In this issue, Klingemann, Sobell & Sobell present a thought-provoking analysis of the evolution of selfchange
research in the addictions field. As established
experts on natural recovery, they offer much food for thought on current implications of this research and future research directions.
Their concern that, at this early point in our understanding of this phenomenon, we may be relying too much on controlled, quantitative investigations to the exclusion of qualitative and case studies is particularly noteworthy. Because we do not really know why people self-change, we need to partner with those who have experienced it to help us develop a grounded and testable
theoretical framework. As Orford has advocated
strongly,we can begin to take patients’ views and insights more s riously and ask them simply, ‘What were you thinking at the time you decided to change?’. > > > >
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