Say No and Close the Door? Codependency Troubles among Parents of Adult Children with Drug Problems in Sweden

Nordgren, Johan; Richert, Torkel; Svensson, Bengt; Johnson, Björn

doi:10.1177/0192513x19879200

Cited by 8 publications

(10 citation statements)

References 22 publications

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“…In line with some previous research (e.g., Di Sarno et al, 2021;Nordgren et al, 2019;Richert et al, 2018), our respondents highlighted the necessity to build knowledge and conduct research into the life situations of families before death. The distinction between the time before and the time after death lacks relevance for the life worlds of these persons.…”

Section: Becoming Visible and Relevant To Politics By Building Knowledgesupporting

confidence: 80%

“…Further research should focus on the experiences of this group of bereaved as co-dependent, and develop understandings of the specific life situations of families both pre and post loss. The term co-dependence appears in a number of answers and also has an ideological and normative basis that should be investigated further ( Nordgren et al, 2019 ).…”

Section: Discussionmentioning

confidence: 99%

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Advice to policy-makers for improving services to the drug-death bereaved

Fjær

Dyregrov

2021

Nordic Studies on Alcohol and Drugs

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Aims: The objective of this study is to contribute to an improvement of bereavement services and experiences for the bereaved after drug-related deaths (DRDs) by investigating their expressed opinions on what would constitute improvements. Methods: As part of a larger survey questionnaire, we asked people bereaved by DRDs what advice they would give to politicians to improve bereavement services. Out of 255 respondents, we received 196 written statements of advice, 83 focusing on the time after death. Two-thirds of these respondents were either parents or siblings, the other third were other family members or close friends. A thematic analysis was conducted to examine the written statements. Results: We found four central themes: broad-spectrum help, routinised help, respectful help and competent help. The advice represents a long list of psychosocial support to ideally be offered on a regular and long-term basis. Furthermore, the bereaved also discussed the cognitive and normative side of the services by including considerations about stigma and respect, and the need for more research- and experience-based knowledge about their experiences both before and after DRDs. Conclusions: Many of the services sought by the bereaved are already in place and described in national guidelines for follow-up strategies after sudden unexpected deaths. DRDs, however, has not been included as a task for the services and are not explicitly mentioned in these guidelines. The scope of research and policymaking on drug problems and DRDs should be broadened to include families and social networks in order to make the group more visible and strengthen their influence on policy.

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Section: Becoming Visible and Relevant To Politics By Building Knowledgesupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Advice to policy-makers for improving services to the drug-death bereaved

Fjær

Dyregrov

2021

Nordic Studies on Alcohol and Drugs

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“…Other challenges concerned not accepting or normalizing violence, life-threatening behaviors, and not becoming “codependent” with one’s clients. Although a contested concept, the notion of codependency was developed within the 12-step movement and is usually used to describe problematic behaviors of spouses or relatives of people who use drugs, such as an extreme focus on others’ needs, being self-sacrificing, and adopting dysfunctional coping aimed at preventing conflict [ 44 ]. The concept seems useful for some social workers in describing strategies to handle boundaries toward clients in their professional work.…”

Section: Discussionmentioning

confidence: 99%

Harm reduction social work with people who use drugs: a qualitative interview study with social workers in harm reduction services in Sweden

Richert,

Stallwitz,

Nordgren

2023

Harm Reduct J

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Background Social work with people who use drugs (PWUD) has traditionally focused on abstinence and rehabilitation. In recent years, harm reduction has gained an increasingly more important role in social work with PWUD, and social workers are key professionals in many harm reduction services. This study investigates how social workers in harm reduction services for PWUD in Sweden understand the concept of harm reduction and how it relates to goals of rehabilitation, and how they assess and deal with dilemmas and challenges in everyday work. Methods The study is based on interviews with 22 social workers in harm reduction services for PWUD in the Scania region of Sweden. A thematic analysis in three steps was used in coding and processing the data. Results The social workers pointed to similar values between social work and harm reduction and argued for combining the two fields to improve services for PWUD. Three overarching principles for Harm Reduction Social Work (HRSW) were developed based on the social workers accounts: (1) Harm reduction is a prerequisite for rather than a counterpoint to rehabilitation and recovery, (2) motivational work must be non-mandatory and based on the client’s goals, (3) a holistic perspective is crucial for Harm Reduction Social Work. Challenges in doing HRSW concerned restrictive laws, policies, and guidelines, resistance from managers, difficulties in setting boundaries between client autonomy and life-saving interventions, and the risk of normalizing high-risk behaviors. Conclusions We use the concept of Harm Reduction Social Work to show how social work with PWUD can have a primary focus on reducing harm and risks, while at the same time it involves a holistic perspective that facilitates motivation and change. The suggested principles of HRSW can provide guidance in practical social work with vulnerable PWUD. Social workers can have important roles in most harm reduction settings and may act to enable recovery.

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“…Это подразумевает, что существует определенная семейная динамика, которая сильно влияет на то, как люди относятся друг к другу. Возможно, один компонент семейной системы может создавать волновые эффекты и вызывать помехи в специфике семейного взаимодействия (Nordgren, Torkel, Svensson & Johnson, 2020).…”

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“…Это бремя в значительной степени связано с неуправляемой рабочей нагрузкой, финансовыми трудностями, нахождением в социальном положении, нежелательностью и одиночеством. Чувство вины было распространено с бременем заботы о родителях с умственными недостатками (Nordgren et al, 2020).…”

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Психологические Маркеры Созависимого Поведения: Теория И Практика

Колёнова¹,

Кукуляр²,

Дятлова³

2022

РПЖ

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Введение. Целью статьи является аналитический обзор научных подходов к исследованию особенностей психологических маркеров созависимого поведения. Рассмотрены современные подходы к изучению данного феномена с точки зрения теоретического и практического аспектов, отражающие фрагментарный характер представленности данного понятия. Существует не только несколько дефиниций понятия «созависимость», но и множество подходов к его изучению. На основе теоретического анализа различных подходов было предложено авторское определение феномена, что отражает научную новизну исследования. Теоретическое обоснование исследуемой проблематики было выполнено на основе анализа литературных источников, сравнительного анализа и обобщения зарубежных и отечественных подходов к изучаемому термину «созависимость», апробации авторской трактовки исследуемого термина. Результаты. На основе аналитического обзора выделены психологические маркеры созависимого поведения, проявляющиеся через выученный набор поведенческих форм, нарушение адаптации, различные нарушения личности. Показано, что описание психологических характеристик, относящихся к феномену созависимости, достаточно обширно, но при этом не носит системный характер. Намечены идеи не только для продолжения изучения психологических маркеров созависимого поведения, но и для поиска генетических факторов, обуславливающих данное поведение. Обсуждение результатов. Нами выделена трактовка термина «созависимость» как феномена, проявляющегося в зависимом поведении, обусловленного изменением ценностно-смысловых конструктов и недостатком необходимых компетенций, формирующегося под влиянием негативного опыта дисфункциональных отношений со значимыми другими. Данное определение объединяет ряд подходов и обогащает их взглядом сквозь призму глубинных особенностей личности, проявляющей созависимые паттерны поведения.

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Say No and Close the Door? Codependency Troubles among Parents of Adult Children with Drug Problems in Sweden

Cited by 8 publications

References 22 publications

Advice to policy-makers for improving services to the drug-death bereaved

Advice to policy-makers for improving services to the drug-death bereaved

Harm reduction social work with people who use drugs: a qualitative interview study with social workers in harm reduction services in Sweden

Психологические Маркеры Созависимого Поведения: Теория И Практика

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