{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:12:59Z","timestamp":1787019179795,"version":"build-2736575974"},"reference-count":39,"publisher":"SAGE Publications","issue":"5-6","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","award":["2021-01731"],"award-info":[{"award-number":["2021-01731"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Nordic Studies on Alcohol and Drugs"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The study examines how Swedish welfare professionals linguistically construct and legitimize support for concerned significant others (CSOs) of individuals with alcohol and other drug (AOD) problems. This is studied through the professionals\u2019 understandings of AOD problems and how power relations embedded in their language shape the CSO role.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Semi-structured interviews involving 10 AOD therapists and 10 family care consultants in Sweden were analyzed using Fairclough's critical discourse analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The findings reveal three key logics, in which the CSOs are understood. First, professionals position themselves as educators, aiming to make CSOs understand AOD problems \u201ccorrectly\u201d. Second, AOD problems are described as an evil force, making CSOs appear passive and reactive. Third, medical and resistance discourses dominate, portraying the AOD problem as an uncontrollable disease, legitimizing strategies such as boundary-setting and self-care. While use of these discourses is argued to reduce stigma and challenge traditional caregiving roles, it also pathologizes CSOs, reinforcing professional authority while limiting CSOs\u2019 perceived capacity for self-determined action and imposing an expectation of self-sufficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The study highlights how medicalization influences CSO support by describing caregiving as dysfunctional, which legitimizes professional intervention while limiting CSOs\u2019 agency. The findings highlight the need for an integrated approach balancing medical and resistance discourses with relational perspectives that emphasize social support.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14550725251388554","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T17:13:23Z","timestamp":1761758003000},"page":"388-402","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cMy Advice is to not let him in\u201d: How Support for Concerned Significant Others is Shaped by Professionals\u2019 Understandings of Alcohol and Other Drug Problems"],"prefix":"10.1177","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9443-2253","authenticated-orcid":false,"given":"Hans","family":"Fagerstr\u00f6m","sequence":"first","affiliation":[{"name":"Department of Social work, Stockholm University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9345-8667","authenticated-orcid":false,"given":"Skogens","family":"Lisa","sequence":"additional","affiliation":[{"name":"Department of Social work, Stockholm University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"von Greiff","family":"Ninive","sequence":"additional","affiliation":[{"name":"Department of Social work, Stockholm University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272431691111004"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12632"},{"key":"e_1_3_3_4_1","volume-title":"Codependent no more: How to stop controlling others and start caring for yourself","author":"Beattie M.","year":"1992","unstructured":"Beattie M. (1992). Codependent no more: How to stop controlling others and start caring for yourself. Hazelden Publishing."},{"key":"e_1_3_3_5_1","unstructured":"Bodin M. (2006). The Minnesota model treatment for substance dependence: program evaluation in a Swedish setting [Dissertation]. Karolinska Institutet."},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/10911359.2020.1832638"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.56021\/9780801885846"},{"key":"e_1_3_3_8_1","volume-title":"The forgotten carers: Support for adult family members affected by a relative\u2019s drug problems","author":"Copello A.","year":"2012","unstructured":"Copello A., Templeton L. (2012). The forgotten carers: Support for adult family members affected by a relative\u2019s drug problems. UK Drug Policy Commission. 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Social Education\/Socialinis Ugdymas, 14(25), Retrieved from https:\/\/search.ebscohost.com\/login.aspx?direct=true&db=sxi&AN=64144063&site=ehost-live&scope=site","journal-title":"Social Education\/Socialinis Ugdymas"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/14550725211044861"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/16066359.2022.2055000"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/1468794109348686"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0894439319893612"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781849208871"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1080\/1533256X.2020.1870287"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/19371918.2013.759005"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.3109\/09687637.2011.644599"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/09503153.2014.970157"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12355"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/dar.12318"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.70.5.1182"},{"key":"e_1_3_3_28_1","unstructured":"Ministry of Health and Social Affairs. 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