Overcoming the pains of recovery: the management of negative recovery capital during addiction recovery pathways

Journal article


Patton, D., Best, D. and Brown, L. 2022. Overcoming the pains of recovery: the management of negative recovery capital during addiction recovery pathways. Addiction Research and Theory. pp. 1-12. https://doi.org/10.1080/16066359.2022.2039912
AuthorsPatton, D., Best, D. and Brown, L.
Abstract

Recovery is experienced in both positive and negative ways and this paper attempts to integrate the ‘pains of desistance’ approach into a recovery capital framework. Pains experienced as a result of negative recovery capital are often thought to stimulate motivations for positive behavioral change, usually through a ‘rock bottom’ type moment. Whilst recovery capital and barriers to recovery have been explored in the literature, conceptualizing these as push and pull factors, and exploring their dynamic interaction, especially at distinct phases of recovery has not. Toward filling these gaps, we use the life-narratives of 30 people in recovery to explore how the pains of recovery (push factors) alongside different forms of recovery capital (pull factors) impact upon and are managed differentially at distinct phases of the recovery journey. Findings indicate the pains of recovery rarely led to positive changes. Rather, a range of pull factors created and promoted positive changes. However, the life narratives reveal that recovery capital cannot be accrued or sustained without managing (eliminating or reducing) the pains of recovery. Overall, this work highlights the need for policy and practice to help reduce the pains of recovery, especially during early recovery to accelerate transition to more stable phases of recovery. As recovery is neither a linear pathway nor a journey without residual challenges for many people, there is much to be learned about effective ongoing management strategies in preventing a return to problematic use that utilize a push and pull framework.

KeywordsRecovery pathways; Recovery capital; Pains of recovery; Negative recovery capital
Year2022
JournalAddiction Research and Theory
Journal citationpp. 1-12
PublisherTaylor & Francis
ISSN1476-7392
Digital Object Identifier (DOI)https://doi.org/10.1080/16066359.2022.2039912
Web address (URL)https://www.tandfonline.com/doi/full/10.1080/16066359.2022.2039912
FunderNIDA
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online24 Feb 2022
Publication process dates
Accepted05 Feb 2022
Deposited30 Mar 2022
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