Application of life narrative method as a complementary therapeutic method in psychotropic drug rehabilitation

Manuscript (ελληνικά)
Published: jul 24, 2026
DOI: https://doi.org/10.12681/psy_hps.42160
Keywords:
addiction, dependence, life narrative, prisons
Vasilis Katagis
Department Psychology Panteion University of Social and Political Sciences
https://orcid.org/0009-0006-6068-4485
Panagiotis Kordoutis
Department Psychology Panteion University of Social and Political Sciences
https://orcid.org/0000-0001-9759-3823
Abstract

Substance dependence constitutes a complex social and psychological phenomenon with significant consequences for individuals’ physical and mental health, as well as their overall functioning. The present empirical study examines the effectiveness of the “Life Narrative” method as a complementary therapeutic intervention in the process of withdrawal from psychoactive substances, focusing on the reconstruction of personal and social identity through the processing of autobiographical experience. The research question concerns the extent to which Life Narrative can meaningfully contribute to participants’ therapeutic progress. The working hypothesis suggests that enhancing participants’ self-awareness and self-understanding will facilitate the conscious formation of a new identity, preventing superficial or temporary changes. Additional aims included exploring the degree to which self-awareness is strengthened through the recognition of (a) adverse childhood experiences, (b) decisions requiring revision, (c) dysfunctional roles and behaviors within the family context, and (d) traumatic experiences that hinder the development of healthy interpersonal relationships. A mixed-methods approach was adopted. The qualitative component involved thematic analysis of semi-structured interviews with twenty-one (21) participants. The quantitative component employed five questionnaires assessing self-efficacy, treatment expectations, clinical status, positive and negative affect, and meaning in life, across three measurement phases. Moreover, treatment retention rates were evaluated. Qualitative findings indicated substantial enhancement of self-perception, deeper processing of personal history, and reconstruction of key identity dimensions. Quantitative data demonstrated statistically significant improvement across all indicators over time, along with high treatment retention rates. Overall, the results suggest that the Life Narrative method constitutes an effective and supportive therapeutic intervention, contributing meaningfully to the psychological withdrawal from psychoactive substances.

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References
Adler, J. M. (2012). Living into the story: Agency and coherence in a longitudinal study of narrative identity development and mental health over the course of psychotherapy. Journal of Personality and Social Psychology, 102(2), 367–389. https://doi.org/10.1037/a0025289
Adler, J. M., Lodi-Smith, J., Philippe, F. L., & Houle, I. (2015). The incremental validity of narrative identity in predicting well-being: A review of the field and recommendations for the future. Personality and Social Psychology Review. https://doi.org/10.1177/1088868315585068
Angus, L. E., & Greenberg, L. S. (2011). Working with narrative in emotion-focused therapy: Changing stories, healing lives. American Psychological Association. https://doi.org/10.1037/12325-000
Attkisson, C. C., & Zwick, R. (1982). The Client Satisfaction Questionnaire: Psychometric properties and correlations with service utilization and psychotherapy outcome. Evaluation and Program Planning, 5(3), 233–237. https://doi.org/10.1016/0149-7189(82)90074-X
Baerger, D. R., & McAdams, D. P. (1999). Life story coherence and its relation to psychological well-being. Narrative Inquiry, 9(1), 69–96. https://doi.org/10.1075/ni.9.1.05bae
Barnard, L. K., & Curry, J. F. (2011). Self-compassion: Conceptualizations, correlates, and interventions. Review of General Psychology, 15(4), 289–303. https://doi.org/10.1037/a0025754
Breslin, F. C., Sobell, L. C., Sobell, M. B., & Agrawal, S. (2000). A comparison of a brief and a long version of the Situational Confidence Questionnaire. Behaviour Research and Therapy, 38(12), 1211–1220. https://doi.org/10.1016/S0005-7967(99)00154-3
Breslin, F. C., Sobell, L. C., Sobell, M. B., & Buchan, G. (1997). A comparison of a brief and long format for the Situational Confidence Questionnaire. Poster presented at the 31st Annual Meeting of the Association for Advancement of Behavior Therapy, Miami Beach, FL.
Brott, P. E. (2001). The storied approach: A postmodern perspective for career counseling. The Career Development Quarterly, 49(4), 304–313. https://doi.org/10.1002/j.2161-0045.2001.tb00958.x
Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35(1), 79–89. https://doi.org/10.1016/S0005-7967(96)00068-X
Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848. https://doi.org/10.1037/0022-3514.84.4.822
Canali, S., Altavilla, D., Acciai, A., Deriu, V., Chiera, A., Adornetti, I., Bassi, A., Colonna, Z., De Luca, V., Vignola, F., & Ferretti, F. (2021). The narrative of persons with gambling problems and substance use: A multidimensional analysis of the language of addiction. Journal of Gambling Issues, 47, 1–25. https://doi.org/10.4309/jgi.2021.47.7
Deriu, V., Altavilla, D., Adornetti, I., Chiera, A., & Ferretti, F. (2024). Narrative identity in addictive disorders: A conceptual review. Frontiers in Psychology, 15, 1409217. https://doi.org/10.3389/fpsyg.2024.1409217
Duval, S., & Wicklund, R. A. (1972). A theory of objective self-awareness. Academic Press.
