MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.
-
Upload
annabella-hicks -
Category
Documents
-
view
225 -
download
1
Transcript of MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.
![Page 1: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/1.jpg)
MSc in Addiction StudiesExploring our attitudes toward
addictionAnna Williams and John Witton
![Page 2: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/2.jpg)
Outline
• Questionnaire• Presentation with interruptions– Discussion in small groups– Discussion in the larger group
• Conclusion• Continuation…– Reading– Group result– Follow-up
![Page 3: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/3.jpg)
Think to yourself
• Why is it important to understand our/others’ attitudes towards Addiction?
![Page 4: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/4.jpg)
Attitudes
“Attitudes are reinforced by beliefs and often attract strong feelings which may lead to a
particular behaviour intents.”
Oppenheim (1999), page 175
![Page 5: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/5.jpg)
Clinicians' expectations influence placebo analgesia
Gracely et al. (1985) Lancet
![Page 6: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/6.jpg)
Attitudes towards Drug Use
1. Valued physical goods
2. Behaviour/Social Behaviour
3. Intimate Behaviour (into the body)
4. Affects thinking, feeling and behaviour
(psychoactive aspect)
Robin Room (2005) D&A Review
![Page 7: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/7.jpg)
Prized/Feared
![Page 8: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/8.jpg)
![Page 9: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/9.jpg)
Social Disapproval
![Page 10: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/10.jpg)
Public Attitudes A Review by Schomerus et al (2010)
• Compared to other mental health disorders, Alcohol Dependents are:– Less ‘mentally ill’– Responsible for their condition– As dangerous as those suffering from schizophrenia• Experimental study by Graves et al (2005): students
presented greater physiological arousal (i.e. increased heart rate) when they imagined meeting a person with a diagnostic of schizophrenia ….
![Page 11: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/11.jpg)
Public Attitudes
• Preferences of the public regarding cutbacks in expenditure for patient care (Schomerus et al., 2006): • psychiatric over medical• alcoholism had least public support (personal responsibility).
• Dependents on drugs, alcohol, tabacco should receive less priority in health care (Olsen et al. 2003)• Behaviour contribute to their own illness
![Page 12: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/12.jpg)
Influenced by…
• Policy– ‘War on drugs’, ‘thought on drugs’, ‘just say no’
• Representations of Drug Use and Drug Users in the British Press, 2010:– Professionals and celebrities linked to cocaine use – Young people cannabis and ecstasy users– Offenders and parents- heroin users
![Page 13: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/13.jpg)
Small Groups
• What other factors influence our/others’ attitudes towards Addiction?
• What are the consequences of stigmatization to the patient?
![Page 14: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/14.jpg)
On Stigma Thornicroft et al. 2007
“The rejecting behaviour of others may bring greater disadvantage than the primary condition itself.”
![Page 15: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/15.jpg)
Self-stigma
• Internalisation of negative public perception
• Self-stigma associated with:– ↓ self-efficacy (self-fulfilling prophecy)– ↓ Low self-esteem– ↑Depressive symptoms– ↑ Need of treatment– ↓ Seek help/treatment/use of health services
![Page 16: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/16.jpg)
Current treatment system may stigmatise people in recovery
• The Effect of Stigma on Treatment (Luoma et al., 2007)– ↑ treatment episodes ↑ the stigma– IV users ↑ stigmatised
• Room 1980: ‘process of entering treatment is to some extent a process of extrusion from the general population, that many clients come to treatment after having exhausted their moral credit with employers and families’
![Page 17: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/17.jpg)
Current treatment system may stigmatise people in recovery
• ‘Master status’
• Multiple stigmaCharlie Lloyd,
2010
![Page 18: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/18.jpg)
Historically routed and difficult to
Change
![Page 19: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/19.jpg)
Is stigma all that bad?
![Page 20: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/20.jpg)
Larger Group Discussion
• Can prevention happen without stigmatization?
• How can negative attitudes towards addiction be change?
![Page 21: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/21.jpg)
Evidence
Conclusion
![Page 22: MSc in Addiction Studies Exploring our attitudes toward addiction Anna Williams and John Witton.](https://reader035.fdocuments.us/reader035/viewer/2022062320/56649d745503460f94a54a28/html5/thumbnails/22.jpg)
Reflect on your own attitudes towards addiction
READING: