Stigma is stopping an evidence based response to drug overdose deaths in the UK

Guise, Andy; Harris, Magdalena; McCusker, Martin; McNeil, Ryan; Werb, Dan

doi:10.1136/bmj-2023-074934

BMJ

2023

DOI: 10.1136/bmj-2023-074934

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Stigma is stopping an evidence based response to drug overdose deaths in the UK

Andy Guise

Magdalena Harris

Martin McCusker

et al.

Abstract: Andy Guise and colleagues argue that UK government opposition to drug consumption rooms is underpinned by, and reproduces stigma towards, drug use and people who use drugs

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2024

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Can ‘justified disapproval’ be separated from addiction stigma? An empirical focus is required

Morris,

Kummetat,

Schomerus

2024

Addiction Research & Theory

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Stigma is largely recognized as a harmful practice of social devaluation and discrimination, yet some scholars still advance arguments that stigma also serves an important disincentivizing force towards addictive behaviours. Whilst others counter that stigma is fundamentally harmful process, a more nuanced call has been made for "justified disapproval" as a beneficial normative force to be separated from addiction stigma. The legitimacy of such a claim requires empirical support which has been lacking thus far. We review evidence in the domains of social norms, stigma, addiction and behavioural sciences as a starting point for an empirically focused evaluation of the possibility of "justified disapproval" as a legitimate positive force. We note that whilst normative influences, emotions and addiction-relevant appraisals affect such behaviours under certain conditions, there are important questions regarding whether these can be harnessed without invoking the known and pervasive effects of stigma. Rather, we propose that efforts to curb addictionrelated behaviours via normative influences are likely to fail or backfire. In the absence of empirical evidence to support the use of normative 'disapproval' strategies, alternative approaches should be pursued, particularly those which address the broader socio-cultural

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Can ‘justified disapproval’ be separated from addiction stigma? An empirical focus is required

Morris,

Kummetat,

Schomerus

2024

Addiction Research & Theory

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show abstract

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Stigma is stopping an evidence based response to drug overdose deaths in the UK

Abstract: Andy Guise and colleagues argue that UK government opposition to drug consumption rooms is underpinned by, and reproduces stigma towards, drug use and people who use drugs

Cited by 1 publication

References 40 publications

Can ‘justified disapproval’ be separated from addiction stigma? An empirical focus is required

Can ‘justified disapproval’ be separated from addiction stigma? An empirical focus is required

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