Breaking the habit: a retrospective analysis of desistance factors among formerly problematic heroin users

Abstract

The study supports a careers perspective for examining heroin careers and indicates that, while achieving abstinence is possible for chronic opiate users, the path to sustained abstinence is complex and often reliant upon external support systems.

Overcoming alcohol and other drug addiction as a process of social identity transition: the social identity model of recovery (SIMOR)

“…However, it is important to note that the factors that initiate recovery often relate to becoming tired with one's lifestyle, and these can often be brought to a head by a crisis event (Best et al, 2008). Indeed, although not highlighted in the literature, there is also the possibility that changes in social identity may in turn accelerate the process of becoming 'tired of the lifestyle'.…”

“…Frequency of contact with a recovery-oriented social network is important because it determines exposure to both recovery values and processes (Longabaugh et al, 2010;Moos, 2007), and the creation of a social environment in which an emerging sense of self as 'nonusing' or 'in recovery' can be nurtured and shaped by the norms, values and expectations of the group (Best et al, 2008;. Furthermore, the benefits of social support for recovery (which may take the form of information or practical assistance, emotional support and a sense of belonging) appear to be dependent on the degree to which those providing support are perceived to be relevant, similar, and connected to the self.…”

Recovery from addiction and the potential role of sport: Using a life-course theory to study change

“…Consequently, trapped respondents like Paul experienced boredom and stress, feelings which have strong associations with relapses (Best et al, 2008). Paul wanted to be alcohol and drug free, but when asked how he managed problems such as cravings, he offered few strategies.…”

“…The key predictors of successful recovery include supportive social networks and meaningful activities which are grounded in community settings (Best et al, 2008).…”

Commentary on Nosyk et al. (2012): Detoxification from methadone maintenance therapy: how important is the exact technique that is used?

“…People do recover from opioid dependence, and go on to live drug-free, healthy and productive lives [11]. However, research on addiction careers suggests that the exact detoxification technique used has limited impact on the likelihood of success, with ex-users in recovery instead reporting a combination of the pressures and strains of using drugs, key life events ('turning points') and the availability of social support as important factors [12,13]. In this respect, the recent articulation of a recovery-orientated approach to methadone maintenance can be useful to guide treatment services [14].…”