| 书目名称 | Psychology of Substance Abuse | | 副标题 | Psychotherapy, Clini | | 编辑 | André Luiz Monezi Andrade,Denise De Micheli,Richar | | 视频video | | | 概述 | Presents a comprehensive overview of the different services involved with the prevention, diagnosis and treatment of substance use disorders from a psychological perspective.Shows how substance use di | | 图书封面 |  | | 描述 | .This book is a guide for psychologists working with substance users in different healthcare settings, from private clinical practice to larger health institutions and community services. It presents a comprehensive overview of the different aspects involved with substance use disorders from a psychological perspective, from prevention to recovery. The volume offers an integrative view about neurobiological, behavioral and psychosocial aspects related to becoming a substance user; shows how psychological assessment tools can be used to diagnose substance use disorders; describes how different kinds of psychotherapy can be applied in the treatment of substance use disorders; and presents a range of evidence-based clinical and social interventions designed for both prevention and treatment of substance use disorders. ..Apart from covering the whole range of services related to the prevention, diagnosis and treatment of substance use disorders, the volume also shows how these issues can be approached from different theoretical perspectives within psychology, such as: ..Behavioral and Cognitive Psychology.Neuropsychology..Existential Psychology..Phenomenology..Psychoanalysis.Analytica | | 出版日期 | Book 2021 | | 关键词 | Substance Abuse Disorder; Substance Use Disorder; Psychological Interventions; Psychological Treatment; | | 版次 | 1 | | doi | https://doi.org/10.1007/978-3-030-62106-3 | | isbn_softcover | 978-3-030-62108-7 | | isbn_ebook | 978-3-030-62106-3 | | copyright | The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerl |
| 1 |
Psychopharmacology of Drugs of Abuse |
Flávia Zacouteguy Boos,Núbia Broetto,Roberta Bristot Silvestrin |
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Abstract
Drugs of abuse are exogenous substances that alter human behavior due to different patterns of interaction with molecules present in the central nervous system, mainly in the brain. Depending on the neurotransmission system targeted by each drug, the consequence on global brain activity can be stimulating, depressing, or disturbing. Stimulants, which include cocaine and amphetamines, increase the action of neurotransmitters, such as dopamine and noradrenaline, stimulating alertness and causing psychomotor agitation. Depressants include ethanol and benzodiazepines, which are known as “tranquilizers” and widely used as sleep inducers. These drugs increase the action of the main inhibitory neurotransmitter, GABA, and lead to progressive effects, ranging from disinhibition to coma, depending on the drug and dose. The third class, comprised by the hallucinogens or psychedelics, consists of a group of substances that act on serotonergic neurotransmission – such as LSD and MDMA – or other neurotransmission systems – such as cannabinoids, the active components in marijuana. The main effects of this third group comprises changes in perception. It is known that many drugs of abuse stimulate the action of dopamine in the reward system, a set of brain structures whose activity influences the prefrontal cortex, modulating critical judgment and decision-making. There is a wide variety of drugs of abuse, and new substances emerge every year. Thus, this chapter provides general information on the pharmacological profile of some of the most frequently used drugs in Brazil.
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| 2 |
Psychopharmacology of Drugs of Abuse |
Flávia Zacouteguy Boos,Núbia Broetto,Roberta Bristot Silvestrin |
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Abstract
Drugs of abuse are exogenous substances that alter human behavior due to different patterns of interaction with molecules present in the central nervous system, mainly in the brain. Depending on the neurotransmission system targeted by each drug, the consequence on global brain activity can be stimulating, depressing, or disturbing. Stimulants, which include cocaine and amphetamines, increase the action of neurotransmitters, such as dopamine and noradrenaline, stimulating alertness and causing psychomotor agitation. Depressants include ethanol and benzodiazepines, which are known as “tranquilizers” and widely used as sleep inducers. These drugs increase the action of the main inhibitory neurotransmitter, GABA, and lead to progressive effects, ranging from disinhibition to coma, depending on the drug and dose. The third class, comprised by the hallucinogens or psychedelics, consists of a group of substances that act on serotonergic neurotransmission – such as LSD and MDMA – or other neurotransmission systems – such as cannabinoids, the active components in marijuana. The main effects of this third group comprises changes in perception. It is known that many drugs of abuse stimulate the action of dopamine in the reward system, a set of brain structures whose activity influences the prefrontal cortex, modulating critical judgment and decision-making. There is a wide variety of drugs of abuse, and new substances emerge every year. Thus, this chapter provides general information on the pharmacological profile of some of the most frequently used drugs in Brazil.
