Abstract
Identity work and the perception and transformation of the addicted self are the most important processes during recovery from psychoactive substance addiction. While synthetic cannabinoids (SCs) have become increasingly popular among drug users in recent years, little is known about how the users of SCs perceive their identities. Semi-structured interviews were conducted with six male former SC users, and the transcribed interviews were analyzed using interpretative phenomenological analysis. Two master themes were identified: 1. The impact of SC use experience on self and identity formation, and 2. The transformed self and the user self. SCs users have difficulties organizing their experiences into definite meaning structures and constructing collective meanings. Their experiences are similar to traumatic experience; therefore, SC use may be treated as a particular type of trauma. As a result, the resources of SC users to change their self and construct a new non-addict identity are limited, which may mean a significant obstacle in recovery. Hence, treatment should focus on identity work more emphatically.
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References
Arfken, C. L., Owens, D., Madeja, C., & DeAngelis, C. (2014). Exploratory comparative study on the diffusion of synthetic cannabinoids and synthetic cathinones. Journal of Psychoactive Drugs, 46(5), 362–368. doi:10.1080/02791072.2014.959214.
Barros, F. A. (2012). An exploration of choice in heroin addiction: ‘an interpretative phenomenological analysis of a small sample of people in recovery’. London: Middlesex University.
Biernacki, P. (1986). Pathways from heroin addiction : recovery without treatment. Philadelphia: Temple University Press.
Bilgrei, O. R. (2016). From “herbal highs” to the “heroin of cannabis”: exploring the evolving discourse on synthetic cannabinoid use in a Norwegian internet drug forum. International Journal of Drug Policy, 29, 1–8.
Bonar, E. E., Ashrafioun, L., & Ilgen, M. A. (2014). Synthetic cannabinoid use among patients in residential substance use disorder treatment: prevalence, motives, and correlates. Drug and Alcohol Dependence, 143, 268–271. doi:10.1016/j.drugalcdep.2014.07.009.
Castaneto, M. S., Gorelick, D. A., Desrosiers, N. A., Hartman, R. L., Pirard, S., & Huestis, M. A. (2014). Synthetic cannabinoids: epidemiology, pharmacodynamics, and clinical implications. Drug and Alcohol Dependence, 144, 12–41. doi:10.1016/j.drugalcdep.2014.08.005.
Corazza, O., Assi, S., Simonato, P., Corkery, J., Bersani, F. S., Demetrovics, Z., et al. (2013). Promoting innovation and excellence to face the rapid diffusion of novel psychoactive substances in the EU: the outcomes of the ReDNet project. Human Psychopharmacology, 28(4), 317–323. doi:10.1002/hup.2299.
Ehlers, A., & Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38(4), 319–345.
Ehlers, A., Mayou, R. A., & Bryant, B. (1998). Psychological predictors of chronic posttraumatic stress disorder after motor vehicle accidents. Journal of Abnormal Psychology, 107(3), 508–519.
Every-Palmer, S. (2011). Synthetic cannabinoid JWH-018 and psychosis: an explorative study. Drug and Alcohol Dependence, 117(2–3), 152–157. doi:10.1016/j.drugalcdep.2011.01.012.
Fattore, L. (2016). Synthetic cannabinoids – further evidence supporting the relationship between cannabinoids and psychosis. Biological Psychiatry, 79(7), 539–548. doi:10.1016/j.biopsych.2016.02.001.
Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: cognitive-behavioral therapy for PTSD. New York: Guilford Press.
Foucault, M. (2001). A szexualitás története III. - Törődés önmagunkkal. Budapest: Atlantisz Könyvkiadó.
Goffman, E. (1963). Stigma: notes on the management of spoiled identity. Englewood Cliffs: NJ: Prentice Hall.
Hänninen, V., & Koski-Jännes, A. (1999). Narratives of recovery from addictive behaviours. Addiction, 94(12), 1837–1848.
Herman, J. (2003). Trauma és gyógyulás. Budapest: Háttér-NANE.
Hill, J. V., & Leeming, D. (2014). Reconstructing ‘the alcoholic’: recovering from alcohol addiction and the stigma this entails. International Journal of Mental Health and Addiction, 12, 759–771.
Koski-Jännes, A. (1998). Turning points in addiction careers: five case studies. Journal of Substance Misuse, 3, 226–233.
Koski-Jännes, A. (2002). Social and personal identity projects in the recovery from addictive behaviours. Addiction Research & Theory, 10(2), 183–202.
Larkin, M., & Griffiths, M. (2002). Experience of addicition and recovery: the case for subjective accounts. Addiction Research & Theory, 10(3), 281–311.
