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1

Carpenter, Tracy R. "Beyond Crack Mother: Narratives of Drug Addiction and Recovery." The Ohio State University, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=osu1418833307.

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2

Morgan-Eason, Andrea. "The Process of Mothering| Women in Recovery from Drug Addiction." Thesis, Adelphi University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10610424.

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Mothering in a variety of healthcare settings is a significant process studied by nurse researchers. Mothering during recovery from a drug addiction is important to study because of its health and mental health consequences for women, their infants and children, as well as the impact on society especially the financial burden. The process of recovery from drug addiction for mothers has not been well studied. Findings from such a study can shed light on the important nursing role regarding interventions and prevention strategies to mitigate some of the health consequences. The purpose of this study was to explore the process of mothering for women recovering from a drug addiction. The conceptual framework of symbolic interaction and the Grounded Theory Methodology (Glaser & Strauss, 1967) were used to guide the study.

Data were collected through 10 semi-structured interviews of women residing in a rehabilitation residential facility for drug addiction who had at least one child under the age of 18. The results indicated that the process of mothering while in recovering from a drug addiction was non-linear. Phases emerged from data collected using the constant comparative analysis of transcripts, levels of coding, categorizing and conceptualizing. Three final phases emerged from the subcategories, which explained the process: mothering as influencing sobriety, anticipatory struggling and hopeful ideal mothering. Anticipatory Struggling identified the final substantive theory that emerged. The women in this study were committed to changing to claim or reclaim the role of motherhood. The participants were aware of the challenges and overwhelming responsibilities that were ahead as they recovered and they anticipated the struggles, fearing relapse or again losing custody of their children. However, they were hopeful about their future mothering role, albeit in an idealized way, as they began to make their re-entry into the community. The study's findings have important implications for nursing practice, education and for influencing health policy.

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3

Lee, King-fai. "A study of the factors contributing to recovery from heroin addiction." Hong Kong : University of Hong Kong, 1998. http://sunzi.lib.hku.hk/hkuto/record.jsp?B2233144X.

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4

Krowka, Jessica Ann. "The Lived Experience of Recovery From Heroin Addiction." University of Akron / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=akron1555951788174113.

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5

Ieong, Fong Ha. "Cortical connectomics signature for opiate addiction during recovery :a multidisciplinary, exploratory, and translational paradigm." Thesis, University of Macau, 2018. http://umaclib3.umac.mo/record=b3953925.

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6

Lee, King-fai, and 李景輝. "A study of the factors contributing to recovery from heroin addiction." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31978848.

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7

Hardin, Melinda McKernan. "Issues women identify during their first three years of recovery from alcohol and drug addiction." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/29697.

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Research targeting the chemically dependent woman has received little attention, even though the research indicates a convergence of male and female drinking norms. Research centered on the special issues of the chemically dependent woman also needs to be extended beyond the scope of actual alcohol and drug abuse and resulting treatment to include information on what issues women face in their recovery process. The findings would help treatment providers design more successful interventions for this population. This study used qualitative methods to investigate issues that 12 chemically dependent women, ranging in actual time in recovery from first to third year post inpatient treatment, discussed as part of a 16 week therapy group. Their recorded responses were transcribed and analyzed, using Glaser and Strauss' methods of comparative analysis, comparing the women between three groups desiginated by the divisions of first, second, and third year post inpatient treatment. The findings indicate that all share many of the same issues, however there are marked differences between the groups. All the women had difficulties with intra- and interrelationships, finding it difficult to maintain a healthy recovery in spite of the problems they confronted in experiencing reality without mind-altering substances. Many issues were influenced by the subjects' family of origin history and sex-role orientation. Conflicts in role obligations resulting in work, family, parenting, and relationship problems surfaced. All the women were aware of additional substance and compulsive dependencies that they would like to eliminate; however, avoiding relapse of their alcohol/drug addiction was the major concern for most. The findings reveal that the longer women spent time actively undertaking a concerted program of recovery, the more they experienced integration into the rest of society, and that the acquisition of life skills and resolution of the past were important factors to the success of this integration. The categories and theme issues that emerged from the analysis have implications for social work practice, policy, and further research.
Arts, Faculty of
Social Work, School of
Graduate
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8

Blume, Jenna. "An Attitude of Gratitude| How a Grateful Disposition Impacts Relapse During Recovery from Drug and Alcohol Addiction." Thesis, The Chicago School of Professional Psychology, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1568606.

