'Overconfidence' versus 'helplessness': A qualitative study on abstinence self-efficacy of drug users in a male compulsory drug detention center in China
| Autor: | Wenxiu Geng, Yan Zhang, Bing Feng, Laurence Owens, Juzhe Xi |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty China Health Knowledge Attitudes Practice media_common.quotation_subject Health Status Emotions 030508 substance abuse Learned helplessness Mandatory Programs Qualitative method Self-Control Blame Drug Users 03 medical and health sciences Young Adult 0302 clinical medicine Recurrence medicine Drug policy Humans 030212 general & internal medicine Drug use Psychiatry Qualitative Research media_common Self-efficacy Motivation Attribution theory Addiction Health Policy Research Self-control Abstinence Self Efficacy Compulsory drug detention Health psychology Psychiatry and Mental health Abstinence self-efficacy Family Relations Thematic analysis 0305 other medical science Psychology Clinical psychology |
| Zdroj: | Substance Abuse Treatment, Prevention, and Policy |
| ISSN: | 1747-597X |
| Popis: | Background Compulsory drug detention is the most frequent way to control drug use in China; however, it has often been criticized. This qualitative study aimed to investigate abstinence self-efficacy and its sources of drug users in a compulsory male drug detention center in Shanghai, China, and the attitudes of the drug users to this form of rehabilitation. Methods Thirty-six participants were interviewed (semi-structured, in depth) about their history of drug use and rehabilitation, self-evaluation of addiction, motivations to abstain, plans for the future and attitudes toward rehabilitation. A thematic analysis was undertaken of the transcripts with responses to interview questions being coded for content. Results Two main types of self-efficacy were found – “overconfidence” (n = 16) and “helplessness” (n = 17). Overconfident participants underestimated their levels of addiction, overestimated their self-control and held external motivations and attributions. In contrast, helpless participants overestimated their levels of addiction, underestimated their self-control and had internal motivations and attributions. Compared to overconfident participants, helpless participants had more relapse history, and were more inclined to interpret relapse as a failure and attribute relapse to themselves. More helpless participants were abandoned by their family members, and received blame from the family members instead of encouragement, but their family members motivated them to abstain. Helpless participants experienced more negative emotions and had worse physical status. They said compulsory detention was a strong support for them and was the most effective way to abstain; while overconfident participants said compulsory detention was not necessary and not useful. Conclusion It is important to increase the motivation of overconfident drug users and the perceived control of helpless drug users. Compulsory drug detention has strengths in supporting drug users who feel helpless to resist drug use. Adjustments and improvements of compulsory drug detention are suggested. Electronic supplementary material The online version of this article (doi:10.1186/s13011-016-0073-2) contains supplementary material, which is available to authorized users. |
| Databáze: | OpenAIRE |
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