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Published in: International Journal of Mental Health and Addiction 2/2022

Open Access 01-04-2022 | Addiction | Original Article

“I’d Probably Be Dead Now”: Evaluating the Impact of Theatre Practitioners Working on a Recovery-Based Community Drama Project

Authors: Stephanie Kewley, Marie Claire Van Hout

Published in: International Journal of Mental Health and Addiction | Issue 2/2022

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Abstract

Aside from the often-fatal consequences of substance abuse, people recovering from addiction suffer greater adverse childhood experiences, trauma in adulthood, and inequalities than non-addicts. As a result, psychological, emotional, and developmental barriers can prevent effective recovery, leaving people traumatised, vulnerable, and doubly stigmatised. The challenge, therefore, is for recovery practitioners to deliver responses that not only treat biological problems resulting from addiction but also address psychological, social, and cultural needs. One group of professionals providing holistic approaches to people in recovery are arts-based practitioners. This paper derives from a 3-year longitudinal study using Interpretative Phenomenological Analysis, to examine the psychosocial impact of one community-based drama project called Staging Recovery. The study found the work of theatre practitioners not only provided recovery participants safe spaces to explore sensitive and difficult recovery themes but the use of theatre techniques and ethically driven practice exposed participants to high-quality, social, cultural, and human capital.
Footnotes
1
The term practitioner is used here as an umbrella term to refer to any professional working with people in recovery, such as clinicians, drug and alcohol practitioners, therapists, and voluntary/charity workers.
 
2
Not necessarily therapists.
 
3
Further approval was granted by Liverpool John Moores University Research Ethics Committee when author one moved institutions.
 