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Consistent with the contemporary positive psychology movement, dispositional gratitude has gained considerable empirical evidence as a valuable emotion in increasing an individual's subjective well-being; however, gratitude has not yet been validated as a contributing factor to sobriety in individuals in recovery from drug and alcohol addiction. In the current study, participants were self-selected outpatients and staff members in recovery at a drug and alcohol addiction treatment center. The researcher assessed respondents' psychological symptoms, coping skills, dispositional gratitude, experience of relapse or abstinence, and demographic influences. Results indicated a significant negative correlation between gratitude and relapse, suggesting that a grateful disposition has emotional and psychological benefits for individuals in recovery from substance addiction. Additional findings revealed that the coping strategy of using alcohol or other drugs to feel better was statistically significant and made the strongest unique contribution to relapse; coping strategies including gratitude and religion/spirituality, although not statistically significant, each contributed less to the variance in relapse amongst participants. Finally, results suggest that education made the strongest unique contribution to relapse, which was statistically significant, while annual household income made less of a contribution and was not statistically significant. Research limitations, clinical implications, and future directions for the field are discussed.

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9

Tallon, Valerie Patricia. "Healing the wounded self : a constructive grounded theory study on recovery from alcohol and drug addiction in Scotland." Thesis, University of the West of Scotland, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.627905.

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Background The national alcohol and drug strategies signalled a shift in national policy on how treatment for alcohol and drug addiction should be conceptualised and ultimately operationalised within Scotland. The research to inform local practice however has primarily been conducted in America or drawn from the mental health recovery field in the United Kingdom. Aims The aim of this study was therefore to develop a coherent theory of recovery from alcohol and drug addiction in order to inform policy and practice and guide the local implementation of recovery orientated systems of care. Methods The study methodology was guided by constructivist grounded theory and was thus based on the lived experience of thirty-seven individuals in recovery from addiction and twenty one people who had experience of addiction within their family. All participants were recruited via theoretical sampling from within community based recovery groups, mutual aid fellowships (Alcoholics Anonymous, Narcotics Anonymous, Al-Anon), staff working within treatment settings and the wider community. Findings The core category of recovery was identified as “Healing the Wounded Self” in the recognition that recovery from addiction was essentially a journey of personal and spiritual growth. This study demonstrates the relevance of our early years in the formation of our earliest memories of self-hood and how these can shape our life trajectory.
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10

O'Brien, Siobhan. "The ultimate alternative : a single case study understanding Jason's journey from addiction to self-recovery." Thesis, Lethbridge, Alta. : University of Lethbridge, Faculty of Health Sciences, c2012, 2012. http://hdl.handle.net/10133/3110.

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The purpose of this research was to understand the lived experience of a person with a substance addiction that uses or has used alternative therapies for treatment. A single-case study approach was used to understand the lived experiences of Jason, a male in his mid-forties who is healing from a substance addiction. Through in-person interviewing and reading personal manuscripts written by the participant, data were collected. The data were analysed and interpreted using phenomenological and integral hermeneutics. Through the interpretations, it was clear that a major contributing factor to Jason’s drug use was the negative experiences he was carrying from his past. Once he was able to let go of the negativity and let his higher power guide him, his healing journey took a positive turn. Today, Jason lives in the moment and does not need drugs to heal the hurt he is feeling inside. He uses his ultimate alternative method, derived from within himself, to guide his journey in recovery.
viii, 155 leaves ; 29 cm
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11

Breitenbucher, Philip Marshall, and Sean Collins Sullivan. "A process evaluation of the Riverside County dependency recovery drug court." CSUSB ScholarWorks, 2003. https://scholarworks.lib.csusb.edu/etd-project/2335.

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12

Dodd, Dan D. "Is There a Relationship Between Alcohol/Drug Counselor's Strength of Belief in the Disease Concept of Addiction and Burnout?" Antioch University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1450817901.

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13

Mullins, Jonathan David. "A Comparative Study of Recovery Ecosystems for Opioid Use Disorder in Portugal and Appalachia." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/honors/620.

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A comparison of the structure and effectiveness of recovery ecosystems for opioid use disorder in Portugal and Appalachia, with a focus on identifying areas for improvement within the Appalachian region.
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14

Nettleton, Jodi. "Down, but Not Out: An Ethnographic Study of Women who Struggled with and Overcame Methamphetamine Addiction." Scholar Commons, 2010. http://scholarcommons.usf.edu/etd/3430.

