1
|
Cioffi CC, Flinn RE, Pasman E, Gannon K, Gold D, McCabe SE, Kepner W, Tillson M, Colditz JB, Smith DC, Bohler RM, O'Donnell JE, Hildebran C, Montgomery BW, Clingan S, Lofaro RJ. Beyond the 5-year recovery mark: Perspectives of researchers with lived and living experience on public engagement and discourse. THE INTERNATIONAL JOURNAL OF DRUG POLICY 2024; 133:104599. [PMID: 39341070 DOI: 10.1016/j.drugpo.2024.104599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Revised: 09/13/2024] [Accepted: 09/15/2024] [Indexed: 09/30/2024]
Abstract
There has been growing attention toward including people with lived and living experience (PWLLE) with substance use, substance use disorders, and recovery in public-facing activities. The goals of including PWLLE in sharing their perspectives often include demonstrating that recovery is possible, destigmatizing and humanizing people who have substance use experiences, and leveraging their lived experience to illuminate a particular topic or issue. Recently, the National Council for Mental Wellbeing issued a set of guidelines entitled, "Protecting Individuals with Lived Experience in Public Disclosure," which included a "Lived Experience Safeguard Scale." We offer the present commentary to bolster some of the ideas presented by the Council and to articulate suggested changes to this guidance, with the goal of reducing unintentional gatekeeping and stigma. Specifically, we offer that there are numerous problems with the recommendation to only invite people who have "five or more years of sustained recovery" to contribute to public discourse. The idea of perceived stability after five years of abstinence is not new to us or the field. We suggest that this idea excludes people who have experienced the present rapidly changing substance use landscape, people who have briefly returned to use, some young people, and people with living experience who also can valuably contribute to public discourse. We offer alternative guidelines to the National Council for Mental Wellbeing and others seeking to promote practices that are inclusive to the diversity of PWLLE.
Collapse
Affiliation(s)
- Camille C Cioffi
- University of Oregon, Oregon Research Institute, & Influents Innovations, USA.
| | - Ryan E Flinn
- College of Education & Human Development, University of North Dakota, USA.
| | - Emily Pasman
- University of Michigan, Center for the Study of Drugs, Alcohol, Smoking, and Health, USA.
| | | | - Dudi Gold
- Criminologist, Bar-Ilan University, Israel.
| | - Sean Esteban McCabe
- University of Michigan, Center for the Study of Drugs, Alcohol, Smoking, and Health, USA.
| | - Wayne Kepner
- University of California San Diego School of Medicine, USA.
| | | | | | | | - Robert M Bohler
- Jiann-Ping Hsu College of Public Health at Georgia Southern University, USA.
| | | | | | | | | | - Ryan J Lofaro
- Department of Public and Nonprofit Studies, Georgia Southern University, USA.
| |
Collapse
|
2
|
Malika N, Palimaru AI, Rodriguez A, Brown R, Dickerson DL, Holmes P, Kennedy DP, Johnson CL, Sanchez VA, Schweigman K, Klein DJ, D’Amico EJ. Voices of Identity: Exploring Identity Development and Transformation among Urban American Indian/Alaska Native Emerging Adults. IDENTITY (MAHWAH, N.J.) 2024; 24:112-138. [PMID: 38699070 PMCID: PMC11064810 DOI: 10.1080/15283488.2023.2300075] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/05/2024]
Abstract
Emerging adulthood shapes personal, professional, and overall well-being through identity exploration. This study addresses a gap in the minority identity literature by investigating how urban AI/AN emerging adults think about their identity and discussing challenges and protective factors associated with exploring their identity holistically. This mixed-methods study created a sampling framework based on discrimination experiences, cultural identity, social network support, mental health, and problematic substance use. We recruited 20 urban AI/AN emerging adults for interviews. We sought to gain deeper insights into their experiences and discussions surrounding identity formation and exploration. We provide descriptives for demographic characteristics and conducted a thematic analysis of the qualitative data from the interviews. Four themes emerged: a) being an urban AI/AN emerging adult means recognizing that one's identity is multifaceted; b) a multifaceted identity comes with tension of living in multiple worlds; c) the trajectory of one's identity grows over time to a deeper desire to connect with Native American culture; and d) understanding one's Native American background affects one's professional trajectory. Findings underscore the importance of developing programs to support well-being and identity development through cultural connection for urban AI/AN emerging adults.