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| 3 |
Substance Use Disorders and Psychiatric Comorbidity |
Felipe Ornell,Silvia Halpern,Lisia von Diemen |
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Abstract
Comorbidity is defined as the concomitant presence of two or more diagnoses (disorders or diseases) in the same person. The presence of psychiatric comorbidities in patients with substance use disorders (SUDs) has been widely documented, and this association is related to the worsening of symptoms of both conditions, as well as poor treatment retention and an uncertain prognosis. The diagnostic and treatment processes of these cases are complex and challenging, especially due to the heterogeneity of clinical presentation. The complexity of symptoms brings difficulties to differentiate what is triggered by substance abuse or resulting of comorbid mental conditions. Moreover, many clinicians are not familiar with or trained to perform the differential diagnosis, an essential element in defining therapeutic planning. Furthermore, it should be noted that, historically, treatment services for addiction and mental health have been not well structured, which implies in partial and fragmented approaches which can lead to ineffective or unavailable treatments. This chapter presents a review on the main comorbidity diagnoses with SUD, considering their epidemiology, causal hypotheses, as well guidelines for differential diagnosis and treatment.
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| 4 |
Substance Use Disorders and Psychiatric Comorbidity |
Felipe Ornell,Silvia Halpern,Lisia von Diemen |
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Abstract
Comorbidity is defined as the concomitant presence of two or more diagnoses (disorders or diseases) in the same person. The presence of psychiatric comorbidities in patients with substance use disorders (SUDs) has been widely documented, and this association is related to the worsening of symptoms of both conditions, as well as poor treatment retention and an uncertain prognosis. The diagnostic and treatment processes of these cases are complex and challenging, especially due to the heterogeneity of clinical presentation. The complexity of symptoms brings difficulties to differentiate what is triggered by substance abuse or resulting of comorbid mental conditions. Moreover, many clinicians are not familiar with or trained to perform the differential diagnosis, an essential element in defining therapeutic planning. Furthermore, it should be noted that, historically, treatment services for addiction and mental health have been not well structured, which implies in partial and fragmented approaches which can lead to ineffective or unavailable treatments. This chapter presents a review on the main comorbidity diagnoses with SUD, considering their epidemiology, causal hypotheses, as well guidelines for differential diagnosis and treatment.
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| 5 |
New Forms of Addiction: Digital Media |
Richard Alecsander Reichert,Gabriella Di Girolamo Martins,Andressa Melina Becker da Silva,Adriana Scatena,Beatriz Cortese Barbugli,Denise De Micheli,André Luiz Monezi Andrade |
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Abstract
Behavioral addictions are defined by the recurrence of behaviors that generate states of pleasure and provide relief from unpleasant sensations. These repetitive behaviors are associated with personal, family, academic, professional, and social harm and a clinically significant condition of suffering. Faced with the current context of technological advances, there is a need to understand a new configuration of addiction, of digital media. According to the scientific literature, the excessive use of these media is associated with structural and functional impairment of regions responsible for processing emotions and rewards, motivation, memory, cognitive control, and inhibition of behavior. Also, there is already a relationship between dependency on digital media and biopsychosocial factors such as stress, anxiety, depression, impulsiveness, attention deficit, and hyperactivity and other psychiatric comorbidities. Therefore, for the planning of appropriate clinical and psychosocial interventions, it is important to identify the function of these behaviors and to manage the contingencies responsible for their recurrence. Therefore, this chapter aims to discuss the etiology and neuropsychological and behavioral aspects of addiction on digital media, as well as to point possible directions for effective prevention and treatment interventions.
