{"id":6411,"date":"2016-04-26T13:04:18","date_gmt":"2016-04-26T13:04:18","guid":{"rendered":"https:\/\/drogriporter.hu\/living-and-dealing-with-stigma\/"},"modified":"2022-07-04T13:47:42","modified_gmt":"2022-07-04T11:47:42","slug":"living-and-dealing-with-stigma","status":"publish","type":"post","link":"https:\/\/drogriporter.hu\/en\/living-and-dealing-with-stigma\/","title":{"rendered":"Living and Dealing with Stigma"},"content":{"rendered":"

A study conducted by the Portuguese harm reduction NGO, APDES, presents how stigma affects the daily lives of drug users.<\/p>\n

<\/p>\n

A little while ago, there was a company hiring drivers. I went there, talked to\u00a0them, and they said \u201cJoaquim, do you really think I\u2019d hire a junkie?!\u201d<\/em>
\nThey always get suspicious when I ask to take the methadone away with\u00a0me. They think, \u201cThis guy wants to get money to buy drugs.\u201d It\u2019s always the\u00a0same, it\u2019s not even worthy it.<\/em><\/p>\n

Based on humanistic and pragmatic principles, the Portuguese Model of Drug Policy introduced a structural change in the way the State dealt with drug use. For several reasons, however, society as a whole does not always follow these developments. Outreach teams working with people who use drugs (PWUD) frequently refer to the existence of stigma directed at this group.
\nIn order to increase understanding of this phenomenon, APDES led an exploratory and qualitative study that – among other things \u2013 aimed to understand those processes of stigma that still persist. Stigma has been analysed as a quality granted to an individual or a group that is deeply derogatory (Goffman, 1986), involving both cognitive reduction processes (which means that the stigmatised identity prevails over other possible identities); and experiential avoidance processes (meaning that the attributed qualities are not confronted) (Fernandes, 1998).
\nThe study involved twenty beneficiaries of GiruGaia, GiruBarcelos and GiruSet\u00fabal[1]<\/a>, APDES\u2019s harm reduction teams. A critical analysis of their daily work was conducted and linked with data from an earlier ethnographic study, carried out between 2014 and 2015, in the very same outreach settings (R\u00eago, 2015). The results were presented recently by APDES at the 11th National Congress of Health Psychology (CNPS), held in Lisbon on January 27th.<\/p>\n

This population is generally characterised by economic and social precariousness and a long history of use of legal and illegal substances, as well as high-risk practices, family disruption, long-term unemployment, low levels of formal education, and a certain distance from the traditional social and healthcare services.
\nThe main conclusions of the research show that these preconditions favour the emergence, occurrence and reproduction of stigma, thus influencing different aspects of the lives of PWUD, and influencing the work of harm reduction professionals. There are several processes of stigmatisation:<\/p>\n

1) Blaming\/incriminating PWUD for their health status.
\n2) Paternalism and secrecy on the part of healthcare services regarding treatment, dosage and urine tests (in contrast to normal practice in terms of other conditions); obstacles presented to dealing with users\u2019 illiteracy, or restrictive criteria applied to the access to certain treatments.
\n3) Negative treatment, which hinders patients\u2019 access to services; professional staff tend to refuse\/present obstacles to health\/social care (the main reason why teams choose to accompany their beneficiaries).
\n4) Difficulty in combining part-time\/full-time work with methadone intake, due to the services\u2019 lack of \u201ctrust\u201d towards patients, especially in cases where patients ask to take the methadone away with them.
\n5) The treatment services tend to encompass the teams\u2019 work in the sphere of harm reduction. (I have no idea what this means – jld)<\/p>\n

Stigma maintains a distance between the services and the streets, and between normality and deviance, leaving PWUD vulnerable by making them responsible for managing all the risk on their own. Understanding and reporting these processes is a way to give PWUD a voice.<\/p>\n

Author:
\nResearch Department-APDES
\nTranslation:
\nFrancisco Azevedo-APDES<\/p>\n


<\/p>\n
\n
\n

[1]<\/a>Rodrigues, Cl\u00e1udia; R\u00eago, Ximene; Costa, Catarina; Vilares, Joana; Fi\u00e3es, Alexandra; Homem, Mariana (2016) O Estigma das popula\u00e7\u00f5es que utilizam drogas: um estudo explorat\u00f3rio a partir do trabalho das equipas de proximidade- <\/em>Poster apresentado no 11\u00ba congresso de Psicologia da Sa\u00fade-ISCTE<\/p>\n

 <\/p>\n

 <\/p>\n<\/div>\n<\/div>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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