Toward an Integrative Approach in the Analysis of Dependency Problems

Abstract

This article takes some preliminary steps towards an integrated analysis of dependency problems e.g., long-term tranquillizer use, alcohol dependence, problematic use of narcotics. It argues for the need to outline important theoretical, epistemological, and methodological prerequisites in the analysis of the complex dynamic developmental processes involved in dependency problems. The dynamic process leading to dependence can be studied by the aid of an artificial science neural network approach in combination with a mixed method strategy including a clarification of a combination of different epistemological positions. It is intended that the empirical output of this complex strategy will provide a starting point for a new theoretical analysis which, in turn, will lead to new and more relevant input variables in the neural network approach that will help us to extend our knowledge of the dynamic processes leading to dependency.

Chapter 10. Perspectives on Treatment, Alliance and Narratives Concerning Substance Use-Related Dependency

“…The psychodynamic point of view, especially the modern object relation theory, provides an interesting commentary on how to understand the self as being created through internalization processes of other people and relationships, entering the mind or the psyche of the individual which constitutes the self (Larsson, Lilja, Borg et al, 2001;Parrish, 2010;Stevens, 1996;Thomas, 1996). The important point is that these versions of psychodynamic processes perceive the self as being founded or based on "internalized others and relationships," pointing out the possibility of a more dynamic and fluid self-structure (Thomas, 1996, p. 317).…”

“…This complex process and its outcomes are related, among many known as well as unknown considerations, to social psychological factors (Sussman & Ames, 2001). According to the social constructionist view, the self or the personal identity structure is constructed and reconstructed through social interactions and involvement in social and cultural activities (Burr, 1995;Larsson, Lilja, Borg et al, 2001;Wetherell & Maybin, 1996). Furthermore, the self is viewed as being multifaceted and the manner in which we talk about others and ourselves facilitates different kinds of self (Wetherell & Maybin, 1996).…”

“…A narrative method can help us understand the complex nature of the self, the dialogic self, or the individual and his/her different second selves Rowan & Cooper, 1999), for example, in terms of the experience of the self with and without the use of alco-hol and drugs Larsson, Lilja, Borg et al, 2001).…”

Chapter 1. Introduction: Using Narrative Research Methods for the Analysis of Use and Misuse of Alcohol and Drugs

“…The importance of using narrative methods for the understanding of different psychosocial problems, including substance use-related dependency and the development of an in-depth analysis of alcohol and drug use in their range of patterns and meanings, has been pointed out in different ways by many researchers (Anderson, 1998a(Anderson, , 1998bCameron, 1995;Denzin, 1987;Larsson, Sjöblom, & Lilja, 2008;Riessman & Quinney, 2005;Shaw & Lishman, 1999;Singer, 1997). Different psychoactive drugs, e.g., alcohol, often affect the state of consciousness or identity state, including the cognitions, emotions, and social behavior of the drug user (Denzin, 1987;Larsson, Lilja, Borg, Buscema, & Hamilton, 2001;Milkman & Sunderwirth, 2010;Singer, 1997;Tart, 1986). Narrative methods are relevant in studying those changes in personality and social behavior that are induced by and/or are associated with different kinds of drugs, the "drug experience," "drug expectations," and the cultural context in which drug taking behavior takes place (see Anderson, 1998aAnderson, , 1998bDenzin, 1987;Larsson, Lilja, Borg et al, 2001;Larsson et al, 2008;Singer, 1997;South, 1999).…”

“…Different psychoactive drugs, e.g., alcohol, often affect the state of consciousness or identity state, including the cognitions, emotions, and social behavior of the drug user (Denzin, 1987;Larsson, Lilja, Borg, Buscema, & Hamilton, 2001;Milkman & Sunderwirth, 2010;Singer, 1997;Tart, 1986). Narrative methods are relevant in studying those changes in personality and social behavior that are induced by and/or are associated with different kinds of drugs, the "drug experience," "drug expectations," and the cultural context in which drug taking behavior takes place (see Anderson, 1998aAnderson, , 1998bDenzin, 1987;Larsson, Lilja, Borg et al, 2001;Larsson et al, 2008;Singer, 1997;South, 1999).…”