Collapse
Affiliation(s)
| | | | | | - Ryan Brown
- RAND Corporation, Santa Monica, California, USA
| | - Daniel L. Dickerson
- UCLA Integrated Substance Abuse Program, Semel Institute for Neuroscience and Human Behavior, David Geffen School of Medicine
| | | | | | - Carrie L. Johnson
- Sacred Path Indigenous Wellness Center, Los Angeles, California, United States
| | | | - Kurt Schweigman
- Public Health Consultant, Santa Rosa, California, United States
| | | | | |
Collapse
|
3
|
Arve K. "You get stuck in it": Young people's accounts of attempting to quit non-medical tramadol use. NORDIC STUDIES ON ALCOHOL AND DRUGS 2023; 40:355-370. [PMID: 37663056 PMCID: PMC10472933 DOI: 10.1177/14550725231160330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 02/13/2023] [Indexed: 09/05/2023] Open
Abstract
Aim: Non-medical use of tramadol and other prescription opioid use has become a great concern in many countries, including Sweden. This study examines key components in young people's accounts of attempting to quit drugs, focusing on non-medical use of tramadol. Methods: Repeated qualitative interviews were conducted with 12 individuals aged 19-24 years with experiences of problems related to non-medical tramadol use. The analysis used the concepts of autonomy, competence, and relatedness from self-determination theory. Results: Three themes emerged from the young people's accounts: (1) quitting initiated by parents and professionals; (2) being willing, but unable; and (3) between ambivalence and determination. These themes demonstrate conflicting emotions towards drug use along with a significant external pressure to quit, but also difficulties in quitting due to experiences of dependence, withdrawal symptoms, and mental health issues. For most participants, however, an increasing autonomous will and ability to abstain from drugs gradually developed, with the support from trusted relationships with professionals, family, and friends playing a crucial role. Conclusion: The process of trying to quit non-medical tramadol use can be challenging and involve a complex interaction between willingness and capability, where external influence can be either facilitating or hindering. This study highlights the importance of taking into account young people's own perspectives in treatment efforts, where trust is a key component.
Collapse
Affiliation(s)
- Kristin Arve
- Lund University School of Social Work, Lund, Sweden
| |
Collapse
|
4
|
Kitzinger RH, Gardner JA, Moran M, Celkos C, Fasano N, Linares E, Muthee J, Royzner G. Habits and Routines of Adults in Early Recovery From Substance Use Disorder: Clinical and Research Implications From a Mixed Methodology Exploratory Study. Subst Abuse 2023; 17:11782218231153843. [PMID: 36798446 PMCID: PMC9926005 DOI: 10.1177/11782218231153843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2022] [Accepted: 12/20/2022] [Indexed: 02/13/2023]
Abstract
The purpose of this exploratory, non-experimental mixed methods study was to analyze the habits and routines of adults in early recovery (>3 months) from substance use disorder (SUD). Participants (N = 14) were recruited from an intensive outpatient treatment (IOP) program for substance use disorders. Data collection consisted of a demographic survey, a researcher developed Daily Occupational Questionnaire (DOQ), and follow-up semi-structured interviews with 5 randomly selected participants. Quantitative results indicate rest as the most frequently engaged in activity on the most busy (31.0%) and least busy day (36.6%). There was no significant difference, t(13) = 0.117, P = .909, between newly established activities on the most busy and least busy day. Qualitative themes included 1. The most difficult time of day is often related to patterns of unused time. 2. When there is a lack of structure or unoccupied time, they return to their previously established positive supports. 3. There is a need for consistency and structure for developing anticipated/perceived routines. Implications for all healthcare and clinical providers working with this population, as well as research suggestions, are outlined.