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Women suffer methamphetamine (meth) addiction at a rate much higher than rates for addiction to other drugs. Female meth users are susceptible and predisposed to gender-related risks: high rates of unprotected vaginal and anal sex, sex-work, and sexual coercion. Precursors for addiction (e.g., abuse, body dysphasia) put females in a difficult position for recovery and highlight the need for gender-specific research and treatment. Methamphetamine (a synthetically derived stimulant) creates psychological and physical dependency that affects every neuron of the brain and damages the body immediately. Women ingest meth for initial effects that allay social pressures: feeling euphoric, connecting with others during ―parties,‖ losing weight, boosting energy, and feeling ―normal‖ despite tumultuous living conditions. Meth‘s aphrodisiac properties improve sexual relations, at least until addiction sets in, at which time relationships frequently become exploitive or abusive. Eventually, meth‘s positive effects turn negative, resulting in poor psychological and physical health. Meth addicts experience hallucinations, insomnia, and deteriorating relationships with family, friends, and colleagues. Physically, they suffer gauntness, deterioration of teeth and gums, and skin formication. They often undergo abuse to sustain their addictions. This study analyzes quantitative data from the National Household Survey to frame the reflective ethnographic portion‘s interactive interviewing and introduces a new tool, the Life Time Line, to clarify and correlate life events. The ethnographic results, based on extensive life history interviews with five women in recovery from methaddiction, concur with national trends and detail themes that could inform prevention and treatment programs. Recurrent themes are: dysfunctional parental relationships (including being ―adulterized‖) and chaotic childhood; a full range of abuse by parents, family, and husbands or boyfriends; introduction to drugs by males; body image dysphasia; and feelings of normalcy on drugs or self-medication in the face of unbearable living conditions or mental illness.This study emphasizes recovery. The ethnographies reveal that each woman had an epiphany, at least partially facilitated by a recovering addict; participated fully in a 12-step program such as Alcoholics Anonymous (AA) or Narcotics Anonymous (NA); became dedicated to the acquisition of a college education, including graduate school; and attend AA or NA to maintain sobriety.
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15

Pyle, Edward Iain. "An exploration of how agency and socio-cultural milieu support greater or lesser controlled gambling and recovery from gambling addiction." Thesis, University of Plymouth, 2017. http://hdl.handle.net/10026.1/9484.

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Most gamblers never experience addiction and the majority of those who do eventually recover. This thesis investigates how most maintain control over their gambling and how the majority of those who do experience gambling addiction regain control. Findings are based on 25 qualitative semi-structured interviews with participants who fit one of three ideal-type groups: (i) gamblers who have never experienced addiction; (ii) gamblers who have regained control after experience of gambling addiction; and (iii) gamblers experiencing addiction at time of interview. Participants were recruited who had never engaged in formal treatment because existing research suggests most who experience gambling addiction and/or recovery never to do so. This study is underpinned by a synthesis of Bourdieusian theory and Foucauldian-inspired governmentality literature which was used to guide the thesis and help explain gambling behaviour. Taking a Foucauldian genealogical approach, the dominant theory of addiction as a biomedical disorder is critiqued and revealed to be myth. Instead, (gambling) addiction is demonstrated to be a social construction which becomes embodied within individuals and thereby influences gambling behaviour. Consequentially, it is shown that research concerning substance use is applicable to the investigation of gambling behaviours. Given paucity of gambling research, substance-related literature is drawn upon throughout the thesis. Attention is given to research demonstrating regulation over drug use to be influenced by the social settings in which consumption takes place as well as the wider social and cultural milieus in which the lives of actors are embedded. Moreover, particular appreciation is given to literature indicating recovery from addiction to be supported by shifts in socio-cultural milieu. In contrast to most existing addictions/gambling research, the agential capacities of gamblers to shape their own behaviours, albeit in ways heavily constrained by context (or ‘structure’) are emphasised throughout the thesis. Data revealed various gambling-related strategies to help constrain gambling and minimise harm. These are examined and it is recommended that this knowledge could be used to aid development of more effective ‘harm-reduction’ style interventions and policies in ways which support less harmful patterns of gambling behaviour. However, although valuable, those with greater control tended to rely little on such strategies to manage their gambling. Instead, greater control over gambling and recovery from gambling addiction was found to have less to do with how participants gamble (e.g. whether or not they followed harm-reduction strategies) and far more to do with the wider, non-gambling-related, aspects of their lives and the nature of their subjectivities/dispositions. Principally influential were found to be the qualities of interviewees’ socio-cultural milieus. Alongside gambling, those with greater control tended to participate in non-gambling-related communities with attendant ways of thinking and cultural expectations (values/norms) that marginalise (heavier) gambling. Drawing on Bourdieusian and Foucauldian governmentality theory, it is argued that, because of their day-to-day participation in such communities/milieus, those with greater control embody mentalities and expectations which discourage riskier gambling behaviour. This, in turn, results in more ‘prudential’ subjectivities which discourage problematic gambling behaviour. Participants who had experienced recovery and many of those who had never experienced addiction revealed long-term reductions in gambling behaviour. Findings suggested these reductions (as well as recovery) to be supported by social and cultural processes, occurring over the life-course, which encourage increased participation in more ‘conventional’ life/milieus and thereby promote alterations in subjectivities in ways more conducive to control. A dual approach to discouraging problematic gambling behaviour is recommended. Although it is important to promote ‘safer’ ways of gambling (e.g. through promotion of harm-reduction style interventions and by designing gambling environments in ways to support greater constraint), it is also imperative to support the development of lives/milieus and subjectivities more conducive to control (e.g. participation in ‘conventional’ life and access to resources required to do so).
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16

