“It Wasn't the Proper Me” — Narratives about Alcoholism and View of Oneself: The Impact of Disavowed Shortcomings and Dissociation

Punzi, Elisabeth; Tidefors, Inga

doi:10.1080/07347324.2014.949110

Cited by 3 publications

(2 citation statements)

References 25 publications

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“…Psychotherapy as well as self-help groups such as NA might support emotional awareness and self-understanding (Orzeck & Rokach, 2003). Patients with SUD tend to avoid negative emotions and experiences of shortcomings (Orzeck & Rokach, 2003;Punzi & Tidefors, 2014). ISTDP strives to support patients to handle emotional suffering and shortcomings through identifying and expressing emotions that have been avoided (Frederickson, 2013).…”

Section: Discussionmentioning

confidence: 99%

Relationships, Emotions, and Defenses Among Patients with Substance Use Disorders, Assessed with Karolinska Psychodynamic Profile: Possibilities to use Intensive Short-Term Dynamic Psychotherapy in Substance Abuse Treatment

Punzi

Lindgren²

2018

Alcoholism Treatment Quarterly

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Substance use disorders (SUDs) are connected to emotional and relational difficulties. Intensive Short-Term Dynamic Psychotherapy (ISTDP) aims at supporting emotion regulation and relational capacity through confronting the patient's defenses. The authors assessed relational capacity, emotion regulation, and defenses in nine patients with severe SUD and a history of childhood maltreatment, using the semistructured method Karolinska Psychodynamic Profile. All participants had difficulties in handling interpersonal dependence and separations. Functioning in other areas varied. ISTDP could be useful in substance abuse treatment. Thorough assessment before starting ISTDP is however recommended so that treatment is planned according to the patients' level of functioning.

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Section: Discussionmentioning

confidence: 99%

Relationships, Emotions, and Defenses Among Patients with Substance Use Disorders, Assessed with Karolinska Psychodynamic Profile: Possibilities to use Intensive Short-Term Dynamic Psychotherapy in Substance Abuse Treatment

Punzi

Lindgren²

2018

Alcoholism Treatment Quarterly

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“…term addiction has also been questioned for being connected to a view of clients as suffering from an inherent dysfunction, a perception that might imply a sense of hopelessness that in turn might complicate recovery [18,28]. Diagnostic terms are descriptive and accordingly do not aim at capturing how individuals concerned understand their difficulties and treatment needs.…”

Section: "It's a Deficiency Disorder" Clients Understanding Of Substmentioning

confidence: 99%

“It’s A Deficiency Disorder”. Clients Understanding of Substance and Behavioral Addictions and Treatment Needs: An Interview Study

Punzi¹

2016

J Reward Defic Syndr Addict Sci

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Characteristics of alcohol recovery narratives: Systematic review and narrative synthesis

et al. 2022

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Background and aims Narratives of recovery from alcohol misuse have been analysed in a range of research studies. This paper aims to produce a conceptual framework describing the characteristics of alcohol misuse recovery narratives that are in the research literature, to inform the development of research, policy, and practice. Methods Systematic review was conducted following PRISMA guidelines. Electronic searches of databases (Ovid MEDLINE, EMBASE, CINHAL, PsychInfo, AMED and SCOPUS), grey literature, and citation searches for included studies were conducted. Alcohol recovery narratives were defined as “first-person lived experience accounts, which includes elements of adversity, struggle, strength, success, and survival related to alcohol misuse, and refer to events or actions over a period of time”. Frameworks were synthesised using a three-stage process. Sub-group analyses were conducted on studies presenting analyses of narratives with specific genders, ages, sexualities, ethnicities, and dual diagnosis. The review was prospectively registered (PROSPERO CRD42021235176). Results 32 studies were included (29 qualitative, 3 mixed-methods, 1055 participants, age range 17-82years, 52.6% male, 46.4% female). Most were conducted in the United States (n = 15) and Europe (n = 11). No included studies analysed recovery narratives from lower income countries. Treatment settings included Alcoholic Anonymous (n = 12 studies), other formal treatment, and ‘natural recovery’. Eight principle narrative dimensions were identified (genre, identity, recovery setting, drinking trajectory, drinking behaviours, stages, spirituality and religion, and recovery experience) each with types and subtypes. All dimensions were present in most subgroups. Shame was a prominent theme for female narrators, lack of sense of belonging and spirituality were prominent for LGBTQ+ narrators, and alienation and inequality were prominent for indigenous narrators. Conclusions Review provides characteristics of alcohol recovery narratives, with implications for both research and healthcare practice. It demonstrated knowledge gaps in relation to alcohol recovery narratives of people living in lower income countries, or those who recovered outside of mainstream services. Protocol registration Prospero registration number: CRD42020164185.

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“It Wasn't the Proper Me” — Narratives about Alcoholism and View of Oneself: The Impact of Disavowed Shortcomings and Dissociation

Cited by 3 publications

References 25 publications

Relationships, Emotions, and Defenses Among Patients with Substance Use Disorders, Assessed with Karolinska Psychodynamic Profile: Possibilities to use Intensive Short-Term Dynamic Psychotherapy in Substance Abuse Treatment

Relationships, Emotions, and Defenses Among Patients with Substance Use Disorders, Assessed with Karolinska Psychodynamic Profile: Possibilities to use Intensive Short-Term Dynamic Psychotherapy in Substance Abuse Treatment

“It’s A Deficiency Disorder”. Clients Understanding of Substance and Behavioral Addictions and Treatment Needs: An Interview Study

Characteristics of alcohol recovery narratives: Systematic review and narrative synthesis

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