“Thank you God”: Religion and recovery from dual diagnosis among low-income African Americans
Bibliographic record
Abstract
People with lived experience of dual diagnosis face specific challenges in that they have struggled with both severe mental illness and substance use disorder simultaneously. I conducted a 6-year ethnographic study with poor African Americans with lived experience of dual diagnosis in Washington, DC, to assess barriers and facilitators to recovery. In this paper, I analyze the relationship between religion and recovery. I set out to answer two research questions: (a) What is the self-identified role of religious commitment and activity in participants' recovery from dual diagnosis? (b) What (if any) religious activities, notions, and resources are positively harnessed to enhance recovery? I found high levels of Christian religiosity among participants. Participants perceived their ongoing recovery as a process reliant upon (a) an intimate and personal relationship with God, and (b) engagement in certain core private religious activities, most notably prayer, reading of scripture, and listening to religiously inspired radio, television, or music. Participants' religiosity was underpinned by a Pauline theology of transformation and reconciliation. Psychiatric services serving an African American clientele with lived experience of dual diagnosis may increase effectiveness by better harnessing client religiosity to assist recovery.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".