Self‑transcendence and identity transformation in recovery from substance use disorder

Summary

A spiritually oriented intervention focusing on self-transcendence and identity transformation was explored in a single-case study of a participant with substance use disorder (SUD). The intervention included structured spiritual practices like narrative reconstruction and contemplation, helping the individual shift from an addiction-centered identity to a more integrated spiritual self. This approach suggests that addressing identity through spirituality may be a crucial mechanism for change in SUD treatment.

Study at a glance

Abstract

Substance use disorder (SUD) is typically treated using biomedical and psychosocial approaches that focus on reducing symptoms, regulating neurobehavioral processes, and managing behavior. While these approaches are effective for many individuals, they may not fully address the deeper challenges associated with long-term substance use, such as existential distress, disruptions in identity, and a diminished sense of meaning. Drawing on a phenomenological hermeneutic perspective, this paper presents a single-case study of a spiritually oriented intervention that emphasizes self-transcendence and transformation of identity rather than solely focusing on symptom reduction. Through structured spiritual practices, including narrative reconstruction and contemplative techniques, the participant moved away from an identity centered on addiction and avoidance toward a more integrated spiritual self capable of engaging with everyday life. These findings suggest that reorganizing identity through spiritually grounded approaches may represent an important mechanism of change in the treatment of SUD.

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