Self-interpellation in narratives about craving: Multiple and unitary selves.

Mats Ekendahl, Patrik Karlsson, Josefin Månsson, Karin Heimdahl Vepsä
Author Information
  1. Mats Ekendahl: Department of Social Work, Stockholm University, Stockholm, Sweden. ORCID
  2. Patrik Karlsson: Department of Social Work, Stockholm University, Stockholm, Sweden.
  3. Josefin Månsson: Department of Social Work, Stockholm University, Stockholm, Sweden.
  4. Karin Heimdahl Vepsä: Department of Social Work, Stockholm University, Stockholm, Sweden.

Abstract

The concept of addiction seeks to explain why people act contrary to their own best interest. At the centre stage of addiction discourse is craving, conceptualised as a strong urge to use substances. This article analyses how talk therapies such as relapse prevention and self-help groups shape identity constructions and understandings of craving among clients. Drawing upon interviews with individuals who have engaged in talk therapies in Sweden, we analyse how craving is made up through 'self-interpellation', that is, personal narratives about past, present or future thoughts, feelings and actions. The main 'self-interpellation' included multiple selves, where craving was elided by the true self and only felt by the inauthentic self. Less dominant were narratives which drew on a unitary self that remained stable over time and had to fight craving. The notion of multiple selves appeared as a master narrative that the participants were positioned by in their identity constructions. We conclude that this multiplicity seems ontologically demanding for people who try to recover from substance use problems. A demystification of craving, in which neither substance effects nor malfunctioning brains are blamed for seemingly irrational thoughts and actions, may reduce the stigmatisation of those who have developed habitual substance use.

Keywords

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MeSH Term

Humans
Craving
Narration
Behavior, Addictive
Substance-Related Disorders
Surveys and Questionnaires

Word Cloud

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