Social Identity Mapping in Addiction Recovery (SIM-AR): extension and application of a visual method

被引:31
作者
Beckwith, Melinda [1 ,2 ]
Best, David [2 ,3 ]
Savic, Michael [1 ,2 ]
Haslam, Catherine [4 ]
Bathish, Ramez [1 ,2 ]
Dingle, Genevieve [4 ]
Mackenzie, Jock [4 ]
Staiger, Petra K. [5 ]
Lubman, Dan I. [1 ,2 ]
机构
[1] Monash Univ, Eastern Hlth Clin Sch, 110 Church St, Melbourne, Vic, Australia
[2] Eastern Hlth, Turning Point, Richmond, Australia
[3] Sheffield Hallam Univ, Ctr Reg Social & Econ Res, Sheffield, S Yorkshire, England
[4] Univ Queensland, Sch Psychol, Bisbane, Australia
[5] Deakin Univ, Sch Psychol, Geelong, Vic, Australia
基金
澳大利亚研究理事会; 英国医学研究理事会;
关键词
Recovery; substance use; social identity; social networks; visual methods; mapping; CHANGING NETWORK SUPPORT; DRUG-USE; THERAPEUTIC-COMMUNITY; NATURAL RECOVERY; COGNITIVE HEALTH; GROUP MEMBERSHIP; ALCOHOL; HEROIN; DRINKING; USERS;
D O I
10.1080/16066359.2018.1544623
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Background: The Social Identity approach offers a unifying framework for understanding recovery from addiction as a process of identity change, associated with change in social network composition. This paper introduces Social Identity Mapping in Addiction Recovery (SIM-AR) - a visual method for capturing social group memberships, extended to integrate the substance use status' of group members as an indicator of group substance use norms. The aim here is to test theory-derived predictions focused on the relationship between changes in social identity and network composition reflected in groups' substance use norms in early recovery.Method: 155 therapeutic community (TC) residents in Victoria, Australia, completed the SIM-AR plus measures of substance-using and recovery identities and substance use shortly after admission, and 65% (N=101) again 6 months later.Results: As predicted, substance use severity at follow up was associated with changes in both social identity and network composition. Furthermore, reduced strength of substance-using identity was associated with a decrease in the proportion of groups with heavy substance use norms, while increased strength of recovery' identity was associated with an increased proportion of non-using groups.Conclusion: SIM-AR proved useful in testing predictions about social identity and network changes in a residential treatment context. It captured key social identity constructs in recovery using a visual technique with value to both research and applied contexts. Findings highlight the clinical importance of assessing a person's group-based relationships in treatment and early recovery, especially the influence of social group norms in relation to substance use.
引用
收藏
页码:462 / 471
页数:10
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