A Thematic Narrative Analysis Among Methadone Patients

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A Thematic Narrative Analysis Among Methadone Patients University of South Florida Scholar Commons Graduate Theses and Dissertations Graduate School March 2019 Communicating Health: A Thematic Narrative Analysis Among Methadone Patients B. Liahnna Stanley University of South Florida, [email protected] Follow this and additional works at: https://scholarcommons.usf.edu/etd Part of the Communication Commons Scholar Commons Citation Stanley, B. Liahnna, "Communicating Health: A Thematic Narrative Analysis Among Methadone Patients" (2019). Graduate Theses and Dissertations. https://scholarcommons.usf.edu/etd/7953 This Thesis is brought to you for free and open access by the Graduate School at Scholar Commons. It has been accepted for inclusion in Graduate Theses and Dissertations by an authorized administrator of Scholar Commons. For more information, please contact [email protected]. Communicating Health: A Thematic Narrative Analysis Among Methadone Patients by B. Liahnna Stanley A thesis submitted in partial fulfillment of the requirements for the degree of Master of Arts Department of Communication College of Arts and Sciences University of South Florida Major Professor: Ambar Basu, Ph.D. Lori Roscoe, Ph.D. Jane Jorgenson, Ph.D. Date of Approval: March 18, 2019 Keywords: substance use, addiction treatment, recovery, identity, narrative Copyright © 2019, B. Liahnna Stanley DEDICATION To those who share the pains of addiction. Let our tears, hurt, and struggles bring us together in our pursuit of recovery and survival for our friends, family, loved ones, others, and selves. ACKNOWLEDGMENTS I view this project as a co-creation. It has taken form in the kindness, generosity, love, and guidance of my friends, mentors, and family. Thanks to you, what once was only a seed of an idea—a mere strand of thoughts—has become a garland of the most vibrant blooms. For this project, I am indebted to my thesis committee members: Drs. Ambar Basu, Lori Roscoe, and Jane Jorgenson. To you three, I give my sincerest gratitude. Thank you all for letting me explore and play. For your time and energy invested in this project. For your thoughtful advice and comforting words. I am eternally grateful to have been guided by such a brilliant and influential group of scholars. I will carry your wisdom and encouragement wherever I am and wherever I go. It truly is an honor to have you all as contributors of this project. Thank you for your enthusiastic participation. I have said it before and I will say it again: Everyone needs an Ambar Basu in their life. Ambar, a heartfelt thank you for being a friend, a mentor, a teacher, a soundboard, a critic, a source of inspiration. Your commitment and dedication to my success as a scholar is monumental and will never be forgotten. You give me the strength and courageousness to always keep digging, always keep pushing. Through you I have realized there are no boundaries of our thinking and doing. Though you are both within and beyond this project, still I hope you hear the echoes of your research and work throughout the reading of this text. Thank you. Lori (hey kiddo!), let it be known that my heart sings when I think of you. You take caring and mentoring to a rare and beautiful level, one that I will cherish forever. Your thoughtfulness is a gift I will always treasure. I am so grateful for the confident spirit you have helped instill in me and have helped me realize—when I am in doubt, I hear you say, “Liahnna, stop selling yourself short.” With you I have gained not only some of the most insightful advice and guidance, but also a dear friend. Thank you. Jane, thank you for your wisdom, serenity, and calming influence during difficult times. I must, too, mention that through your class emerged my first paper about my primary topic of interest. In my eyes, you helped me fall in love with what I do every day. I am so attracted to the ways in which you play with ideas and invite me to do the same. Truthfully, I would be proud to be half the mentor and scholar that you are in the years to come. I am humbled that you agreed to be a part of this endeavor and by the several conversations we shared about the creation of this project. Thank you. I would be remiss not to mention my incredible friends and family members for encouraging my educational aspirations. You are all a part of this winding journey. In fact, you created it, let it be possible, and fostered my curiosity to keep learning about our worlds on which this project is founded. To Mom, Dad, Larissa, Riane, Raelyn, and Grandma, your words of endless wisdom and support drives me to keep doing what I am doing. I hope to make you proud. Thank you for believing in me when I needed it most, for without your support I would not have had the chance to write this note of gratitude. From the bottom of my heart, thank you. I love you all so much. Brooke, thank you for being so patient and sacrificial throughout this intense and demanding process. I cherish your love and affection more than anything else in this world. Words will never capture how grateful I am to have a partner who supports me the way you do. Thank you for your boundless love, encouragement, and patience. Thank you for the several sleepless nights filled with binge writing and reading sessions. You have been with me every single step of the way. Thank you for helping me pursue my dreams. I love you. To my USF Communication family, you are a pillar of my (our) success. Faculty and graduate students alike, thank you for being some of the brightest rays of sunshine in my every waking day. Your laughter, encouragement, and invigorating energies nourish my soul, our conversations a tonic for my life. To my graduate colleagues, I do not believe I could have accomplished what I have without your support. Thank you for letting me vent, play, love, share, and become—thank you for being in the thick of it alongside me, thank you for being a part of me. Thank you to Safe Exchange Tampa for letting me work with and learn from you. For without you, this project may not be. No word of gratitude can convey how thankful I am for the opportunities you have provided me. You all continue to inspire me and stimulate my drive and ambition in health scholarship. Finally, this project would not have been possible without you, Tilly, June, Leo, and Ozzy, and the several other participants that helped shape this project. From you all, I learned so much. Thank you for letting me feel and see into the window of your lives. I will make sure to do the best I can and continue honoring your stories and narratives throughout my work and life. TABLE OF CONTENTS Abstract .......................................................................................................................................... iii Chapter One: Introduction ...............................................................................................................1 Opioid Addiction: A Public Health Emergency ..................................................................2 Harm Reduction and Medication-Assisted Treatment .........................................................5 Chapter Two: Literature Review .....................................................................................................7 Methadone and Patient Experiences ....................................................................................7 Addiction Treatment, Stigma, and Identity ........................................................................11 Medication-Assisted Treatment and the Methadone Clinic ...............................................13 Narratives of Health and Recovery ....................................................................................17 Methadone as Structure: A Structure-Centered Approach (SCA) .....................................19 Chapter Three: Methods ................................................................................................................24 Data Collection ..................................................................................................................24 USF IRB Process ...............................................................................................................25 Research Site ......................................................................................................................25 Gaining Access ......................................................................................................27 Unstructured Interviews .....................................................................................................27 Recruitment for Participants ..............................................................................................30 Negotiating Recruitment Dilemmas: An Interlude ................................................31 Thematic Narrative Analysis .............................................................................................34 Data Analysis and Procedures ...........................................................................................37 Thoughts on Transcribing: An Interlude ................................................................40 Casing the Stories ..............................................................................................................42 Chapter Four: Case Study Results .................................................................................................44 Tilly – Navigating the Frays of Health and Recovery .......................................................44 June – “A Love-Hate Relationship”:
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