Objective: The dominant theoretical perspective that guides treatment evaluations in addiction assumes linearity in the relationship between treatment and outcomes, viewing behaviour change as a ‘before and after event’. In this study we aim to examine how the direction of the trajectory of the process from addiction to recovery is constructed in personal narratives of active and recovering users.
Design: 21 life stories from individuals at different stages of recovery and active use were collected and analysed following the principles of narrative analysis.
Results: Personal trajectories were constructed in discontinuous, non-linear and long lasting patterns of repeated, and interchangeable, episodes of relapse and abstinence. Relapse appeared to be described as an integral part of a learning process through which knowledge leading to recovery was gradually obtained.
Conclusion: The findings show that long-term recovery is represented as being preceded by periods of discontinuity before change is stabilised. Such periods are presented to be lasting longer than most short-term pre-post intervention designs can capture and suggest the need to rethink how change is defined and measured. 相似文献
Objective: This study investigates the impact of HIV diagnosis on subjective social status and if changes are linked to health outcomes.
Design: Two measures of subjective social status, socio-economic and standing in the community were examined in 342 Australian HIV-positive gay men in 2014. Participants recalled ratings at diagnosis were compared with current ratings.
Main outcome measures: Self-reported mental (psychological distress, self-esteem, positive mental health and satisfaction with life) and physical health (self-rated health, CD4 count, viral load).
Results: Half of the participants reported improvements in subjective socio-economic status (59%) or standing in the community (52%) since diagnosis, yet one quarter reported socio-economic status (25%) or standing in the community had decreased (23%). Increases in either measure of subjective social status were linked to higher self-esteem, positive mental health, satisfaction with life and better self-rated health. Decreases in subjective social status, however, were strongly linked to poorer outcomes on all mental health measures. Decreases in standing in the community were also associated with poorer physical self-rated health.
Conclusion: Most participants reported their subjective social status were the same or better since diagnosis. Changes in subjective social status following diagnosis were strongly linked to mental health outcomes. Those who reported a decrease in subjective social status were particularly vulnerable to mental health problems. 相似文献
Evidence suggests that psychopaths’ notoriously immoral behavior is due to affective rather than rational deficits. This evidence could be taken to show that, contrary to moral rationalism, moral norms are not norms of reason. Rationalists could reply either that psychopaths’ behavior is in fact primarily due to rational deficits or that affects are involved in responding to rational norms. Drawing on the work of Antonio Damasio and colleagues, I argue the latter is the better defense of moral rationalism. 相似文献
The Attentional Boost Effect (ABE) refers to the counterintuitive finding that words encoded with to-be-responded targets in a divided-attention condition are remembered better than words encoded with distractors. Previous studies suggested that the ABE-related enhancement of verbal memory depends upon the activation of abstract lexical representations. In the present study, we extend this hypothesis by embedding it in the context of a broader perspective, which proposes that divided attention in the ABE paradigm affects item-specific, but not relational, processing. To this purpose, we examined the ABE in the matched tasks of category-cued recall (CCRT: explicit memory) and category exemplar generation (CEGT: implicit memory). In addition, study time was varied (500, 1500 or 4000?ms), to further determine whether the attentional boost manipulation could influence late-phase elaborative processing. In agreement with the predictions of the item-specific account, the results showed that exemplars encoded with targets were recalled better than exemplars encoded with distractors in the CCRT, but not in the CEGT. Moreover, performance in the CCRT increased with study time, whereas the size of the ABE-related enhancement tended to decrease, further confirming that this effect hinges upon early phase encoding processes. 相似文献
Despite the importance salafīs place on children’s education, this aspect of their discourse has hardly been studied. The present article examines how salafī jurists based in the Arab world, salafī imams based in the West and salafī authors of English-language children’s books conceptualize the norms for raising children, and what they believe should be done specifically to assure the virtuous Islamic upbringing of children in Western societies. Exploring issues ranging from what constitutes proper schooling to whether Muslim children may befriend non-Muslim children and whether it is permissible to celebrate birthdays, play foosball or play with dolls, the article analyses the educational challenges salafī communities in the West face as enclaves that resist both majority secular societies and the majority among Muslim minorities, and presents the nuances, and in some cases contestations, among salafī leaders as to how these challenges should be addressed and prioritized. 相似文献
The concept of the “just world” is established as a key explanation for how people make sense of inequality so that those deemed to score high in belief in a just world are more likely to hold prejudicial beliefs and to blame people in poverty for their situations. However, this is an inadequate explanation for such complicated and controversial issues. To better understand talk about the just world and the controversial issue of the distribution of unemployment benefits (an issue of inequality), a discursive psychological approach to the just world is used. Therefore, a discourse analysis focusses on 2 feature length British televised discussions about benefit claimants called “The Big Benefit Row: Live” (Channel 5 3/2/2014) and “Benefits Britain: the Debate” (Channel 4 17/2/2014). The analysis demonstrates that people draw on both just and unjust world arguments simultaneously and also topicalise what counts as just so as to support their positions on unemployment benefits, rather than in the consistent way that just world theory would predict. It is therefore argued that the just world should be recast as a cultural value that facilitates arguments about benefits, rather than an internally held belief. 相似文献
The present study examines the extent to which stronger belief in either extrasensory perception, psychokinesis or life-after-death is associated with a proneness to making conjunction errors (CEs). One hundred and sixty members of the UK public read eight hypothetical scenarios and for each estimated the likelihood that two constituent events alone plus their conjunction would occur. The impact of paranormal belief plus constituents’ conditional relatedness type, estimates of the subjectively less likely and more likely constituents plus relevant interaction terms tested via three Generalized Linear Mixed Models. General qualification levels were controlled for. As expected, stronger PK beliefs and depiction of a positively conditionally related (verses conditionally unrelated) constituent pairs predicted higher CE generation. ESP and LAD beliefs had no impact with, surprisingly, higher estimates of the less likely constituent predicting fewer - not more - CEs. Theoretical implications, methodological issues and ideas for future research are discussed. 相似文献