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| 6 |
New Forms of Addiction: Digital Media |
Richard Alecsander Reichert,Gabriella Di Girolamo Martins,Andressa Melina Becker da Silva,Adriana Scatena,Beatriz Cortese Barbugli,Denise De Micheli,André Luiz Monezi Andrade |
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Abstract
Behavioral addictions are defined by the recurrence of behaviors that generate states of pleasure and provide relief from unpleasant sensations. These repetitive behaviors are associated with personal, family, academic, professional, and social harm and a clinically significant condition of suffering. Faced with the current context of technological advances, there is a need to understand a new configuration of addiction, of digital media. According to the scientific literature, the excessive use of these media is associated with structural and functional impairment of regions responsible for processing emotions and rewards, motivation, memory, cognitive control, and inhibition of behavior. Also, there is already a relationship between dependency on digital media and biopsychosocial factors such as stress, anxiety, depression, impulsiveness, attention deficit, and hyperactivity and other psychiatric comorbidities. Therefore, for the planning of appropriate clinical and psychosocial interventions, it is important to identify the function of these behaviors and to manage the contingencies responsible for their recurrence. Therefore, this chapter aims to discuss the etiology and neuropsychological and behavioral aspects of addiction on digital media, as well as to point possible directions for effective prevention and treatment interventions.
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| 7 |
Possibilities and Limits in Psychological Assessment of Individuals with Substance Use Disorders |
Ingrid Michélle de Souza Santos,Monilly Ramos Araujo Melo |
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Abstract
The consumption and use of psychoactive substances (PS) is a phenomenon present in most cultures and civilizations. The complexity of this phenomenon requires various readings, which is why there is no self-sufficient approach so far. Thus, this chapter discusses the conduct of psychological assessment (PA) in individuals with substance use disorders (SUDs). PA is a scientific technical process used to understand the mental functioning of people or groups in order to assist in decision-making, differential diagnosis, prognosis, and the choice of effective interventions for treatment. Thus, PA can provide interesting and beneficial reading for this target audience. The objective of this chapter is to present the reader with the possibilities and limits of PA. Fundamental concepts related to drug use, diagnostic criteria for the establishment of SUD, and various factors associated with the harmful use of psychoactive substances will be discussed throughout this chapter. Finally, the PA process is presented in this audience and ends with some problematizations about PA as a theoretical and practical field in Brazil.
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| 8 |
Possibilities and Limits in Psychological Assessment of Individuals with Substance Use Disorders |
Ingrid Michélle de Souza Santos,Monilly Ramos Araujo Melo |
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Abstract
The consumption and use of psychoactive substances (PS) is a phenomenon present in most cultures and civilizations. The complexity of this phenomenon requires various readings, which is why there is no self-sufficient approach so far. Thus, this chapter discusses the conduct of psychological assessment (PA) in individuals with substance use disorders (SUDs). PA is a scientific technical process used to understand the mental functioning of people or groups in order to assist in decision-making, differential diagnosis, prognosis, and the choice of effective interventions for treatment. Thus, PA can provide interesting and beneficial reading for this target audience. The objective of this chapter is to present the reader with the possibilities and limits of PA. Fundamental concepts related to drug use, diagnostic criteria for the establishment of SUD, and various factors associated with the harmful use of psychoactive substances will be discussed throughout this chapter. Finally, the PA process is presented in this audience and ends with some problematizations about PA as a theoretical and practical field in Brazil.