Allgire, David James. "Evaluation of field based ministry project 11 week class designed to facilitate recovery for people experiencing homelessness resulting in part from struggles with drug addiction and/or alcoholism /." Theological Research Exchange Network (TREN), 2006. http://www.tren.com/search.cfm?p062-0292.

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17

Pagson, Raven Nicole. "Perceptions of motivation in the recovery process among African American women with children." CSUSB ScholarWorks, 2004. https://scholarworks.lib.csusb.edu/etd-project/2587.

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Substance abusing women with children are a diverse group, but some of them are among the most disadvantaged individuals in the United States. These women are in dire need of effective treatment modalities in order to sustain sobriety. Using a quantitative research design, this study examines the perception of motivation in the recovery process among African American women with children. Through research surveys these women identify the motivating factors necessary for successful treatment outcomes. Scales were created to measure extrinsic motivators, intrinsic motivators, and barriers to treatment. Factors examined included attendance at twelve step meetings, church attendance, court mandates, family support, assistance from Children's Services Workers, participation in residential and outpatient treatment programs, training in life skills such as assertivenesss, stress management, effective communication, vocational skills, and parenting, and intrinsic spiritual beliefs. The study also examined barriers to treatment such as lack of transporation, child care, employment, housing and money.
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18

Reese, Cesha Tiffany. "Family Reunification Among Women in Recovery From Substance Abuse and Complex Trauma." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5257.

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For women in recovery from complex trauma and substance abuse, the lack of posttreatment family reunification services such as family engagement, service delivery, and aftercare planning increase the likelihood of parental relapse and children reentering foster care. A primary caregiver's continued relapse can lead to longer out of home placement for minor children and a loss of parental rights, with a negative impact on both children and parents. The purpose of this qualitative phenomenological study was to examine the lived experiences of women in recovery, their sobriety practices, and how they reunified their families. The theoretical framework was Herman's trauma and recovery model. The research question focused on gaining a broader understanding of the complexities of substance abuse recovery among single-parenting women with trauma histories and their efforts to achieve and sustain family reunification. Data were obtained from interviews of 10 participants using an audio recording device and open-ended interview questions. Five themes emerged through analysis using open and axial coding: (a) choosing to remain sober, (b) cultivating and connecting, (c) trust and discovery, (d) trauma histories, and (e) aftercare and maintenance. Results indicated a possible connection between foster care recidivism and outdated aftercare services and practices. Improved aftercare practices could increase sustainability of reunified families and decrease the likelihood of relapse among caregivers in recovery. This study impacts social change by informing policy makers on state and federal levels of the needs of recovering parents and their families.
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19

Luu, Shirley, and Mersiha Selmanovic. "Min själ ville inte använda, men min kropp viker sig själv." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-27031.

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The purpose of this study has been to gain an understanding of how drug addicts get out of an addiction from the perspective of people who have previously been addicted to narcotics. To achieve the purpose of this study we interviewed former addicts and social workers whose work is to help drug addicts. The interviews with the informants have been semi structured where as we had prepared some open questions but also as the interviews went on we thought of follow up questions to ask. The analysis was conducted with three theories: the turning point, natural recovery and social bond. The results show that there are different ways to reach a turning point when you decide to quit the habit and then there are various factors that facilitate a person of getting out of an addiction that also prevent relapse. Furthermore, the results show that their own perspective on what mattered the most during their way out of an addiction was the support of people who had gone through the same process of changing their lifestyle. They found that fellowship is essential to recovery and relapse prevention.
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20

Samady, Lila Massoumi. "Evaluation of the family nurturing program: The family education component of the Riverside County Dependency Recovery Drug Court Program." CSUSB ScholarWorks, 2005. https://scholarworks.lib.csusb.edu/etd-project/2876.

