PDF(Pubmed)
Abstract：
Aim: This exploratory study analyses the interplay between the treatment philosophies of Alcoholics Anonymous (AA) and Relapse Prevention (RP) in personal stories of addiction. While the basic ideas of AA and RP are compatible in many ways, they also carry some fundamental differences. Methods: The data consisted of interviews with 12 individuals recovering from substance use problems, who had experience of both AA and RP. The analysis drew on a dialogical narrative perspective, and the concept polyphony was used to shed light on the interplay between different treatment philosophies in personal stories of relapse. Findings: Although sometimes resulting in incoherence, the treatment philosophies were combined idiosyncratically, in ways that appeared productive for the participants\' self-images and recovery journeys. Conclusion: The combination of AA and RP philosophies in narratives of relapse and recovery may reflect a new treatment discourse where individualisation and responsibilisation stand in a complicated relationship with collectivism and surrendering to so-called addicting processes.
摘要：
目的：这项探索性研究分析了酗酒者匿名（AA）和复发预防（RP）在成瘾个人故事中的治疗哲学之间的相互作用。虽然AA和RP的基本思想在许多方面是兼容的，它们也有一些根本的差异。方法：数据包括对12名从物质使用问题中恢复的个体的访谈，谁有AA和RP的经验。分析借鉴了对话叙事的观点，复调概念被用来揭示个人复发故事中不同治疗理念之间的相互作用。研究结果：虽然有时会导致不一致，治疗哲学是独特地结合在一起的，以对参与者的自我形象和康复之旅似乎富有成效的方式。结论：AA和RP哲学在复发和康复叙事中的结合可能反映了一种新的治疗话语，其中个性化和责任化与集体主义和屈服于所谓的成瘾过程有着复杂的关系。