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| 9 |
Neuropsychological Assessment in Users of Psychotropic Substances |
Adriana Mokwa Zanini,Felipe Ornell,Clarissa Marceli Trentini |
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Abstract
Cognitive damage tends to hinder the rehabilitation process of patients who use psychotropic substances, with or without neurological comorbidities, such as stroke or traumatic brain injury. These losses may affect patients’ ability to adhere to treatment and rehabilitation. Given the importance of these aspects in the construction of an integral therapeutic process, this chapter focused on neuropsychological assessment, highlighting it as a broad and potentially therapeutic process, crossed by welcoming and reflecting on clinical perspectives and limitations. In order to be effective, it is necessary to exercise nonjudgment and the construction of the bond. It is necessary to evaluate and promote the motivation of patients, so motivational strategies and psychoeducation may be valid. Understanding the role of the family in promoting change is also important. Data should be collected through various sources, such as ecological tasks, interviews, contacts with other professionals, document analysis, and tests. Verbal and written returns should integrate patients’ preserved and deficient aspects to guide the treatment plan, and the indication of places for follow-up can facilitate adherence. The neurobiological process involving the reward system was described, and particularities in terms of the evaluation of these patients were discussed, such as the possible indication of toxicological tests and the repercussion of the substances on mental functions. Some neuropsychological tests and implications of cognitive reassessments were presented and contextualized. In addition, the interdisciplinary character of neuropsychology was discussed, pointing out that each professional should be updated regarding the current legislation of professional councils at the time of the evaluation process.
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| 10 |
Neuropsychological Assessment in Users of Psychotropic Substances |
Adriana Mokwa Zanini,Felipe Ornell,Clarissa Marceli Trentini |
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Abstract
Cognitive damage tends to hinder the rehabilitation process of patients who use psychotropic substances, with or without neurological comorbidities, such as stroke or traumatic brain injury. These losses may affect patients’ ability to adhere to treatment and rehabilitation. Given the importance of these aspects in the construction of an integral therapeutic process, this chapter focused on neuropsychological assessment, highlighting it as a broad and potentially therapeutic process, crossed by welcoming and reflecting on clinical perspectives and limitations. In order to be effective, it is necessary to exercise nonjudgment and the construction of the bond. It is necessary to evaluate and promote the motivation of patients, so motivational strategies and psychoeducation may be valid. Understanding the role of the family in promoting change is also important. Data should be collected through various sources, such as ecological tasks, interviews, contacts with other professionals, document analysis, and tests. Verbal and written returns should integrate patients’ preserved and deficient aspects to guide the treatment plan, and the indication of places for follow-up can facilitate adherence. The neurobiological process involving the reward system was described, and particularities in terms of the evaluation of these patients were discussed, such as the possible indication of toxicological tests and the repercussion of the substances on mental functions. Some neuropsychological tests and implications of cognitive reassessments were presented and contextualized. In addition, the interdisciplinary character of neuropsychology was discussed, pointing out that each professional should be updated regarding the current legislation of professional councils at the time of the evaluation process.
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| 11 |
Drug Screening Instruments for Substance Abuse (ASI, ASSIST, AUDIT, DUSI) |
Richard Alecsander Reichert,Fernanda Machado Lopes,Adriana Scatena,Denise De Micheli,André Luiz Monezi Andrade |
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Abstract
A proportion of people who use psychotropic substances can develop patterns of substance abuse that can create and intensify social and health damage. This is a complex problem influenced by several factors, which requires a multidimensional assessment to comprehend the variables involved and plan assertive and effective intervention strategies. In order to assist the evaluation process and contribute to the treatment of these disorders, psychometric instruments such as scales and tests were developed for their detection and survey of complementary information to the interviews. This chapter aims to present and describe the structure and main characteristics of the . (ASI); the .ASSIST); the .AUDIT); and the .DUSI) – instruments that are adapted, developed, or validated for the Brazilian population to be used in the process of screening and diagnosis of substance use.
