Creating an ethical culture to support recovery from substance use disorders
Bibliographic Data
| ID | 21514915 |
|---|---|
| Authors | Laura Williamson (0000-0002-9022-0642, Institute of Public Health, corresponding author) |
| Year | 2021 |
| Volume | 47 |
| Issue | 12 |
| Pages | e9-e9 |
| Publication date | 2021-12-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Medical Ethics (JOURNAL) |
| Journal identifiers | ISSN: 0306-6800 • E-ISSN: 1473-4257 |
| Publisher | BMJ (PUBLISHER • GB) |
| DOI | 10.1136/medethics-2020-106661 |
| PMID | 33177147 |
| OpenAlex | W3101395717 |
| Language | EN |
| References cited | 43 |
There is a long-standing failure to create an ethical culture around substance use disorders (SUDs) or dependence that actively supports people’s recovery efforts. Issues which impede the development of prorecovery environments are complex, but include the far-reaching effects of the social stigma that surrounds SUDs; and the failure to harness relational and social support that allows debates to transcend blaming individual substance users. As part of efforts to create prorecovery environments, it is important to acknowledge that bioethics debate on SUDs is narrow in scope, prioritising topics related to its traditional interests in individual autonomy and novel technologies. As a result, it has not played a significant role in helping to transform the ethical cultures in which substance use recovery takes place. For example, it largely neglects the ethical challenges of developing an empathic, person-centred approach to substance use problems that listens and responds to the voices of clients. It has also participated little in efforts to develop a positive response to reducing the toxic effects of stigma. Indeed, some contributions from the field fan stigma, rather than alleviate it. The aim of this paper is to seed broader ethical debate, in academic literature and lay/professional communities, on how societies should respond to SUDs: steering a course between the critical, but narrow approach of bioethics and the empowerment discourse of evidence-based treatments
Autonomy · Bioethics · Empowerment · Engineering ethics · Environmental ethics · Political science · Psychiatry · Public relations · Sociology · Substance use · Computer Science · Engineering · Law · Mental Health and Patient Involvement · Mental Health Treatment and Access · Opioid Use Disorder Treatment · Psychology
Treating Addictive Behaviors
Diagnostic and Statistical Manual of Mental Disorders
The Ethics of Care and Empathy
Stigma and substance use disorders
Prevalence of 12-Month Alcohol Use, High-Risk Drinking, and DSM-IV Alcohol Use Disorder in the United States, 2001-2002 to 2012-2013
Evidence-based therapy relationships
Responsibility without Blame for Addiction
The role of the therapeutic alliance in the treatment of substance misuse
Mental illness-related stigma in healthcare
Prevalence and pathways of recovery from drug and alcohol problems in the United States population
A Meta-Analytic Review of Psychosocial Interventions for Substance Use Disorders
Getting Hooked
Obesity
Psychological Needs and the Facilitation of Integrative Processes
Relational autonomy as an essential component of patient-centered care
Public conceptions of mental illness
The moral relevance of personal characteristics in setting health care priorities
Stigma and the ethics of public health
| Highly cited | No |
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