The Trouble with Morality
The Effects of 12-Step Discourse on Addicts’ Decision-Making
Bibliographic Data
| ID | 13912508 |
|---|---|
| Authors | David Frank (0000-0003-3503-5310, DePaul University, corresponding author) |
| Year | 2011 |
| Volume | 43 |
| Issue | 3 |
| Pages | 245-256 |
| Publication date | 2011-07-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Journal of Psychoactive Drugs (JOURNAL) |
| Journal identifiers | ISSN: 0279-1072 • E-ISSN: 2159-9777 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/02791072.2011.605706 |
| PMID | 22111408 |
| OpenAlex | W1967824616 |
| Language | EN |
| Citations received | 10 |
| References cited | 33 |
Since its development in the 1960s, researchers have extensively scrutinized methadone maintenance treatment (MMT) as a medical response to heroin addiction. Studies consistently find that MMT is more successful than other treatment models in the reduction of opiate/opioid misuse, the transmission of diseases like HIV/AIDS and hepatitis C, and criminal arrest and conviction rates. Nonetheless, a significant portion of active and former heroin addicts view MMT negatively and-perhaps as a result-MMT is vastly underused. This study examines the effects of 12-Step discourses on the opinions and treatment decisions of active heroin addicts, addicts in MMT, and addicts in 12-Step treatment programs. The study finds the abstinence/morality based discourse of drug addiction and treatment is pervasive among addicts and their non-drug using relations and peers alike; moreover, addicts have internalized this narrative, oftentimes despite their own knowledge of MMT's success and positive personal experiences. The findings suggest that the dominance of abstinence/morality narratives contributes to MMT's poor reputation among, and low use rate by current and former heroin addicts and that the power of the dominant discourse is such that it produces a desire to buy into its values and tenets even when it is against the individual's interests to do so
Abstinence · Addiction · Dominance (genetics · Drug · Heroin · Methadone · Morality · Narrative · Political science · Psychiatry · HIV, Drug Use, Sexual Risk · Medicine · Opioid Use Disorder Treatment · Psychology · Substance Abuse Treatment and Outcomes
The association between perceived stigma and substance use disorder treatment outcomes
Language preferences and impact of labels on the lived experience of people who use heroin
“I Was Raised in Addiction”
The improvable self
Doing Recovery Online
Medication for opioid use disorder treatment continuity post-release from jail
Perceived Importance of Counseling Among Patients Receiving Methadone Treatment
Developing a Penal Abolitionist Application to Drug Treatment Drawing from Insider Perspectives and Lived Experiences
The Continuing Expansion of Drug Courts
Galios santykiai ir religinės praktikos reabilitacijos institucijoje
The American Disease, Origins Of Narcotic Control
Stigma
Beliefs About Methadone in an Inner-City Methadone Clinic
Applying an Ecological Framework to Understanding Drug Addiction and Recovery
Misunderstandings About Methadone
Towards the Integration of Treatment Systems for Substance Abusers
Attitudes Toward Methadone Maintenance
Recovery and Spiritual Transformation Among Peer Leaders of a Modified Methadone Anonymous Group
Principles of Critical Discourse Analysis
Harm reduction--a framework for incorporating science into drug policy
I Don't Have Another Run Left With It
Critical and descriptive goals in discourse analysis
Critical Discourse Analysis
Reducing the Risk of Aids Through Methadone Maintenance Treatment
Pleasure, power and dangerous substances
Disciplining Addictions
| Unique citing works | 10 |
|---|---|
| Citations per year | 0,71 |
| Citation span | 2012 - 2025 (14) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 10 |