Resist or Adapt? A Narrative Analysis of Endeavors for Belonging Among Young Adults with Co-Occurring Substance Use and Mental Health Problems

Journal of Psychosocial Rehabilitation and Mental Health - Tập 8 - Trang 273-285 - 2021
Randi Semb1, Knut Tore Sælør1, Marit Borg1
1Centre for Mental Health and Substance Abuse, Faculty of Health and Social Sciences, University of Southeast Norway, Drammen, Norway

Tóm tắt

The article explores how young adults with co-occurring substance use and mental health problems experience and describe their own and others’ contributions to their sense of community belonging. This article is part of a larger qualitative interview study of young adults. The data for this report were the individual interviews with two study participants. These participants were chosen because they offered in-depth understandings relating to various aspects of community belonging. A thematic narrative analysis of the interview data was carried out. Central to this model of analysis is to transform unstructured qualitative interview data into a unified narrative for each participant, structured around a thematic plot. The analysis revealed two plots: ‘Having to go against yourself to be an insider', and ‘You have to realize that you have problems and try to do something about them'. We interpreted the first narrative as an expression of marginalized people feeling they deserve recognition from society, while the second narrative reflected the idea that each person has a personal responsibility for being valued. We conclude that the narratives expressed the importance of helping young adults to place their lived experiences in a larger social context.

Tài liệu tham khảo

May V. Self, belonging and social change. Sociol. 2011;45(3):363–78.

Evjen R, Kielland KB, Øiern T. Dobbelt opp. Om psykiske lidelser og rusmisbruk (Twice the problem. Mental disorders and substance abuse). Oslo: Universitetsforlaget; 2012.

Morisano D, Babor TF, Robaina KA. Co-occurrence of substance disorders with other psychiatric disorders: implications for treatment services. Nord Stud Alcohol Drugs. 2014;31(1):5–25.

Thommesen H. Hverdagsliv, selvforståelse og dobbeltdiagnose: om mennesker med uvanlige erfaringer (Everyday life, self-esteem and dual diagnosis: about people with unusual expiries). Doctoral dissertation. Bodø: Bodø University College; 2008.

Helsedirektoratet. Nasjonal faglig retningslinje for utredning, behandling og oppfølging av personer med samtidig ruslidelse og psykisk lidelse—ROP-lidelser (National professional guideline for the assessment, treatment and follow-up of people with co-occurring substance abuse and mental disorder). Oslo: Helsedirektoratet [Norwegian Directorate of Health]; 2012.

De Ruysscher C, Vandevelde S, Vanderplasschen W, De Maeyer J, Vanheule S. The concept of recovery as experienced by persons with dual diagnosis: a systematic review of qualitative research from a first-person perspective. J Dual Diagn. 2017;13:264–79.

Ness O, Borg M, Davidson L. Facilitators and barriers in dual recovery: a literature review of first person perspectives. Adv Dual Diagn. 2014;7(3):107–17.

Barnett H, Lapsley H: Journeys of despair, journeys of hope. Young adults talk about severe mental distress, mental health services and recovery. Wellington: Mental Health Commission; 2006.

Rayner S, Thielking M, Lough R. A new paradigm of youth recovery: implications for youth mental health service provision. Aust J Psychol. 2018;70(4):330–40.

Lister R, Smith N, Middelton S, Cox L. Young people talk about citizenship: empirical perspectives on theoretical and political debates. Citizenship Stud. 2003;7(2):235–53.

Wood EB. Youth studies, citizenship and transitions: towards a new research agenda. J Youth Stud. 2017;20(9):1176–90.

Mitchell DP, Betts A, Epling M. Youth employment, mental health and substance misuse: a challenge to mental health services. J Psychiatric Ment Health Nurs. 2002;63(9):191–8.

Semb R, Tjora A, Borg B. Communal invalidation of young adults with co-occurring substance abuse and mental health issues. Disabil Soc. 2019;34(6):926–44

Lo C, Olsen T, Anvik CH. Mellom linjene? En kunnskapsstatus om ungdom med sammensatte behov for offentlige velferdstjenester (Between the lines? A state of knowledge about youth with complex needs for public welfare services). Bodø: The Nordland Research Institute; 2016.

