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Entangled identities and psychotropic substance use.

Barry Gibson1, Sam Acquah, Peter G Robinson

  • 1Unit of Oral Health Services Research and Dental Public Health, Guy's Kings and St Thomas' Dental Institute. b.j.gibson@sheffield.ac.uk

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Drug users often experience an "entangled identity" due to habitual drug use, impacting their oral health and recovery. This study explores their concerns and the process of "disentangling" from addiction.

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Area of Science:

  • Oral health research
  • Addiction studies
  • Sociology of health

Background:

  • Problematic drug use significantly impacts individuals' lives, including their oral health.
  • Understanding drug users' lived experiences is crucial for effective recovery interventions.
  • Existing literature on addiction and chronic illness offers frameworks for analyzing these experiences.

Purpose of the Study:

  • To investigate the oral health concerns and experiences of individuals with problematic drug use.
  • To explore the concept of "entangled identities" in drug users and its relation to recovery.
  • To connect findings to literature on biographical reconstruction, biographical disruption, and the myth of addiction.

Main Methods:

  • Grounded theory methodology was employed.
  • Data collected through four focus groups (25 participants) and 15 in-depth interviews.
  • Participants recruited from detoxification, recovery, and rehabilitation units.

Main Results:

  • The core concern identified was the "entangled" nature of identity during active drug use.
  • This entanglement results from drug-using habits gradually replacing everyday routines.
  • Participants expressed a desire to distance themselves from their drug-using self and engage in recovery ('disentangling').

Conclusions:

  • Problematic psychotropic substance use can be viewed as a form of biographical disruption.
  • Recovery involves a process of "disentangling" from an "entangled" identity.
  • Further research is needed on the interplay between private discourses of the self and public discourses of addiction.