为了更新的减少危害的模型

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Updated: May 26, 2025

A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers

Published on: January 5, 2018

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Pierre Chappard¹, Fabienne Pourchon²

¹Psychoactif, Paris, France. pierre.chappard@gmail.com.

Harm reduction journal

|February 22, 2025

概括

在法国,旨在支持使用毒品的人 (PWUD) 的危害减少 (HR) 政策尚未完全实现解放,原因是持续的犯罪化和污名化. 提出了一个基于权利的模式,以赋予PWUD权力,并将HR重新连接到其解放的根源.

科学领域:

公共卫生公共卫生
社会学社会学社会学
成研究研究成研究

背景情况:

20世纪90年代,由于海洛因使用者之间艾滋病毒的传播,危害减少 (HR) 政策的出现引入了新的方法,如针交换和阿片类药物替代疗法.
人力资源政策的基础是与毒品使用共存而不是根除的原则,旨在支持使用毒品的人 (PWUD).
人力资源的开始与同行支持小组有关,鼓励PWUD公开表达他们的经验.

研究的目的:

评估过去三十年来法国减少危害政策的有效性.
分析机构化的人力资源与正在进行的毒品使用的犯罪化和污名化之间的持续挑战和紧张关系.
提出一个更新的,基于权利的HR模式,促进PWUD解放和代理.

主要方法:

对法国PWUD,成护理系统用户,同行工作者和设施经理的经验进行定性分析.
反思通过互联网平台Psychoactif及其相关的同行支持小组分享的实践和经验.
基于权利的人力资源模型的理论框架的开发.

主要成果:

尽管有人权倡议,但政策的制度化和官僚化,再加上持续的刑事化和耻辱化,阻碍了PWUDs的解放.
在法国,人力资源的目标和围绕药物使用的社会/法律框架之间仍然存在紧张关系.
作者的经历凸显了PWUD所面临的疏远和剥夺权力的情况.

结论:

通过减少伤害来实现PWUD解放的承诺在法国基本上没有实现.
一个更新的,基于权利的伤害减少模式是必要的,以抵消耻辱和赋予PWUD权力.
重新将人力资源与其公民和解放的起源联系起来,对于使PWUD能够重新获得代理权并摆脱异化至关重要.

关键词:

吸毒的好处使用毒品的好处毒品政策和禁令的制定.解放解放是什么意思经验知识经验知识.减少伤害减少伤害同行支持 - 同行支持.污名化是一种耻辱.

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