Skogens L, von Greiff N, Ekström JE. Positiva förändringsprocesser bland unga vuxna i öppenvård (positive processes of change among young adults in outpatient care). Socialvetenskaplig tidskrift. 2017;24(1):39–57.

Sommer M, Ness O, Borg M. Helpful support to promote participation in school and work: subjective experiences of people with mental health problems—a literature review. Soc Work Ment Health. 2017;16(3):346–66.

Hacking S, Bates P. The Inclusion Web: a tool for person-centred planning and service evaluation. Ment Health Rev J. 2008;13:4–15.

Hagerty BM, Lynch-Sauer J, Patusky KL, Bouwsema M, Collier P. Sense of belonging: a vital mental health concept. Arch Psychiatr Nurs. 1992;6(3):172–7.

Padgett DK, Henwood B, Abrams C, Davis A. Engagement and retention in services among formerly homeless adults with co-occurring mental illness and substance abuse: voices from the margins. Psychiatr Rehabil J. 2008;31(3):226–33.

Leahy D, Schaffalitzky E, Armstrong C, Bury G, Davis R, Cussen-Murphy P, Davis R, Dooley B, Gavin B, Keane R, Keenan E, Latham L, Meagher D, McGorry P, McNicholas F, O’Connor R, O’Dea E, O’Keane V, O’Toole TP, Reilly E, Ryan P, Sanci L, Smyth BP, Cullen W. Primary care and youth mental health in Ireland: qualitative study in deprived urban areas. BMC Fam Pract. 2013;14(1):194.

Stein KF, Connors EH, Chambers KL, Thomas CL, Stephan SH. Youth, caregiver, and staff perspectives on an initiative to promote success of emerging adults with emotional and behavioral disabilities. J Behav Health Serv Res. 2014;43(4):582–96.

Honneth A. Kamp om anerkjennelse (struggle for recognition). Oslo: Pax Forlag; 2007.

Archer M. The ontological status of subjectivity. In: Lawson C, Latsis J, Martins N, editors. Contributions to social ontology. London: Routledge; 2007. p. 17–31.

Evans K. Taking control of their lives? Agency in young adult transitions in England and the New Germany. J Youth Stud. 2002;5(3):245–69.

Evans K. Concepts of bounded agency in education, work and the personal lives of young adults. Int J Psychol. 2007;42:85–93.

Emirbayer M, Mische A. What is agency? Am J Sociol. 1998;103(4):962–1023.

McConnell D. Narrative self-constitution and vulnerability to co-authoring. Theor Med Bioeth. 2016;37(1):29–43.

Thorsen E. The neoliberal challenge: what is neoliberalism? Contemp Read Law Soc Justice. 2010;2(2):188–214.

Furlong A. Revisiting transitional metaphors: reproducing inequalities under the conditions of late modernity. J Educ Work. 2009;22(5):343–53.

Wyn J, White R. Young people, social problems and Australian youth studies. J Youth Stud. 1998;1(1):23–38.

Lalander P, Sernhede O. Social mobilization or street crimes: two strategies among young urban outcasts in temporary Sweden. Educare. 2011;2:99–121.

Johansson T, Lalander P. Doing resistance—youth and changing theories of resistance. J Youth Stud. 2012;15(8):1078–88.

Beresford P, Boxall K. Service users, social work education and knowledge for social work practice. Soc Work Edu. 2012;31(2):155–67.

Kroken R, Madsen OJ. Forvaltning av makt og moral i velferdsstaten. Fra sosialt arbeid til arbeid med seg selv? Oslo: Gyldendal forlag; 2016.

Mik-Meyer N, Villadsen K. Power and welfare: understanding citizens’ encounters with state welfare. New York: Routledge; 2013.

Thomas C. Sociologies of disability and illness: contested ideas in disability studies and medical sociology. Basingstoke: Palgrave Macmillan; 2007.

Polkinghorne DE. Narrative configuration in qualitative analysis. Int J Qual Stud Edu. 1995;8(1):8–25.

Riessman CK. Narrativ analyse i samfundsvidenskaberne [Narrative analysis in the social sciences]. In: Järvinen M, Mik-Meyer N, editors. Kvalitativ analyse: syv traditioner. København: Hans Reitzels Forlag; 2017. p. 235–72.