Collapse
Affiliation(s)
| | | | - Mariann Moran
- Department of Occupational Therapy,
Kean University, Union, NJ, USA
| | - Carly Celkos
- Department of Occupational Therapy,
Kean University, Union, NJ, USA
| | - Nicole Fasano
- Department of Occupational Therapy,
Kean University, Union, NJ, USA
| | - Eric Linares
- Department of Occupational Therapy,
Kean University, Union, NJ, USA
| | - Joyce Muthee
- Department of Occupational Therapy,
Kean University, Union, NJ, USA
| | - Gabby Royzner
- Department of Occupational Therapy,
Kean University, Union, NJ, USA
| |
Collapse
|
5
|
Korchevoi S. Measurements of spirituality in the context of 12-step treatment: problem with theological analysis. JOURNAL OF SPIRITUALITY IN MENTAL HEALTH 2022. [DOI: 10.1080/19349637.2022.2048982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Sergei Korchevoi
- Theology and Leadership, University of Roehampton, London, United Kingdom, MA, alumnus
| |
Collapse
|
6
|
Kiss D, Horváth Z, Kassai S, Gyarmathy AV, Rácz J. Folktales of Recovery - From Addiction to Becoming a Helper: Deep Structures of Life Stories Applying Propp's Theory: A Narrative Analysis. J Psychoactive Drugs 2021; 54:328-339. [PMID: 34706624 DOI: 10.1080/02791072.2021.1990442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Addiction research suggests that recovery narratives share common structural elements. For further investigation of this topic, the current study invoked Propp's folktale theory and method to identify narratemes within retrospectives to depict the stages of recovery. Semi-structured interviews were recorded about the experiences of six recovering helpers who had been sober for a minimum of five years and worked as a professional for at least one year. A deductive narrative analysis was carried out. From the 31 Proppian narratemes, 28 were identified and different recovery stories were threaded into a commonly shared narrative strand, where the hero's relationship and struggle with the villain (drug) are depicted in process. Applying Propp's narratemes to analyze recovery stories is a new development that seems applicable according to our results, as it is consistent with fairytale therapy within addiction treatment, which helps the lost wanderer to create structure in their life.
Collapse
Affiliation(s)
- Dániel Kiss
- Doctoral School of Psychology, Elte Eötvös Loránd University, Budapest, Hungary.,Institute of Psychology, Elte Eötvös Loránd University, Budapest, Hungary
| | - Zsolt Horváth
- Doctoral School of Psychology, Elte Eötvös Loránd University, Budapest, Hungary.,Institute of Psychology, Elte Eötvös Loránd University, Budapest, Hungary
| | - Szilvia Kassai
- Department of Researcher Excellence, National Research, Development and Innovation Office, Budapest, Hungary
| | - Anna V Gyarmathy
- Doctoral School of Pathological Sciences, Semmelweis University, Budapest, Hungary, Semmelweis University, Budapest, Hungary.,Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - József Rácz
- Institute of Psychology, Elte Eötvös Loránd University, Budapest, Hungary.,Faculty of Health Sciences, Department of Addictology, Semmelweis University, Budapest, Hungary
| |
Collapse
|
7
|
Alderson H, Spencer L, Scott S, Kaner E, Reeves A, Robson S, Ling J. Using Behavioural Insights to Improve the Uptake of Services for Drug and Alcohol Misuse. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6923. [PMID: 34203334 PMCID: PMC8297083 DOI: 10.3390/ijerph18136923] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Revised: 06/21/2021] [Accepted: 06/23/2021] [Indexed: 11/16/2022]
Abstract
In the U.K., 270,705 adults were in contact with drug and alcohol treatment services between April 2019 and March 2020. Within the same time period, 118,995 individuals exited the treatment system, and just over a third (36%) left treatment without completing it. The latter includes individuals declining further treatment and unsuccessful transfers between services. The aim of this study was to explore the factors that affect drug and alcohol treatment uptake within a drug and alcohol service in North East England. A mixed-methods approach was adopted. The exploration of factors affecting treatment uptake was captured through a behavioural insights survey and 1:1 in-depth qualitative interviews with service users within one council area within the North East of England. There were 53 survey participants, and a further 15 participants took part in qualitative interviews. We triangulated data sources to report consistencies and discrepancies in the data. Findings show that treatment services aiming to reduce missed appointments and increase retention rates need to implement several strategies. Consistently distributing appointment cards, using text message reminders, displaying a timetable presenting all treatment options, and displaying information in a format to ensure it is accessible to individuals with lower health literacy and reducing wait times for appointments will all improve appointment attendance.
