Avhengighet, anerkjennelse og identitet
Prosjekt
- Prosjektnummer
- 911757
- Ansvarlig person
- Kjersti Egenberg
- Institusjon
- Rogaland A-senter
- Prosjektkategori
- Strategiske midler - rus, prosjekt
- Helsekategori
- Mental Health, Other
- Forskningsaktivitet
- 1. Underpinning, 5. Treatment Developement
Rapporter
The first article is in progress and is developed on the bases in-depth interviews. The overall aim is to deepen the understanding of the social dynamics underlying a pervasive transformation of lifestyle in the phases of recovery, with a special interest of how professional support become part of, and play a role in these individual processes.The project is a sociological study of the subjective experience of recovery processes underlying problems caused by alcohol or other drug (AOD) dependency, based on the self- reported significance of interventions, actions and events that promoting change, with special interest on social recognition and identity and the possibility of community participation and social (re)integration.
The qualitative in-depth life-story interview is the chosen method for this study. The research participants is deliberately selected on the basis of their own definition of being in the process of recovery and ready to start the process of re-establishing broken work relationships and/or other social (i.e. family, friends and social network) relationships. They are at the aged 20 years or older. Subject recruitment, interviews and data analysis is performed as part of a bigger project named The Stayer-study facilitated by the Alcohol and Drug Research Center (KORFOR), at Stavanger University Hospital. The participants were asked to join the study over a long period of time in a follow-up research design.
At this point of the study I have carried out in-depth interviews with the 17 participants at to different occasions 6 months apart. The respondents have lived experience ranging from extensive use of AOD, the process of coming of drug use, recurrent relapses as well as total abstinence. At the time of the first interview most of the respondents had been of drug use at a minimum of 6 month, but were still in contact with the treatment system. In addition to this, most of them attended in some kind of aftercare or self-help groups as NA (Narcotics Anonymous), as well as being enrolled in a welfare program receiving welfare support or similar. The participants age range from 22 to 55, were nine participants are between 22 and 30, six are between 30 and 40 and one is above 50. Approximately one quarter of the participants is women.
The interviews is inspired by both theoretical reasoning on social parctice and (re)integration processes, life course perspective and recognition, and the empirical interest in the participant’s experience of significant interventions, events or other factors that may improve or prevent the process of recovery. The interviewees were encouraged to tell their stories about the pathway into drug use and abuse, as well as the stories about the attempts of getting of drugs, relapses and the pathway towards recovery. Further the participants were encouraged to dwell and reflect on diverse transitions and turning points within these processes. The general intention of the first session of interviews were to provide a more open and “ethnographic” atmosphere for the participants to express their own experiences and perspectives.
Based on the fact that many addicts recirculate in the treatment system, there is a need to deepen the understanding of the social dynamics of this phenomenon from the perspective of people in the midst of the cycle. Thus, the first article’s aim is to illuminate on how professional support become part of, and play a role in these individual processes. We analyse the self-narrative told by people in recovery using professional support to facilitate their changing process in regard to the interactive, relational and processual dynamics of treatment interventions and/or support in relation to the process of change.
This project is a sociological study of the subjective experience of the processes of recovery underlying problems caused by alcohol or other drug (AOD) dependency, based on the self- reported significance of interventions, actions and events that promoting change, with special interest of community participation and social (re)integration.The qualitative in-depth life-story interview is the chosen method for this study. The research participants will be deliberately selected on the basis of their own definition of being in the process of recovery and ready to start the process of re-establishing broken work relationships and/or other social (i.e. family, friends and social network) relationships. They will be aged 20 years or older. Subject recruitment, interviews and data analysis is preformed as part of a bigger project named The Stayer-study facilitated by the Alcohol and Drug Research Center (KORFOR), at Stavanger University Hospital. The participants were asked to join the study over a long period of time in a follow-up research design.
At this point of the study I have 17 in-depth interviews with respondents witch have lived experience ranging from extensive use of AOD, the process of coming of drug use, recurrent relapses as well as total abstinence. At the time of the interview most of the respondents had been of drug use at a minimum of 6 month, but were still in contact with the treatment system as out-patients. In addition to this, most of them attended in some kind of aftercare or self-help groups as NA (Narcotics Anonymous), as well as being enrolled in a welfare program receiving welfare support or similar. Their age range from 22 to 55, were nine participants are between 22 and 30, six are between 30 and 40 and one is above 50. Approximately one quarter of the participants is women. Three more individuals will be recruited for this project's total participants cohort
The first round of interviews were inspired by both theoretical reasoning on social (re)integration processes, life course perspective and recognition, and the empirical interest in the participant’s experience of significant interventions, events or other factors that may improve or prevent the process of recovery. The interviewees were encouraged to tell their stories about the pathway into drug use and abuse, as well as the stories about the attempts of getting of drugs, relapses and the pathway towards recovery. Further the participants were encouraged to dwell and reflect on diverse transitions and turning points within these processes. The general intention of the first session of interviews were to provide a more open and “ethnographic” atmosphere for the participants to express their own experiences and perspectives.
