Themes of agency and communion and rehabilitation from substance misuse

David Rowlands, Donna Youngs, David Canter

Research output: Contribution to journalArticle

Abstract

Background: Current models of identity transformation in substance misuse recovery emphasise either communal or agentic growth processes. Building on life narrative studies of addicted males, the present study proposes that agency and communion themes distinguish the narrative identities of rehabilitated substance users from active users. Method: The ‘Life as a Film' (LAAF) task was used to record narratives in an opportunity sample of 32 participants (23 males, 9 females) with ongoing or substance misuse history. Transcripts were coded for agency and communion, and external measures of rehabilitation were assessed using a recovery inventory. Results: Four types of narrative were revealed, according to the presence or absence of agency and communion themes in LAAF accounts. Analysis determined a significant correlation between descriptions of agency and communion and rehabilitation outcomes (0.91 - p < 0.01), showing that both identity themes are important to recovery. Participants illustrating either theme showed moderate outcomes and those depicting neither theme showed poor outcomes. Case studies were used to illustrate the instrumentality of agentic and communal growth to behavioural change. Conclusions: The LAAF method demonstrated value in a narrative approach for expanding current perspectives, indicating that both agency and communion shape identity transformation in recovery from substance misuse. These findings highlight unique intervention needs corresponding with presenting narrative identity.

Original languageEnglish
Article number107611
Number of pages7
JournalDrug and Alcohol Dependence
Volume205
Early online date6 Oct 2019
DOIs
Publication statusE-pub ahead of print - 6 Oct 2019

Fingerprint

Patient rehabilitation
Rehabilitation
Recovery
Growth
History
Equipment and Supplies

Cite this

@article{b9a1c9554631487eb0a2dd06734717f1,
title = "Themes of agency and communion and rehabilitation from substance misuse",
abstract = "Background: Current models of identity transformation in substance misuse recovery emphasise either communal or agentic growth processes. Building on life narrative studies of addicted males, the present study proposes that agency and communion themes distinguish the narrative identities of rehabilitated substance users from active users. Method: The ‘Life as a Film' (LAAF) task was used to record narratives in an opportunity sample of 32 participants (23 males, 9 females) with ongoing or substance misuse history. Transcripts were coded for agency and communion, and external measures of rehabilitation were assessed using a recovery inventory. Results: Four types of narrative were revealed, according to the presence or absence of agency and communion themes in LAAF accounts. Analysis determined a significant correlation between descriptions of agency and communion and rehabilitation outcomes (0.91 - p < 0.01), showing that both identity themes are important to recovery. Participants illustrating either theme showed moderate outcomes and those depicting neither theme showed poor outcomes. Case studies were used to illustrate the instrumentality of agentic and communal growth to behavioural change. Conclusions: The LAAF method demonstrated value in a narrative approach for expanding current perspectives, indicating that both agency and communion shape identity transformation in recovery from substance misuse. These findings highlight unique intervention needs corresponding with presenting narrative identity.",
keywords = "Agency, Communion, Identity, Narrative, Recovery, Substance misuse",
author = "David Rowlands and Donna Youngs and David Canter",
year = "2019",
month = "10",
day = "6",
doi = "10.1016/j.drugalcdep.2019.107611",
language = "English",
volume = "205",
journal = "Drug and Alcohol Dependence",
issn = "0376-8716",
publisher = "Elsevier Ireland Ltd",

}

Themes of agency and communion and rehabilitation from substance misuse. / Rowlands, David; Youngs, Donna; Canter, David.

In: Drug and Alcohol Dependence, Vol. 205, 107611, 01.12.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Themes of agency and communion and rehabilitation from substance misuse

AU - Rowlands, David

AU - Youngs, Donna

AU - Canter, David

PY - 2019/10/6

Y1 - 2019/10/6

N2 - Background: Current models of identity transformation in substance misuse recovery emphasise either communal or agentic growth processes. Building on life narrative studies of addicted males, the present study proposes that agency and communion themes distinguish the narrative identities of rehabilitated substance users from active users. Method: The ‘Life as a Film' (LAAF) task was used to record narratives in an opportunity sample of 32 participants (23 males, 9 females) with ongoing or substance misuse history. Transcripts were coded for agency and communion, and external measures of rehabilitation were assessed using a recovery inventory. Results: Four types of narrative were revealed, according to the presence or absence of agency and communion themes in LAAF accounts. Analysis determined a significant correlation between descriptions of agency and communion and rehabilitation outcomes (0.91 - p < 0.01), showing that both identity themes are important to recovery. Participants illustrating either theme showed moderate outcomes and those depicting neither theme showed poor outcomes. Case studies were used to illustrate the instrumentality of agentic and communal growth to behavioural change. Conclusions: The LAAF method demonstrated value in a narrative approach for expanding current perspectives, indicating that both agency and communion shape identity transformation in recovery from substance misuse. These findings highlight unique intervention needs corresponding with presenting narrative identity.

AB - Background: Current models of identity transformation in substance misuse recovery emphasise either communal or agentic growth processes. Building on life narrative studies of addicted males, the present study proposes that agency and communion themes distinguish the narrative identities of rehabilitated substance users from active users. Method: The ‘Life as a Film' (LAAF) task was used to record narratives in an opportunity sample of 32 participants (23 males, 9 females) with ongoing or substance misuse history. Transcripts were coded for agency and communion, and external measures of rehabilitation were assessed using a recovery inventory. Results: Four types of narrative were revealed, according to the presence or absence of agency and communion themes in LAAF accounts. Analysis determined a significant correlation between descriptions of agency and communion and rehabilitation outcomes (0.91 - p < 0.01), showing that both identity themes are important to recovery. Participants illustrating either theme showed moderate outcomes and those depicting neither theme showed poor outcomes. Case studies were used to illustrate the instrumentality of agentic and communal growth to behavioural change. Conclusions: The LAAF method demonstrated value in a narrative approach for expanding current perspectives, indicating that both agency and communion shape identity transformation in recovery from substance misuse. These findings highlight unique intervention needs corresponding with presenting narrative identity.

KW - Agency

KW - Communion

KW - Identity

KW - Narrative

KW - Recovery

KW - Substance misuse

UR - http://www.scopus.com/inward/record.url?scp=85073558767&partnerID=8YFLogxK

U2 - 10.1016/j.drugalcdep.2019.107611

DO - 10.1016/j.drugalcdep.2019.107611

M3 - Article

VL - 205

JO - Drug and Alcohol Dependence

JF - Drug and Alcohol Dependence

SN - 0376-8716

M1 - 107611

ER -