UW-Madison SOCWORK 453 - Addiction-related stigma (10 pages)

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Addiction-related stigma

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Addiction-related stigma


A lecture about stigma and how it relates to addiction.

Lecture number:
Lecture Note
University of Wisconsin, Madison
Socwork 453 - Alcohol and Other Drug Abuse
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Soc Work 453 1st Edition Lecture 20 Outline of Last Lecture I Announcements II Prevention as a drug policy a Prevention paradox III Drug and alcohol related injuries IV Types of prevention in public health V Defining goals and evaluating outcomes VI Montana Meth Project VII Social Influence Model VIII Health disparities health equity IX IClicker Question and notes X Contextual factors Outline of Current Lecture II Announcements III What is stigma IV Concepts V Why do people stigmatize others VI Unique nature of addiction stigma VII Stigma manifests at multiple levels of the environment a Structural level examples b Social level examples c Individual level examples VIII IClicker question and notes IX Implications for prevention Current Lecture Announcements Third exam is December 11 the exam is not cumulative What is stigma Stigma creates negative socially constructed identities which reduce an individual from a whole and usual person to a tainted discounted one Someone may not be thought of as a person that is similar to him or her may think this is a separate type of person Maybe we don t see the person as trustworthy they are inherently different The last part of this sentence tells us that we strip the person from all other qualities except one thing Concepts Labeling Negative social categorization through an identifiable human difference Whatever characteristic that can be seen or known It is the thing that says oh this is this kind of person We label people in a lot of ways it isn t always what we see but what we hear or what we encounter Stereotyping Assignment of a consistent set of negative attributes Ideas we have about a group of people who share a certain characteristic Once we label people it becomes easier to stereotype them Separation Us and them labeled persons are inherently different from us It creates these in groups or people who are like me and out groups or people who are not like me We are able to label people and stereotype them So when people do a different behavior it is easy to say these people are weird these people are different Status loss and discrimination Devalued differently treated restricted opportunities Then it is easy for these people to be devalued in society The different person will usually suffer status loss Discrimination is when we think of people as different then us and it becomes us and them you want people in your in group to do well If you do better then other people that you don t value and you have access to resources this is where discrimination happens All 4 of these have to be place to be considered stigmatized All 4 of these could be in place and it doesn t necessarily mean there is stigma Some ways you might come to know that someone has a mental illness Maybe through someone else or through social media We can see some mental illness Maybe certain places that people might go If you want to find someone with an addiction problem or a mental problem you could go to the behavior help clinic Any group can suffer a stigma For something to be stigma we are talking a lot about power differential The stigma is discrediting and devaluing Without a power differential stigma doesn t exist Why do people stigmatize others Keeping people in Norm enforcement You have an in group and you want your in group to preform well We want people like us to continue to be like us and to be viewed positively in society We stigmatize negative behaviors to try to keep people who are like you from being deviants It s a form of behavioral control Keeping people away Not in my back yard We think of people in the out group we want to keep people away from us We don t want them to access our resources so people like us do better we don t want other people to interfere with what we are doing Not in my back yard whenever a treatment center or homeless shelter communities get together and everyone protests that center being put anywhere near where they live Keeping people down Dominance social hierarchy We don t want people to use our resources People who are inherently different from us we don t care how they do so we aren t going to support them Now days there are certain functions of stigma Unique nature of addiction stigma We learn stereotypes about addiction and mental illness as we grow up We come to expect that addicted persons will turn out bad and will be treated differently Perceived stigma This is innocuous for people who never develop problems But it has personal relevance for those who do Result Concealment secrecy social withdrawal We develop expectations of people who use drugs or alcohol What is different too is that substance abuse problems don t develop until much later in life And much after they come to learn that people who have these types of problems are bad people You grow up thinking people are bad might have problems when kind of young and then when 25 30 is when you start to realize you have an addiction problem Expectations of being discriminated or devalued are really nothing more than belief People who do develop problems it then becomes personally relevant Because of this there is a lot of concealment secrecy and social withdrawal Addiction stigma you don t know it s going to happen to you and then you develop negative beliefs about it before it comes on Perceived stigma If you believe that someone who was in alcohol treatment is not as trustworthy as an average citizen then that is stigmatization Later if you have the same problem we will think we will have that same stigma Stigma manifests at multiple levels of the environment Stigma can happen in multiple levels of the environment The first one is the broadest and most impacted which is the structural level There are laws and policies that are stigmatizing against people with addiction Also there is workplace healthcare and educational system resources People with addiction get less access to these things Then there is the social level This is attitudes of people who are close to you like friends and family And then there is also individual level stigma Structural level examples Lack of healthcare and insurance coverage up until now Affordable Care Act Drug convictions and restriction of student financial aid Restriction of housing employment nutrition and other benefits assistance Can think about things that put you at risk for addiction All of these things have to do with access to resources and money These typically have to do with access to resources Social level

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