Self‑transcendence and identity transformation in recovery from substance use disorder

A single‑case report of a spiritual experience

Abstract

Substance use disorder (SUD) is typically treated using biomedical and psychosocial approaches that focus on reducing symptoms, regulating neurobehavioral processes, and managing behavior. While these approaches are effective for many individuals, they may not fully address the deeper challenges associated with long-term substance use, such as existential distress, disruptions in identity, and a diminished sense of meaning. Drawing on a phenomenological hermeneutic perspective, this paper presents a single-case study of a spiritually oriented intervention that emphasizes self-transcendence and transformation of identity rather than solely focusing on symptom reduction. Through structured spiritual practices, including narrative reconstruction and contemplative techniques, the participant moved away from an identity centered on addiction and avoidance toward a more integrated spiritual self capable of engaging with everyday life. These findings suggest that reorganizing identity through spiritually grounded approaches may represent an important mechanism of change in the treatment of SUD.