Abstract
Background/Aims
Research highlights a relationship between cognitive complexity and coping capacity. Narrative studies with psychiatric patients show that development of more complex ideas about self, others, and situations facilitates positive responsiveness to psychosocial challenges. Extending this line of inquiry, the present study examines the relationship between cognitive complexity in narratives and recovery from substance misuse.
Method
The ‘Life as a Film’ (LAAF) task was used to collect narratives from a sample of 32 active or recovering substance users. LAAF accounts were coded for number of ‘characters,’ ‘events,’ and ‘ideas,’ which were summed to give narrative complexity (NC) scores. A recovery inventory (RI) was used to compare NC with recovery outcomes.
Results
Data showed a significant correlation between NC and RI scores (r =.61, p < .01), illustrating a relationship between greater cognitive complexity and recovery. Outliers from the general trend were discussed with reference to different intervention experiences.
Conclusions
Findings indicate that increased NC relates to substance misuse recovery. Measures of NC produced intriguing insights, notably a facility in the LAAF for studying reflective processing and cognitive differentiation. Observations inform subtler analysis in subsequent LAAF studies, examining ‘idea content’ and treatment effects.
Research highlights a relationship between cognitive complexity and coping capacity. Narrative studies with psychiatric patients show that development of more complex ideas about self, others, and situations facilitates positive responsiveness to psychosocial challenges. Extending this line of inquiry, the present study examines the relationship between cognitive complexity in narratives and recovery from substance misuse.
Method
The ‘Life as a Film’ (LAAF) task was used to collect narratives from a sample of 32 active or recovering substance users. LAAF accounts were coded for number of ‘characters,’ ‘events,’ and ‘ideas,’ which were summed to give narrative complexity (NC) scores. A recovery inventory (RI) was used to compare NC with recovery outcomes.
Results
Data showed a significant correlation between NC and RI scores (r =.61, p < .01), illustrating a relationship between greater cognitive complexity and recovery. Outliers from the general trend were discussed with reference to different intervention experiences.
Conclusions
Findings indicate that increased NC relates to substance misuse recovery. Measures of NC produced intriguing insights, notably a facility in the LAAF for studying reflective processing and cognitive differentiation. Observations inform subtler analysis in subsequent LAAF studies, examining ‘idea content’ and treatment effects.
| Original language | English |
|---|---|
| Pages (from-to) | 313-319 |
| Number of pages | 7 |
| Journal | Journal of Substance Use |
| Volume | 26 |
| Issue number | 3 |
| Early online date | 25 Sept 2020 |
| DOIs | |
| Publication status | Published - 4 May 2021 |
| Externally published | Yes |
Keywords
- Substance misuse
- addiction
- cognitive complexity
- identity
- narrative
- recovery