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The ambiguous nature of contextual dynamics during drug addiction recovery : a qualitative study of personal narratives

Lore Bellaert, Clara De Ruysscher (UGent) , Thomas F. Martinelli, Freya Vander Laenen (UGent) , Deborah Louise Sinclair (UGent) and Wouter Vanderplasschen (UGent)
(2024) JOURNAL OF DRUG ISSUES. 54(4). p.608-627
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Abstract
The concept of recovery has emerged as a prominent paradigm to understand processes of change in individuals with substance use problems. To date, most studies have focused on personal recovery as the key driving force of recovery journeys, generally individualizing the often-disabling social realities that persons in recovery face. To counterbalance this bias, this paper focuses on the contextual dynamics at stake during recovery processes, based on the lived experiences of 30 persons in drug addiction recovery in Flanders (Belgium). A Lifeline Interview Method was applied to elicit recovery narratives, which were thematically analysed. We found that interpersonal relationships, enabling and disabling places, and socio-economic factors facilitate or impede recovery in meaningful ways. The findings also show how these diverse contextual dimensions are interrelated and ambiguous. Researchers, policymakers, and treatment providers should acknowledge the relational nature of recovery and the invalidating impact of stigma across the three identified contextual levels.
Keywords
stigma, contextual dynamics, lived experiences, recovery, addiction, substance use

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MLA
Bellaert, Lore, et al. “The Ambiguous Nature of Contextual Dynamics during Drug Addiction Recovery : A Qualitative Study of Personal Narratives.” JOURNAL OF DRUG ISSUES, vol. 54, no. 4, 2024, pp. 608–27, doi:10.1177/00220426231179381.
APA
Bellaert, L., De Ruysscher, C., Martinelli, T. F., Vander Laenen, F., Sinclair, D. L., & Vanderplasschen, W. (2024). The ambiguous nature of contextual dynamics during drug addiction recovery : a qualitative study of personal narratives. JOURNAL OF DRUG ISSUES, 54(4), 608–627. https://doi.org/10.1177/00220426231179381
Chicago author-date
Bellaert, Lore, Clara De Ruysscher, Thomas F. Martinelli, Freya Vander Laenen, Deborah Louise Sinclair, and Wouter Vanderplasschen. 2024. “The Ambiguous Nature of Contextual Dynamics during Drug Addiction Recovery : A Qualitative Study of Personal Narratives.” JOURNAL OF DRUG ISSUES 54 (4): 608–27. https://doi.org/10.1177/00220426231179381.
Chicago author-date (all authors)
Bellaert, Lore, Clara De Ruysscher, Thomas F. Martinelli, Freya Vander Laenen, Deborah Louise Sinclair, and Wouter Vanderplasschen. 2024. “The Ambiguous Nature of Contextual Dynamics during Drug Addiction Recovery : A Qualitative Study of Personal Narratives.” JOURNAL OF DRUG ISSUES 54 (4): 608–627. doi:10.1177/00220426231179381.
Vancouver
1.
Bellaert L, De Ruysscher C, Martinelli TF, Vander Laenen F, Sinclair DL, Vanderplasschen W. The ambiguous nature of contextual dynamics during drug addiction recovery : a qualitative study of personal narratives. JOURNAL OF DRUG ISSUES. 2024;54(4):608–27.
IEEE
[1]
L. Bellaert, C. De Ruysscher, T. F. Martinelli, F. Vander Laenen, D. L. Sinclair, and W. Vanderplasschen, “The ambiguous nature of contextual dynamics during drug addiction recovery : a qualitative study of personal narratives,” JOURNAL OF DRUG ISSUES, vol. 54, no. 4, pp. 608–627, 2024.
@article{01H1TWRR70KA16NHFKV351KD5B,
  abstract     = {{The concept of recovery has emerged as a prominent paradigm to understand processes of change in individuals with substance use problems. To date, most studies have focused on personal recovery as the key driving force of recovery journeys, generally individualizing the often-disabling social realities that persons in recovery face. To counterbalance this bias, this paper focuses on the contextual dynamics at stake during recovery processes, based on the lived experiences of 30 persons in drug addiction recovery in Flanders (Belgium). A Lifeline Interview Method was applied to elicit recovery narratives, which were thematically analysed. We found that interpersonal relationships, enabling and disabling places, and socio-economic factors facilitate or impede recovery in meaningful ways. The findings also show how these diverse contextual dimensions are interrelated and ambiguous. Researchers, policymakers, and treatment providers should acknowledge the relational nature of recovery and the invalidating impact of stigma across the three identified contextual levels.}},
  author       = {{Bellaert, Lore and De Ruysscher, Clara and Martinelli, Thomas F. and Vander Laenen, Freya and Sinclair, Deborah Louise and Vanderplasschen, Wouter}},
  issn         = {{0022-0426}},
  journal      = {{JOURNAL OF DRUG ISSUES}},
  keywords     = {{stigma,contextual dynamics,lived experiences,recovery,addiction,substance use}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{608--627}},
  title        = {{The ambiguous nature of contextual dynamics during drug addiction recovery : a qualitative study of personal narratives}},
  url          = {{http://doi.org/10.1177/00220426231179381}},
  volume       = {{54}},
  year         = {{2024}},
}
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