Scholars' Repository

Role of Shame in Substance Use Treatment in Rural Appalachia

Assadnia, Rebecca Role of Shame in Substance Use Treatment in Rural Appalachia. 2021. Radford University, Dissertation. Radford University Scholars' Repository.

Available under License Creative Commons Attribution No Derivatives.

Download (674kB)


Although substance use issues and disorders have been receiving more attention, most of the research and policy discussions focus on more populated areas. This oversight has left rural areas, such as the majority of Appalachia, unexamined. Appalachia is a unique region due to the large expanse of rural land, substance use concerns, socioeconomic factors, and cultural aspects. Whereas the link between shame and substance use is known, there is no mental health provider’s view of the role shame plays in the substance use of those living in Appalachia, particularly with the cultural aspects of the area in mind. Much of the research conducted to date is quantitative and survey research, providing little awareness of the environment in which the people of Appalachia reside. A qualitative approach more fully documents the experiences of individuals, aiding in the development of treatment interventions that better meet the needs of those living in rural communities. Given the small number of providers available in Appalachia, the few training opportunities for working in these rural areas, and the unique cultural aspects of the region, it is imperative for mental health providers to have interventions and treatment options tailored to fit this client population. This study begins to fill the void of research related to substance misuse and shame in Appalachia. Utilizing the viewpoint of mental health providers, the current study examined how the negative aspects of shame can contribute to substance use disorder.

Item Type: Dissertation
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Radford University > College of Humanities and Behavioral Sciences > Department of Psychology
Date Deposited: 28 Jun 2022 16:12
Last Modified: 21 Nov 2023 17:13

Administrative Actions

View Item View Item