Fr. Bill's Journal 莫牧師的點滴

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May 21, 2025 – Breaking the Silence: What I Learned from a CAPSA Webinar on Substance Use and Stigma

A recent webinar hosted by the Community Addictions Peer Support Association (CAPSA) shed light on the pervasive issue of stigma surrounding substance use, offering a powerful call to action for individuals and communities to respond with compassion rather than judgment. The session emphasized that understanding and addressing stigma is crucial for fostering healing and support.

Understanding Stigma: False Beliefs and Harmful Manifestations

CAPSA defines stigma as a deeply ingrained set of false beliefs about a group of people who share a common characteristic. In the context of substance use, this manifests as judgment, discrimination, and marginalization. Stigma can be overt, like name-calling, or subtle, such as avoiding eye contact. Regardless of its form, stigma isolates individuals and actively hinders their path to recovery.

The webinar highlighted how societal messages, often internalized from childhood, have shaped perceptions of substance use. Phrases like “People who use drugs are bad” or “Just say no” have perpetuated the harmful and false idea that individuals who use drugs are morally flawed, weak, or dangerous.

Substance Use: A Spectrum of Health, Not a Fixed Label

A key visual presented was the Substance Use Health Spectrum, which reframes substance use as a dynamic aspect of human health rather than a static identity. This spectrum acknowledges that individuals can range from not using substances at all to having a substance use disorder that significantly impacts their well-being. Crucially, the webinar underscored that everyone, regardless of their position on this spectrum, deserves respect, dignity, and support. Stigma, it was noted, is not reserved for those with severe substance use disorders; it can affect anyone who uses substances, even occasionally or culturally, and those in recovery.

The Power of Language: Shifting to Person-First Terminology

A central tenet of the webinar was the transformative power of language. The session advocated for person-first language, encouraging the use of phrases like “a person who uses substances” or “a person with a substance use disorder” instead of labeling individuals as “addicts” or “junkies.” This linguistic shift prioritizes the individual’s humanity over their behavior, emphasizing that a person is never solely defined by one aspect of their experience. The webinar also urged the abandonment of morally charged terms such as “clean” or “at-risk,” stressing that the move to person-first language is about honoring human dignity.

Cultivating Compassionate Conversations

The webinar strongly encouraged the cultivation of compassionate conversations, advocating for:

  • Self-reflection and challenging personal biases: Recognizing and confronting preconceived notions about substance use.
  • Non-judgmental listening: Creating a safe space for individuals to share their experiences without fear of condemnation.
  • Focusing on trust and support: Prioritizing genuine care over fear or punishment.
  • Understanding the impact of words: Being mindful of how language can either harm or heal.
  • Active presence: Being fully engaged when someone shares their story.

The session underscored that compassion is unconditional and that individuals do not need to prove their worthiness of care. Furthermore, it emphasized that expertise is not a prerequisite for offering support; a willingness to listen is paramount.

Key Takeaways for a More Compassionate Community

The webinar distilled several vital takeaways:

  • Expertise in substance use is not necessary to engage in supportive conversations.
  • Normalizing discussions about Substance Use Health can reduce stigma and encourage openness.
  • Health promotion, which supports an individual’s well-being and agency, is more effective than solely focusing on prevention.

Ultimately, the webinar reinforced the idea that stigma, not individuals who use substances, is the problem. It issued an invitation to communities to prioritize seeing, listening to, and supporting individuals with love, fostering environments where everyone, regardless of their position on the substance use spectrum, feels seen, supported, and safe. The insights shared by CAPSA offer a valuable roadmap for building more compassionate and understanding communities.


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