Abstract

ABSTRACT Although much attention focuses on mental health recovery and stigma, less attention is paid to substance use especially in rural areas. This qualitative study draws on Foucauldian and intersectional approaches to examine the sociocultural processes by which stigmatized identities are constructed and rejected at micro and macro levels. A thematic analysis is applied to 40 interviews with people with substance use issues in two rural communities. Findings illustrate that stigma is constructed through binary identity categories and intersectional identities rooted in neoliberal contexts. Resistance is demonstrated at personal, peer, public, and structural levels, offering counter narratives of strength and resilience.

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