TY - JOUR
T1 - Visualizing a Calculus of Recovery
T2 - Calibrating Relations in an Opioid Epicenter
AU - Silverstein, Sydney M.
AU - Milligan, Katie
AU - Osborn, Annette
AU - Aamir, Iman
AU - Gainer, Danielle
AU - Daniulaityte, Raminta
N1 - Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/12
Y1 - 2022/12
N2 - This article uses participatory photography to explore the relationships animating efforts towards recovery from opioid use disorder (OUD) in the Dayton, Ohio area, an epicenter of illicit opioid use and overdose death. A photo-elicitation project was conducted with thirteen people who met the DSM-5 criteria for OUD. Photographs were used as prompts during qualitative interviews, which were thematically analyzed. Analysis of both visual and textual data demonstrated the ways in which recovery became an unfolding process of calculation as participants made strategic choices to navigate relations and encounters with things, people, and places. Relationships across each of these domains could, under some circumstances, serve as supports or motivators in the recovery process, but, in alternate settings, be experienced as “triggers” prompting a resumption of problematic drug use or, at the very least, a reckoning with the feelings and emotions associated with painful or problematic aspects of personal histories and drug use experiences. Findings highlight the importance of understanding recovery as a calibration of the ambiguous relations animating experiences of everyday life. We argue for continued emphasis on recovery as an active performance and ongoing practice of calculation—of risks and benefits, of supports and triggers, of gratification and heartbreak—rather than a goal or static state.
AB - This article uses participatory photography to explore the relationships animating efforts towards recovery from opioid use disorder (OUD) in the Dayton, Ohio area, an epicenter of illicit opioid use and overdose death. A photo-elicitation project was conducted with thirteen people who met the DSM-5 criteria for OUD. Photographs were used as prompts during qualitative interviews, which were thematically analyzed. Analysis of both visual and textual data demonstrated the ways in which recovery became an unfolding process of calculation as participants made strategic choices to navigate relations and encounters with things, people, and places. Relationships across each of these domains could, under some circumstances, serve as supports or motivators in the recovery process, but, in alternate settings, be experienced as “triggers” prompting a resumption of problematic drug use or, at the very least, a reckoning with the feelings and emotions associated with painful or problematic aspects of personal histories and drug use experiences. Findings highlight the importance of understanding recovery as a calibration of the ambiguous relations animating experiences of everyday life. We argue for continued emphasis on recovery as an active performance and ongoing practice of calculation—of risks and benefits, of supports and triggers, of gratification and heartbreak—rather than a goal or static state.
KW - Addiction
KW - Opioids
KW - Participatory photography
KW - Photo-elicitation
KW - Recovery
UR - http://www.scopus.com/inward/record.url?scp=85120605140&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85120605140&partnerID=8YFLogxK
U2 - 10.1007/s11013-021-09758-x
DO - 10.1007/s11013-021-09758-x
M3 - Article
C2 - 34800236
AN - SCOPUS:85120605140
SN - 0165-005X
VL - 46
SP - 798
EP - 826
JO - Culture, Medicine and Psychiatry
JF - Culture, Medicine and Psychiatry
IS - 4
ER -