Struggling to hold addiction treatment talk and relapse in mind

dc.contributor.advisorWard, Catherineen_ZA
dc.contributor.advisorSwartz, Sallyen_ZA
dc.contributor.authorCarter, Alexander Jamesen_ZA
dc.date.accessioned2015-05-06T14:22:13Z
dc.date.available2015-05-06T14:22:13Z
dc.date.issued2014en_ZA
dc.descriptionIncludes bibliographical references.en_ZA
dc.description.abstractAddiction is a common problem, as is relapse. People often struggle to come to terms with and manage the intoxicating effects of substances and consequently need treatment. This dissertation focusses on treatment talk as it relates to addiction counselling in a residential setting in order to understand relapse and the addict’s return to treatment. Current treatment approaches that address addiction comprise several evidence-based approaches and yet relapse rates remain high. Attempts to explain this phenomenon are varied and interventions tend to have a disease model approach in common with one another. Neurobiological and psychological theories of addiction are examined to understand this treatment conceptualization and consider its efficacy as a means of directing counselling interventions. Mentalization theory and critical discourse theory are used as a discursive lens in an attempt to understand these interventions and consider their shortcomings. In order to approach the question of relapse and addiction treatment, twenty interviews were conducted with clients and their counsellors - 10 dyads - who had completed residential addiction treatment for relapse. Counsellors and clients were interviewed and asked about their treatment experience, either as a client or clinician respectively. Both sets of participants were also asked about counselling as a relapse prevention intervention. Focus on the counselling relationship was in order to elicit talk about mental states related to treatment for addiction and relapse.en_ZA
dc.identifier.apacitationCarter, A. J. (2014). <i>Struggling to hold addiction treatment talk and relapse in mind</i>. (Thesis). University of Cape Town ,Faculty of Humanities ,Department of Psychology. Retrieved from http://hdl.handle.net/11427/12761en_ZA
dc.identifier.chicagocitationCarter, Alexander James. <i>"Struggling to hold addiction treatment talk and relapse in mind."</i> Thesis., University of Cape Town ,Faculty of Humanities ,Department of Psychology, 2014. http://hdl.handle.net/11427/12761en_ZA
dc.identifier.citationCarter, A. 2014. Struggling to hold addiction treatment talk and relapse in mind. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Carter, Alexander James AB - Addiction is a common problem, as is relapse. People often struggle to come to terms with and manage the intoxicating effects of substances and consequently need treatment. This dissertation focusses on treatment talk as it relates to addiction counselling in a residential setting in order to understand relapse and the addict’s return to treatment. Current treatment approaches that address addiction comprise several evidence-based approaches and yet relapse rates remain high. Attempts to explain this phenomenon are varied and interventions tend to have a disease model approach in common with one another. Neurobiological and psychological theories of addiction are examined to understand this treatment conceptualization and consider its efficacy as a means of directing counselling interventions. Mentalization theory and critical discourse theory are used as a discursive lens in an attempt to understand these interventions and consider their shortcomings. In order to approach the question of relapse and addiction treatment, twenty interviews were conducted with clients and their counsellors - 10 dyads - who had completed residential addiction treatment for relapse. Counsellors and clients were interviewed and asked about their treatment experience, either as a client or clinician respectively. Both sets of participants were also asked about counselling as a relapse prevention intervention. Focus on the counselling relationship was in order to elicit talk about mental states related to treatment for addiction and relapse. DA - 2014 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2014 T1 - Struggling to hold addiction treatment talk and relapse in mind TI - Struggling to hold addiction treatment talk and relapse in mind UR - http://hdl.handle.net/11427/12761 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/12761
dc.identifier.vancouvercitationCarter AJ. Struggling to hold addiction treatment talk and relapse in mind. [Thesis]. University of Cape Town ,Faculty of Humanities ,Department of Psychology, 2014 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/12761en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentDepartment of Psychologyen_ZA
dc.publisher.facultyFaculty of Humanitiesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherPsychologyen_ZA
dc.titleStruggling to hold addiction treatment talk and relapse in minden_ZA
dc.typeDoctoral Thesis
dc.type.qualificationlevelDoctoral
dc.type.qualificationnamePhDen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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