Collapse
Affiliation(s)
- Hayley Alderson
- Population Health Sciences Institute, Newcastle University, Newcastle NE2 4AX, UK; (H.A.); (S.S.); (E.K.)
| | - Liam Spencer
- Population Health Sciences Institute, Newcastle University, Newcastle NE2 4AX, UK; (H.A.); (S.S.); (E.K.)
| | - Stephanie Scott
- Population Health Sciences Institute, Newcastle University, Newcastle NE2 4AX, UK; (H.A.); (S.S.); (E.K.)
| | - Eileen Kaner
- Population Health Sciences Institute, Newcastle University, Newcastle NE2 4AX, UK; (H.A.); (S.S.); (E.K.)
| | - Alison Reeves
- Hartlepool Borough Council, Civic Centre, Hartlepool TS24 8AY, UK; (A.R.); (S.R.)
| | - Sharon Robson
- Hartlepool Borough Council, Civic Centre, Hartlepool TS24 8AY, UK; (A.R.); (S.R.)
| | - Jonathan Ling
- Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland SR1 3SD, UK;
| |
Collapse
|
8
|
Love B, Vetere A, Davis P. Understanding addiction, relapse and recovery amongst substance using offenders – a qualitative study informed by developmental psychological theories. DRUGS AND ALCOHOL TODAY 2020. [DOI: 10.1108/dat-04-2020-0023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Purpose
Psychological developmental informed theories imply that addiction is not exclusively due to the addictive properties of the substance but that early psycho-social experiences are influential on later life. The purpose of this paper is to understand substance dependency, relapse and recovery amongst community-based substance using offenders in relation to their childhoods, relationships and significant life events, from their perspective. A key aim was to help better inform policy and practice.
Design/methodology/approach
A qualitative study (interpretative phenomenological analysis) was used to understand the impact of childhood, relationships and significant life events amongst (N = 17) adult ex/offenders with substance use dependency problems, (who were part of the UK Government rehabilitation programme), to understand their substance use and recovery from their own perspectives.
Findings
Four main superordinate themes were developed illustrating participants extremely adverse childhoods. Substance use was a means to cope with current and past trauma and crises and to help manage the emotions and mental health which could accompany these difficulties. Managing recovery was about learning to manage life itself, including emotions, mental health problems, trauma/responses, relationships and everyday life.
Originality/value
This group is under researched where qualitative methods have been used. The study focussed on early-psycho-social experiences and relationships and the influence of these throughout the life cycle, in relation to their substance use. The study was informed by theories often used in therapeutic settings but rarely in research, (Orford, 2008; Khantzian, 2012; Flores, 2012, Van Der Kolk, 2014).
Collapse
|
9
|
Dekkers A, Vos S, Vanderplasschen W. "Personal recovery depends on NA unity": an exploratory study on recovery-supportive elements in Narcotics Anonymous Flanders. SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY 2020; 15:53. [PMID: 32736568 PMCID: PMC7393873 DOI: 10.1186/s13011-020-00296-0] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/18/2019] [Accepted: 07/21/2020] [Indexed: 11/10/2022]
Abstract
BACKGROUND Mutual aid organizations, such as Narcotics Anonymous (NA), can provide support in substance use disorder (SUD) recovery processes. However, research on NA and its recovery-supportive elements is scarce and perspectives of NA-members remain understudied, in particular outside the US. Therefore, this study aims to gain insight into recovery-supportive elements of NA, as experienced by its members. METHODS To explore the perspectives on and experiences with recovery-supportive elements in NA, 11 in-depth interviews with NA-members were conducted in Flanders (Belgium). Interviews were audio-taped, transcribed verbatim and analyzed by using CHIME-D, a personal recovery framework (Connectedness, Hope, Identity, Meaning in life, Empowerment, Difficulties) developed by Leamy and colleagues in 2011. RESULTS Various recovery-supportive elements of NA were highlighted, with Connectedness as a key component including opportunities for building up a social network and for providing a safety net or sounding board. Elements that enabled Connectedness were 1) a non-judgemental approach, and 2) mutual understanding through sharing in NA. Other elements of the CHIME-D framework were less frequently mentioned, although these were inextricably linked to Connectedness. CONCLUSIONS Connectedness appeared to be the crucial recovery-supportive element in NA, emphasizing the relational character of SUD recovery. Although other elements of the CHIME-D framework were identified, these were closely related to and intertwined with the concept of connectedness.
