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April 3, 2026Humanities and Social Sciences Communications0 citationsOpen Access

The wounded healer paradox: perceived triggers of return to substance use and subsequent recovery among formal peer supporters

EEEty ElishaESEsthi Shachaf-Friedman

Key Points

  • This study aims to understand the relapse experiences of peer supporters in substance use treatment and the factors involved in their recovery processes.
  • Qualitative phenomenological approach utilized to gather personal narratives.
  • Participants include men and women with histories of substance use and criminal justice involvement.
  • Focus on perceived triggers of relapse and pathways back to recovery among peer professionals.
  • Disconnection from support systems like NA's 12-step program leads to increased relapse risk.
  • Romantic relationships and insufficient recovery commitment are significant relapse triggers.
  • Relapses are conceptualized as learning opportunities that enhance resilience and recovery commitment.

Abstract

Abstract The present study examined the experiences of relapses among professional peer supporters, known as wounded healers, in the field of substance use treatment. Despite extensive research on relapses, little attention has been given to peer professionals in recovery and how they face setbacks in their own recoveries. Using a qualitative phenomenological approach, this study examined the perceived factors trigger relapses and the pathways back to recovery as narrated by men and women with histories of substance use and criminal justice involvement who formally held formal peer support roles. Key findings reveal that disconnection from NA's 12-step program and others in recovery often initiated relapses, alongside early romantic relationships and insufficient recovery commitment. While empowering, the dual identity of peer professional also exposes unresolved personal issues, leading to the "savior-rescuer paradox". However, lessons from relapses enhance resilience and deepen recovery commitment. The findings highlight relapses as a learning process rather than failure, emphasizing the role of recovery capital in sustaining long-term recovery. Rooted in the convict therapy perspective, the study advances the understanding of relapse dynamics and offers insights into relapse prevention strategies and peer support in the field of substance use treatment.

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Cite This Study

Elisha et al. (2026) studied this question.

synapsesocial.com/papers/69cf5de95a333a821460c005https://doi.org/10.1057/s41599-026-07089-z
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