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Examining social identity transition from a relational perspective : a qualitative study across treatment and non-treatment pathways

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Abstract
Background: Relational rather than individualistic understandings of recovery in the context of alcohol and other drug (AOD) problems have gained recognition. Social identity models, such as the Social Identity Model of Recovery (SIMOR) highlight recovery as a process of social identity transformation. However, these developments are primarily grounded in treatment and peer support settings, potentially underemphasizing the complex dynamics of social identity processes across alternative recovery pathways. Informed by critical drug studies and a relational recovery perspective, the current study contributes to a more nuanced and contextually sensitive understanding of social identity processes across diverse recovery pathways. Methods: This study consists of a secondary thematic analysis of two independently collected datasets comprising in-depth interviews of participants in addiction recovery with (n = 15) and without (n = 15) addiction treatment histories. SIMOR was used as a sensitizing concept for the analysis. Results: Three themes emerged from the analysis: (1) Substance use and narrowing networks: participants often experienced reduced social ties while experiencing AOD problems, though not universally or completely; (2) Transformations in social networks during recovery: recovery coincided with shifts in social networks, including redefined relationships with people who use drugs (PWUD) and the development of multiple identities; and (3) Accessibility of social identities: highlighting the role of stigma, difference, and structural factors in shaping connection and belonging. Conclusions: Findings support a relational and pluralistic approach to recovery and social identity. This approach challenges normative assumptions and acknowledges diversity and social complexity in recovery trajectories.
Keywords
Natural recovery, Self-change, Social identity, Substance use disorder, Community, Belonging

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Citation

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MLA
De Meyer, Florian, et al. “Examining Social Identity Transition from a Relational Perspective : A Qualitative Study across Treatment and Non-Treatment Pathways.” INTERNATIONAL JOURNAL OF DRUG POLICY, vol. 145, 2025, doi:10.1016/j.drugpo.2025.105034.
APA
De Meyer, F., De Ruysscher, C., Hennessy, E. A., Rowaert, S., Roets, G., Acuff, S. F., & Vanderplasschen, W. (2025). Examining social identity transition from a relational perspective : a qualitative study across treatment and non-treatment pathways. INTERNATIONAL JOURNAL OF DRUG POLICY, 145. https://doi.org/10.1016/j.drugpo.2025.105034
Chicago author-date
De Meyer, Florian, Clara De Ruysscher, Emily Alden Hennessy, Sara Rowaert, Griet Roets, Samuel F. Acuff, and Wouter Vanderplasschen. 2025. “Examining Social Identity Transition from a Relational Perspective : A Qualitative Study across Treatment and Non-Treatment Pathways.” INTERNATIONAL JOURNAL OF DRUG POLICY 145. https://doi.org/10.1016/j.drugpo.2025.105034.
Chicago author-date (all authors)
De Meyer, Florian, Clara De Ruysscher, Emily Alden Hennessy, Sara Rowaert, Griet Roets, Samuel F. Acuff, and Wouter Vanderplasschen. 2025. “Examining Social Identity Transition from a Relational Perspective : A Qualitative Study across Treatment and Non-Treatment Pathways.” INTERNATIONAL JOURNAL OF DRUG POLICY 145. doi:10.1016/j.drugpo.2025.105034.
Vancouver
1.
De Meyer F, De Ruysscher C, Hennessy EA, Rowaert S, Roets G, Acuff SF, et al. Examining social identity transition from a relational perspective : a qualitative study across treatment and non-treatment pathways. INTERNATIONAL JOURNAL OF DRUG POLICY. 2025;145.
IEEE
[1]
F. De Meyer et al., “Examining social identity transition from a relational perspective : a qualitative study across treatment and non-treatment pathways,” INTERNATIONAL JOURNAL OF DRUG POLICY, vol. 145, 2025.
@article{01K88ZXNTBFZ70T3PVX9MZPWMF,
  abstract     = {{Background: Relational rather than individualistic understandings of recovery in the context of alcohol and other
drug (AOD) problems have gained recognition. Social identity models, such as the Social Identity Model of
Recovery (SIMOR) highlight recovery as a process of social identity transformation. However, these developments
are primarily grounded in treatment and peer support settings, potentially underemphasizing the
complex dynamics of social identity processes across alternative recovery pathways. Informed by critical drug
studies and a relational recovery perspective, the current study contributes to a more nuanced and contextually
sensitive understanding of social identity processes across diverse recovery pathways.
Methods: This study consists of a secondary thematic analysis of two independently collected datasets comprising
in-depth interviews of participants in addiction recovery with (n = 15) and without (n = 15) addiction treatment
histories. SIMOR was used as a sensitizing concept for the analysis.
Results: Three themes emerged from the analysis: (1) Substance use and narrowing networks: participants often
experienced reduced social ties while experiencing AOD problems, though not universally or completely; (2)
Transformations in social networks during recovery: recovery coincided with shifts in social networks, including
redefined relationships with people who use drugs (PWUD) and the development of multiple identities; and (3)
Accessibility of social identities: highlighting the role of stigma, difference, and structural factors in shaping
connection and belonging.
Conclusions: Findings support a relational and pluralistic approach to recovery and social identity. This approach
challenges normative assumptions and acknowledges diversity and social complexity in recovery trajectories.}},
  articleno    = {{105034}},
  author       = {{De Meyer, Florian and De Ruysscher, Clara and Hennessy, Emily Alden and Rowaert, Sara and Roets, Griet and Acuff, Samuel F. and Vanderplasschen, Wouter}},
  issn         = {{0955-3959}},
  journal      = {{INTERNATIONAL JOURNAL OF DRUG POLICY}},
  keywords     = {{Natural recovery,Self-change,Social identity,Substance use disorder,Community,Belonging}},
  language     = {{eng}},
  pages        = {{8}},
  title        = {{Examining social identity transition from a relational perspective : a qualitative study across treatment and non-treatment pathways}},
  url          = {{http://doi.org/10.1016/j.drugpo.2025.105034}},
  volume       = {{145}},
  year         = {{2025}},
}

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