Mothers’ experiences of stigma and blame: the views of mothers of people who use substances

Objective: The objective of this study is to make the distinction between courtesy stigma and parent-blame, two related but unique forms of judgment, and to explore the consequence of courtesy stigma and parent-blame. Background: Having a child who uses substances has been linked to numerous adverse mental and physical health implications for family members. Parents, in particular, are at great risk of experiencing negative consequences including courtesy stigma and parent-blame. Method: We conducted in-depth interviews with eight mothers of individuals who use substances. Data were analyzed using thematic analysis. Results: Three primary themes were identified: the spreading impact of stigma, parent-blame, and coping with stigma and blame. Conclusion: In this study we were able to distinguish between courtesy stigma and parent-blame when considering the experiences of mothers of people who use substances. Findings suggest that stigma and blame leave mothers feeling judged and alone when navigating complex family dynamics. Implications: Family support organizations offer accepting spaces that counter judgment and generate a sense of connectedness. Our findings stress the importance of professionals cultivating an awareness of the consequence of stigma and blame when working with mothers of people who use substances.