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自我内省在渴望叙述中的作用:多元与统一的自我。

Self-interpellation in narratives about craving: Multiple and unitary selves.

机构信息

Department of Social Work, Stockholm University, Stockholm, Sweden.

出版信息

Sociol Health Illn. 2022 Nov;44(9):1391-1407. doi: 10.1111/1467-9566.13534. Epub 2022 Aug 28.

Abstract

The concept of addiction seeks to explain why people act contrary to their own best interest. At the centre stage of addiction discourse is craving, conceptualised as a strong urge to use substances. This article analyses how talk therapies such as relapse prevention and self-help groups shape identity constructions and understandings of craving among clients. Drawing upon interviews with individuals who have engaged in talk therapies in Sweden, we analyse how craving is made up through 'self-interpellation', that is, personal narratives about past, present or future thoughts, feelings and actions. The main 'self-interpellation' included multiple selves, where craving was elided by the true self and only felt by the inauthentic self. Less dominant were narratives which drew on a unitary self that remained stable over time and had to fight craving. The notion of multiple selves appeared as a master narrative that the participants were positioned by in their identity constructions. We conclude that this multiplicity seems ontologically demanding for people who try to recover from substance use problems. A demystification of craving, in which neither substance effects nor malfunctioning brains are blamed for seemingly irrational thoughts and actions, may reduce the stigmatisation of those who have developed habitual substance use.

摘要

成瘾的概念试图解释为什么人们会做出违背自身最大利益的行为。在成瘾话语的中心舞台上,是对渴望的概念化,即强烈的使用物质的欲望。本文分析了诸如预防复发和自助小组等谈话疗法如何在客户中塑造身份构建和对渴望的理解。本文通过对在瑞典接受过谈话疗法的个人进行访谈,分析了渴望是如何通过“自我召唤”来构成的,即关于过去、现在或未来的思想、感觉和行为的个人叙述。主要的“自我召唤”包括多个自我,其中渴望被真实自我掩盖,只有不真实自我才能感受到。不太突出的叙述则是基于一个随时间保持稳定且必须与渴望作斗争的单一自我。多个自我的概念似乎是一个主要的叙事,参与者在身份构建中被定位。我们的结论是,对于试图从物质使用问题中恢复的人来说,这种多元性在本体论上似乎是有要求的。对渴望的去神秘化,既不指责物质的影响,也不指责大脑的功能障碍,是对那些已经形成习惯性物质使用的人的污名化的一种减少。

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本文引用的文献

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Stigma and the Toll of Addiction.成瘾的污名与代价
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