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21

Haptén, Oscar, and Love Severin. "Återhämtning från alkohol och drogproblem : - en fenomenologisk studie av fyra människors återhämtningsprocesser." Thesis, Stockholms universitet, Institutionen för socialt arbete - Socialhögskolan, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:su:diva-72372.

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The aim of this study is to increase understanding about addiction recovery. More specifically, we want to know what people who have had problems with alcohol and/or other drugs perceive as helpful and important for their recovery process and how we can understand this process. The study was conducted by means of qualitative semi-structured interviews with four people who have had alcohol and/or other drug problems. The analysis is based on a transtheoretical model of change from addictive behaviours, coping, interactionist theories and also a recovery perspective, inspired by research on recovery from mental illness . Main findings are that recovery from addiction can be understood as an individual process that takes place in a social context and can follow expected phases, although there are large individual differences in the process. Through the recovery process it has been of importance to the participants in the study to redefine themselves and their problems, get support from others, find ways to cope with their problems, get involved in meaningful activities and to expand their social roles. Internal and external processes that are not directly related to drug use also appear to be important for the recovery from addiction.
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Kristiansen, Arne. "Fri från narkotika : om kvinnor och män som har varit narkotikamissbrukare." Doctoral thesis, Umeå universitet, Institutionen för socialt arbete, 1999. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-60867.

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The two aims of the study are to describe and analyse: i) how drug abusers have transformed their lives from the time when they did not use drugs, to becoming drug abusers, and finally leaving drugs behind them; and ii) what it means to be socially integrated with one's experience of having been a drug abuser. The study builds on qualitative research interviews with seven women and seven men. With symbolic interactionism as the point of departure the interviewees' lives are described and discussed as existential, meaning-creating processes characterised by modulations in the meaning they have given their lives. Most of the interviewees have grown up under disadvantageous conditions. They began us­ing drugs in adolescence. Over time their lives became very difficult to the point that they occa­sionally questioned their lives as drug abusers. The interviewees faced serious situations when they decided to leave the drug abuse life. No matter what motives they describe for beginning to change their lives, their decisions were influenced partly by negative social consequences gen­erated by drug abuse, and partly by positive social changes. Most of the interviewees went through institutional treatment to cease drug abuse. But their experiences of treatment can be regarded as a part of a prolonged change process which is influenced by many other factors outside of the treatment context. Today the interviewees live "normal lives". They are working or studying. The family is an important part of their lives. Most of them are engaged in different organisations, for example sport clubs, political parties, or Narcotics Anonymous. The fact that they succeed in ceasing drug abuse and today are leaving "normal lives" can not be explained by the possibility that they as group were better equipped socially, by hereditary, or by acquired characteristics, than people who continue to use drugs. Rather, changes in their existential conditions made it possible for them to cease drug abuse. Of decisive meaning was that they took part in social contexts where they built relationships to people who gave them confidence and who were able to see and meet the interviewees during their initial fragile striv­ing for change. The interviewees ambivalence and insecurity about building a life without drugs was reduced by the fact that they felt acceptance and respect from people who assumed the interviewees had resources and knowledge that were important for living "normal lives".
digitalisering@umu
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23

Hagemeier, Nicholas E., and L. White. "Methadone for the Treatment of Opioid Use Disorders." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/1415.

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24

Hu, Tsui-Ling, and 胡萃玲. "A Qualitative Study on the Process and significant factors of Recovered drug addicts'' Addiction and Recovery." Thesis, 1997. http://ndltd.ncl.edu.tw/handle/47397879946674710470.

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碩士
國立臺灣師範大學
教育心理學系
85
The purpose of this study was to understand the experience of recovered drug addicts, explore the whole addiction and recovery process and the significant factors associated to them.   Three recovered drug addicts were interviewees who recovered from an addiction treatment institute of Christianity. Expressive-autobiographical interviewing was adopted to collect data. The date was analyzed by the phenomenlogical methods.   The main finding was as follows:   1.The results induced each interviewee''s personal addiction and recovery process, and five common stages were found: the pre-addition stage, the addiction stage, the repeated abstention and relapse stage, the early recovery stage, and the ongoing recovery stage.   2.The potential factors influenced the interviewees to involve in drug abuse, including: alienating form family and school, having chance to involve in deviated peer group or criminal subculture, negative problem coping pattern, the deviation of life style and self-direction, curiousity, and ingoring or neglecting the damage which may result from drug abuse.   3.The significant factors which associated to the interviewees'' failure in abstention, including: going from bad to worse physically and psychologically, being controlled by addiction entirely, having a strong craving for drug, avoiding pain and sense of frustration by drug abuse, failing to leave the addictive friends and life style, being disappointed with the repeated failure and the loss of self-value and life meaning.   4.The Christian institute have provided the following therapeutic functions: hopeness, the recovery examplars, modeling, protective enviorment, uncondtional love and concern, life reconstruction, gradual work training, self-assurance and encouragement from successful experience.   5.The religion (Christianity) have provided the following therapeutic functions: unconditional love, catharsis(sense of guilt), sense of secuity, belongingness, self-awareness, the meaning of life, the reconstruction of self-value, the principles of life and behavior, the goal of life, social support, and the ongoing self-growth.
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Santos, Monika Maria Lucia Freitas dos. "Defeating the dragon: Heroin dependence recovery." Thesis, 2006. http://hdl.handle.net/10500/2369.

