Promoting Recovery Identities Among Mothers with Histories of Addiction: Strategies of Family Engagement
Promoting Recovery Identities Among Mothers with Histories of Addiction: Strategies of Family Engagement
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DOI：
10.1111/famp.12413
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发表时间：
2020-03-01
期刊：
影响因子：
3.9
通讯作者：
Miranda Samuels, Gina
中科院分区：
文献类型：
--
作者：
Gunn, Alana;Miranda Samuels, Gina
身份的改变对于管理从物质和酒精成瘾向康复的过渡至关重要。身份的改变对母亲尤其重要，她们的康复过程往往是在关键但复杂的家庭关系和社会期望的背景下进行的。但研究和实践往往低估了在康复过程中促进或抑制身份变化的关系维度。在这里，我们分析了一项研究的数据，该研究涉及对30名参与中西部社区药物使用治疗计划的前被监禁妇女的采访。借鉴建构主义扎根理论的方法，我们的分析确定了影响与家庭成员参与程度的三个因素：(1)共同过去的关系后果；(2)将持久性归因于旧的身份--“瘾君子”相对于看到女性改变能力的能力；以及(3)目前对参与者子女的照看支持。我们的分析通过强调家庭如何促进和抑制身份认同的恢复过程来支持和扩展现有的研究。我们讨论了将“康复”和“身份认同”理论化为关系的潜在含义，并确定了支持实践的关键要素，这些实践更符合家庭支持的隐藏复杂性。
Changes in identity are critical to managing transitions to recovery from substance and alcohol addictions. Identity change is particularly important for mothers, whose recovery processes are often in the context of critical but complex family relationships and societal expectations. But research and practice often underestimate the relational dimensions that promote or inhibit changes in one's identity during recovery. Here we analyze data from a study that involved interviews with 30 formerly incarcerated women participating in a community-based substance use treatment program in the Midwest. Drawing from Constructivist Grounded Theory Methods, our analysis identified three factors shaping levels of engagement with family members: (1) the relational consequences of a shared past; (2) ascribing permanence to the old identity of "addict" versus the ability to see women's capacity to change; and (3) the current provision of caregiving support to participants' children. Our analysis supports and extends existing research by highlighting how family can both promote and inhibit a recovery identity process. We discuss potential implications for theorizing "recovery" and "identity" as relational and identify key elements to support practices more attuned to the hidden complexity of family support.