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Uppsatsen syftar dels till att försöka nå en djupare kunskap om medberoende som begrepp men undersöker även hur medberoendet kan förstås samt förklaras från en medberoendes eget perspektiv. Vidare undersöks också på vilket sätt tolvstegsprogrammet kan förstås som en fungerande behandlingsmetod för medberoende, varför samtliga intervjupersoner aktivt deltar samt verkar i en tolvstegsgemenskap för anhöriga till missbrukare. Studiens resultat presenterar olika typer av uttryck samt symptom som verkar framträdande för medberoende och knyter även an dessa till dels varandra och dels till varför samt hur tolvstegsprogrammet kan verka förebyggande mot dessa. Slutligen diskuteras även hur medberoende samt tillfrisknandet i tolvstegsprogrammet kan förklaras med hjälp av anknytningsteorin samt en sociokulturell teori om ett relationellt själv. / This essay partly refers to trying to reach a deeper understanding of codependency as a construct but also examines how codependency can be understood and explained from a codependents own perspective. The essay also examines in what way the twelve step program can be perceived as an effective treatment method for codependency, why all the interviews were taken with people who are active participants in a twelve step program for family and friends of an addict. The study’s result represents different kind of expressions and symptoms that seems most significant for codependency and partly attach these to each other but partly also examines how and why the twelve step program can prevent these. Finally it’s also discussed how codependency and the recovery by participating in the twelve step program can be explained with the help from the attachment theory and a sociocultural theory about a relational self.

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”Spiritus contra spiritum” - En religionspsykologisk studie avomvändelseprocesser hos medlemmar i Anonyma Alkoholister(”Spiritus contra spiritum” - A religious psychological study on transformation processesamong members of Alcoholics Anonymous)The purpose of this study was to understand and illustrate the conversion processes forpeople who have attained sobriety through membership in Alcoholics Anonymous. My aimwas to ascertain how the interviewees constructed their life story regarding their path tosobriety. I sought to learn how "God" as a function, a central tenet of AlcoholicsAnonymous, served the interviewees in achieving and maintaining sobriety. Dan P.McAdams’s (1993) The stories we live by: personal myths and making of the self, providedthe theoretical tools. Steinar Kvale´s (1997) The qualitative research interview provided themethod. The conclusion was that membership in Alcoholics Anonymous allowed theinformants a sense of healing, conversion and reconciliation from their earlier alcohol abuse.Through this confident community the informants were provided with the narrative meansto improve their life story and truth by a renewed identity and spiritual awakening.Keywords:

Personalens erfarenheter av missbruk är centralt inom tolvstegsbehandling – en vanlig behandlingsform inom svensk missbruksvård. Syftet med föreliggande studie var att undersöka på vilket sätt personalens erfarenheter av ett eget alkohol- och/eller olika substansmissbruk påverkar deras förståelse för och förmåga att verka i rollen som behandlare. Studien har utformats och analyserats mot bakgrund av de teoretiska begreppen empati respektive rollteori. För att få en djupare förståelse inom det valda området genomfördes sju kvalitativa intervjuer med behandlare som har bakgrund av eget missbruk. Studien genomfördes på fyra olika behandlingshem med koppling till tolvstegsbehandling. Resultatet visar att erfarenheterna kan bidra med en djupare förståelse för klienten och underlätta alliansskapandet. Studien implicerar att det utmärkande med erfarenheter av eget missbruk är möjligheten att fungera som förebild för klienterna, då dessa behandlare kan visa att ett nyktert/drogfritt liv är möjligt och eftersträvansvärt. Distans och självreflekterande förmåga lyfts fram som viktiga aspekter i förhållande till de egna erfarenheterna. Diskussion förs kring förutsättningar för att erfarenheterna ska bidra till adekvat förståelse och bemötande av klienten. / In Sweden the twelve-step program is commonly used in treatment of persons with addiction. A central aspect of the program is the use of staff with own experiences of substance abuse. The aim of this study is to explore and examine the extent to which staffs’ previous experience of addiction influences their understanding and ability to manage their role as an addiction counselors. The study and data analysis was conducted on the basis of empathy and role theory. A qualitative approach was applied to the seven interviews that were conducted amongst addiction counselors; all of whom had own experiences of addiction. Interviews were carried out in four different treatment centers applying the twelve-step program. The results indicate that personal experiences can be of importance for a deepened understanding of clients situation and also in the establishing of alliance. Attributable to the counselors’ own experiences of addiction is an unique ability to function as models for the clients. Their story is proof that life without drugs/alcohol is both achievable and beneficial. In regard to these findings, experiences need to correspond with an ability of distancing and self-reflectiveness. Important aspects relating to counselors own experiences of substance abuse are discussed in regard to their ability to understand and intervene with the client.

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The purpose of this essay is to investigate what practical function religion or spirituality has for six members of Alcoholics Anonymous. Furthermore, the aim is to investigate and analyze the members' religious turning point and compare their views on religion and spirituality before and after sobriety. The methods used are qualitative semi-structured interviews where the collected material in the form of audio recordings will be transcribed to then carry out a narrative analysis on the transcribed material. The results show that religion or spirituality fulfills a practical function for all respondents and that their view of religion and spirituality has changed to a more positive approach. The respondents' turning point came in connection with the early steps in the twelve-step program where everyone created an individual religious or spiritual view.

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