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Heroin dependence, which is escalating within South Africa, has become a symbol of the social disorder of the times - associated with materialism, poverty, crime, the problems of a society in transition, the disadvantaged, and the inner cities. However, that is not to say that all those who misuse heroin develop a problem or become dependent. In reality, only a small minority of heroin users develop a dependence, but for those who do it can result in unpleasant and potentially terrifying experiences/consequences, that can often be extremely difficult to escape from. That is not to say that recovery from dependence to heroin is not possible. Indeed, contrary to the beliefs of many people, the reality is that many people do eventually recover. Despite the vast sums of money devoted to treatment intervention of heroin dependants in the South Africa and worldwide, the processes by which recovery occur remain fairly unclear. Moreover, relatively little is known about the contribution of interventions and processes in facilitating such recovery. The statistical and content analysis of the data revealed that one of the most important factors identified in allowing successful behaviour modification and promoting recovery was psychosocial and pharmacological intervention, which seemed to produce a range of positive effects that facilitated natural healing processes. However, a range of other factors alongside intervention were also important in promoting behaviour modification. This study has provided important information, from forty recovering heroin dependants themselves, on the many factors that are important in achieving abstinence, in allowing recovery to be maintained in the longer term, and in potentially allowing an eventual exit from heroin dependence. A number of difficulties encountered in intervention were also identified. The statistical findings of the study support the `maturing out' hypothesis of heroin dependence (c² = 16.841; r = 0.001; df = 3). Ethnicity, highest level of education, employment status, marital status, biological parents' marital status or whether biological parents were deceased or not did not relate to any of the identified behavioural indices associated with heroin dependence recovery. A framework for the development of a contextual heroin dependence recovery model is also discussed.
Psychology
(M.A.(Psychology))
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Parker, Caroline Mary. "Labors of Recovery: Superfluity and Livelihood in Puerto Rican Addiction Shelters." Thesis, 2019. https://doi.org/10.7916/d8-t0zw-9s42.

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This dissertation examines Puerto Rican therapeutic communities – resource-poor mutual-aid collectives that have flourished over the past five decades, despite being heavily criticized by human rights groups for using unwaged labor as a method to treat addiction. The persistence of these communities, which are spreading rapidly across Latin America, is widely ascribed in international media to state neglect. I conducted a year of ethnographic research in Puerto Rico to understand why labor therapies thrive, and what these approaches are intended to achieve among those who practice them. Challenging the argument that labor therapies are the simple result of the state failing to provide alternatives, my research shows that during the last half century therapeutic communities have been successively recruited to serve a variety of distinct and sometimes competing interests. My examination of the multiple, contested, and sometimes-converging projects that inhere within this therapeutic regime shows that these organizations have variously served as entrepreneurial projects of informal enterprise, existential projects of redemption, state projects of containment, and shunt-valves for relieving burdens of dependency from straining kinship systems. Their endurance, therefore, not only reflects their capacity to patch the cracks of multiple faltering systems (including employment, corrections, family), but it also reflects their protean vulnerability to appropriation: that is, the ease with which they are co-opted by other actors for alternative utilities. Based on eight months of intensive participant observation in one therapeutic community, La Casita, where I explored the cultural logics and meanings of labor therapies, I argue that “drug treatment” here is not centrally geared towards “treating addiction.” Instead, La Casita’s therapeutic practices of labor therapy, time-discipline, prayer, and internal work are more instructively read as social technologies through which men who are excluded from the labor market and estranged from kinship ties seek to cultivate an alternative masculinity that restores their sense of worth. The “socially useful” masculinity under construction here, based on a performance of work, responsibility, and duty, offers unemployed men an alternative way to claim the dignity and social membership of work.
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Valle, Maria da Glória Côrte-Real Sanches do. "Narrativas de recovery da toxicodependência." Master's thesis, 2009. http://hdl.handle.net/10400.12/4820.

