Aim: This exploratory study analyses the interplay between the treatment philosophies of Alcoholics Anonymous (AA) and Relapse Prevention (RP) in personal stories of addiction. While the basic ideas of AA and RP are compatible in many ways, they also carry some fundamental differences. Methods: The data consisted of interviews with 12 individuals recovering from substance use problems, who had experience of both AA and RP. The analysis drew on a dialogical narrative perspective, and the concept polyphony was used to shed light on the interplay between different treatment philosophies in personal stories of relapse. Findings: Although sometimes resulting in incoherence, the treatment philosophies were combined idiosyncratically, in ways that appeared productive for the participants’ self-images and recovery journeys. Conclusion: The combination of AA and RP philosophies in narratives of relapse and recovery may reflect a new treatment discourse where individualisation and responsibilisation stand in a complicated relationship with collectivism and surrendering to so-called addicting processes.

中文翻译：

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复调叙事：在有关康复和复吸的故事中将戒酒互助会和预防复吸相结合

目的：这项探索性研究分析了戒酒互诫协会 (AA) 的治疗理念和复发预防 (RP) 在个人成瘾故事中的相互作用。虽然 AA 和 RP 的基本思想在很多方面是兼容的，但它们也存在一些根本差异。方法：数据包括对 12 名从药物使用问题中恢复过来的人的访谈，他们都有 AA 和 RP 的经验。该分析采用对话叙事视角，并使用复调概念来阐明不同治疗理念在个人复发故事中的相互作用。研究结果：虽然有时会导致不一致，但治疗理念以独特的方式结合在一起，对参与者的自我形象和康复之旅似乎富有成效。结论：AA 和 RP 哲学在复发和康复叙述中的结合可能反映了一种新的治疗话语，其中个体化和责任化与集体主义和屈服于所谓的成瘾过程有着复杂的关系。