Literature
go back to reference Atwater, B. (2016). We need to talk: A literature review of debrief. International Journal of Role-Playing, 6, 7–11. Atwater, B. (2016). We need to talk: A literature review of debrief. International Journal of Role-Playing, 6, 7–11.
go back to reference Baim, C. (2017). The Drama Spiral: A decision-making model for safe, ethical, and flexible practice when incorporating personal stories in applied theatre and performance. In A. O'Grady (Ed.), Risk, participation, and performance practice. Critical vulnerabilities in a precarious world (pp. 79–109). London: Palgrave Macmillan. Baim, C. (2017). The Drama Spiral: A decision-making model for safe, ethical, and flexible practice when incorporating personal stories in applied theatre and performance. In A. O'Grady (Ed.), Risk, participation, and performance practice. Critical vulnerabilities in a precarious world (pp. 79–109). London: Palgrave Macmillan.
go back to reference Baim, C., Brookes, S., & Mountford, A. (2002). The Geese Theatre handbook: Drama with offenders and people at risk. HOOK: Waterside Press. Baim, C., Brookes, S., & Mountford, A. (2002). The Geese Theatre handbook: Drama with offenders and people at risk. HOOK: Waterside Press.
go back to reference Baler, R. D., & Volkow, N. D. (2006). Drug addiction: The neurobiology of disrupted self-control. Trends in Molecular Medicine, 12(12), 559–566.PubMed Baler, R. D., & Volkow, N. D. (2006). Drug addiction: The neurobiology of disrupted self-control. Trends in Molecular Medicine, 12(12), 559–566.PubMed
go back to reference Bathish, R., Best, D., Savic, M., Beckwith, M., Mackenzie, J., & Lubman, D. I. (2017). “Is it me or should my friends take the credit?” The role of social networks and social identity in recovery from addiction. Journal of Applied Social Psychology, 47(1), 35–46. Bathish, R., Best, D., Savic, M., Beckwith, M., Mackenzie, J., & Lubman, D. I. (2017). “Is it me or should my friends take the credit?” The role of social networks and social identity in recovery from addiction. Journal of Applied Social Psychology, 47(1), 35–46.
go back to reference Best, D., Gow, J., Knox, T., Taylor, A., Groshkova, T., & White, W. (2012). Mapping the recovery stories of drinkers and drug users in Glasgow: Quality of life and its associations with measures of recovery capital. Drug and Alcohol Review, 31, 334–341.PubMed Best, D., Gow, J., Knox, T., Taylor, A., Groshkova, T., & White, W. (2012). Mapping the recovery stories of drinkers and drug users in Glasgow: Quality of life and its associations with measures of recovery capital. Drug and Alcohol Review, 31, 334–341.PubMed
go back to reference Best, D., Hall, L., & Musgrove, A. (2018). The bridge between social identity and community capital on the path to recovery and desitance. England: Probation Journal. Best, D., Hall, L., & Musgrove, A. (2018). The bridge between social identity and community capital on the path to recovery and desitance. England: Probation Journal.
go back to reference Boal, A. (1995). The rainbow of desire: The Boal method of theatre and therapy (A. Jackson, Trans. Oxon: Routledge. Boal, A. (1995). The rainbow of desire: The Boal method of theatre and therapy (A. Jackson, Trans. Oxon: Routledge.
go back to reference Brady, K. T., Gray, K. M., & Tolliver, B. K. (2011). Cognitive enhancers in the treatment of substance use disorders: Clinical evidence. Pharmacology Biochemistry and Behavior, 99(2), 285–294. Brady, K. T., Gray, K. M., & Tolliver, B. K. (2011). Cognitive enhancers in the treatment of substance use disorders: Clinical evidence. Pharmacology Biochemistry and Behavior, 99(2), 285–294.
go back to reference Burr, V. (2015). Social constructionism: Routledge. Burr, V. (2015). Social constructionism: Routledge.
go back to reference Byng-Hall, J., & Campbell, D. (1981). Resolving conflicts in family distance regulation: An integrative approach. Journal of Marital and Family Therapy, 7(3), 321–330. Byng-Hall, J., & Campbell, D. (1981). Resolving conflicts in family distance regulation: An integrative approach. Journal of Marital and Family Therapy, 7(3), 321–330.
go back to reference Conrad, D. (2013). “Lock ‘Em Up...” but where’s the key? Transformative drama with incarcerated youth. Journal of Contemporary Issues in Education, 8(2). Conrad, D. (2013). “Lock ‘Em Up...” but where’s the key? Transformative drama with incarcerated youth. Journal of Contemporary Issues in Education, 8(2).
go back to reference Corrigan, P. W., Larson, J. E., & Ruesch, N. (2009). Self-stigma and the “why try” effect: Impact on life goals and evidence-based practices. World Psychiatry, 8(2), 75–81.PubMedPubMedCentral Corrigan, P. W., Larson, J. E., & Ruesch, N. (2009). Self-stigma and the “why try” effect: Impact on life goals and evidence-based practices. World Psychiatry, 8(2), 75–81.PubMedPubMedCentral
go back to reference Cloud, W., & Granfield, R. (2008). Natural recovery from dependency. Journal of Social Work Practice in the Addictions, 1(1), 83–104. Cloud, W., & Granfield, R. (2008). Natural recovery from dependency. Journal of Social Work Practice in the Addictions, 1(1), 83–104.
