Gratitude while Drinking, Gratitude while Recovering

Amy R. Krentzman, Michael T. M. Finn — Fri, 08 Mar 2019 00:00:00 -0500

Background. For decades researchers have debated whether those diagnosed with alcohol use disorders can return to non-problematic drinking. Now, recovery researchers are measuring aspects of wellbeing in addition to aspects of pathology, producing surprising findings that have added to the debate. Recent studies show that some who continue to drink endorse high levels of psychosocial functioning. Objectives. Employ trait gratitude to answer the following questions: how do individuals who continue to drink but endorse high gratitude at follow-up differ from peers at baseline? Does trait gratitude correlate differently with demographic, psychosocial, and clinical factors for abstinent members of Alcoholics Anonymous (AA) versus drinking non-AAs? Methods. 275 individuals with alcohol dependence were assessed for trait gratitude at 2.5-3 year follow-up in a naturalistic, longitudinal study. Psychosocial and clinical indicators were assessed at baseline and follow-up. Results. Drinkers who endorsed high gratitude had higher socioeconomic status, greater levels of positive spirituality, more stable personality indicators, less addiction severity, fewer negative life events, and fewer psychiatric symptoms than their peers at baseline. For actively drinking non-AAs, trait gratitude correlated differently, and positively, with years of education, income, and purpose in life compared with sober AAs. For AA members, gratitude correlated positively with AA involvement and length of sobriety. Discussion. A subset of drinkers report doing relatively well despite meeting criteria for alcohol dependence. Trait gratitude correlated differently with other constructs for AAs versus non-AAs, indicating that gratitude for recovery might be contextually sensitive, operating differently within and without the structure of AA.

Recovery-informed Theory: Situating the Subjective in the Science of Substance Use Disorder Recovery

Austin M Brown, Robert D Ashford — Thu, 03 Jan 2019 00:00:00 -0500

As recovery from substance use disorder becomes more than a mere quantifiable outcome, there exists a need to discuss and propose the underlying theoretical constructs that ultimately describe and identify the science of recovery. In this abstract undertaking, we propose an initial formulation of a grand theory of recovery science, built upon the seminal theories of recovery capital, recovery-oriented systems of care, and socioecological theory. This grand theory - labeled recovery-informed theory (RIT) - states that successful long-term recovery is self-evident and is a fundamentally emancipatory set of processes. This paper will discuss, analyze, and explore this theory as it is situated within the larger substance use, misuse, and disorder contexts. The uses, implications, and benefits of RIT as an organizing point of inquiry for recovery science are also discussed. By promoting the role of subjective recovery experience in the formulation of the study of recovery, it may be possible to summon new ideas, metrics, and strategies that can directly address substance use disorders in society. Adopting a recovery-informed understanding as follows from this grand theory may allow individual recovery and wellness trajectories to be explored, adapted, and modified to exemplify person-centered and individualized recovery strategies.

Journal of Recovery Science

Gratitude while Drinking, Gratitude while Recovering

Recovery-informed Theory: Situating the Subjective in the Science of Substance Use Disorder Recovery