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| 12 |
Drug Screening Instruments for Substance Abuse (ASI, ASSIST, AUDIT, DUSI) |
Richard Alecsander Reichert,Fernanda Machado Lopes,Adriana Scatena,Denise De Micheli,André Luiz Monezi Andrade |
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Abstract
A proportion of people who use psychotropic substances can develop patterns of substance abuse that can create and intensify social and health damage. This is a complex problem influenced by several factors, which requires a multidimensional assessment to comprehend the variables involved and plan assertive and effective intervention strategies. In order to assist the evaluation process and contribute to the treatment of these disorders, psychometric instruments such as scales and tests were developed for their detection and survey of complementary information to the interviews. This chapter aims to present and describe the structure and main characteristics of the . (ASI); the .ASSIST); the .AUDIT); and the .DUSI) – instruments that are adapted, developed, or validated for the Brazilian population to be used in the process of screening and diagnosis of substance use.
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| 13 |
Substance Use Disorders From an Analytical-Behavioral Perspective |
Alan Souza Aranha,Claudia Kami Bastos Oshiro,Elliot Wallace |
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Abstract
Behavior analysis is a well-known approach within the field of psychology that proposes behavior as the object of study, as opposed to other approaches which focus on the mind, cognitive processes, or the unconscious. Behavior is defined as the interaction between the organism’s manifestations (responses) and the changes in the environment that affect the organism’s response (stimuli). This is historically determined through three levels of selection: phylogenesis, ontogenesis, and culture. Psychopathologies can also be interpreted as behaviors, since they are manifestations of the organism’s interaction with the environment. However, they are differentiated by the harm caused to the subject and/or to the social environment in which he/she is inserted. The purpose of this chapter is to present the analytical-behavioral model for understanding human psychological phenomena, including the specific psychopathology of substance use disorders.
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| 14 |
Substance Use Disorders From an Analytical-Behavioral Perspective |
Alan Souza Aranha,Claudia Kami Bastos Oshiro,Elliot Wallace |
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Abstract
Behavior analysis is a well-known approach within the field of psychology that proposes behavior as the object of study, as opposed to other approaches which focus on the mind, cognitive processes, or the unconscious. Behavior is defined as the interaction between the organism’s manifestations (responses) and the changes in the environment that affect the organism’s response (stimuli). This is historically determined through three levels of selection: phylogenesis, ontogenesis, and culture. Psychopathologies can also be interpreted as behaviors, since they are manifestations of the organism’s interaction with the environment. However, they are differentiated by the harm caused to the subject and/or to the social environment in which he/she is inserted. The purpose of this chapter is to present the analytical-behavioral model for understanding human psychological phenomena, including the specific psychopathology of substance use disorders.
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| 15 |
Hermeneutic Phenomenology of Alcohol Use and Dependence and Other Drugs |
Marcelo Sodelli |
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Abstract
This chapter seeks to explain the contributions of the Hermeneutic Phenomenology developed by the philosopher Martin Heidegger to broaden the understanding of the phenomenon of drug use in the contemporary world. Central elements of the first phase of his thought, known as the fundamental ontology, elaborated fundamentally in the work ., will be highlighted. The contributions of the second phase of his thought, called the history of the truth of Being, will also be discussed, although briefly. In synthesis, it can be said that the Hermeneutic Phenomenology inaugurates a new field of knowledge for the experience of being of Man. Experience based on existence; existence based on care; ontological care determined by temporality. From the phenomenological indications, it becomes fundamental to review and reinterpret the relationship of the human being with drugs. The use of drugs is originally related to the existential vulnerability of the human being, something impossible to be modified. Thus, instead of thinking of a prohibitionist treadmill, based exclusively on the objective of promoting abstinence, it is fundamental to think of a treadmill of care and reduction of vulnerability, always congruent with human rights and the posture of harm reduction.