go back to reference Cummins, I. (2018). The impact of austerity on mental health service provision: A UK perspective. International Journal of Environmental Research and Public Health, 15(6), 1145.PubMedCentral Cummins, I. (2018). The impact of austerity on mental health service provision: A UK perspective. International Journal of Environmental Research and Public Health, 15(6), 1145.PubMedCentral
go back to reference Cypress, B. S. (2017). Rigor or reliability and validity in qualitative research: perspectives, strategies, reconceptualization, and recommendations. Dimensions of Critical Care Nursing, 36(4), 253–263.PubMed Cypress, B. S. (2017). Rigor or reliability and validity in qualitative research: perspectives, strategies, reconceptualization, and recommendations. Dimensions of Critical Care Nursing, 36(4), 253–263.PubMed
go back to reference Erel, U., Reynolds, T., & Kaptani, E. (2017). Participatory theatre for transformative social research. Qualitative Research, 17(3), 302–312. Erel, U., Reynolds, T., & Kaptani, E. (2017). Participatory theatre for transformative social research. Qualitative Research, 17(3), 302–312.
go back to reference Fernandez-Serrano, M. J., Pérez-García, M., Schmidt Río-Valle, J., & Verdejo-Garcia, A. (2010). Neuropsychological consequences of alcohol and drug abuse on different components of executive functions. Journal of Psychopharmacology, 24(9), 1317–1332.PubMed Fernandez-Serrano, M. J., Pérez-García, M., Schmidt Río-Valle, J., & Verdejo-Garcia, A. (2010). Neuropsychological consequences of alcohol and drug abuse on different components of executive functions. Journal of Psychopharmacology, 24(9), 1317–1332.PubMed
go back to reference Ferrari, V., Smeraldi, E., Bottero, G., & Politi, E. (2014). Addiction and empathy: A preliminary analysis. Neurological Sciences, 35(6), 855–859.PubMed Ferrari, V., Smeraldi, E., Bottero, G., & Politi, E. (2014). Addiction and empathy: A preliminary analysis. Neurological Sciences, 35(6), 855–859.PubMed
go back to reference Granfield, R., & Cloud, W. (1999). Coming clean: Overcoming addiction without treatment. New York: New York University Press. Granfield, R., & Cloud, W. (1999). Coming clean: Overcoming addiction without treatment. New York: New York University Press.
go back to reference Granfield, R., & Cloud, W. (2001). Social context and ‘natural recovery’: The role of social capital in the resolution of drug-associated problems. Substance Use & Misuse, 36(11), 1543–1570. Granfield, R., & Cloud, W. (2001). Social context and ‘natural recovery’: The role of social capital in the resolution of drug-associated problems. Substance Use & Misuse, 36(11), 1543–1570.
go back to reference Harrison, R., Van Hout, M. C., Cochrane, M., et al. (2020). Experiences of sustainable abstinence-based recovery: An exploratory study of three recovery communities (RC) in England. International Journal of Mental Health and Addiction, 18, 640–657. Harrison, R., Van Hout, M. C., Cochrane, M., et al. (2020). Experiences of sustainable abstinence-based recovery: An exploratory study of three recovery communities (RC) in England. International Journal of Mental Health and Addiction, 18, 640–657.
go back to reference Heidari, M., Ghodusi, M., Bathaei, S. A., & Shakeri, K. (2018). Self-esteem and locus of control in the initial and final stages of drug withdrawal among addicts attending rehabilitation centers. Addictive Disorders & Their Treatment, 17(2), 92–97. Heidari, M., Ghodusi, M., Bathaei, S. A., & Shakeri, K. (2018). Self-esteem and locus of control in the initial and final stages of drug withdrawal among addicts attending rehabilitation centers. Addictive Disorders & Their Treatment, 17(2), 92–97.
go back to reference Kewley, S. (2019). Changing identities through Staging Recovery: The role of community theatre in the process of recovery. The Arts in Psychotherapy, 63, 84–93. Kewley, S. (2019). Changing identities through Staging Recovery: The role of community theatre in the process of recovery. The Arts in Psychotherapy, 63, 84–93.
go back to reference Landy, R. (2009). Role theory and the role method of drama therapy. Current approaches in drama therapy. In D. R. Johnson & R. Emunah (Eds.), Current approaches in drama therapy (2nd ed., pp. 65–88). Landy, R. (2009). Role theory and the role method of drama therapy. Current approaches in drama therapy. In D. R. Johnson & R. Emunah (Eds.), Current approaches in drama therapy (2nd ed., pp. 65–88).
go back to reference Leather, J., & Kewley, S. (2019). Assessing drama therapy as an intervention for recovering substance users: A systematic review. Journal of Drug Issues, 49(3), 545–558. Leather, J., & Kewley, S. (2019). Assessing drama therapy as an intervention for recovering substance users: A systematic review. Journal of Drug Issues, 49(3), 545–558.
go back to reference Manning, R. M., & Greenwood, R. M. (2019). Recovery in homelessness: The influence of choice and mastery on physical health, psychiatric symptoms, alcohol and drug use, and community integration. Psychiatric Rehabilitation Journal, 42(2), 147–157.PubMed Manning, R. M., & Greenwood, R. M. (2019). Recovery in homelessness: The influence of choice and mastery on physical health, psychiatric symptoms, alcohol and drug use, and community integration. Psychiatric Rehabilitation Journal, 42(2), 147–157.PubMed
