Transforming responses: Exploring the treatment of substance-using African American women

This article explores how intrapersonal and structural oppression may impact treatment and the recovery process of 23 self-identified African American women with histories of incarceration and substance use. Using a critical consciousness (CC) framework and content-based thematic analysis, researche...

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Bibliographic Details
Published in:Journal of ethnicity in substance abuse 2020-11, Vol.19 (4), p.659-687
Main Authors: Jemal, Alexis, Gunn, Alana, Inyang, Christina
Format: Article
Language:English
Subjects:
Adult
African American
African Americans
Anxiety - psychology
Black or African American - psychology
Consciousness
Critical consciousness
Depression - psychology
Discrimination
Female
Health services
Humans
Imprisonment
Middle Aged
Oppression
Poverty
Prisoners - psychology
Race
Racial discrimination
Risk Factors
Self Efficacy
silencing
Social Welfare - statistics & numerical data
Substance abuse
Substance use
Substance-Related Disorders - ethnology
Substance-Related Disorders - psychology
Substance-Related Disorders - rehabilitation
Therapeutic alliances
treatment
Women
Women's Health - ethnology
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Summary:This article explores how intrapersonal and structural oppression may impact treatment and the recovery process of 23 self-identified African American women with histories of incarceration and substance use. Using a critical consciousness (CC) framework and content-based thematic analysis, researchers systematically coded and extracted themes and patterns from focus group data to evaluate how marginalizing processes-such as race-based discrimination-impact treatment, the therapeutic relationship, and service provision. Results indicate that participants' health and treatment were negatively impacted by oppressive factors, specifically the oppressive process of silencing. The authors discuss research and practice implications.
ISSN:1533-2640
1533-2659
DOI:10.1080/15332640.2019.1579141