Erikson, E. H. (1968). Identity: Youth and crisis. Norton.
Ford, G. G. (1996). An existential model for promoting life change: Confronting the disease concept. Journal of Substance Abuse Treatment, 13(2), 151–158. https://doi.org/10.1016/0740-5472(95)02028-5
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218–226. https://doi.org/10.1037/0003-066X.56.3.218
Fredrickson, B. L. (2003). The value of positive emotions: The emerging science of positive psychology is coming to understand why it is good to feel good. American Scientist, 91(4), 330–335. https://doi.org/10.1511/2003.4.330
Fredrickson, B. L., & Levenson, R. W. (1998). Positive emotions speed recovery from the cardiovascular sequelae of negative emotions. Cognition and Emotion, 12(2), 191–220. https://doi.org/10.1080/026999398379718
Fredrickson, B. L., Mancuso, R. A., Branigan, C., & Tugade, M. M. (2000). The undoing effect of positive emotions. Motivation and Emotion, 24(4), 237–258. https://doi.org/10.1023/A:1010796329158
Fredrickson, B. L., Tugade, M. M., Waugh, C. E., & Larkin, G. R. (2003). What good are positive emotions in crises? A prospective study of resilience and emotions following the terrorist attacks on the United States on September 11th, 2001. Journal of Personality and Social Psychology, 84(2), 365–376. https://doi.org/10.1037/0022-3514.84.2.365
Habermas, T., & Bluck, S. (2000). Getting a life: The emergence of the life story in adolescence. Psychological Bulletin, 126(5), 748–769. https://doi.org/10.1037/0033-2909.126.5.748
Ford, G. G. (1996). An existential model for promoting life change: Confronting the disease concept. Journal of Substance Abuse Treatment, 13(2), 151–158.
Larsen, D. L., Attkisson, C. C., Hargreaves, W. A., & Nguyen, T. D. (1979). Assessment of client/patient satisfaction: Development of a general scale. Evaluation and Program Planning, 2(3), 197–207. https://doi.org/10.1016/0149-7189(79)90094-6
Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the Depression Anxiety Stress Scales (2nd ed.). Psychology Foundation.
Lyons, T., Shannon, K., Pierre, L., Small, W., Krüsi, A., & Kerr, T. (2015). A qualitative study of transgender individuals’ experiences in residential addiction treatment settings: Stigma and inclusivity. Substance Abuse Treatment, Prevention, and Policy, 10(1), 1–8. https://doi.org/10.1186/s13011-015-0015-4
McAdams, D. P. (1993). The stories we live by: Personal myths and the making of the self. William Morrow.
McAdams, D. P. (2001). The psychology of life stories. Review of General Psychology, 5(2), 100–122. https://doi.org/10.1037/1089-2680.5.2.100
McClintock, C. G. (1988). Evolution, systems of interdependence, and social values. Behavioral Science, 33(1), 59–76. https://doi.org/10.1002/bs.3830330107
McIntosh, J., & McKeganey, N. (2000). Addicts’ narratives of recovery from drug use: Constructing a non-addict identity. Social Science & Medicine, 50(10), 1501–1510. https://doi.org/10.1016/S0277-9536(99)00415-8
McIntosh, J., & McKeganey, N. (2001). Identity and recovery from dependent drug use: The addict’s perspective. Drugs: Education, Prevention and Policy, 8(1), 47–59. https://doi.org/10.1080/dep.8.1.47.59
McLean, K. C., & Pratt, M. W. (2006). Life's little (and big) lessons: Identity statuses and meaning-making in the turning point narratives of emerging adults. Developmental Psychology, 42(4), 714–722. https://doi.org/10.1037/0012-1649.42.4.714
Morgan, A. (2011). Τι είναι η αφηγηματική θεραπεία; Μια ευκολοδιάβαστη εισαγωγή (Α. Χαρβάτης, Μετ.). University Studio Press.
Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101. https://doi.org/10.1080/15298860309032
Neff, K. D. (2009). The role of self-compassion in development: A healthier way to relate to oneself. Human Development, 52(4), 211–214. https://doi.org/10.1159/000215071
Neimeyer, R. A. (2004). Fostering posttraumatic growth: A narrative elaboration. Psychological Inquiry, 15(1), 53–59. https://doi.org/10.1207/s15327965pli1501_01
Reith, G., & Dobbie, F. (2012). Lost in the game: Narratives of addiction and identity in recovery from problem gambling. Addiction Research & Theory, 20(6), 511–521. https://doi.org/10.3109/16066359.2012.672599
Robertson, I. E., Sagvaag, H., Selseng, L. B., & Nesvaag, S. (2021). Narratives of change: Identity and recognition dynamics in the process of moving away from a life dominated by drug use. Contemporary Drug Problems, 48(3), 204–222. https://doi.org/10.1177/00914509211027075
Rowlands, D., Youngs, D., & Canter, D. (2020). Exploring the relationship between narrative complexity and recovery from substance misuse. Journal of Substance Use, 25(6), 603–610. https://doi.org/10.1080/14659891.2020.1821810
Schultz, D. P., & Schultz, S. E. (2012). Theories of personality (10th ed.). Wadsworth, Cengage Learning.
Sobell, L. C. (1996). Bridging the gap between science and practitioners: The challenge before us. Behavior Therapy, 27(3), 297–320. https://doi.org/10.1016/S0005-7894(96)80007-5
Steger, M. F., Frazier, P., & Oishi, S. (2006). The Meaning in Life Questionnaire: Assessing the presence of and search for meaning in life. Journal of Counseling Psychology, 53(1), 80–93. https://doi.org/10.1037/0022-0167.53.1.80
Ververven, E., Bogaerts, A., Claes, L., Luyckx, K., & Hermans, D. (2021). Narrative coherence of turning point memories: Associations with psychological well-being, identity functioning, and personality disorder symptoms. Frontiers in Psychology, 12, 623903. https://doi.org/10.3389/fpsyg.2021.623903
White, M., & Epston, D. (1990). Narrative means to therapeutic ends. Norton.
Wilkin, D., Hallam, L., & Doggett, N. A. (1992). Measures of need and outcome for primary health care. Oxford University Press.
Γιωτσίδη, Β., & Νικολάτου, Ε. Κ. (2022). Η αφηγηματική προσέγγιση στην πράξη: Τεχνικές ενδυνάμωσης και εργαλεία αξιολόγησης της αφήγησης. Gutenberg.
Κορδούτης, Π. Σ. (2012). Προοίμιο. Στο C. Hendrick & S. S. Hendrick. Στενές σχέσεις: Θεμελιώδη ζητήματα της ψυχολογίας των διαπροσωπικών σχέσεων(Π. Σ. Κορδούτης Επιστ. Επιμ, σσ. 11-20. Πεδίο.
Κορδούτης, Π. Σ., & Πουλόπουλος, Β. (2011). Το πεδίο των οργανισμών στο πεδίο έρευνας στην κοινωνική ψυχολογία. Στο Πολιτισμός, μετανάστευση, οργανισμοί, υγεία-πρόληψη, στενές διαπροσωπικές σχέσεις. Διάδραση.
Κουνένου, Κ. (2022). Πρόλογος. Στο Β. Γιωτσίδη & Ε.- Νικολάτου, Η αφηγηματική προσέγγιση στην πράξη: Τεχνικές ενδυνάμωσης και εργαλεία αξιολόγησης της αφήγησης(σς. 7-10). Gutenberg.
Μαντόγλου, Α. (2010). Κοινωνική μνήμη, κοινωνικές αναπαραστάσεις και κοινωνική ταυτότητα. Στο Στ. Παπαστάμου (Επιμ.), Εισαγωγή στην κοινωνική ψυχολογία (Τόμ. Γ). Πεδίο.
Μαντόγλου, Α., & Μελίστα, Α. (2010). Ιστορική μνήμη και εθνική ταυτότητα: Έλληνες και Γερμανοί μιλούν για το παρελθόν τους. Στο Στ. Παπαστάμου, Γ. Προδρομίτης & Β. Πουλόπουλος (Επιμ.), Κοινωνική σκέψη, νόηση και συμπεριφορά: 29 Έλληνες ψυχολόγοι ανακρίνουν την επιστήμη τους(317-347). Πεδίο.
Μοσκοβισί, Σ. (1999). Η ψυχανάλυση, η εικόνα της και το κοινό της. Οδυσσέας.
Σταλίκας, Α., Γιωτσίδη, Β., & Καρακασίδου, Ε. (Επιμ.). (2020). Κατακτώντας την ευημερία: Θετικές παρεμβάσεις, τεχνικές και βιωματικές ασκήσεις. Τόπος.
Φλωρά, Α. (2011). Η διαδικασία της απεξάρτησης: Μια συστηματική μελέτη του ρόλου των ψυχοκοινωνικών παραγόντων στη θεραπεία της εξάρτησης από ουσίες (Διδακτορική διατριβή, Πάντειο Πανεπιστήμιο Κοινωνικών και Πολιτικών Επιστημών). Εθνικό Αρχείο Διδακτορικών Διατριβών. https://doi.org/10.12681/eadd/24642
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