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Sleep waves and recovery from drug and alcohol dependence: Towards a rhythm analysis of sleep in residential treatment

机译:睡眠波和从药物和酒精依赖中恢复:对住院治疗中的睡眠节奏进行分析

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摘要

This paper reports on a study of sleep amongst men and women who are living in residential rehabilitation centres in the UK and who are receiving support for their recovery from addiction to alcohol and other forms of substance use. Conceptually and methodologically, the paper draws on the work of the French sociologist Lefebvre and, in particular, his rhythmanalysis. We argue that this approach offers a useful way of exploring sleep in terms of biological, experiential, temporal, spatial and social rhythms. It also has the potential to facilitate interdisciplinary dialogue. Empirical data comprising qualitative interviews with 28 individuals, sleep diaries, and actigraphy reports (which measure movement as a proxy for sleep) are examined in combination to generate insights into the challenges associated with sleep in recovery from substance misuse. We examine how sleep in recovery involves an alignment of the spatiotemporal rhythms of rehabilitation and the multiple embodied rhythms of individuals. Institutionalised routines reproduce and impose ideas of day/night sleep cycles which are presumed to accord with ‘natural’ circadian rhythms. Although study participants very much want to achieve these ‘natural hegemonies’ of sleep, alignment of individual and institutional rhythms is difficult to achieve. We develop the notion of ‘sleep waves’ as an analytic to capture the multifaceted elements of sleep and to argue that sleep waves recur but are also shaped by complex networks of rhythms, rituals and routines. Sleep waves can become relatively stabilised in rehabilitation settings, but the anticipation of moving on disturbs rhythms and generates anxieties which can affect recovery.
机译:本文报道了一项对英国居住康复中心居住的男女进行睡眠研究的研究,他们正在从成瘾,酗酒和其他形式的吸毒中获得恢复。从概念和方法上,本文借鉴了法国社会学家勒费弗尔(Lefebvre)的工作,尤其是他的节奏分析。我们认为这种方法提供了一种从生物学,经验,时间,空间和社交节奏上探索睡眠的有用方法。它还有可能促进跨学科对话。结合对28位个体进行定性访谈,睡眠日记和书法报告(以运动来衡量睡眠的指标)的经验数据进行综合检查,以洞悉与睡眠有关的从滥用药物中恢复所面临的挑战。我们检查恢复中的睡眠如何涉及康复的时空节律和个体的多种体现节律的对齐。制度化的惯例重现并强加了昼夜睡眠周期的思想,这些思想被认为与“自然”的昼夜节律相符。尽管研究参与者非常希望实现这些“自然霸权”的睡眠,但是很难实现个人和机构节律的统一。我们将“睡眠波”的概念发展为一种分析,以捕获睡眠的多方面要素,并认为睡眠波会再次出现,但也受到复杂的节奏,礼节和套路网络的影响。睡眠波在康复环境中可以变得相对稳定,但是继续前进的预期会打乱节奏,并产生可能影响康复的焦虑感。

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