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Mindfulness-Oriented Recovery Enhancement for Alcohol Dependence: Therapeutic Mechanisms and Intervention Acceptability

Mindfulness-based interventions can decrease addictive behaviors while promoting nonreactivity to stressors. This study employed qualitative methods to enhance understanding of mindfulness-related treatment effects. Study participants were 18 alcohol-dependent adults residing in a therapeutic community who had participated in a mindfulness-oriented recovery enhancement (MORE) intervention. Interviews were conducted to elicit participant narratives. Responses to open-ended questions were analyzed using a grounded theory approach and the method of constant comparison. Narrative accounts suggested that MORE enhanced self-awareness while helping clients to cope more effectively with emotional distress and addictive impulses. MORE appears to be acceptable to participants and feasible to implement within a residential treatment setting. Mindfulness training could assist marginalized persons in recovering from addiction.