Collapse
Affiliation(s)
- Anne Dekkers
- Department of Special Needs Education, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium.
| | - Sam Vos
- Yes We Can Clinics, Groenendaal 1, 5081 AM, Hilvarenbeek, The Netherlands
| | - Wouter Vanderplasschen
- Department of Special Needs Education, Ghent University, Henri Dunantlaan 2, 9000, Ghent, Belgium
| |
Collapse
|
10
|
Stevenson A, Oldfield J, Ortiz E. Image and word on the street: a reflexive, phased approach to combining participatory visual methods and qualitative interviews to explore resilience with street connected young people in Guatemala City. QUALITATIVE RESEARCH IN PSYCHOLOGY 2019. [DOI: 10.1080/14780887.2018.1557769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Andrew Stevenson
- Manchester Metropolitan University, Department of Psychology, Manchester, England
| | - Jeremy Oldfield
- Manchester Metropolitan University, Department of Psychology, Manchester, England
| | | |
Collapse
|
11
|
Crutchfield DA, Güss CD. Achievement Linked to Recovery from Addiction: Discussing Education, Vocation, and Non-Addict Identity. ALCOHOLISM TREATMENT QUARTERLY 2018. [DOI: 10.1080/07347324.2018.1544058] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Affiliation(s)
- Daniel Alan Crutchfield
- Department of Educational Psychology and Learning Systems, Florida State University, Tallahassee, Florida, USA
| | - C. Dominik Güss
- Department of Psychology, University of North Florida, Jacksonville, Florida, USA
| |
Collapse
|
12
|
Eischens P, Atherton WL. Psychedelic therapy as a complementary treatment approach for alcohol use disorders. JOURNAL OF PSYCHEDELIC STUDIES 2018. [DOI: 10.1556/2054.2018.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Affiliation(s)
- Peter Eischens
- Department of Addictions & Rehabilitation Studies, East Carolina University, Health Sciences Building, Greenville, NC, USA
| | - William Leigh Atherton
- Department of Addictions & Rehabilitation Studies, East Carolina University, Health Sciences Building, Greenville, NC, USA
| |
Collapse
|
13
|
Iarussi MM. The Experiences of College Students in Recovery From Substance Use Disorders. JOURNAL OF ADDICTIONS & OFFENDER COUNSELING 2018. [DOI: 10.1002/jaoc.12040] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Melanie M. Iarussi
- Department of Special Education, Rehabilitation, and Counseling; Auburn University
- Now at Department of Counseling; Nova Southeastern University
| |
Collapse
|
14
|
Joyce N, MacNeela P, Sarma K, Ryall G, Keenan E. The Experience and Meaning of Problematic ‘G’ (GHB/GBL) Use in an Irish Context: an Interpretative Phenomenological Analysis. Int J Ment Health Addict 2017. [DOI: 10.1007/s11469-017-9851-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
|
15
|
Kassai S, Pintér JN, Rácz J, Erdősi D, Milibák R, Gyarmathy VA. Using Interpretative Phenomenological Analysis to Assess Identity Formation Among Users of Synthetic Cannabinoids. Int J Ment Health Addict 2017. [DOI: 10.1007/s11469-017-9733-3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
|
16
|
Rodriguez-Morales L. In Your Own Skin: The Experience of Early Recovery from Alcohol-Use Disorder in 12-Step Fellowships. ALCOHOLISM TREATMENT QUARTERLY 2017. [DOI: 10.1080/07347324.2017.1355204] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
|
17
|
Pattinson J, Parke A. The experience of high-frequency gambling behavior of older adult females in the United Kingdom: An interpretative phenomenological analysis. J Women Aging 2016; 29:243-253. [PMID: 27716021 DOI: 10.1080/08952841.2015.1138047] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
The prevalence of older adult female gambling participation and gambling disorder is increasing in the UK, and there is a paucity of published research available to understand possible risk factors for frequent gambling in this demographic. The aim of the current study was to identify and explore motivations and patterns of gambling behavior in high-frequency older adult female gamblers in the UK, from the perspective of the individual and in the context of their experience of aging. Ten UK older adult female high-frequency gamblers were recruited via stratified purposive sampling, with a mean age of 70.4 years. Data was collected via semistructured interviews and analyzed using interpretative phenomenological analysis. Three core themes representative of the experience of this phenomenon emerged from the transcripts, including: Filling voids, emotional escape, and overspending. The present study has provided a contextualized understanding of motivating factors and several age-related vulnerabilities that may account for high gambling frequency in this population.
