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BackgroundIt has been argued that recovery from substance dependence relies on a change in identity, with past research focused on ‘personal identity’. This study assessed support for a social identity model of recovery in emerging adults through examining associations between social identity, social networks, recovery capital, and quality of life.MethodsTwenty participants aged 18–21 in residential treatment for substance misuse were recruited from four specialist youth drug treatment services - three detoxification facilities and one psychosocial rehabilitation facility in Victoria, Australia. Participants completed a detailed social network interview exploring the substance use of groups in their social networks and measures of quality of life, recovery capital, and social identity.ResultsLower group substance use was associated with higher recovery capital, stronger identification with non-using groups, and greater importance of non-using groups in the social network. Additionally, greater identification with and importance of non-using groups were associated with better environmental quality of life, whereas greater importance conferred on using groups was associated with reduced environmental quality of life.ConclusionsSupport was found for the role of social identity processes in reported recovery capital and quality of life. Future research in larger, longitudinal samples is required to improve understanding of social identity processes during treatment and early recovery and its relationship to recovery stability.

This study explored the role of social network and social identity factors in recovery from addiction. The sample consisted of 537 individuals who completed a survey about their experiences of recovery. Results indicated that the transition from addiction to recovery was characterized by an increase in social connectedness and changes in social network composition coupled with the emergence of a “recovery” identity. These factors accounted for 14% of the variance in quality of life when controlling for known predictors, accounting for a greater proportion of variance than substance use variables. Results suggest that recovery from addiction can be understood as a socially mediated transition characterized by social network and social identity change, which drive broader improvements in quality of life.

Background: The Social Identity approach offers a unifying framework for understanding recovery from addiction as a process of identity change, associated with change in social network composition. This paper introduces Social Identity Mapping in Addiction Recovery (SIM-AR) -a visual method for capturing social group memberships, extended to integrate the substance use 'status' of group members as an indicator of group substance use norms. The aim here is to test theory-derived predictions focused on the relationship between changes in social identity and network composition reflected in substance use norms in early recovery.Method: 155 therapeutic community (TC) residents in Victoria, Australia, completed the SIM-AR plus measures of substance-using and recovery identities and substance use shortly after admission, and 65% (N=101) again 6 months later.Results: As predicted, substance use severity at follow up was associated with changes in both social identity and network composition. Furthermore, reduced strength of substance-using identity was associated with a decrease in the proportion of groups with heavy substance use norms, while increased strength of 'recovery' identity was associated with an increased proportion of non-using groups.Conclusion: SIM-AR proved useful in testing predictions about social identity and network changes in a residential treatment context. It captured key social identity constructs in recovery using a visual technique with value to both research and applied contexts. Findings highlight the clinical importance of assessing a person's group-based relationships in treatment and early recovery, especially the influence of social group norms in relation to substance use.

(2015). Predictors of flexibility in social identity among people entering a therapeutic community for substance abuse. Alcoholism Treatment Quarterly, 33 (1), 93-104. Social identity change in a therapeutic community Copyright and re-use policy AbstractOne of the key aspects of recovery from substance dependence is making a transition from a social network supportive of substance use to one that supports recovery. The current study assessed this transition in social identity in an adult Therapeutic Community (TC) at baseline and two weeks into treatment. Where residents increased identification with the TC, and reduced social identification with using groups, retention in treatment improved. As retention is a proxy measure of positive outcomes, this pilot suggests that facilitating residents' positive identification with the community in the first weeks of treatment may be central to retaining residents and improving treatment outcomes.

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There is inadequate understanding about why people might not own pets. This qualitative study asked eight elderly women and men to discuss why they do not have a pet, whether pets were deemed beneficial to health, and whether they had plans for future pet ownership. Reasons for not owning a pet were Emotional or Pragmatic. Pragmatic reasons were categorized as relating to Convenience, Negative aspects of companion animals and Competing demands on time or energy. Participants expressed mixed feelings in their plans for future pet ownership. Clinical and research implications of these findings are discussed.

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