俱樂部藥物濫用者的生命敘說探究

A Narrative Study on the Life of a Club Drug Abuser

邱獻輝(Hsien-Huei Chiou)

《藥物濫用防治》 2卷2期 (2017/06) Pp. 75-100

https://doi.org/10.6645/JSAR.2017.2.2.3

摘要

近年來俱樂部藥物濫用情況嚴重，考量其對個體身心俱有不良的影響，甚至可能導致日後更嚴重的物質依賴與犯罪問題，故亟需予以關注。基本上，俱樂部藥物濫用是一個複雜、且具有發展特徵的不良適應行為，目前雖然已經累積不少研究，但是透過生命歷程來綜觀、理解俱樂部藥物濫用心理機制的研究仍相當有限；為了增補此一文獻需求，本研究以建構理論研究典範為基礎，採取敘說探究的研究設計，邀請一位俱樂部藥物濫用者接受訪談，進行資料的蒐集與協同分析。研究結果共彙整出五個歷程範疇，包括『從「疏離的家庭」走向「同儕的連結」』、「帶著好奇流連遊樂場：使用藥物的起始」、「初期使用毒品的意涵：緩解痛苦」、「求助與省思：遠離成癮藥物之道」、「理性區別用藥：維繫友情的工具」。此結果凸顯受訪者A濫用物質的多元原因乃鑲嵌在其自我追尋的生命基調；此外，從受訪者的敘說中，可發現專業處遇能助其避免進一步惡化成硬性藥物的濫用者，但是在俱樂部藥物濫用防治上仍需加強其用藥危險的意識，並且強化易有藥物濫用的遊樂場所之管理。

關鍵字

物質濫用 ； 俱樂部藥物 ； 敘事研究 ； 建構主義

並列摘要

The abuse of club drugs has been worsening recently. This kind of abuse may lead to more serious addiction and criminal problems. Club drug abuse is a complex issue associated with ill-adjusted conditions and with personal developmental issues. While many factors associated with club drug abuse have been explored, few studies have focused on the psychological mechanism of club drug abuse based on a life course perspective. To address this gap, a narrative study was conducted, grounded in constructivist research paradigm, to gain insight into the life of a club drug abuser through interviews. The interview scripts were analyzed by the author and a co-analyst, revealing five themes: (a) the participant ＂became alienated from family and developed peer connections instead,＂ (b) he ＂started using drug out of curiosity while frequently wandering around the playground,＂ (c) his initial motivation for drug abuse was to relieve suffering, (d) he sought help to reflect upon his behaviors and to distance himself from addictive substances and hard drugs, and (e) he became a more ＂rational＂ and discriminating user of substance, using it to maintain friendships. These themes not only identified multiple reasons driving the interviewee’s drug abuse but also uncovered key life events that were interwoven with drug abuse. In addition, the results of this study showed that the counseling would be effective for preventing the interviewee from usage of hard drugs; however, it was suggested that the efforts to help youth abstain from using club/soft drugs need improvements and enhance the management of playgrounds where youth become exposed to such drugs.

並列關鍵字

Club Drugs ； Constructivism ； Narrative Research ； Substance Abuse