What Is It Like to Be in Alcohol Addiction Recovery? A Dialectical Phenomenological Analysis.

IF 1.9 3区 医学 Q3 PSYCHIATRY Psychopathology Pub Date : 2024-05-16 DOI:10.1159/000538267
Victor Monteiro, Lucas Bloc, Guilherme Messas
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Abstract

INTRODUCTION Currently, there is no scientific consensus on the concept of alcohol addiction recovery beyond substance use control. This conceptual issue challenges the implementation of therapeutic strategies and mental health policies that are unrestricted to symptomatic remission. Aiming to contribute to its definition, this study aimed to examine the recovery experience of individuals with alcohol addiction using dialectical phenomenological psychopathology (DPP) as a theoretical and methodological framework. METHODS A dialectical phenomenological analysis was conducted through an examination of online interviews with eight Brazilian, São Paulo state citizens who were self-declared to be undergoing alcohol addiction recovery (or who declared that they had completely recovered). RESULTS Participants' reports generated eight categories that were subdivided into two groups. The first group indicated experiential elements of recovery, such as changes in self-relation, changes in interpersonal relations, and changes in time relations, giving new meanings to suffering and alcohol use, and recovery as a continuous process. The second group referred to how the participants interpreted recovery according to their worldviews: as a spiritual experience, moral reformation, and mentality change. CONCLUSION These categories can be understood through the lens of DPP as a process of change in the subjects' being in the world, characterized by the continued management of their existential imbalances in the dimensions of spatiality, temporality, selfhood, and intersubjectivity. The results are preliminary when it comes to conceptualizing recovery but may help future studies to develop recovery-oriented therapeutic strategies.
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酗酒戒毒是一种怎样的体验?辩证现象学分析》。
导言:目前,科学界对酗酒成瘾康复的概念还没有达成超越药物使用控制的共识。这一概念问题对不局限于症状缓解的治疗策略和心理健康政策的实施提出了挑战。本研究以辩证现象学精神病理学(DPP)为理论和方法框架,旨在研究酒瘾患者的戒酒经历,从而为其定义做出贡献。研究方法通过对八名巴西圣保罗州公民的在线访谈进行辩证现象学分析,这些公民自我宣称正在进行酒瘾戒除(或宣称已经完全戒除)。第一组指出了戒酒的经验要素,如自我关系的变化、人际关系的变化和时间关系的变化,赋予痛苦和饮酒新的意义,以及戒酒是一个持续的过程。第二组指的是参与者如何根据自己的世界观来解释康复:作为一种精神体验、道德改造和心态改变。结论:这些类别可以通过 DPP 的视角来理解,即受试者在世界上的存在的一个变化过程,其特点是在空间性、时间性、自我性和主体间性等维度上持续管理其存在的不平衡。这些研究结果在概念化康复方面是初步的,但可能有助于未来的研究制定以康复为导向的治疗策略。
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来源期刊
Psychopathology
Psychopathology 医学-精神病学
CiteScore
5.10
自引率
5.60%
发文量
54
审稿时长
>12 weeks
期刊介绍: ''Psychopathology'' is a record of research centered on findings, concepts, and diagnostic categories of phenomenological, experimental and clinical psychopathology. Studies published are designed to improve and deepen the knowledge and understanding of the pathogenesis and nature of psychopathological symptoms and psychological dysfunctions. Furthermore, the validity of concepts applied in the neurosciences of mental functions are evaluated in order to closely bring together the mind and the brain. Major topics of the journal are trajectories between biological processes and psychological dysfunction that can help us better understand a subject’s inner experiences and interpersonal behavior. Descriptive psychopathology, experimental psychopathology and neuropsychology, developmental psychopathology, transcultural psychiatry as well as philosophy-based phenomenology contribute to this field.
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