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| 16 |
Hermeneutic Phenomenology of Alcohol Use and Dependence and Other Drugs |
Marcelo Sodelli |
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Abstract
This chapter seeks to explain the contributions of the Hermeneutic Phenomenology developed by the philosopher Martin Heidegger to broaden the understanding of the phenomenon of drug use in the contemporary world. Central elements of the first phase of his thought, known as the fundamental ontology, elaborated fundamentally in the work ., will be highlighted. The contributions of the second phase of his thought, called the history of the truth of Being, will also be discussed, although briefly. In synthesis, it can be said that the Hermeneutic Phenomenology inaugurates a new field of knowledge for the experience of being of Man. Experience based on existence; existence based on care; ontological care determined by temporality. From the phenomenological indications, it becomes fundamental to review and reinterpret the relationship of the human being with drugs. The use of drugs is originally related to the existential vulnerability of the human being, something impossible to be modified. Thus, instead of thinking of a prohibitionist treadmill, based exclusively on the objective of promoting abstinence, it is fundamental to think of a treadmill of care and reduction of vulnerability, always congruent with human rights and the posture of harm reduction.
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| 17 |
The Drug Addiction Psychoanalytic Clinic |
Celi Denise Cavallari |
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Abstract
This chapter is based on psychoanalysis, a theory created by Freud in 1896, through his discovery of the complex functioning of the psychism and treatment through speech. Apart from the advance of psychoanalysis, at the beginning of the twentieth century, there was an increase in people needs because of the psychoactive substances use. In the middle of that same century, a new drug use policy was established when the prohibitionism and this policy were adopted in the USA. Subsequently it expanded throughout the world, taking on enormous proportions, aggravated by the taboo effect that has fed prejudice and brought harmful consequences to individuals and societies. On the other hand, harm reduction, a strategy of low demand, has proved to be allied to the psychoanalytical process, since both contribute to the process of self-perception and self-care, develop a unique therapeutic project, and do not work with the imposition of abstinence.
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| 18 |
The Drug Addiction Psychoanalytic Clinic |
Celi Denise Cavallari |
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Abstract
This chapter is based on psychoanalysis, a theory created by Freud in 1896, through his discovery of the complex functioning of the psychism and treatment through speech. Apart from the advance of psychoanalysis, at the beginning of the twentieth century, there was an increase in people needs because of the psychoactive substances use. In the middle of that same century, a new drug use policy was established when the prohibitionism and this policy were adopted in the USA. Subsequently it expanded throughout the world, taking on enormous proportions, aggravated by the taboo effect that has fed prejudice and brought harmful consequences to individuals and societies. On the other hand, harm reduction, a strategy of low demand, has proved to be allied to the psychoanalytical process, since both contribute to the process of self-perception and self-care, develop a unique therapeutic project, and do not work with the imposition of abstinence.
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| 19 |
Cognitive-Behavioral Therapy in the Treatment of Substance Use Disorders |
Fernanda Machado Lopes,Weridiane Lehmkuhl da Luz,Lisiane Bizarro |
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Abstract
Substance use disorder is complex and multifaceted, and, therefore, its treatment requires persistence and constant updating in scientific literature by health professionals. Cognitive-behavioral therapy has shown to be one of the approaches with certain evidence of efficacy and effectiveness in the treatment of people with this diagnosis, although therapeutic success is still a challenge. This chapter presents the cognitive-behavioral therapy for substance use disorder, based on the objectives, assumptions, and general foundations of the Beckian approach. The objectives are to explain the cognitive model, comment on relevant aspects of the therapeutic relationship, and present the main strategies and intervention techniques proposed by the approach, as well as innovations in treatment for people with substance use disorders. It is expected to contribute to professionals, students, and the general public interested in the subject to broaden their knowledge on the application of this approach in the treatment of problematic drug use.
