Harm Reduction for Women in Treatment for Alcohol Use Problems: Exploring the Impact of Dominant Addiction Discourse

Brown, Catrina; Stewart, Sherry H.

doi:10.1177/1049732320954396

Cited by 11 publications

(19 citation statements)

References 51 publications

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“…Microenterprise interventions aimed at female sex workers and women who use drugs have also been shown to reduce risk taking behavior (Basu et al, 2004; McCrimmon et al, 2018). A desire to maintain a positive parenting role could encourage women to enter recovery and treatment providers need to address the complexity of women’s social networks and create opportunities for women to foster positive and reciprocal relationships to support recovery that acknowledge caregiving and care receiving (Brown & Stewart, 2021; Ciambrone, 2002; de Guzman et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

Moral Economies of Care and Women Who Use Drugs in Ukraine

Owczarzak

Phillips

Allen

et al. 2023

Contemporary Drug Problems

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This article analyzes interviews with women who use drugs in Ukraine to understand the care conundrum they face as members of a stigmatized group. In the interviews, the women sought to position themselves as deserving and needing care as members of a vulnerable category—sometimes as women who use drugs or people living with HIV, but also as mothers—yet also themselves capable of providing care for others. We examine how women who use drugs in Ukraine navigate a moral economy of care involving judgments about deservedness and social worth, the obligatory nature of care, and expectations for reciprocity. For programs for women who use drugs to be successful, they must acknowledge and engage with the moral economies of care in which these women operate. We offer recommendations for how health and social service providers can better meet the unique needs of women who use drugs.

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Section: Discussionmentioning

confidence: 99%

Moral Economies of Care and Women Who Use Drugs in Ukraine

Owczarzak

Phillips

Allen

et al. 2023

Contemporary Drug Problems

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“…At this point, the decision that is made is between abstaining or not. When consumption is related to emotional factors, abstinence seems to become more difficult (C. Brown & Stewart, 2021;Crawford-Williams et al, 2015;Meurk et al, 2014;Watt et al, 2014). Expectations of global positive changes and social facilitation, as well as enhancing and coping motives, are considered predictors of alcohol consumption (Hauck Filho & Teixeira, 2011).…”

Section: Pregnant Women's Subjective and Other Individual Issuesmentioning

confidence: 99%

Alcohol Consumption During Pregnancy in Brazil: Elements of an Interpretive Approach

et al. 2021

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With this research, we aimed to raise elements to enhance the understanding of alcohol consumption among pregnant women in Brazil. Fourteen women identified as alcohol consumers during pregnancy were interviewed. Alcohol consumption during pregnancy seemed to be associated with three groups of interconnected issues: subjective and individual issues (such as expectations, motivations, and women’s difficulty in identifying their own consumption as risky); sociocultural and environmental issues (such as alcohol cultural value, easy access, and influence from relatives, friends, and partners); misinformation, inconsistent opinions publicized through media and lack of technically addressing the subject during prenatal care. Collective and individual health educative actions seem necessary to decrease alcohol consumption among Brazilian women with similar sociocultural characteristics. Media campaigns and explicit information about negative alcohol effects, articulated with individualized actions, such as a systematic approach of this theme during prenatal care, could allow earlier and more appropriate identification and intervention of women at risk.

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“…There is accumulating evidence that the barriers women face in accessing treatment are related with the temperance mentality (Alexander and Van De Wijngaart, 1997; Peele, 1993). In this context, the adoption of the concept of complete abstinence as the main or sole objective for women raises several additional challenges for women such as increased stigmatisation and moral condemnation (Brown and Stewart, 2020).…”

Section: Dominant/hegemonic Masculinity and Addiction: Emerging Quest...mentioning

confidence: 99%

Approaching the field of addictions through the lens of the gender perspective: emerging issues

Lainas

Kouimtsidis

2022

DHS

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Purpose Evidence suggests that the percentage of men seeking treatment for substance use disorders and other addictive behaviours is significantly higher than that of women. This fact raises several crucial questions concerning the field of addictions. This paper aims to emphasize to the study of addiction in the light of gender studies and especially in the light of theories of dominant/hegemonic masculinity. Design/methodology/approach The perspective of dominant/hegemonic masculinity in the field of addictions raises a number of questions: Can the dominant/hegemonic masculinity perspective contribute to the understanding of the phenomenon of addiction? What are the implications of male-dominated and male-centred treatment services on meeting the needs of other populations? Are androcentric approaches ultimately helpful for heteronormative men? This paper investigates the emerging questions through a critical review of the literature including the disciplines of psychology, sociology and anthropology. Findings The perspective of hegemonic masculinity can make an important contribution to the understanding of addiction as it sheds light on a dimension that is not well researched and used in the field of addictions. The influences of the androcentric approach to addiction treatment are significant and pose problems both in accessing and serving the needs of other populations. The androcentric approach to treatment is not helpful for heteronormative men either as there is a risk of not addressing the toxic dimensions of dominant/hegemonic masculinity that are directly linked to the problem of addiction. Research limitations/implications This paper poses interesting research questions for further research in the field. Practical implications This paper raises important issues for practitioners in the field and at the same time suggests alternative perspectives on the interpretation and treatment of addiction. Social implications The gender perspective that should further enrich psychosocial interventions is crucial for the equal access of all people with an addiction problem to appropriate support structures. Originality/value Gender studies can make an important contribution to further understanding of addiction problems and to the development of effective practices for dealing with it. The fact that in substance abuse treatment programmes the vast majority of participants are heteronormative men raises a number of concerns. These concerns relate to the extent to which structures are directed at meeting the needs of these men and whether because of this orientation the needs of other populations such as heteronormative women and those who do not meet the norms of heteronormativity are left uncovered. These concerns are linked to broader considerations of the role that dominant/hegemonic masculinity plays in the aetiology of addiction and in creating barriers to help-seeking for heteronormative men themselves.

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Harm Reduction for Women in Treatment for Alcohol Use Problems: Exploring the Impact of Dominant Addiction Discourse

Cited by 11 publications

References 51 publications

Moral Economies of Care and Women Who Use Drugs in Ukraine

Moral Economies of Care and Women Who Use Drugs in Ukraine

Alcohol Consumption During Pregnancy in Brazil: Elements of an Interpretive Approach

Approaching the field of addictions through the lens of the gender perspective: emerging issues

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