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Substance use and strategies to avoid relapses following treatment: A narrative approach with clients undertaking a twelve-step program in Sweden
University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Criminology, Social Work. School of Economics, Guizhou University, Guiyang City, Guizhou Province, P.R. China.
University of Gävle, Faculty of Health and Occupational Studies, Department of Social Work and Criminology, Social Work.
2019 (English)In: Journal of Substance Use, ISSN 1465-9891, E-ISSN 1475-9942, Vol. 24, no 2, p. 125-129Article in journal (Refereed) Published
Abstract [en]

Introduction: There is a need for a better understanding of clients who undergo treatment for substance use, especially to avoid relapse. Aims: To identify our clients’ discourses which led to their substance problems and to determine those discursive strategies which have kept them sober.

Method: A total of 14 participants at a Swedish municipally-operated treatment program were interviewed about their childhood, teenage years, early experiences with substance, how they recognized they had substance problems, found out about treatment, adopted strategies to maintain sober and whether they noticed identity changes during treatment.

Results: Participants saw themselves as the main actors in their life stories even although professional support was one of the important factors in the change to a sober life style. The group mentioned different causes of substance problems such as adverse childhood experiences and loss of stable life patterns; a variety of reasons for seeking treatment, here “turning points” as keeping job and support from others; and different strategies to avoid relapses such as avoiding places where there was alcohol, being frank about their alcohol problems, focusing on one day at a time, attending AA meetings, avoiding romanticizing about alcohol, and participating in new activities and in a government-controlled personal savings program.

Place, publisher, year, edition, pages
Taylor and Francis Ltd , 2019. Vol. 24, no 2, p. 125-129
Keywords [en]
Addiction, rehabilitation, relapse, substance use, treatment
National Category
Social Work
Identifiers
URN: urn:nbn:se:hig:diva-28665DOI: 10.1080/14659891.2018.1523959ISI: 000458166300003Scopus ID: 2-s2.0-85055509025OAI: oai:DiVA.org:hig-28665DiVA, id: diva2:1265892
Available from: 2018-11-26 Created: 2018-11-26 Last updated: 2019-09-30Bibliographically approved

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Sundin, MatsLilja, John

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CiteExportLink to record
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Citation style
  • apa
  • harvard-cite-them-right
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • sv-SE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • de-DE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf