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希望的故事:从嗜酒者互诫协会中汲取社会认同和他人经验——对戒瘾维持的社会认同模型的检验。

Tales of hope: Social identity and learning lessons from others in Alcoholics Anonymous: A test of the Social Identity Model of Cessation Maintenance.

机构信息

Centre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, United Kingdom.

Centre for Addictive Behaviours Research, School of Applied Sciences, London South Bank University, United Kingdom.

出版信息

Addict Behav. 2019 Jun;93:204-211. doi: 10.1016/j.addbeh.2019.02.004. Epub 2019 Feb 4.

Abstract

Social identities can facilitate positive recovery outcomes for people overcoming addiction. However, the mechanism through which such protective effects emerge are unclear. The social identity model of cessation maintenance posits that one such process may be contextualisation (the creation of meaning around relevant future events and actions which act in a protective fashion). The current paper tested the role of contextualisation by exploring the role of a common feature of addiction meetings, the sharing of a personal recovery story. Data were collected from an online sample of 170 members of Alcoholics Anonymous [AA] (mean age 45.4 years, 50% male). Participants rated their social identification with AA before reading an archetypal tale of hope. They then completed measures of contextualisation (the perceived self-relevance and utility of the tale) and measures of perceived quit efficacy and costs of relapse to self and others. Identity, relevance and utility positively related to quit efficacy and perceived cost of relapse to the self. High identification with AA was also related to higher story relevance and utility. However, no mediation relationship between identity and efficacy via story relevance or utility was observed. Perceived cost to self increased in line with identity, with an additional joint indirect mediation of social identity via both meditators. These findings provide a clear pattern of results linking identity to contextualisation (story relevance and utility) and contextualisation to outcome measures. They also support the role of contextualisation as an important component of group processes more generally.

摘要

社会认同可以促进克服成瘾的人的积极康复结果。然而,这种保护作用出现的机制尚不清楚。停止维持的社会认同模型认为,其中一个过程可能是情境化(围绕相关的未来事件和行动创造意义,以起到保护作用)。本文通过探索成瘾会议的一个常见特征,即分享个人康复故事,来测试情境化的作用。数据来自 170 名匿名戒酒会(AA)成员的在线样本(平均年龄 45.4 岁,50%为男性)。参与者在阅读一个典型的希望故事之前,对自己与 AA 的社会认同进行了评价。然后,他们完成了情境化(故事对自己的自我相关性和实用性的感知)以及戒烟效果和自我及他人复吸成本的感知测量。身份认同、相关性和实用性与戒烟效果和自我复吸成本呈正相关。对 AA 的高度认同也与故事的相关性和实用性较高有关。然而,在故事相关性或实用性方面,身份认同与戒烟效果之间没有中介关系。自我感知成本与身份认同成正比,社会认同通过两个中介变量对自我感知成本进行了联合间接中介。这些发现提供了一个明确的结果模式,将身份认同与情境化(故事相关性和实用性)联系起来,并将情境化与结果测量联系起来。它们还支持情境化作为更广泛的群体过程的一个重要组成部分的作用。

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