Codes | Preliminary themes | Final themes |
---|---|---|
Difficulty with strategy, e.g., meeting format, sharing, step working Double trouble (e.g., trauma and psychiatric co-morbidity) and the need for something more than or different from NA Perceived negative focus (e.g., powerlessness, defects of character, demands of honesty to show willingness) Everything is hinged on addiction NA presented as the only solution to addiction | Strategy doesn’t fit Explanatory model doesn’t fit | The model doesn’t fit |
Negative experiences with sponsor Anonymity breaches Conformity pressure Criticism is not welcomed Seasoned members not living as they “teach” Not able to live up to success criteria Relapse and negative emotions | Negative experiences in the social environment Perception of being a second-rate member | Negative experiences spurred frustration |
Natural course of disengagement Continued participation has no additional benefits Participation limits quality of life Ambivalence about breaking out | Life ought to be more than NA Perceptions of being “stuck” | The safe place can become a cage |