Rusproblem og endring i eit diskursperspektiv: Ein analyse av praksisforteljingar

Abstract

Rusproblem er eit fleirtydig fenomen der ulike forståingar har dominert gjennom historia og mellom samfunn. Også i vår samtid blir samfunnets reaksjonar mot problematisk rusbruk utforma i skjeringspunkt mellom ulike ideologiar og forståingar. Kva faglege, ideologiske og moralske forståingar som rår, dannar vilkår for korleis hjelp til personar med rusproblem kan utformast. Éi forståing som i vår samtid har fått auka støtte i den internasjonale forskingslitteraturen, er at rusproblem er ei langvarig liding prega av ein syklisk endringsprosess. Trass i at denne forståinga av rusproblem er framtredande i forskingslitteraturen, er ho lite utforska, deriblant korleis forståinga er representert i profesjonell praksis. Praksisforteljingar er ei kjelde til innsikt i kva forståingar av rusproblem som er i bruk. Basert på forteljingsfokuserte intervju med 23 rådgjevarar ved tre ulike NAV-kontor som arbeider med brukarar dei meiner har rusproblem, reiser vi i artikkelen forskingsspørsmålet: Korleis vert endring forstått i rådgjevarane sine praksisforteljingar? Som analysereiskap nyttar vi det diskursteoretiske omgrepet tolkingsrepertoar. Vi presenterer tre typar tolkingsrepertoar som vi har valt å kalle eit profesjonelt avmaktrepertoar, eit vendepunktrepertoar og eit verdsetjingsrepertoar. Vi diskuterer kva diskursive ressursar som er i bruk i desse forteljingane, og vi diskuterer forteljingane i lys av den framveksande forståinga av rusproblem som ei langvarig liding. Vidare diskuterer vi kva profesjonelt handlingsrom dei ulike repertoara skaper.

Bridge over Troubled Water: Patients’ Opportunities for Collective Participation in Substance Use Institutions through Research Circles

“…They emphasise that learning processes must occur in interaction and collaboration with fellow patients and staff [ 13 ]. Other practice studies show that language, culture, and discursive processes are essential in determining how patients are understood [ 14 ]. It takes time for substance users to change their perceptions from being addicted to substances to becoming participants in society [ 15 ].…”

An unknown invisible intrusion. Impact of an adult family member’s problematic substance use on family life: a meta-ethnography

“…Our results showed that the services had the same focus; they also offered services primarily to the individual who had the problem and not the entire family. Several earlier studies (Adams, 2008;Copello et al, 2010;Selseng & Ulvik, 2019) support this finding and have reported how the dominant trends in substance-use policy favor an individual-oriented perspective that provides limited opportunities for integrated work with families.…”

“…In this article, we do not distinguish between the use of legal substances, such as alcohol, and the use of illegal drugs, insofar as our focus is on how families are living with consequences that may result from all types of substance-use problems. It is commonly understood that PSU has many of the characteristics of a chronic condition; PSU is, for instance, marked by cycles of recovery, ongoing use, and repeated treatments (Fleury et al, 2016;McKay, 2017;McLellan et al, 2000;Selseng & Ulvik, 2019;Sheedy & Whitter, 2013). There is a high and long-lasting risk for repetitive episodes of substance use.…”

I had to Take Care of My Herd to Not Die Myself: A Retrospective, Qualitative Study of Siblings’ Experience of Family Relations Before Their Siblings’ Drug-Related Death

“…It is therefore essential that professionals have this understanding of the family's long term-perspectives and the consequences for the siblings in particular, both while their siblings are still alive and after they have died. However, several earlier studies (Adams, 2008;Copello et al, 2010;Selseng & Ulvik, 2019) also reported how the dominant trends in substance-use policies provide limited opportunities to implement any integrated work with families. This study, on the other hand, clearly shows how important it is to offer families the opportunity to enter joint conversations so that they can receive the help and support they need for the ongoing challenges they are subjected to, and to prevent a breakdown of the family unit in the future.…”