从依赖到相互依赖:代理和成瘾恢复组合多样性的定性研究。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Pub Date : 2025-05-22 DOI:10.1177/13634593251342997
Florian De Meyer, Griet Roets, Wouter Vanderplasschen, Clara De Ruysscher
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引用次数: 0

摘要

药物使用恢复中的代理概念仍然存在争议,定位在强调依赖的基于赤字的模型和强调个人优势和能力的恢复范式之间。然而,后一种方法因将责任个人化、过分强调独立性和促进规范的公民观念而受到批评。这在没有治疗的康复情况下尤其明显。通常被称为“自然康复”,许多人在没有正式的成瘾治疗或互助的情况下康复。本研究探讨了没有治疗的康复个体的生活,使用集合视角来捕捉其复杂性和关系本质。采用生命线访谈法,对未接受酒精和/或其他药物问题治疗的康复参与者进行了18次深入访谈。转录本分析使用反思性主题分析通知装配理论。出现了两个主要主题:(1)“失去和获得控制的代理”,说明成瘾是主体性的一个矛盾方面,它既能使人获得控制,又能使人受到限制;和(2)“代理,多样性和涌现”,展示了代理是如何在不断变化的元素和力量的动态组合中运作的,而不是作为一个固定的状态。我们的研究结果暗示了对代理的理解是相互依存的和在多样性中出现的。因此,我们认为,恢复和有影响力的基于优势的恢复资本概念应该谨慎简化有可能复制个人主义和规范的恢复概念的实践。我们将康复作为一种自由的实践来讨论,并确定进一步研究的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
From (in)dependence to interdependence: A qualitative study on multiplicity in assemblages of agency and addiction recovery.

The concept of agency in substance use recovery remains contested, positioned between deficit-based models emphasizing dependence and recovery paradigms highlighting personal strengths and capacities. However, the latter approach has faced criticism for individualizing responsibility, overemphasizing independence, and promoting normative notions of citizenship. This is particularly visible in the context of recovery without treatment. Commonly referred to as "natural recovery," many people recover without engaging with formal addiction treatment or mutual aid. This study explores the lives of individuals in recovery without treatment, using an assemblage perspective to capture its complexity and relational nature. Eighteen in-depth interviews with participants in recovery without treatment from alcohol and/or other drug problems were conducted following the lifeline interview method. Transcripts were analyzed using reflective thematic analysis informed by assemblage theory. Two overarching themes emerged: (1) "agency while losing and gaining control," illustrating addiction as an ambivalent aspect of subjectivity that both enables and constrains; and (2) "agency, multiplicity, and emergence," demonstrating how agency operates within dynamic assemblages of shifting elements and forces, rather than as a fixed state. Our findings imply an understanding of agency as interdependent and emergent within multiplicities. Hence, we argue that recovery and the influential strengths-based concept of recovery capital should be cautious of simplifying practices that risk reproducing individualist and normative notions of recovery. We discuss recovery as a practice of freedom and identify avenues for further research.

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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
发文量
0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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