| 摘要: | 本研究主要經由質性研究法（Qualitative Research）來探究藥物濫用者藥物認知歷程與成癮行為發展模式，藉由深入訪談來探討受訪者個人對於藥物的認知歷程及相關主要影響因素，以及藥物使用行為的成癮過程。本研究以中部地區之戒治所、精神醫療院及戒毒村為研究場域，研究共邀約訪談五十位藥物濫用者。研究以深度訪談（depth interviews）逐字稿做為主要資料的來源，依循紮根理論研究法進行資料整理分析。本研究之主要研究發現、結論及建議如下： 研究發現影響藥物濫用者藥物認知的主要影響因素，包括個人內在因素及外在環境因素兩個主要範疇，其中包括性格特質、情緒心理狀態、同儕朋友關係、家庭親人關係、職業工作關係、活動場所關係等六個副範疇。影響藥物濫用成癮歷程，包括成癮內部驅力及成癮外部驅力，煙毒次文化三個主要範疇，其中包括認知態度變遷，藥物作用影響，家人關係變遷，社經關係變遷，職業工作變遷，戒除藥癮經驗，毒品市場變遷，犯罪次文化影響等八個副範疇。研究結果提出四點結論：1.受訪者特質；2.藥物認知歷程主要影響因子；3.藥物成癮行為發展歷程主要影響因子；4.藥物濫用行為發展模式；本研究並提供五點建議1.新興毒品流行必須快速反應立法遏止；2.家人關係是戒除藥癮的重要力量；3.青少年階段是藥物濫用的關鍵時期，做好青少年防毒工作是最有效益的防毒；4.加強社區化戒除藥癮治療機制；5.以深入研究藥物濫用者毒品次文化作為防治毒品的長期工作。
This study conducted data with face-to-face interviews to examine drug abuser cognition process and drug addiction behavior development pattern by Qualitative Research, we analyzed participant individual drug cognition process with deep interview as well as mainly related influence factor and drug addiction process of drug abuse behavior. Three interview fields were used for data collection: Rehab Institution, mental health hospital and abstinence village in central section of Taiwan. To complement the qualitative data, restructured qualitative data were conducted with depth interviews word- by- word notes with grounded theory research method through fifty drug abuser interviews. As illustrated below, mainly conclusion and suggestion in this study： Results revealed several patterns of drug cognition as a key influence factor of drug abuser. These included two mainly category: personal inner factor and external environmental factor; and six secondary category including character features, emotional psychological state, peers relationship, family relationship, career work relationship, activities locality relationship. Drug abuser addiction behavior process included three mainly category: inner- drive addiction pattern, outer-drive addiction pattern and drug subculture; with eight secondary category including cognition attitude change, drug function related influence, family relationship change, social economical relationship change, career work change, maintaining abstinence experience, narcotics market change, criminal subculture influence. The finding data analysis indicated four conclusion; 1.Personal feature; 2.Drug cognition process mainly influence factor; 3.Drug addiction behavior development process mainly influence factor; 4.Drug abuse behavior development pattern. The results provide five suggestions: 1. Legislation of emerging drugs demand to more fast to prohibition; 2. Family relationship is significant important helpful to the drug abuser maintain abstinence; 3. Most important part of anti-drug work indicated that against adolescents drug abuse is the key period to achieve effectively.; 4. Advance further drug abuser treatment with a community-based treatment mechanism; 5. As a crucial part of long-term action to prevention and control drug abuse, which more deeply research of drug addiction subculture are vitally important. |
