title: How lesbians recognize and respond to alcohol problems: a theoretical model of problematization.
abstract: To determine how one specific at-risk population problematizes alcohol use and responds to alcohol-related difficulties, findings from an ethnographic interview study of lesbians recovering from alcohol problems were used to develop a theoretical model of problematization. Problematization consists of two phases: recognition and response. Recognition involves problem indicators varying by type (cumulative vs immediate) and source (personal vs environmental). Movement from recognition to response is hindered by perceptual and environmental constraints. Response consists of interrelated processes of construction, interaction, action, and validation. On the basis of validation, problems are reconstructed and new problems are recognized as the cycle continues.
authors.affiliation: Department of Mental Health, Community, and Administrative Nursing, School of Nursing, University of California, San Francisco.
authors.forename: J M
authors.initials: JM
authors.lastname: Hall
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000437:Alcoholism / Q000451:nursing / Q000523:psychology*; D001294:Attitude to Health; D004777:Environment; D005260:Female; D006716:Homosexuality / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008875:Middle Aged; D008960:Models, Psychological; D015404:Nursing Methodology Research; D010342:Patient Acceptance of Health Care; D010465:Perception; D011340:Problem Solving