-focused drug policies than in previous drug crises. Yet individuals struggling with addiction continue to be seen as responsible for the onset and persistence of their condition, and this blame can carry over to their families. These dynamics highlight the enduring tension between moral and medical discourses of addiction that permeate society. In this dissertation, I draw on data gathered through in-depth interviews with 65 current and former opioid users and their non-opioid using family members to examine how they attempt to navigate this tension to treat or prevent drug addiction in those closest to them, as well as the impact these efforts have on their sense of self and well-being. I present these findings across three papers.In the first paper, I illustrate how concerns about "enabling" complicate family members' notions of help and create a morally fraught dilemma. It is unclear to them whether it is more harmful to provide or withhold support. This creates a persistent state of ambiguity-which I refer to as The Enabling-Helping Dilemma. Attempts to navigate this dilemma were often a source of guilt and anxiety. In the second paper, I examine the ways individuals who have struggled with addiction attempt to support others struggling with addiction and the benefits and challenges they encounter. For many, the ability to help others provided a positive boost in their self-esteem and played a crucial part in their identities as "recovered" users. However, focusing too much on helping others was considered problematic because it might distract a person from properly managing their recovery. Moreover, I find evidence that men's attempts to help others could yield additional bonuses that were not observed among women, such as connections with influential, high-status figures. In the third paper, I explore the ways parents who have struggled with drug addiction conceptualize their children's risk of addiction and the strategies they take to minimize those risks. I demonstrate how an emphasis on socialization as a driver for drug use and addiction created a space where some parents felt they could help minimize their children's susceptibility to following in their footsteps, despite potential biological predispositions. Moreover, as children got older, parents sought to warn their children about their possible propensity for addiction and to build trust with them by disclosing their struggles with drugs. Motivating this was the belief that attempting to control children's drug use could increase the likelihood of them engaging in even riskier drug-related behaviors.Together, this dissertation's findings provide important insight into how conflicting cultural meanings surrounding addiction complicate the meaning of social support in ways that may contribute to the stigmatization and marginalization of people who use drugs and their families. They also have broader theoretical implications for understanding how ambiguity may strain identities and relationships, the benefits and risks associated with helping in the context of illness, and how conceptions of risk impact social support patterns and parenting strategies.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798352650875Subjects--Topical Terms:

844186
Drug addiction.
Index Terms--Genre/Form:

542853
Electronic books.

Bad Doctors, Enablers, and the Powerless : = The United States Opioid Crisis and the Redefining of Help.
LDR:04589nmm a2200361K 4500 001 2359854
005 20230917195305.5
006 m o d
007 cr mn ---uuuuu
008 241011s2022 xx obm 000 0 eng d
020 $a 9798352650875
035 $a (MiAaPQ)AAI29408091
035 $a (MiAaPQ)STANFORDht239sy5371
035 $a AAI29408091
040 $a MiAaPQ $b eng $c MiAaPQ $d NTU
100 1 $a Sobotka, Tagart Cain. $3 3700467
245 1 0 $a Bad Doctors, Enablers, and the Powerless : $b The United States Opioid Crisis and the Redefining of Help.
264 0 $c 2022
300 $a 1 online resource (168 pages)
336 $a text $b txt $2 rdacontent
337 $a computer $b c $2 rdamedia
338 $a online resource $b cr $2 rdacarrier
500 $a Source: Dissertations Abstracts International, Volume: 84-04, Section: B.
500 $a Advisor: Freese, Jeremy; Clair, Matthew K. ; Saperstein, Aliya.
502 $a Thesis (Ph.D.)--Stanford University, 2022.
504 $a Includes bibliographical references
520 $a The opioid crisis has coincided with a notable shift towards more public-health-focused drug policies than in previous drug crises. Yet individuals struggling with addiction continue to be seen as responsible for the onset and persistence of their condition, and this blame can carry over to their families. These dynamics highlight the enduring tension between moral and medical discourses of addiction that permeate society. In this dissertation, I draw on data gathered through in-depth interviews with 65 current and former opioid users and their non-opioid using family members to examine how they attempt to navigate this tension to treat or prevent drug addiction in those closest to them, as well as the impact these efforts have on their sense of self and well-being. I present these findings across three papers.In the first paper, I illustrate how concerns about "enabling" complicate family members' notions of help and create a morally fraught dilemma. It is unclear to them whether it is more harmful to provide or withhold support. This creates a persistent state of ambiguity-which I refer to as The Enabling-Helping Dilemma. Attempts to navigate this dilemma were often a source of guilt and anxiety. In the second paper, I examine the ways individuals who have struggled with addiction attempt to support others struggling with addiction and the benefits and challenges they encounter. For many, the ability to help others provided a positive boost in their self-esteem and played a crucial part in their identities as "recovered" users. However, focusing too much on helping others was considered problematic because it might distract a person from properly managing their recovery. Moreover, I find evidence that men's attempts to help others could yield additional bonuses that were not observed among women, such as connections with influential, high-status figures. In the third paper, I explore the ways parents who have struggled with drug addiction conceptualize their children's risk of addiction and the strategies they take to minimize those risks. I demonstrate how an emphasis on socialization as a driver for drug use and addiction created a space where some parents felt they could help minimize their children's susceptibility to following in their footsteps, despite potential biological predispositions. Moreover, as children got older, parents sought to warn their children about their possible propensity for addiction and to build trust with them by disclosing their struggles with drugs. Motivating this was the belief that attempting to control children's drug use could increase the likelihood of them engaging in even riskier drug-related behaviors.Together, this dissertation's findings provide important insight into how conflicting cultural meanings surrounding addiction complicate the meaning of social support in ways that may contribute to the stigmatization and marginalization of people who use drugs and their families. They also have broader theoretical implications for understanding how ambiguity may strain identities and relationships, the benefits and risks associated with helping in the context of illness, and how conceptions of risk impact social support patterns and parenting strategies.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Drug addiction. $3 844186
650 4 $a Addictive behaviors. $3 3563047
650 4 $a Mortality. $3 533218
650 4 $a Epidemics. $3 588395
650 4 $a Behavioral psychology. $3 2122788
650 4 $a Epidemiology. $3 568544
650 4 $a Medicine. $3 641104
650 4 $a Psychology. $3 519075
655 7 $a Electronic books. $2 lcsh $3 542853
690 $a 0384
690 $a 0766
690 $a 0564
690 $a 0621
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a Stanford University. $3 754827
773 0 $t Dissertations Abstracts International $g 84-04B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29408091 $z click for full text (PQDT)