Karin Heimdahl Vepsä, Mats Ekendahl, Patrik Karlsson, Josefin Månsson
{"title":"Polyphonic narratives: The mixing of Alcoholics Anonymous and relapse prevention in stories about recovery and relapse","authors":"Karin Heimdahl Vepsä, Mats Ekendahl, Patrik Karlsson, Josefin Månsson","doi":"10.1177/14550725241233853","DOIUrl":null,"url":null,"abstract":"Aim: This exploratory study analyses the interplay between the treatment philosophies of Alcoholics Anonymous (AA) and Relapse Prevention (RP) in personal stories of addiction. While the basic ideas of AA and RP are compatible in many ways, they also carry some fundamental differences. Methods: The data consisted of interviews with 12 individuals recovering from substance use problems, who had experience of both AA and RP. The analysis drew on a dialogical narrative perspective, and the concept polyphony was used to shed light on the interplay between different treatment philosophies in personal stories of relapse. Findings: Although sometimes resulting in incoherence, the treatment philosophies were combined idiosyncratically, in ways that appeared productive for the participants’ self-images and recovery journeys. Conclusion: The combination of AA and RP philosophies in narratives of relapse and recovery may reflect a new treatment discourse where individualisation and responsibilisation stand in a complicated relationship with collectivism and surrendering to so-called addicting processes.","PeriodicalId":46180,"journal":{"name":"Nordic Studies on Alcohol and Drugs","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Nordic Studies on Alcohol and Drugs","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1177/14550725241233853","RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
引用次数: 0
Abstract
Aim: This exploratory study analyses the interplay between the treatment philosophies of Alcoholics Anonymous (AA) and Relapse Prevention (RP) in personal stories of addiction. While the basic ideas of AA and RP are compatible in many ways, they also carry some fundamental differences. Methods: The data consisted of interviews with 12 individuals recovering from substance use problems, who had experience of both AA and RP. The analysis drew on a dialogical narrative perspective, and the concept polyphony was used to shed light on the interplay between different treatment philosophies in personal stories of relapse. Findings: Although sometimes resulting in incoherence, the treatment philosophies were combined idiosyncratically, in ways that appeared productive for the participants’ self-images and recovery journeys. Conclusion: The combination of AA and RP philosophies in narratives of relapse and recovery may reflect a new treatment discourse where individualisation and responsibilisation stand in a complicated relationship with collectivism and surrendering to so-called addicting processes.
目的:这项探索性研究分析了匿名戒酒协会(AA)和复吸预防协会(RP)的治疗理念在个人毒瘾故事中的相互作用。虽然戒酒互助会和复吸预防的基本理念在很多方面是一致的,但它们也存在一些根本性的差异。研究方法数据包括对 12 名药物使用问题康复者的访谈,他们都有 AA 和 RP 的经历。分析采用了对话叙事的视角,并使用了复调的概念来揭示不同治疗理念在个人复吸故事中的相互作用。研究结果虽然有时会出现不一致的情况,但不同的治疗理念以独特的方式结合在一起,对参与者的自我形象和康复历程似乎很有帮助。结论AA 和 RP 哲学在复发和康复叙述中的结合可能反映了一种新的治疗论述,在这种论述中,个性化和责任感与集体主义和屈服于所谓的成瘾过程之间存在着复杂的关系。