Assessing "Clinical Identity" through the Lenses of Choice, Cognition, and Context-Implications for Marginal Men in Treatment.
Year: 2014
Type: dissertation
Study design: Observational Study
Abstract: Utilizing a treatment sample comprised solely of urban adult Black male participants in residential substance abuse treatment programs for substance use disorders, this dissertation sheds light on the reported perceptions of men multiply marginalized by the intersection of race, gender, ascribed pathology and placement in residential treatment facilities. By incorporating aspects of intersectionality theory and the main components of the Lifestyle Theory Model of Recovery, this dissertation examines the identities of an extra-marginalized and atypical subset of the larger Black male population from three thematic perspectives: Marginal Choice (self-ascription), Marginal Cognition (perceived power), and Marginal Context (racial regard/treatment (physical) setting). Results reveal important intragroup differences in perceived personal control, self-ascription, and racial regard, as well as significant relationships between personal measures of satisfaction and wellbeing, risk taking behavior, and overall treatment adaptation overtime. The implications, costs and benefits of multiple marginalization for Black men in clinical treatment settings are discussed with suggestions as to how to better ensure more successful clinical experiences for marginal Black men who opt to participate in clinical treatmen
Authors: Graham, Eric P. Charles
Language: English
Subfield: Epidemiology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2750741304