Laudet, A. B. (2007). What does recovery mean to you? Lessons from the recovery experience for research and practice. Journal of Substance Abuse Treatment, 33(3), 243–256. doi:10.1016/j.jsat.2007.04.014.
Lilienfeld, S., Lynn, S., Kirsch, I., Chaves, J., Sarbin, T., Ganaway, G., & Powell, R. (1999). Dissociative identity disorder and the sociocognitive model: recalling the lessons of the past. Psychological Bulletin, 125, 507–523.
McIntosh, J., & McKeganey, N. (2000). Addicts’ narratives of recovery from drug use: constructing a non-addict identity. Social Science & Medicine, 50(10), 1501–1510.
McIntosh, J., & McKeganey, N. (2001). Identity and recovery from dependent drug use: the addict's identity. Drugs: education, prevention and policy, 8(1), 47–59.
Müller, H., Sperling, W., Köhrmann, M., Huttner, B. H., Kornhuber, J., & Maler, J. (2010). The synthetic cannabinoid spice as a trigger for an acute exacerbation of cannabis induced recurrent psychotic episodes. Schizophrenia Research, 118, 309–310.
Nacca, N., Vatti, D., Sullivan, R., Sud, P., Su, M., & Marraffa, J. (2013). The synthetic cannabinoid withdrawal syndrome. Journal of Addiction Medicine, 7(4), 296–298. doi:10.1097/ADM.0b013e31828e1881.
Pintér, J. N. (2014). A nem múló jelen: trauma és nosztalgia. Budapest: L’Harmattan.
Rácz, J., Kassai, S., Pintér, J. N., Benedeczki, P., Dobó-Nagy, Z., Horváth, Z., & Gyarmathy, V. A. (2015). The therapeutic journeys of recovering helpers - an interpretative phenomenological analysis. International Journal of Mental Health and Addiction, 13(6), 751–757.
Rodriguez, L., & Smith, J. A. (2014). ‘finding your own place’: an interpretative phenomenological analysis of young Men’s experience of early recovery from addiction. International Journal of Mental Health and Addiction, 12, 477–490.
Shinebourne, P., & Smith, J. A. (2009). Alcohol and the self: an interpretative phenomenological analysis of the experience of addiction and its impact on the sense of self and identity. Addiction Research & Theory, 17(2), 152–167.
Shinebourne, P., & Smith, J. A. (2010). The communicative power of metaphors: an analysis and interpretation of metaphors in accounts of the experience of addiction. Psychology and Psychotherapy, 83(Pt 1), 59–73. doi:10.1348/147608309X468077.
Shinebourne, P., & Smith, J. A. (2011). Images of addiction and recovery: an interpretative phenomenological analysis of the experience of addiction and recovery as expressed in visual images. Drugs: education, prevention and policy, 18(5), 313–322.
Smith, J. A., & Osborn, M. (2007). Interpretative phenomenoligical analysis (pp. 53–80). London: Sage.
Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis. Theory, method and research. London: Sage.
Van Der Veer, N., & Friday, J. (2011). Persistent psychosis following the use of spice. Schizophrenia Research, 130(1), 285–286.
Van Hout, M. C., & Hearne, E. (2016). User experiences of development of dependence on the synthetic cannabinoids, 5f-AKB48 and 5F-PB-22, and subsequent withdrawal syndromes. International Journal of Mental Health and Addiction, Published online. doi:10.1007/s11469-016-9650-x.
Vandrey, R., Dunn, K. E., Fry, J. A., & Girling, E. R. (2012). A survey study to characterize use of spice products (synthetic cannabinoids). Drug and Alcohol Dependence, 120(1–3), 238–241. doi:10.1016/j.drugalcdep.2011.07.011.
Winstock, A. R., & Barratt, M. J. (2013). Synthetic cannabis: a comparison of patterns of use and effect profile with natural cannabis in a large global sample. Drug and Alcohol Dependence, 131(1–2), 106–111. doi:10.1016/j.drugalcdep.2012.12.011.
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We would like to express our gratitude to the colleagues and the clients of Blue Point Drug Outpatient and Counselling Center and the MRE KIMM Drug Treatment Center.
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Kassai, S., Pintér, J.N., Rácz, J. et al. Using Interpretative Phenomenological Analysis to Assess Identity Formation Among Users of Synthetic Cannabinoids. Int J Ment Health Addiction 15, 1047–1054 (2017). https://doi.org/10.1007/s11469-017-9733-3
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DOI: https://doi.org/10.1007/s11469-017-9733-3