go back to reference Marino, C. K. (2015). To belong, contribute, and hope: First stage development of a measure of social recovery. Journal of Mental Health, 24(2), 68–72.PubMed Marino, C. K. (2015). To belong, contribute, and hope: First stage development of a measure of social recovery. Journal of Mental Health, 24(2), 68–72.PubMed
go back to reference Mattheys, K. (2015). The coalition, austerity and mental health. Disability & Society, 30(3), 475–478. Mattheys, K. (2015). The coalition, austerity and mental health. Disability & Society, 30(3), 475–478.
go back to reference Matthews, S., Dwyer, R., & Snoek, A. (2017). Stigma and self-stigma in addiction. Journal of Bioethical Inquiry, 14(2), 275–286.PubMedPubMedCentral Matthews, S., Dwyer, R., & Snoek, A. (2017). Stigma and self-stigma in addiction. Journal of Bioethical Inquiry, 14(2), 275–286.PubMedPubMedCentral
go back to reference Megranahan, K., & Lynskey, M. T. (2018). Do creative arts therapies reduce substance misuse? A systematic review. The Arts in Psychotherapy, 57, 50–58. Megranahan, K., & Lynskey, M. T. (2018). Do creative arts therapies reduce substance misuse? A systematic review. The Arts in Psychotherapy, 57, 50–58.
go back to reference Monaghan, M., & Wincup, E. (2013). Work and the journey to recovery: Exploring the implications of welfare reform for methadone maintenance clients. International Journal of Drug Policy, 24(6), e81–e86.PubMed Monaghan, M., & Wincup, E. (2013). Work and the journey to recovery: Exploring the implications of welfare reform for methadone maintenance clients. International Journal of Drug Policy, 24(6), e81–e86.PubMed
go back to reference Naal, H., El Jalkh, T., & Haddad, R. (2018). Adverse childhood experiences in substance use disorder outpatients of a Lebanese addiction center. Psychology, Health & Medicine, 23(9), 1137–1144. Naal, H., El Jalkh, T., & Haddad, R. (2018). Adverse childhood experiences in substance use disorder outpatients of a Lebanese addiction center. Psychology, Health & Medicine, 23(9), 1137–1144.
go back to reference Narvaez, J. C., Remy, L., Bermudez, M. B., Scherer, J. N., Ornell, F., Surratt, H., Kurtz, S. P., & Pechansky, F. (2019). Re-traumatization cycle: Sexual abuse, post-traumatic stress disorder and sexual risk behaviors among club drug users. Substance Use & Misuse, 54(9), 1499–1508. Narvaez, J. C., Remy, L., Bermudez, M. B., Scherer, J. N., Ornell, F., Surratt, H., Kurtz, S. P., & Pechansky, F. (2019). Re-traumatization cycle: Sexual abuse, post-traumatic stress disorder and sexual risk behaviors among club drug users. Substance Use & Misuse, 54(9), 1499–1508.
go back to reference Neale, J., Nettleton, S., & Pickering, L. (2014). Gender sameness and difference in recovery from heroin dependence: A qualitative exploration. The International Journal on Drug Policy, 25, 3–12.PubMed Neale, J., Nettleton, S., & Pickering, L. (2014). Gender sameness and difference in recovery from heroin dependence: A qualitative exploration. The International Journal on Drug Policy, 25, 3–12.PubMed
go back to reference Nestor, P. G., Woodhull, A., Newell, D., O'Donovan, K., Forte, M., Harding, S., & Pomplun, M. (2018). Clinical, social, and neuropsychological dimensions of the intersection of addiction and criminality. The Journal of the American Academy of Psychiatry and the Law, 46(2), 179–186.PubMed Nestor, P. G., Woodhull, A., Newell, D., O'Donovan, K., Forte, M., Harding, S., & Pomplun, M. (2018). Clinical, social, and neuropsychological dimensions of the intersection of addiction and criminality. The Journal of the American Academy of Psychiatry and the Law, 46(2), 179–186.PubMed
go back to reference O’Grady, A. (2017). Risk, participation, and performance practice: critical vulnerabilities in a precarious world: Springer. O’Grady, A. (2017). Risk, participation, and performance practice: critical vulnerabilities in a precarious world: Springer.
go back to reference O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 89(9), 1245–1251.PubMed O’Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 89(9), 1245–1251.PubMed
go back to reference Peacock, A., Eastwood, B., Jones, A., Millar, T., Horgan, P., Knight, J., Randhawa, K., White, M., & Marsden, J. (2018). Effectiveness of community psychosocial and pharmacological treatments for alcohol use disorder: A national observational cohort study in England. Drug and Alcohol Dependence, 186, 60–67.PubMed Peacock, A., Eastwood, B., Jones, A., Millar, T., Horgan, P., Knight, J., Randhawa, K., White, M., & Marsden, J. (2018). Effectiveness of community psychosocial and pharmacological treatments for alcohol use disorder: A national observational cohort study in England. Drug and Alcohol Dependence, 186, 60–67.PubMed
go back to reference Reynolds, J., & Zontou, Z. (2014). Addiction and performance. Cambridge: Cambridge Scholars Publishing. Reynolds, J., & Zontou, Z. (2014). Addiction and performance. Cambridge: Cambridge Scholars Publishing.
