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父母在12步康复运动中对物质使用问题、为人父母及康复的体验。

Parents' experiences of substance use problems, parenthood, and recovery within the 12-step movement.

作者信息

Heimdahl Vepsä Karin

机构信息

Stockholm University, Sweden.

出版信息

Nordisk Alkohol Nark. 2020 Dec;37(6):576-591. doi: 10.1177/1455072520941992. Epub 2020 Sep 10.

Abstract

AIM

The aim of this study was to explore how people with earlier substance use problems narrated their experiences of becoming and being parents. The literature in this area is limited.

METHOD

The study participants, all active members of the 12-step movement, were interviewed about their experiences of substance use problems, recovery, and parenthood. The data were analysed using a narrative theoretical framework seeking to answer the questions of how the parents narrate their experiences of parenthood within the frame of a classic 12-step storyline and how they present themselves as parents through these narratives.

RESULTS

The results show that, on the whole, the narratives conformed to a classic 12-step storyline. For example, the narratives' turning points were often built up around experiences of "hitting rock bottom", when the negative consequences of substance use culminated in dramatic events forcing the narrators to see the seriousness of their problems. At the same time the motivational potential of having or expecting (or wishing for future) children was downplayed by several study participants, who instead said that positive driving forces such as human relationships were not enough to break through their denial of their substance use problems. Finally, all study participants described how the process of working towards sobriety had been a transformative experience through which they had come in better contact with their feelings and emotions, and they defined this as an important resource in their everyday lives as parents.

CONCLUSION

The results showed that the parents, when narrating their experiences within the frames of a classic 12-step storyline, were also able to present themselves as competent parents, empowered rather than stigmatised by their earlier experiences.

摘要

目的

本研究旨在探讨有早期物质使用问题的人如何讲述他们成为父母及为人父母的经历。该领域的文献有限。

方法

研究参与者均为12步康复运动的活跃成员,就他们的物质使用问题、康复及为人父母的经历接受了访谈。数据分析采用叙事理论框架,旨在回答父母如何在经典的12步故事情节框架内讲述为人父母的经历,以及他们如何通过这些叙事展现自己作为父母的形象。

结果

结果表明,总体而言,这些叙事符合经典的12步故事情节。例如,叙事的转折点往往围绕“跌至谷底”的经历构建,此时物质使用的负面后果在戏剧性事件中达到顶峰,迫使讲述者认识到自身问题的严重性。同时,几位研究参与者淡化了生育或期待(或希望未来生育)孩子的激励潜力,他们反而表示,诸如人际关系等积极驱动力不足以打破他们对物质使用问题的否认。最后,所有研究参与者都描述了努力戒酒的过程是一次转变经历,通过这个过程他们更好地接触到了自己的感受和情绪,并将此定义为他们作为父母日常生活中的一项重要资源。

结论

结果显示,父母在经典的12步故事情节框架内讲述经历时,也能够将自己展现为称职的父母,他们因早期经历而获得力量,而非受到污名化。

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