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Self‐interpellation in narratives about craving: Multiple and unitary selves

The concept of addiction seeks to explain why people act contrary to their own best interest. At the centre stage of addiction discourse is craving, conceptualised as a strong urge to use substances. This article analyses how talk therapies such as relapse prevention and self‐help groups shape ident...

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Autores principales: Ekendahl, Mats, Karlsson, Patrik, Månsson, Josefin, Heimdahl Vepsä, Karin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804802/
https://www.ncbi.nlm.nih.gov/pubmed/36031748
http://dx.doi.org/10.1111/1467-9566.13534
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author Ekendahl, Mats
Karlsson, Patrik
Månsson, Josefin
Heimdahl Vepsä, Karin
author_facet Ekendahl, Mats
Karlsson, Patrik
Månsson, Josefin
Heimdahl Vepsä, Karin
author_sort Ekendahl, Mats
collection PubMed
description The concept of addiction seeks to explain why people act contrary to their own best interest. At the centre stage of addiction discourse is craving, conceptualised as a strong urge to use substances. This article analyses how talk therapies such as relapse prevention and self‐help groups shape identity constructions and understandings of craving among clients. Drawing upon interviews with individuals who have engaged in talk therapies in Sweden, we analyse how craving is made up through ‘self‐interpellation’, that is, personal narratives about past, present or future thoughts, feelings and actions. The main ‘self‐interpellation’ included multiple selves, where craving was elided by the true self and only felt by the inauthentic self. Less dominant were narratives which drew on a unitary self that remained stable over time and had to fight craving. The notion of multiple selves appeared as a master narrative that the participants were positioned by in their identity constructions. We conclude that this multiplicity seems ontologically demanding for people who try to recover from substance use problems. A demystification of craving, in which neither substance effects nor malfunctioning brains are blamed for seemingly irrational thoughts and actions, may reduce the stigmatisation of those who have developed habitual substance use.
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spelling pubmed-98048022023-01-06 Self‐interpellation in narratives about craving: Multiple and unitary selves Ekendahl, Mats Karlsson, Patrik Månsson, Josefin Heimdahl Vepsä, Karin Sociol Health Illn Original Articles The concept of addiction seeks to explain why people act contrary to their own best interest. At the centre stage of addiction discourse is craving, conceptualised as a strong urge to use substances. This article analyses how talk therapies such as relapse prevention and self‐help groups shape identity constructions and understandings of craving among clients. Drawing upon interviews with individuals who have engaged in talk therapies in Sweden, we analyse how craving is made up through ‘self‐interpellation’, that is, personal narratives about past, present or future thoughts, feelings and actions. The main ‘self‐interpellation’ included multiple selves, where craving was elided by the true self and only felt by the inauthentic self. Less dominant were narratives which drew on a unitary self that remained stable over time and had to fight craving. The notion of multiple selves appeared as a master narrative that the participants were positioned by in their identity constructions. We conclude that this multiplicity seems ontologically demanding for people who try to recover from substance use problems. A demystification of craving, in which neither substance effects nor malfunctioning brains are blamed for seemingly irrational thoughts and actions, may reduce the stigmatisation of those who have developed habitual substance use. John Wiley and Sons Inc. 2022-08-28 2022-11 /pmc/articles/PMC9804802/ /pubmed/36031748 http://dx.doi.org/10.1111/1467-9566.13534 Text en © 2022 The Authors. Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Articles
Ekendahl, Mats
Karlsson, Patrik
Månsson, Josefin
Heimdahl Vepsä, Karin
Self‐interpellation in narratives about craving: Multiple and unitary selves
title Self‐interpellation in narratives about craving: Multiple and unitary selves
title_full Self‐interpellation in narratives about craving: Multiple and unitary selves
title_fullStr Self‐interpellation in narratives about craving: Multiple and unitary selves
title_full_unstemmed Self‐interpellation in narratives about craving: Multiple and unitary selves
title_short Self‐interpellation in narratives about craving: Multiple and unitary selves
title_sort self‐interpellation in narratives about craving: multiple and unitary selves
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9804802/
https://www.ncbi.nlm.nih.gov/pubmed/36031748
http://dx.doi.org/10.1111/1467-9566.13534
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