Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Addiction and recovery: perceptions among professionals in the Swedish treatment system
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
Stockholm University, Faculty of Social Sciences, Centre for Social Research on Alcohol and Drugs (SoRAD).
2013 (English)In: Nordic Studies on Alcohol and Drugs, ISSN 1455-0725, Vol. 30, no 1-2, 51-66 p.Article in journal (Refereed) Published
Abstract [en]

AIMS - The objective of the study was to explore perceptions of different addictions among Swedish addiction care personnel. DATA - A survey was conducted with 655 addiction care professionals in the social services, health care and criminal care in Stockholm County. Respondents were asked to rate the severity of nine addictions as societal problems, the individual risk to getting addicted, the possibilities for self-change and the perceived significance of professional treatment in finding a solution. RESULTS - The images of addiction proved to vary greatly according to its object. At one end of the spectrum were addictions to hard drugs, which were judged to be very dangerous to society, highly addictive and very hard to quit. At the other end of the spectrum were smoking and snuff use, which were seen more as bad habits than real addictions. Some consistent differences were detected between respondents from different parts of the treatment system. The most obvious was a somewhat greater belief in self-change among social services personnel, a greater overall change pessimism among professionals in the criminal care system and a somewhat higher risk perception and stronger emphasis on the necessity of treatment among medical staff. CONCLUSION - Professionals’ views in this area largely coincide with the official governing images displayed in the media, and with lay peoples’ convictions.

Place, publisher, year, edition, pages
2013. Vol. 30, no 1-2, 51-66 p.
Keyword [en]
treatment, addiction general, surveys, social work, health/social services administration, probation services, Sweden
National Category
Social Work
Research subject
Social Work
Identifiers
URN: urn:nbn:se:su:diva-89585DOI: 10.2478/nsad-2013-0005ISI: 000318420100005OAI: oai:DiVA.org:su-89585DiVA: diva2:618764
Projects
Theories of addiction and images of addictive behaviours
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-1523Swedish Research Council, 2004-1831
Available from: 2013-04-30 Created: 2013-04-30 Last updated: 2017-11-22Bibliographically approved
In thesis
1. Use or Misuse?: Addiction Care Practitioners’ Perceptions of Substance Use and Treatment
Open this publication in new window or tab >>Use or Misuse?: Addiction Care Practitioners’ Perceptions of Substance Use and Treatment
2015 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis has been to study boundary-making in addiction care practitioner’s perceptions of substance use and treatment. The four papers are based on three data collections in Swedish outpatient addiction care: a) a survey conducted in 2006 (n=655), b) a factorial survey using randomly constructed vignettes conducted in 2011 (n=474), and c) a focus group interview study from 2013 (n=30) with a sample of the respondents from the factorial survey.

The analyses show that practitioners tend to draw boundaries between various forms of substance use, with alcohol use being perceived as a less severe problem than narcotics use and requiring less extensive treatment measures. There are also partially varying perceptions in different parts of addiction care. By comparison with social services staff, regional healthcare staff generally see a greater need for treatment, recommend medical treatment to a greater extent, and display less confidence in the possibility of handling problematic use without professional treatment. Despite an ongoing medicalization at the policy level, psychosocial treatment interventions appear to have legitimacy in both regional healthcare and social services settings.

Boundary-making processes are also found in relation to the specific user’s age, family situation, socio-economic status and in some cases gender, with young women’s drinking being seen as more severe than young men’s drinking for example. The boundary-making between different substance users may be interpreted as a sign of an approach based on a professional consideration of the person’s socially exposed situation, which might require more comprehensive support. At the same time, it may be an expression of a stereotyped approach, involving a normative evaluation of women’s behaviour as being more deviant than men’s, thereby having a limiting effect on the conduct norms that regulate women’s behaviour and making the problems of men invisible. To avoid disparities in addiction care delivery, it is of major importance that practitioners are given room to reflect upon the assumptions and values that underlie the assessments they make in practice. Combining a factorial survey with focus group interviews is proposed as one means of facilitating this type of reflection. 

Place, publisher, year, edition, pages
Stockholm: Department of Social Work, Stockholm University, 2015. 121 p.
Series
Stockholm studies in social work, ISSN 0281-2851 ; 30Dissertations at the Centre for Social Research on Alcohol and Drugs (SoRAD), 14
Keyword
substance use, treatment, practitioners’ perceptions, social services, regional healthcare, factorial survey, multi-level analysis, focus group interviews, discourse analysis, Sweden
National Category
Social Work
Research subject
Social Work
Identifiers
urn:nbn:se:su:diva-112132 (URN)978-91-7649-060-0 (ISBN)
Public defence
2015-02-13, Aula Svea, Socialhögskolan, Sveavägen 160, Stockholm, 10:00 (Swedish)
Opponent
Supervisors
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2006-1523
Note

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 3: Submitted. Paper 4: Submitted.

Available from: 2015-01-22 Created: 2015-01-09 Last updated: 2017-11-22Bibliographically approved

Open Access in DiVA

fulltext(322 kB)524 downloads
File information
File name FULLTEXT01.pdfFile size 322 kBChecksum SHA-512
35e85783998ea8a342abbc9cb29fabc345dd67c034ced92b1aefd2e9191402fad85cf075585957237cd44afbfe6ba1d1fede376395d4b3359b32ad94b3b983cc
Type fulltextMimetype application/pdf

Other links

Publisher's full text

Search in DiVA

By author/editor
Samuelsson, EvaBlomqvist, JanChristophs, Irja
By organisation
Centre for Social Research on Alcohol and Drugs (SoRAD)
Social Work

Search outside of DiVA

GoogleGoogle Scholar
Total: 524 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 972 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf