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Strong-willed but not successful: The importance of strategies in recovery from addiction

机译:意志坚强但未成功:成瘾的康复策略的重要性

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Introduction Philosophers, cognitive and social psychologists and laypeople often subscribe to the view that willpower is central to recovery from addiction. But there are reasons to suspect that willpower is much less important to explaining recovery than this view suggests. Methods Here we report findings from a qualitative longitudinal study on how substance dependent people see their agency and self-control, and how their self-control develops over time. 69 opioid, alcohol and methamphetamine dependent people were interviewed over a 3 year period. Results Most of the participants described themselves as strong willed; in fact, as very strong willed. However, there seemed no correlation between having a (self-assessed) strong will and recovery status. Rather, the number of strategies cited by participants distinguished those in stable recovery from those who were not. Participants in recovery were also more enthusiastic about strategies than those who have not succeeded in controlling substance use. Willpower remained important, but was itself used strategically. Conclusions People with addiction seem not to be short on willpower; rather, recovery is dependent on developing strategies to preserve willpower by controlling the environment. Highlights ? Presents evidence that the use of strategies may be more important than willpower in recovery from addiction ? Provides a theoretical framework for understanding the deployment of strategies to enable recovery ? Provides evidence that addicted people may be high in willpower and that recovery is independent of the state of the will.
机译:引言哲学家,认知和社会心理学家以及非专业人士经常认同这样的观点,即意志力是从成瘾中恢复的核心。但是有理由怀疑意志力对于解释复苏的重要性远不如这种观点所暗示。方法在这里,我们报告了定性纵向研究的结果,这些研究涉及物质依赖者如何看待他们的代理和自我控制,以及随着时间的推移他们的自我控制如何发展。在三年的时间内对69名阿片类药物,酒精和甲基​​苯丙胺依赖者进行了采访。结果大多数参与者描述自己坚强。其实,意志很坚强。但是,拥有(自我评估的)坚强意志与康复状态之间似乎没有关联。相反,参与者引用的策略数量将那些处于稳定恢复状态的策略与那些未处于稳定状态的策略区分开。与那些未能成功控制药物使用的人相比,参与康复的人对策略的热情更高。意志力仍然很重要,但本身已被战略性地使用。结论上瘾的人似乎并不缺乏意志力。相反,恢复取决于制定控制环境以保留意志力的策略。强调 ?有证据表明,使用策略对戒除瘾可能比意志力更重要?提供了一个理论框架,用于了解实现恢复的战略部署?提供证据表明,上瘾的人可能具有很高的意志力,并且康复与意志状态无关。

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