Abstract
M.A. (Clinical Social Work)
Substance abuse in South Africa remains a persistent problem in spite of efforts to address the issue. There has been a notable increase in individuals seeking rehabilitation treatment, and many of these individuals have experienced multiple relapses, suggesting that treatment is not perhaps as effective as it could be. The main aim of this study was to explore how the possible-selves concept could be utilised to motivate the behaviour of individuals with multiple substance abuse relapses towards sustainable recovery. The study was guided by four objectives the first one being to explore the possible-selves of individuals who have had multiple relapses. Secondly, to find out participants’ views of the usefulness of possible-selves to them as motivators of behavioural change. Thirdly, to investigate how possible-selves can be incorporated into substance abuse treatment strategies. Lastly, to make recommendations for further research and practice.
Different literature was gathered to justify the intensity of substance abuse problem globally, continentally, nationally and locally. Furthermore, literature was reviewed to justify the inefficiency of available treatment modalities as evident by high relapse rates in substance abuse treatment centres. The student then adopted the possible selves theory and emerging adulthood theory as the theoretical lenses for the study.
This was a qualitative study that made use of the possible me tree activity in conjunction with a semi structured interview. Eleven in-patient substance abusers with multiple substance abuse relapses at Magaliesburg Health Centre took part in the study. The findings of the study suggested that that multiple relapse substance abusers who fall within the life stage of emerging adulthoods have a number of possible selves that can be used to motivate them into making sustainable decisions to quit substance abuse. The study demonstrated that despite the many setbacks by relapses, the emerging adults were driven by high hopes and expectations of achieving a number of social and economic milestones, demonstrating an internalized desire for change. The study further suggested that upon discovering their possible selves, participants gained motivation and desire for long term recovery.
Based on the study findings, a number of recommendations were proffered and these include the adoption of the possible selves as a complimentary substance abuse treatment modality. Recommendations were also made in preference of the establishment of a knowledge sharing platform through which professionals in the sector can share ideas and refine the application of available modalities for the benefit of clients. It was also recommended that the government and other role players should work towards creating social and economic opportunities in which substance...