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Women and men in alcohol and drug treatment: An overview of a Stockholm County study
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
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2003 (English)In: Nordisk Alkohol- & Narkotikatidskrift, ISSN 1455-0725, Vol. 20, no 2-3, 91-100 p.Article in journal (Refereed) Published
Place, publisher, year, edition, pages
2003. Vol. 20, no 2-3, 91-100 p.
National Category
Sociology
Identifiers
URN: urn:nbn:se:su:diva-22611OAI: oai:DiVA.org:su-22611DiVA: diva2:189158
Available from: 2006-05-03 Created: 2006-05-03 Last updated: 2016-05-19Bibliographically approved
In thesis
1. The social ecology of alcohol and drug treatment: Client experiences in context
Open this publication in new window or tab >>The social ecology of alcohol and drug treatment: Client experiences in context
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The purpose of this thesis is to study how individuals with alcohol and drug problems come to treatment – who is in treatment and who is not? It further studies the goal and role of treatment according to different groups – clients, staff and politicians. How can we understand clients’ experiences in a context?

The main data is from the Women and men in Swedish alcohol and drug treatment-study, with a representative sample of clients as well as complementary data on the views of staff and the general population.

The thesis comprises four related papers: (1) explores who is in treatment and who is not by analysing the client and the general population samples; (2) studies reasons for coming to treatment among clients by focussing on self-choice in relation to informal, formal, and legal social pressures to seek treatment; (3) investigates alcohol and drug related events among misusers and the role of these events in treatment entry, and in relation to level of marginalization of the clients; (4) analyses motives for and conflicts surrounding changes in the treatment system on an organizational level.

The thesis reveals that clients in treatment are marginalized (regarding housing, work, family, etc.). At treatment entry, clients report self-choice as well as a range of pressures to seek treatment as reasons for coming. The events are influential in treatment seeking, especially events and pressures in relation to significant others. In addition, it is shown that changes in the treatment system are not only driven with the interests of the clients in mind. Professional struggles, economic cuts, and coincidences are of importance. It is shown that different actors have competing as well as compatible and matching views on the goals of treatment. Finally, some notable changes in the treatment system are discussed.

Place, publisher, year, edition, pages
Stockholm: Centrum för socialvetenskaplig alkohol- och drogforskning (SoRAD), 2006. 248 p.
Series
Centre for Social Research on Alcohol and Drugs, ISSN 1650-819X ; 6
Keyword
alcohol, drugs, treatment system, clients, marginalization, social ecology, context, Sweden
National Category
Sociology
Identifiers
urn:nbn:se:su:diva-1317 (URN)91-7155-310-X (ISBN)
Public defence
2006-11-17, Högbomsalen, Geovetenskapens hus, Svante Arrhenius väg 8 C, Stockholm, 10:00
Opponent
Supervisors
Available from: 2006-10-26 Created: 2006-10-26 Last updated: 2016-05-19Bibliographically approved
2. Moral concerns - Treatment staff and user perspectives on alcohol and drug problems
Open this publication in new window or tab >>Moral concerns - Treatment staff and user perspectives on alcohol and drug problems
2006 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Constructions of alcohol and drug problems, as well as of treatment, show a great variation that can be understood from the perspective of societal needs to categorize individuals as deviant. The thesis deals with contemporary perspectives, among staff in treatment of alcohol and drug problems and a group of drug users, on alcohol and drug problems and how these problems should be handled in the public sphere. The thesis consists of four papers covering: (1) views of treatment staff on alcohol and drug problems, (2) views of treatment staff on gender issues, (3) views of treatment staff on priorities of client groups and (4) views on the “user” from the point of a union for drug users. The first three papers use questionnaire-data from a treatment systems study in Stockholm County. The first and third papers deal with questions directed to treatment staff whereas the second paper besides staff data analyses data from interviews with 1865 individuals entering treatment for alcohol and drug problems. The fourth paper is a discourse analysis of texts written by the Swedish users union.

The results shows that staff see alcohol and drug problems as social problems, diseases and moral problems. Staff also perceive men and women in treatment as different, both in terms of their problems and their treatment. These experienced differences were supported by comparisons between men and women in treatment in a few cases, but mostly differences were not that great or did not appear at all. When staff were asked to make priorities between groups of clients they seem to take past actions of the clients into account rather than using the egalitarian reasoning regulating priorities in official documents. Taking past actions into account indicates a moral approach to alcohol and drug problems. The analysis of the Swedish users union also points at a moral perspective on drug problems in the dominating drug policy discourse, pronounced in the opposition of the union. In this opposition the union constructs the user as a “consumer”, as “weak”, “sick” and “innocent”. The union shows signs of a human rights perspective, a public health perspective and a disease perspective as well as a direct opposition to the perspective of the user as a criminal.

Seen together the papers show the importance of categorizing subjects for and in treatment as well as the constructed nature of alcohol and drug problems. A moral perspective seems to be the base for many categorizations (distinguishing between normal and deviant as well as between more and less culpable “troubled persons”) and is not as clearly in conflict with medical and social perspectives as one might expect. The thesis also indicates a strengthened medical approach with connections to individualisation of problems and market orientation. To classify a certain group of individuals as deviants is important for our construction of normality and inclusiveness, whether the deviance is in terms of illness or moral failure. Treatment of deviance can be seen as a manifestation and reproduction of this categorization and research on treatment and deviance plays an important part in this process.

Place, publisher, year, edition, pages
Stockholm: Kriminologiska institutionen, 2006. 252 p.
Series
Avhandlingsserie / Kriminologiska institutionen, Stockholms universitet, ISSN 1404-1820 ; 19
Keyword
alcohol and drug problems, treatment, categorization, moralization, attitudes
National Category
Law and Society
Identifiers
urn:nbn:se:su:diva-1003 (URN)91-7155-255-3 (ISBN)
Public defence
2006-05-24, Skandiasalen, hus 15, Kräftriket, Stockholm, 10:00
Opponent
Supervisors
Available from: 2006-05-03 Created: 2006-05-03 Last updated: 2016-05-19Bibliographically approved

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