go back to reference Saxton, J. (2013). Applied drama: A Facilitators handbook for working in community. Bristol: Intellect Books. Saxton, J. (2013). Applied drama: A Facilitators handbook for working in community. Bristol: Intellect Books.
go back to reference Smith, F. M., & Marshall, L. A. (2007). Barriers to effective drug addiction treatment for women involved in street-level prostitution: A qualitative investigation. Criminal Behaviour and Mental Health, 17(3), 163–170.PubMed Smith, F. M., & Marshall, L. A. (2007). Barriers to effective drug addiction treatment for women involved in street-level prostitution: A qualitative investigation. Criminal Behaviour and Mental Health, 17(3), 163–170.PubMed
go back to reference Smith, J., & Osborne, M. (2008). Interpretative Phenomenological Analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods (pp. 53–79). London: Sage Publications. Smith, J., & Osborne, M. (2008). Interpretative Phenomenological Analysis. In J. A. Smith (Ed.), Qualitative psychology: A practical guide to research methods (pp. 53–79). London: Sage Publications.
go back to reference Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London, United Kingdom: Sage Publications Ltd.. Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London, United Kingdom: Sage Publications Ltd..
go back to reference Stolzenburg, S., Tessmer, C., Corrigan, P. W., Böttge, M., Freitag, S., Schäfer, I., Freyberger, H. J., & Schomerus, G. (2018). Childhood trauma and self-stigma of alcohol dependence: Applying the progressive model of self-stigma. Stigma and Health, 3(4), 417–423. Stolzenburg, S., Tessmer, C., Corrigan, P. W., Böttge, M., Freitag, S., Schäfer, I., Freyberger, H. J., & Schomerus, G. (2018). Childhood trauma and self-stigma of alcohol dependence: Applying the progressive model of self-stigma. Stigma and Health, 3(4), 417–423.
go back to reference Testoni, I., Cecchini, C., Zulian, M., Guglielmin, M. S., Ronconi, L., Kirk, K., Berto, F., Guardigli, C., & Cruz, A. S. (2017). Psychodrama in therapeutic communities for drug addiction: A study of four cases investigated using idiographic change process analysis. The Arts in Psychotherapy. Testoni, I., Cecchini, C., Zulian, M., Guglielmin, M. S., Ronconi, L., Kirk, K., Berto, F., Guardigli, C., & Cruz, A. S. (2017). Psychodrama in therapeutic communities for drug addiction: A study of four cases investigated using idiographic change process analysis. The Arts in Psychotherapy.
go back to reference Torrissen, W., & Stickley, T. (2018). Participatory theatre and mental health recovery: A narrative inquiry. Perspectives in Public Health, 138(1), 47–54.PubMed Torrissen, W., & Stickley, T. (2018). Participatory theatre and mental health recovery: A narrative inquiry. Perspectives in Public Health, 138(1), 47–54.PubMed
go back to reference Wagman, J. A., Donta, B., Ritter, J., Naik, D., Nair, S., Saggurti, N., Raj, A., & Silverman, J. G. (2018). Husband’s alcohol use, intimate partner violence, and family maltreatment of low-income postpartum women in Mumbai, India. Journal of Interpersonal Violence, 33(14), 2241–2267.PubMed Wagman, J. A., Donta, B., Ritter, J., Naik, D., Nair, S., Saggurti, N., Raj, A., & Silverman, J. G. (2018). Husband’s alcohol use, intimate partner violence, and family maltreatment of low-income postpartum women in Mumbai, India. Journal of Interpersonal Violence, 33(14), 2241–2267.PubMed
go back to reference Western, B., & Simes, J. T. (2019). Drug use in the year after prison. Social Science & Medicine, 235, 112357. Western, B., & Simes, J. T. (2019). Drug use in the year after prison. Social Science & Medicine, 235, 112357.
go back to reference White, W. (2007). The new recovery advocacy movement in America. Addiction, 102, 696–703.PubMed White, W. (2007). The new recovery advocacy movement in America. Addiction, 102, 696–703.PubMed
go back to reference White, W., & Cloud, W. (2008). Recovery capital: A primer for addictions professionals. Counsellor, 9(5), 22–27. White, W., & Cloud, W. (2008). Recovery capital: A primer for addictions professionals. Counsellor, 9(5), 22–27.
go back to reference Zontou, Z. (2012). Applied theatre as an ‘alternative substance’: Reflections from an applied theatre project with people in recovery from alcohol and drug dependency. Journal of Applied Arts & Health, 2(3), 303–315. Zontou, Z. (2012). Applied theatre as an ‘alternative substance’: Reflections from an applied theatre project with people in recovery from alcohol and drug dependency. Journal of Applied Arts & Health, 2(3), 303–315.
Metadata
Title
“I’d Probably Be Dead Now”: Evaluating the Impact of Theatre Practitioners Working on a Recovery-Based Community Drama Project
Authors
Stephanie Kewley
Marie Claire Van Hout
Publication date
01-04-2022
Publisher
Springer US
Published in
International Journal of Mental Health and Addiction / Issue 2/2022
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI
https://doi.org/10.1007/s11469-020-00437-3

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