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| 20 |
Cognitive-Behavioral Therapy in the Treatment of Substance Use Disorders |
Fernanda Machado Lopes,Weridiane Lehmkuhl da Luz,Lisiane Bizarro |
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Abstract
Substance use disorder is complex and multifaceted, and, therefore, its treatment requires persistence and constant updating in scientific literature by health professionals. Cognitive-behavioral therapy has shown to be one of the approaches with certain evidence of efficacy and effectiveness in the treatment of people with this diagnosis, although therapeutic success is still a challenge. This chapter presents the cognitive-behavioral therapy for substance use disorder, based on the objectives, assumptions, and general foundations of the Beckian approach. The objectives are to explain the cognitive model, comment on relevant aspects of the therapeutic relationship, and present the main strategies and intervention techniques proposed by the approach, as well as innovations in treatment for people with substance use disorders. It is expected to contribute to professionals, students, and the general public interested in the subject to broaden their knowledge on the application of this approach in the treatment of problematic drug use.
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| 21 |
Existential Clinical Psychology and the Problems Related to Drug Use |
Daniela Ribeiro Schneider,Adria de Lima Sousa,Charlene Fernanda Thurow,Gabriela Rodrigues,Milene Strelow |
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Abstract
We start from the theoretical foundations of Jean-Paul Sartre’s Existentialist Philosophy to understand the drug use problems and discuss the possibilities of clinical interventions on these phenomena. This perspective considers the use of drugs as a free choice, defined from the project of being, concerning the personal situation. The progressive-regressive method implies a back and forth between the universal and singular dimensions of the situations, in a dialectic spiral of understanding that interconnected objectivity and subjectivity. The authors discuss the life story of a dancer, who narrates his addiction to cocaine, understood in the relationship between bad faith and alienation. The existentialist clinic must unveil the role of drug use in the user’s life trajectory, taking the project of being a factor of analysis.
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| 22 |
Existential Clinical Psychology and the Problems Related to Drug Use |
Daniela Ribeiro Schneider,Adria de Lima Sousa,Charlene Fernanda Thurow,Gabriela Rodrigues,Milene Strelow |
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Abstract
We start from the theoretical foundations of Jean-Paul Sartre’s Existentialist Philosophy to understand the drug use problems and discuss the possibilities of clinical interventions on these phenomena. This perspective considers the use of drugs as a free choice, defined from the project of being, concerning the personal situation. The progressive-regressive method implies a back and forth between the universal and singular dimensions of the situations, in a dialectic spiral of understanding that interconnected objectivity and subjectivity. The authors discuss the life story of a dancer, who narrates his addiction to cocaine, understood in the relationship between bad faith and alienation. The existentialist clinic must unveil the role of drug use in the user’s life trajectory, taking the project of being a factor of analysis.
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| 23 |
Jungian Psychotherapeutic Practice in the Treatment of Alcohol Dependency and Other Drugs: Limits and Challenges of the Application of Analytical Psychology to the Dependency Phenomenon |
Claudio Silva Loureiro,Thaís Gracie Maluf |
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Abstract
This chapter addresses some issues concerning the treatment of addictions from the perspective of Analytical Psychology. The only clinical experience of Carl Jung himself, reported in the published letters, was chosen because within his theoretical writings, no mention was found regarding the subject. Some points are made about the way Jung understood this experience of care. Within his understanding of the case attended to, the influence of William James’ thought, specifically, in his way of understanding the singular spiritual quest as one of the possible results of transformation to give another resolution to the problem of alcohol dependence outside the psychotherapeutic setting, is observed. Some questions arise about the meaning of his withdrawal and what this would represent in the reality of psychotherapy. In order to develop these questions, a brief history was made about the place of drugs in the history of society, presenting the model of harm reduction and multidisciplinary care developed in public policies. This makes a counterpoint to the reality of private care. In this way, their challenges, their contributions and their limitations in the face of this problem were discussed in the context of psychotherapy.
