This grounded formal theory study was designed to develop a midrange theory of women's addiction recovery from multiple substantive reports. Ten research reports from diverse contexts were analyzed using theoretical sampling and constant comparison. The basic problem of addiction was found to be self-destructive self-nurturing. The basic process of recovery was truthful self-nurturing, which required a painful awareness shift in which addiction gained meaning as a problem. Subsequent recovery involved three areas of social-psychological change: abstinence work, self-work, and connection work. Consequences were enjoying simple pleasures, growing self-understanding, self-acceptance, and sense of belonging, and empowered connectedness. The theory was supported by findings of other qualitative studies of the same phenomenon.
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References
1.
Alexander, B. (1990). The empirical and theoretical bases for an adaptive model of addiction. Journal of Drug Issues, 20, 37-65.
2.
Banonis, B. (1989). The lived experience of recovering from addiction: A phenomenological study. Nursing Science Quarterly, 2, 37-43.
3.
Barbour, B. (1990). Alcohol and pregnancy. Journal of Nurse-Midwifery, 35, 78-85.
4.
Biernacki, P. (1986). Pathways from heroin addiction: Recovery without treatment. Philadelphia: Temple University Press.
5.
Cloud, W. , & Granfield, R. (1994). Natural recovery from addiction: Treatment implications. Addictions Nursing, 6, 112-116.
6.
Glaser, B. (1978). Theoretical sensitivity. Mill Valley, CA: Sociology Press.
7.
Glaser, B. , & Strauss, A. (1967). The discovery of grounded theory. Chicago: Aldine.
8.
Hall, J. (1994a). How lesbians recognize and respond to alcohol problems: A theoretical model of problematization. Advances in Nursing Science, 16(3), 46-63.
9.
Hall, J. (1994b). The experience of lesbians in Alcoholics Anonymous. Western Journal of Nursing Research, 16, 556-576.
10.
Hulbert, J. (1985). Women addicted to alcohol and drugs: The recovery process. Unpublished doctoral dissertation, University of Toronto, Toronto, Ontario, Canada.
11.
Hutchinson, S. (1987). Toward self-integration: The recovery process of chemically dependent nurses. Nursing Research, 36, 339-343.
12.
Jensen, L. , & Allen, M. (1996). Meta-synthesis of qualitative findings. Qualitative Health Research, 6, 553-560.
13.
Keamey, M. (1996). Reclaiming normal life: Mothers' stages of recovery from drug use. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 25, 761-768.
14.
Kearney, M. (1997). Drug treatment for women: Traditional models and new directions. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 26, 459-468.
15.
Kearney, M. (1998). Ready to wear: Discovering grounded formal theory. Research in Nursing & Health, 21, 179-186.
16.
Kearney, M. , Murphy, S., Irwin, K., & Rosenbaum, M. (1995). Salvaging self: A grounded theory of pregnancy on crack cocaine. Nursing Research, 44, 208-213.
17.
Lindenberg, C. , Gendrop, S., Nencioli, M., & Adames, Z. (1994). Substance abuse among inner-city Hispanic women: Exploring resiliency. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 23, 609-616.
18.
Lowery, C. (1994). Life histories: Addiction and recovery of six Native American women. Unpublished doctoral dissertation, University of Washington, Seattle.
19.
Maroni, J. (1986). Alcoholic women: A study of their recovery process. Unpublished doctoral dissertation, The Catholic University of America, Washington, D.C.
20.
Olshansky, E. (1996). Theoretical issues in building a grounded theory: Application of an example of a program of research on infertility. Qualitative Health Research, 6, 394-405.
21.
Reed, B. (1987). Developing women-sensitive drug dependence treatment services: Why so difficult?Journal of Psychoactive Drugs, 19, 151-164.
22.
Rosenbaum, M. (1979). Difficulties in taking care of business: Women addicts as mothers. American Journal of Drug and Alcohol Abuse, 6, 431-446.
23.
Rosenbaum, M. (1991). Staying off methadone maintenance. Journal of Psychoactive Drugs, 23, 251-260.
24.
Rouse, B. , & Steigerwald, C. (1993). National survey of drug abuse treatment services: Implications for treatment referrals [Abstract]. In L. Harris (Ed.), Problems of drug dependence, 1992 (Research Monograph No. 132, p. 133). Rockville, MD: National Institute on Drug Abuse.
25.
Sandelowski, M. (1997). "To be of use": Enhancing the utility of qualitative research. Nursing Outlook, 45, 125-132.
26.
Schuckit, M. (1980). A theory of alcohol and drug abuse: A genetic approach. In D. Lettieri, M. Sayers, & H. Pearson (Eds.), Theories on drug abuse (Research Monograph No. 30, pp. 297-302). Rockville, MD: National Institute on Drug Abuse.
27.
Strauss, A. (1987). Qualitative analysis for social scientists. Cambridge, UK: Cambridge University Press.
28.
Vourakis, C. (1989). The process of recovery for women in Alcoholics Anonymous: Seeking groups "like me." Unpublished doctoral dissertation, University of California, San Francisco.
29.
Wilson, H. , & Hutchinson, S. (1996). Methodologic mistakes in grounded theory. Nursing Research, 45, 122-124.
30.
Wing, D. (1995). Transcending alcoholic denial. Image, 27, 121-126.
31.
Woodhouse, L. (1992). Women with jagged edges: Voices from a culture of substance abuse. Qualitative Health Research, 2, 262-281.