Gubrium JF, Holstein JA. Analysing narrative reality. Los Angeles: Saga; 2009.

Thommesen H. Hverdagsliv med psykiske og rusrelaterte problemer. Oslo: Gyldendal Akademisk; 2012.

Best D, Beckwith M, Haslam C, Haslam AS, Jetten J, Mawson E, Lubman DI. Overcoming alcohol and other drug addiction as a process of social identity transition: The Social Identity Model of Recovery (SIMOR). Addict Res Theory. 2016;24(2):111–23.

Cloud W, Granfield R. Conceptualizing recovery capital: expansion of a theoretical construct. Subst Use Misuse. 2008;43:1971–86.

Bandura A. A sociocognitive analysis of substance abuse: an agentic perspective. Psychol Sci. 1999;10:214–7.

Bengtsson TT, Mølholt AK. Creation of belonging and non-belonging in the temporal narratives of young people transitioning out of care in Denmark. Nordic Soc Work Res. 2018;8(1):54–64.

Marthinsen E, Skjefstad N. Recognition as a virtue in social work practice. Eur J Soc Work. 2011;14(2):195–212.

Petersen A, Willig R. Work and recognition: reviewing new forms of pathological developments. Acta Sociol. 2004;47(4):338–50.

Klyve A. Sinte, unge, villfarne menn (Angry, young, misguided men). Bergen: Fagbokforlaget; 2016.

Davidson L, White W. The concept of recovery as an organizing principle for integrating mental health and addiction services. J Behav Health Serv Res. 2007;34(2):109–20.

Rowe M, Davidson L. Recovering citizenship. Isr J Psychiatry Rel Sci. 2016;53(1):14–21.

Chorlton E, Smith I. Understanding how people with mental health difficulties experience substance use. Subs Use Misuse. 2016;51(3):318–29.

Grant A, Leigh-Phippard H, Short NP. Re-storying narrative identity: a dialogical study of mental health recovery and survival. J Psychiatr Ment Health Nurs. 2015;22:278–86.

Brekke E, Lien L, Nysveen K, Biong S. Dilemmas in recovery-oriented practice to support people with co-occurring mental health and substance use disorders. Int J Ment Health Syst. 2018;12(30):1–9.

Brunila K. The rise of the survival discourse in an era of therapisation and neoliberalism. Educ Inq. 2014;5(1):7–23.

Wright K. Theorizing therapeutic culture: past influences, future directions. J Sociol. 2008;44:321–36.

Bateman A, Holmes J. Introduction to psychoanalysis. London: Routledge; 1995.

Blomberg H, Kallio J, Kroll C, Niemelä M. What explains frontline workers’ views on poverty? A comparison of three types of welfare sector institutions. Int J Soc Welf. 2015;24(4):324–34.

Clayton A, Miller R, Gambino M, Rowe M, Ponce AN. Structural barriers to citizenship: a mental health provider perspective. Community Ment Health J. 2020;56:32–41.

Hasenfeld Y. The attributes of human service organizations. In: Yeheskel H, editor. Human services as complex organizations. Los Angeles: Sage; 2010. p. 9–32.

Järvinen M, Mik-Meyer N. At skabe en klient. Institutionelle identiteter i socialt arbejde (To create a client. Institutional identities in social work). Copenhagen: Hans Reitzel; 2003.

Waldegrave C. Cultural, gender, and socioeconomic contexts in therapeutic and social policy work. Fam Process. 2009;43(1):85–101.

Ness O, Borg M, Semb R, Karlsson B. “Walking alongside:” collaborative practices in mental health and substance use care. Int J Ment Health Syst. 2014;8(55):1–8.

von Greiff N, Skogens L. Positive processes of change among male and female clients treated for alcohol and/or drug problems. J Soc Work. 2017;17(2):186–206.

Hoare C. Three missing dimensions in contemporary studies of identity: the unconscious, negative attributes, and society. J Theor Philos Psychol. 2013;33:51–67.

Anvik CH, Waldahl RH. Excluded youth in Iceland, the Faroe Islands and Norway. Nordisk Välfärdsforskning/Nord Welf Res. 2017;2(1):7–29.

Thông tin
Thông tin xuất bản

Journal of Psychosocial Rehabilitation and Mental Health

Tập 8

273-285

Thông tin tác giả