Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives
Risk, resilience, and natural recovery: a model of recovery from alcohol abuse for Alaska Natives
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DOI：
10.1111/j.1360-0443.2007.02057.x
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发表时间：
2008-02-01
期刊：
影响因子：
6
通讯作者：
Marlatt, G. Alan
中科院分区：
文献类型：
--
作者：
Mohatt, Gerald V.;Rasmus, Stacy M.;Marlatt, G. Alan
目的人民觉醒（PA）研究探索阿拉斯加本地人（an）对酒精滥用的恢复过程和随后的清醒的理解。Design PA采用了横断面、定性研究设计和基于社区的参与性研究方法。该研究包括全州范围内的57名参与者，代表了所有五个主要的AN群体：阿留申人/阿鲁提克人、阿萨巴斯坎人、因努皮克人、雅普伊克人/Cup伊克人和特林吉特人/海达人/尖山人。参与者被提名并自我认定为在一段饮酒问题期后至少戒酒五年。开放式和半结构化访谈收集了广泛的个人生活历史。一个由大学和社区共同研究人员组成的团队使用扎根理论和共识数据分析技术分析了叙事。基于参与者的经验，一个启发式的AN康复模型将康复描述为一个通过五个相互关联的序列来理解的发展过程：(i)人进入一个不断思考他/她的酒精滥用后果的反思过程；（ii）导致一段时间的清醒试验，通常，但并非总是如此，然后是反复循环，重新饮酒，思考，并尝试清醒；以（iii）以最终决定戒酒为标志的转折点为高潮。随后，参与者进入（iv）第一阶段的清醒，积极应对渴望和喝酒的冲动，对一些参与者（但不是所有参与者）来说，进入(v)第二阶段的清醒，超越应对，进入一位参与者所描述的“按照自己的方式生活”。结论PA启发式模型指出了AN对康复概念化的重要文化因素。
Aim The People Awakening (PA) study explored an Alaska Native (AN) understanding of the recovery process from alcohol abuse and consequent sobriety. Design PA utilized a cross-sectional, qualitative research design and community-based participatory research methods. Setting and participants The study included a state-wide convenience sample of 57 participants representing all five major AN groups: Aleut/Alutiiq, Athabascan, Inupiaq, Yup'ik/Cup'ik and Tlingit/Haida/Tsimshian. Participants were nominated and self-identified as being alcohol-abstinent at least five years following a period of problem drinking. Measurements Open-ended and semistructured interviews gathered extensive personal life histories. A team of university and community co-researchers analyzed narratives using grounded theory and consensual data analysis techniques. Findings A heuristic model of AN recovery derived from our participants' experiences describes recovery as a development process understood through five interrelated sequences: (i) the person entered into a reflective process of continually thinking over the consequences of his/her alcohol abuse; (ii) that led to periods of experimenting with sobriety, typically, but not always, followed by repeated cycling through return to drinking, thinking it over, and experimenting with sobriety; culminating in (iii) a turning point, marked by the final decision to become sober. Subsequently, participants engaged in (iv) Stage 1 sobriety, active coping with craving and urges to drink followed for some participants, but not all, by (v) Stage 2 sobriety, moving beyond coping to what one participant characterized as 'living life as it was meant to be lived. Conclusions The PA heuristic model points to important cultural elements in AN conceptualizations of recovery.