Article

The psychosocial experience of role reversal for paraprofessionals providing substance misuse and offender treatment: an interpretative phenomenological analysis

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Abstract

Purpose – Many ex-offenders and substance misusers are employed in the treatment and intervention of offenders. The purpose of this paper is to investigate this role as a protective factor in the maintenance of desistance. Design/methodology/approach – Seven paraprofessional employees of a substance misuse service were interviewed using semi-structured interview and analysed by Interpretative Phenomenological Analysis. Findings – Four super-ordinate themes emerged: “The Fragile Sense of Self”; “Hitting Rock Bottom”; “Belonging and identity” and “Maintaining the role reversal”. These themes captured the journey of moving through crime and substance misuse into desistance and employment. Research limitations/implications – The sample size is small; therefore generalisation is reduced. Using Interpretative Phenomenological Analysis (IPA) could be considered subjective. Further research should attempt to explore similar ideas with different populations and using different methods. Practical implications – This work suggests that practitioners and policy makers should look at the vital importance of paraprofessional employment in relation to desistance from crime. Social implications – Offenders and substance misusers are often left without direction or a fixed new identity, and return to the only life they have known. This study suggests that paraprofessional employment might provide a sense of belonging and identity that could benefit the ex-offender, their clients and society. Originality/value – This is an opportunity to advance knowledge in the area of paraprofessional employment as an aid to “recovery” and lifelong desistance.

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... For four papers (Adams & Lincoln, 2020;Harrod, 2019;Nixon, 2020;Reingle Gonzalez et al., 2019), ML and GEN disagreed in their initial assessment of how elaborate the selection of participants was described. For the description of experiential peers in the study, there were four qualitative papers (James & Harvey, 2015;Lopez-Humphreys & Teater, 2019;Portillo et al., 2017;Reingle Gonzalez et al., 2019) for which ML and GEN disagreed in their initial assessment, with ML rating the description as lower than GEN in three papers. For the aspect of data collection and recording, they disagreed in their assessment of three papers (Kavanagh & Borrill, 2013;Marlow et al., 2015;Schinkel & Whyte, 2012). ...
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Although support by experiential peers for individuals with criminal behaviour is increasing, an empirical basis for its effectiveness is lacking. The purpose of this review was to investigate outcomes, mechanisms, and contextual factors of individual support by experiential peers for individuals who display criminal behaviour. We conducted a systematic realist literature review to test and refine our initial programme theory, which included seven mechanisms that may play a role in the desistance-supportive outcomes of experiential peer support. We screened 6,530 scientific papers and eventually included 25 articles focusing on asymmetrical one-on-one support for and by individuals with criminal behaviour. The findings suggest that experiential peers show empathy and have a non-judgmental approach, are considered role models, establish a trusting relationship with clients, offer hope, connect clients to other services, and have a recovery perspective on desistance. We found results indicative of act-desistance, positive personal development and improvements in mental health and personal circumstances, although study results were not consistent. The information on contextual factors was too limited for a robust analysis. Future research should not only focus on objective measures (e.g. absence of criminal behaviour), but also on subjective measures (e.g. hope, self-esteem) and investigate long-term effects.
... Decades of research in role reversal spans several domains in psychology (Apter, 2003;James & Harvey, 2015), theater (Craig, 2003), critical incident management (Corrine, Adams & Cook, 2003), leadership (Crozier, 2003), stress at work (Doyle & Carter, 2003) and learning disability (Walsh, 2003). In the area of learning and development, Apter (2003) argues that reversal is an empirically supported, third component of change. ...
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A new treatment for maladaptive approach behavior (“covert sensitization”) is described. The term “covert” is used because neither the undesirable stimulus nor the aversive stimulus is actually presented. These stimuli are presented in imagination only. The word “sensitization” is used because the purpose of the procedure is to build up an avoidance response to the undesirable stimulus. A description and rationale for covert sensitization is presented. Treatment of alcoholism, obesity, homosexuality, and delinquent behavior by covert sensitization is also described.
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Clients at two different treatment facilities were asked at assessment how influential each of 10 possible reasons were in their decision to change their alcohol or drug use. Clients at both facilities most often endorsed "weighing the pros and cons of drinking or drug use" and a "warning from spouse." Client's reasons for seeking treatment were also examined in relation to treatment compliance. Three reasons--"weighing the pros and cons," "hitting rock bottom," and experiencing a "major lifestyle change"--were predictive of treatment compliance. Clients who rated any of these reasons as influential were more likely to enter and complete treatment. Although more research is needed, knowledge of clients' reasons for seeking treatment might be useful in treatment matching.
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Aversion therapy has been used for many years in the treatment of alcoholism (3). Apomorphine and emetine are the usual drugs used as the unconditioned stimuli for nausea and vomiting, with alcohol as the conditioned stimulus. More recently the same procedure has been used in the treatment of sexual perversions—for example, fetishism (12), transvestism (1, 5) and homosexuality (11, 7).
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In this review, I examine the social psychological research on ostracism, social exclusion, and rejection. Being ignored, excluded, and/or rejected signals a threat for which reflexive detection in the form of pain and distress is adaptive for survival. Brief ostracism episodes result in sadness and anger and threaten fundamental needs. Individuals then act to fortify or replenish their thwarted need or needs. Behavioral consequences appear to be split into two general categories: attempts to fortify relational needs (belonging, self-esteem, shared understanding, and trust), which lead generally to prosocial thoughts and behaviors, or attempts to fortify efficacy/existence needs of control and recognition that may be dealt with most efficiently through antisocial thoughts and behaviors. Available research on chronic exposure to ostracism appears to deplete coping resources, resulting in depression and helplessness.
Making Good: How Ex-Convicts Reform and Rebuild Their Lives
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Aspects of causality, culture, and crime”, paper presented at the Fourth International Centre of Sociology, Penal and Penitentiary Research and Studies
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Juvenile Delinquents Grown Up
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Probing the Links between Drugs and Crime
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The sociology of emotion as a way of seeing
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