University of Hertfordshire, Hatfield, UK.
Psychol Psychother. 2021 Jun;94(2):307-321. doi: 10.1111/papt.12296. Epub 2020 Jul 29.
The aim of this study was to explore the subjective experiences of participants who: (1) received a psychosocial intervention as part of an addiction recovery research trial, and (2) responded to treatment through drug reduction, with the intention of eliciting qualitative change processes of recovery.
Data were collected using semi-structured interviews designed to capture detailed descriptions of participants' experiences of recovery within the intervention.
Eleven participants who had achieved drug abstinence or significant drug reduction by successfully completing the psychosocial intervention took part in the study. The data were analysed using interpretative phenomenological analysis (IPA).
Five superordinate themes were identified relating to (1) An active, individualised and skills-based intervention that validates a new way of being; (2) Staff that foster good working relationships based on trust and safety within services that do not stigmatise; (3) To be understood individually, historically and psychologically, and with regard to the pernicious relationship with drugs; (4) Motivation is personal, intrinsic, requires vigilance and is driven forward by periods of success through abstinence; and (5) Interpersonal connectedness is essential to recovery; family is a key reason to abstain and friendships can either facilitate or hinder success.
These findings suggest that the success of the psychosocial intervention may be due to a combination of modality specific factors and also broader holistic aspects that were provided through intervention. Future research is required to generalise these findings to wider addiction populations.
Review of the evidence base suggests the need to move beyond testing addiction interventions and instead understand change processes through psychosocial intervention. Narratives of lived experience of those undergoing psychosocial intervention inform us that specific features relating to intervention, working relationship, motivation, identity and interpersonal factors instigate recovery. Practitioners should consider a multi-faceted approach in designing and applying psychosocial intervention for addiction.
本研究旨在探讨以下参与者的主观体验：(1) 作为成瘾康复研究试验的一部分接受心理社会干预，以及 (2) 通过减少药物来应对治疗，旨在引出恢复的定性变化过程。
数据收集使用半结构化访谈，旨在捕捉参与者在干预过程中恢复体验的详细描述。
11 名参与者通过成功完成心理社会干预实现了药物戒除或显著减少药物使用，参与了这项研究。数据使用解释现象学分析（IPA）进行分析。
确定了五个主要主题，涉及：(1) 一种积极、个体化和基于技能的干预，验证了一种新的存在方式；(2) 工作人员在不污名化的服务中基于信任和安全建立良好的工作关系；(3) 从个体、历史和心理角度以及与毒品的有害关系方面被理解；(4) 动机是个人的、内在的，需要警惕，并且通过通过戒除获得成功来推动；(5) 人际联系对恢复至关重要；家庭是戒断的关键原因，友谊可以促进或阻碍成功。
这些发现表明，心理社会干预的成功可能是由于特定模式因素的组合，以及通过干预提供的更广泛的整体方面。需要进行进一步的研究，将这些发现推广到更广泛的成瘾人群。
对证据基础的审查表明，需要超越测试成瘾干预，而是通过心理社会干预来理解变化过程。接受心理社会干预的人的生活经历叙述告诉我们，与干预、工作关系、动机、身份和人际关系因素相关的具体特征引发了恢复。从业者在设计和应用成瘾的心理社会干预时，应考虑采用多方面的方法。
