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Visualizing a Calculus of Recovery: Calibrating Relations in an Opioid Epicenter
Sydney M Silverstein1, Katie Milligan2, Annette Osborn2
1Center for Interventions, Treatment, and Addictions Research, Department of Population and Public Health Sciences, Boonshoft School of Medicine, Wright State University, 2555 University Blvd., Suite 200, Dayton, OH, 45324, USA. sydney.silverstein@wright.edu.
Recovery from opioid use disorder (OUD) involves strategic choices navigating relationships and environments. These connections can be supports or triggers, highlighting recovery as an ongoing, active process rather than a fixed state.
Area of Science:
- Addiction Research
- Qualitative Health Research
- Sociology of Health
Background:
- The Dayton, Ohio area is an epicenter for opioid use disorder (OUD) and overdose deaths.
- Understanding the complex factors influencing recovery is crucial for effective interventions.
Purpose of the Study:
- To explore the relationships that shape recovery efforts for individuals with OUD.
- To understand recovery as a dynamic process involving strategic navigation of social and environmental factors.
Main Methods:
- Utilized participatory photography and photo-elicitation.
- Conducted qualitative interviews with thirteen individuals meeting DSM-5 criteria for OUD.
- Thematic analysis of both visual and textual data.
Main Results:
- Recovery is characterized as an unfolding process of calculation, involving strategic choices about navigating relationships with people, places, and things.
- Relationships can act as either supports/motivators or triggers for relapse.
- Participants engaged in ongoing risk-benefit calculations regarding their recovery.
Conclusions:
- Recovery requires a continuous calibration of ambiguous everyday life relations.
- Emphasizes recovery as an active performance and ongoing practice, not a static endpoint.
- Highlights the importance of understanding the interplay between personal history, social context, and recovery.
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