The first article will be developed on the bases of the data material from the first interview round. Because of the respondents experience and involvement with the treatment system as well as diverse welfare organisations and institutions, their story can provide insight to and exemplify diverse dimensions of the encounter between individuals and welfare institutions (including the treatment system). For the purpose of the firste article I will refelct on my data in light of the following: Who does the role and power of the welfare state institutions comes into play in the relation between my interviewees and their encounter with the treatment system, aftercare programs or the welfare institutions in general? What are the subjective accounts of treatment relations in the narrative construct of the process of recovery?
Prosjektskisse under utarbeidelse, som forventes ferdigstillt og innsendt som søknad til opptak for doktorgradsprogram ved UiS, vår 2013.
Prosjektet har som overordnet målsetting å øke kunnskapen om forhold som påvirker behandlings- og livsforløp, forhold som er av betydning for bedring eller som hindrer bedring for mennesker som har en rusavhengighet.The objective of the present study is to investigate the subjective experience of the process of recovery in relation to its social and cultural context. The primary issue is to learn more about social conditions and circumstances that affect the processes and pathways of recovery, matters of importance that improve or prevent recovery for people who suffer from severe alcohol and other drug addiction (AOD). This study will have a specific focus on the self- reported significance of interventions, actions and events that promoting change, with special interest on social recognition and identity and the possibility of community participation and social integration. The influence treatment relations and interventions have in the everyday life of those affected by AOD dependencies in relation to other aspect of the individual’s existents will also be explored. Likewise, his or her self understanding, social identity, the horizon of opportunity, relations to social network, family, friends, job relation, alcohol or other drug relationship and other throughout the process of recovery, will be investigated. How do individual afflicted of AOD addiction experience the processes and pathways to move from a position of marginalization, maladaptive or outsideness, to assimilation or reintegration into their community?
The consequences of years of sever alcohol or other drug abuse is often seen in broken relations and social exclusion, which give a specific experience and outlook on society for those involved. Life stories told by people with such kind of experience often contain expressions of feeling socially maladjusted, different or odd, and the feeling of shame is often companied. Further, the experience with various institutions within the social welfare system is commonly described as complicated and problematic (Lie, Gro Th. & Inger Granby, 2011; Thommesen, Hanne, 2008). The problems due to substance use or problems due to other social and individual circumstances are hard to distinguish. Within sociological traditions like social constructionists, it’s argued that ‘deviants’ and ‘labels’ is in the eye of the beholder, which can be shown to be context-dependent, and hence determined by a welter of social and cultural variables (Darin Weinberg, 2005). On the other hand, there is a phenomenological character of ‘deviants’ or ‘labels’ like addiction, which refer to the subjective experience of the individuals who get labeled deviates. For them the affliction and problems are more than real enough both on a psychological, physiological, relational and social level. The complexity of substance use and abuse, and the on less complexity of recovering from such, ask for combinations of perspectives an approaches insofar the intentions is to make justice to those presumed to be afflicted, at the same time scrutinize the deeper and more enduring process at work at a social and cultural level.
On the bases of this kind of insight and knowledge, this study hopefully can contribute to broaden the understanding and mechanism of recovery processes, and thus provide clarify the conceptualizing of recovery. Further, possibly contribute into the always ongoing intention to organize a better and more sufficient treatment system, or evident-based supporting practices to promote long-term recovery, for those in need for help to overcome their suffering or problems from alcohol or other drug dependency.
Vitenskapelige artikler
Robertson, Inger Eide
Recovery and Normality
KBS-konferanse 2012
Deltagere
- Hildegunn Sagvaag Medveileder
- Sverre Nesvåg Hovedveileder
eRapport er utarbeidet av Sølvi Lerfald og Reidar Thorstensen, Regionalt kompetansesenter for klinisk forskning, Helse Vest RHF, og videreutvikles av de fire RHF-ene i fellesskap, med støtte fra Helse Vest IKT
Alle henvendelser rettes til Faglig rapportering, Helse Vest