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Dissertação de Mestrado apresentada ao Instituto Superior de Psicologia Aplicada para obtenção de grau de Mestre na especialidade de Psicologia Clínica.
Este estudo tem por objectivo contribuir para uma melhor compreensão do processo de recovery da toxicodependência, dos recursos que o promovem e o que é que ele representa de novo para a vida dos indivíduos. Para a caracterização destes aspectos procedeu-se à recolha de duas narrativas biográficas, as quais foram analisadas numa perspectiva qualitativa. Na sequência da respectiva análise dos resultados são apresentados os temas que surgem com mais evidência, nomeadamente o apoio entre pares, a espiritualidade, as relações sociais, o empowerment e o exercício de actividades significativas na comunidade. A título de conclusão é elaborada uma reflexão sobre as implicações práticas deste trabalho, as suas limitações e a necessidade de se prosseguir o estudo desta temática no sentido de se compreender melhor o processo de recovery da toxicodependência.
The objective of this project is to contribute to a better understanding on the drug addiction recovery process, on the resources that promote this course of action, and on what this process represents in the life of individuals. In order to characterize these three dimensions, two biographic narratives were collected and were subsequently analyzed on a qualitative basis. Following result analysis, the most highlighted themes are presented as follows: peer support, spirituality, social relationships, empowerment and the development of community-relevant activities. As a conclusion of the present study, a consideration on the practical implications of this work was made. Furthermore, its limitations are also discussed, as well as the need for further study on the understanding of the drug addiction recovery process.
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28

Olsen, Andrew Edward. "A proposed study of supervised injection on Boston's "Recovery Road"." Thesis, 2018. https://hdl.handle.net/2144/33025.

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Abstract:
Supervised Injection Facilities (SIFs) for the medical supervision of illicit drug use exist in Europe, Canada, and Australia to reduce infectious disease transmission, overdose deaths, and other harms of drug use. They have been shown to reduce rates of needle sharing by 69% and local overdose mortality by 35% without increasing rates of drug use or related crime. In light of increasing rates of illicit opioid use and overdose death in Massachusetts, the Massachusetts Medical Society recently endorsed opening a SIF in Boston. This thesis proposes a study of the Boston SIF with the hypothesis that higher SIF utilization will be associated with decreased incidence of fatal overdose, HIV seroconversion, and HCV seroconversion during the study period. I propose evaluating this hypothesis prospectively by following clients of the SIF at 6 month intervals and comparing the rates of overdose death and HIV or HCV seroconversion among frequent and infrequent clients of the SIF. Based on data reported from previous SIFs and projections of the population of people who inject drugs (PWID) in Boston, a study with this design should detect a significant difference in these three primary endpoints between people using the SIF frequently and those using it infrequently within five years. A positive finding would confirm the efficacy of SIFs in harm reduction and secondary prevention for Opioid Use Disorder (OUD), potentially leading to broader adoption in other hotspots of opioid use in the United States.
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29

Mokutu, Kgothatso Selloane Lydia. "Second Chance Recovery Centre : the experiences of caregivers of Nyaope addicts." Diss., 2020. http://hdl.handle.net/10500/27599.

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Abstract:
Background: Drug rehabilitation is crucial for drug addicts. As much as drug rehabilitation (rehab) centres are helping in dealing with drug addiction. Some drug addicts may find that some of the drug rehabs do not meet their needs. Therefore, the study explored the experience of caregivers caring for nyaope addicts. Method: This study adopted a qualitative research approach and a case study design. The purposive sampling method was employed to select the sample. The sample comprised six caregivers. The structured interview and open-ended questionnaire were employed to collect data. An interview questionnaire was designed allowing the participants to respond at home and provide feedback. Their responses provided through this process were insufficient, participants were then requested face-to-face interviews and they agreed. Results: One of the main findings in this study was that caregiving affects the caregivers negatively. Caregiving has led to psychological and physical effects amongst the caregivers. Conclusion: A need was identified for support and awareness for the caregivers and rehabilitation centres in South Africa. This might reduce the relapse of substance abuse and help eradicate the number of substance abusers in South Africa.
Psychology
M.A. (Psychology (Research Consultation))
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30

Van, der Westhuizen Marichen Ann. "Exploring the experiences of chemically addicted adolescents regarding relapsing after treatment." Diss., 2007. http://hdl.handle.net/10500/1821.