Collapse
Affiliation(s)
- Julie Pattinson
- a Forensic and Clinical Research Group, School of Psychology , University of Lincoln , Lincoln , United Kingdom
| | - Adrian Parke
- a Forensic and Clinical Research Group, School of Psychology , University of Lincoln , Lincoln , United Kingdom
| |
Collapse
|
18
|
Ummel D, Achille M. Transplant Trajectory and Relational Experience Within Living Kidney Dyads. QUALITATIVE HEALTH RESEARCH 2016; 26:194-203. [PMID: 25700284 DOI: 10.1177/1049732315570128] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Living kidney donation is considered common practice across most Westernized countries. While extensive research has documented the experience of living donors, few studies have addressed the perspective of recipients, and even fewer have examined the experience of donor and recipient as an interactive dyad. In this study, our aim was to examine the reciprocal influence between donors and recipients across the transplantation process. We recruited a homogeneous sample of 10 donors and recipients, who were interviewed individually. Data were analyzed using interpretative phenomenological analysis. The presentation of results follows the stages of the transplantation process: the disease experience, the experience of offering and accepting a kidney, the screening period, the surgery, and the post-transplantation period. Results are discussed within the framework of Mauss's gift exchange theory, social roles, and altruism. This comprehensive description of the dyadic experience provides a way to frame and understand psychosocial aspects and relational implications of living renal transplantation.
Collapse
Affiliation(s)
- Deborah Ummel
- Department of psychology, Université de Montréal, Montréal, Québec, Canada
| | - Marie Achille
- Department of psychology, Université de Montréal, Montréal, Québec, Canada
| |
Collapse
|
19
|
Mawson E, Best D, Beckwith M, Dingle GA, Lubman DI. Social identity, social networks and recovery capital in emerging adulthood: A pilot study. SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY 2015; 10:45. [PMID: 26560076 PMCID: PMC4642657 DOI: 10.1186/s13011-015-0041-2] [Citation(s) in RCA: 50] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/26/2015] [Accepted: 11/03/2015] [Indexed: 02/05/2023]
Abstract
Background It has been argued that recovery from substance dependence relies on a change in identity, with past research focused on ‘personal identity’. This study assessed support for a social identity model of recovery in emerging adults through examining associations between social identity, social networks, recovery capital, and quality of life. Methods Twenty participants aged 18–21 in residential treatment for substance misuse were recruited from four specialist youth drug treatment services - three detoxification facilities and one psychosocial rehabilitation facility in Victoria, Australia. Participants completed a detailed social network interview exploring the substance use of groups in their social networks and measures of quality of life, recovery capital, and social identity. Results Lower group substance use was associated with higher recovery capital, stronger identification with non-using groups, and greater importance of non-using groups in the social network. Additionally, greater identification with and importance of non-using groups were associated with better environmental quality of life, whereas greater importance conferred on using groups was associated with reduced environmental quality of life. Conclusions Support was found for the role of social identity processes in reported recovery capital and quality of life. Future research in larger, longitudinal samples is required to improve understanding of social identity processes during treatment and early recovery and its relationship to recovery stability.
Collapse
Affiliation(s)
- E Mawson
- Eastern Health Clinical School, Monash University, Melbourne, Australia.
| | - D Best
- Eastern Health Clinical School, Monash University, Melbourne, Australia. .,Turning Point, Melbourne, Australia. .,Department of Law and Criminology, Sheffield Hallam University, Sheffield, S10 2BP, UK.
| | - M Beckwith
- Eastern Health Clinical School, Monash University, Melbourne, Australia.
| | - G A Dingle
- School of Psychology, University of Queensland, Brisbane, Australia. .,Centre for Youth Substance Abuse Research, University of Queensland, Brisbane, Australia.
| | - D I Lubman
- Eastern Health Clinical School, Monash University, Melbourne, Australia. .,Turning Point, Melbourne, Australia.
| |
Collapse
|