Florian De Meyer, Griet Roets, Wouter Vanderplasschen, Clara De Ruysscher
{"title":"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。","authors":"Florian De Meyer, Griet Roets, Wouter Vanderplasschen, Clara De Ruysscher","doi":"10.1177/13634593251342997","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p>","PeriodicalId":12944,"journal":{"name":"Health","volume":" ","pages":"13634593251342997"},"PeriodicalIF":1.9000,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"From (in)dependence to interdependence: A qualitative study on multiplicity in assemblages of agency and addiction recovery.\",\"authors\":\"Florian De Meyer, Griet Roets, Wouter Vanderplasschen, Clara De Ruysscher\",\"doi\":\"10.1177/13634593251342997\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>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.</p>\",\"PeriodicalId\":12944,\"journal\":{\"name\":\"Health\",\"volume\":\" \",\"pages\":\"13634593251342997\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-05-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Health\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/13634593251342997\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/13634593251342997","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
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.
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.