Influence of the social network on consumption in drug addicts exhibiting psychiatric comorbidity
UFR de Psychologie, université de Nantes, chemin de la Censive-du-Tertre, BP 81227, 44312 Nantes cedex 3, France.L Encéphale (Impact Factor: 0.7). 09/2011; 37(4):249-56. DOI: 10.1016/j.encep.2010.08.005
This research used a qualitative methodology and was conducted on a sample of 22 participants with concomitant substance-related and mental health disorders. Today, dual diagnosis patients represent the standard rather than the exception. Our objectives were to consider the elements and processes of the social network to explain variations in consumption of alcohol and drugs. The social network refers to all bonds established by patients, mainly family, couple, friends and therapist relationships. The 22 patients have used a specialized addiction treatment in Montreal (Canada). A focused qualitative interview was conducted with each participant using an audionumeric recording. The analysis follows the method of the mixed approach of Miles and Huberman, which combines the objectives of the grounded theory and the ethnography. All the interviews were transcribed then coded and analyzed with QSR N' Vivo 2.0. The method uses an iterative process making a constant return between verbatim and codes. The qualitative analyses present patients' perceptions on the increases and reductions in alcohol and drug consumption. Family network refers to participants where the family is named as supporting a decrease in drug consumption: couple network refers to intimate relations supporting a decrease in consumption. Mutual help network refers to alcoholics anonymous (AA) or other self-help groups. Several verbatim have been included. We propose strategies for the substance abuse treatment centers based on: (1) the paradox influence of the social network and the importance of clinical evaluation of patients of social networks; (2) emotions management, especially negative feelings, which include training of feeling, recognizing and naming, ability to the express and communicate to others; (3) importance of groups of mutual aid providing periods of sharing, validating individual experiences and pushing away loneliness; (4) function of social support of the clinical professionals as substitute of an overdrawn network.
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ABSTRACT: "Dual diagnosis"is usually understood as the co-occurrence of mental illness and addiction to psychoactive substances. In the last two decades can be seen an increased interest of researchers and practitioners in theoretical aspects of dual diagnosis, their means of diagnosis and planning treatment programs. Establishing a medical diagnosis may be questioned whether psychopathological symptoms are due to psychoactive substance use or are caused by mental illness. Difficulty in recognizing the problem of dual diagnosis may be questioned whether psychopathological symptoms are due to psychoactive substance use or are caused by mental illness. Mental disorders coexisting with substance use are: schizophrenia, delusional disorder, bipolar one and disorder, anxiety disorders, personality disorders. The consumption of alcohol can cause a recurrence of mental illness and contribute to the need for rehospitalization. It is important to take the history of a patient who are suspected of co-occurrence of mental illness and addiction to psychoactive substances.Polski merkuriusz lekarski: organ Polskiego Towarzystwa Lekarskiego 05/2013; 34(203):298-301.
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