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Abstract:
Against the background of an increase in the demands for treatment of adolescent chemical addiction, as well as the persistently high relapse rate, the significant impact on the development and well-being of chemically addicted adolescents needs to be considered by the social work profession, in order to plan effective intervention strategies. The purpose of this research study was to explore and describe the experiences of chemically addicted adolescents who had relapsed after in-patient treatment. Subsequently, the researcher aimed to generate guidelines and recommendations for social workers, in order to prevent relapse. A qualitative research approach was employed. The researcher made use of descriptive, exploratory and contextual research designs. The study was conducted at adolescent in-patient treatment centres in the Western Cape, South Africa. Data was collected through semi-structured interviews. Interviews were tape-recorded and transcribed, and field notes were taken to record the data. The sample selected from the population of chemically addicted adolescents in the Western Cape who relapsed after in-patient treatment was selected through the purposive sampling technique. Tesch's framework for data analysis (in Creswell, 2003) was employed, and data verification was conducted through Guba's model (in Krefting, 1991:214-222). The research results, concluding guidelines and recommendations are being disseminated by means of this written report.
Social Work
M. Diac. (Social Work)
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31

Santos, Monika Maria Lucia Freitas dos. "Healing the dragon : heroin use disorder intervention." Thesis, 2008. http://hdl.handle.net/10500/2317.

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The history of heroin use disorder intervention has been characterised by fads and fashions. Some of the treatments that have been used have been, at best ineffective, and at worst harmful, and occasionally even dangerous. It is a sad reflection upon the field that practices and procedures for the treatment of heroin use disorders can so easily be introduced and applied without (or even contrary to) evidence. In South Africa, the field of heroin use disorder intervention has been `in transition' since the outbreak of the heroin epidemic. Yet despite growing evidence of an association between heroin dependents use of supplementary intervention services (such as psychosocial and pharmacological/medical care) and intervention outcomes, and the fact that international emerging standards for substance use disorder intervention have called upon treatment intervention providers to enhance traditional substance use disorder services with services that address clients' psychological and social needs, heroin use disorder intervention programmes in South Africa generally fail to meet these research-based intervention standards. Much of what is currently delivered as intervention is based upon current best guesses of how to combine some science-based (for example, cognitive-behavioural therapy and pharmacotherapies) and self-help (12-step programmes) approaches into optimal intervention protocols. As progression is made in the twenty-first century, scientific information is now beginning to be used to guide the evolution and delivery of heroin use disorder care internationally. Regrettably, a scarcity of heroin use disorder intervention research is noted in South Africa. The present study delved into the insights of ten heroin use disorder specialists, and synthesised the findings with the results of a previous study undertaken by the author relating to forty long-term voluntarily abstinent heroin dependents. In terms of theory and practice, findings of the study suggest that the field is less in transition now than it was in 1995. It is an imperative that law-enforcement action be followed by an integrated programme of psychological, social and pharmacological outreach. These programmes will have to be expanded to address new demands and will need to include specialised skills training. Many interventions and procedures have begun to be integrated routinely into clinical practice.
Psychology
(D. Phil. (Psychology))
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32

Van, der Westhuizen Marichen Ann. "Aftercare to chemically addicted adolescents : practice guidelines from a social work perspective." Thesis, 2010. http://hdl.handle.net/10500/4034.

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Abstract:
The susceptibility of adolescents to chemical addiction has become a major international concern. Approximately 25% of people in Central Asia and Eastern Europe who inject chemical substances are under the age of 20 years (Youth at the United Nations, 2006), while up to 75% of unintentional injuries among adolescents in America are related to substance abuse (Page & Page, 2003:196). On the national level, approximately 25% of adolescents under the age of 20 are involved in substance abuse (Western Cape Department of Social Services and Poverty Alleviation Transformation Plan, 2006:13). Focusing on the Western Cape, a report from the South African Epidemiology Network (2007:3) highlights that the youngest patient in in-patient treatment was nine years of age, and among 2 798 persons who received in-patient treatment, 27% were under the age of 20, more than any other age group in treatment. Treatment of adolescent chemical addiction should include preparation for treatment, treatment, and also aftercare services to ensure that the addicted adolescent develops skills to maintain sobriety (Meyer, 2005:292-293). Section Six of the South African Prevention and Treatment of Drug Dependency Act (1992) prescribes that chemically addicted persons should have access to professional aftercare services to ensure that treatment is not terminated prematurely. The motivation for this study was based on the fact that, despite this statutory requirement, the Western Cape Drug Forum (2005:3) identified the need for the development of aftercare services in 2005, indicating the lack of focus on aftercare as part of treatment. This concern was confirmed by practitioners in the field of adolescent chemical addiction and findings resulted from previous research regarding relapse experiences of chemically addicted adolescents (Van der Westhuizen, 2007:129-130).
Social Work
D. Phil. (Social Work)
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