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| 24 |
Jungian Psychotherapeutic Practice in the Treatment of Alcohol Dependency and Other Drugs: Limits and Challenges of the Application of Analytical Psychology to the Dependency Phenomenon |
Claudio Silva Loureiro,Thaís Gracie Maluf |
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Abstract
This chapter addresses some issues concerning the treatment of addictions from the perspective of Analytical Psychology. The only clinical experience of Carl Jung himself, reported in the published letters, was chosen because within his theoretical writings, no mention was found regarding the subject. Some points are made about the way Jung understood this experience of care. Within his understanding of the case attended to, the influence of William James’ thought, specifically, in his way of understanding the singular spiritual quest as one of the possible results of transformation to give another resolution to the problem of alcohol dependence outside the psychotherapeutic setting, is observed. Some questions arise about the meaning of his withdrawal and what this would represent in the reality of psychotherapy. In order to develop these questions, a brief history was made about the place of drugs in the history of society, presenting the model of harm reduction and multidisciplinary care developed in public policies. This makes a counterpoint to the reality of private care. In this way, their challenges, their contributions and their limitations in the face of this problem were discussed in the context of psychotherapy.
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| 25 |
Community Social Psychology: Contributions to Understanding and Practices of Drug Use Care |
Telmo Mota Ronzani,María Lorena Lefebvre,Pollyanna Santos da Silveira |
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Abstract
In this chapter, we give an overview of some perspectives of work in relation to the consumption of alcohol and other drugs from Community Psychology. This chapter outlines a historical and conceptual trajectory to try to understand how some principles and some accumulated experiences, mainly in the reality of Latin America, guide us to work in a concrete way with such a complex subject. Afterward, some possibilities of understanding and actions with territories and people who use drugs are presented, based on work with groups and adopting the methodology of participative action. Finally, we emphasize the need for a contextualized practice that denaturalizes hegemonic understandings about the consumption of drugs that produce and perpetuate social injustices and exclusionary practices in the field.
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| 26 |
Community Social Psychology: Contributions to Understanding and Practices of Drug Use Care |
Telmo Mota Ronzani,María Lorena Lefebvre,Pollyanna Santos da Silveira |
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Abstract
In this chapter, we give an overview of some perspectives of work in relation to the consumption of alcohol and other drugs from Community Psychology. This chapter outlines a historical and conceptual trajectory to try to understand how some principles and some accumulated experiences, mainly in the reality of Latin America, guide us to work in a concrete way with such a complex subject. Afterward, some possibilities of understanding and actions with territories and people who use drugs are presented, based on work with groups and adopting the methodology of participative action. Finally, we emphasize the need for a contextualized practice that denaturalizes hegemonic understandings about the consumption of drugs that produce and perpetuate social injustices and exclusionary practices in the field.
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| 27 |
The Transtheoretical Model of Behavior Change: Prochaska and DiClemente’s Model |
Karen P. Del Rio Szupszynski,Andressa Celente de Ávila |
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Abstract
This chapter aims to present the Transtheoretical Model of Behavioral Change (TTM) and its main constructs. The intention is to expose the applicability in the treatment of substance dependence and it explains how the model is structured. TTM has two central constructs: the Stages of Change and the Mechanisms of Change. The Stages of Change are called the temporal part of the model, with a definition of stages in relation to the motivation of a person. The Stages of Change are Precontemplation, Contemplation, Preparation, Action, and Maintenance. In addition to the stages, an explanation about the Mechanisms of Change will be carried out in the text. The mechanisms are the “gears” that make people change motivational stages. Mechanisms of change are the ., the . return to drug use, the . (pros and cons), the ., and the .. Many research works were cited in order to illustrate the applicability of the model in different contexts. And finally, the main instruments of evaluation of TTM in Brazil have been described. In light of the above, it is clear promising results the model has to offer in the treatment of substance abuse.
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| 28 |
The Transtheoretical Model of Behavior Change: Prochaska and DiClemente’s Model |
Karen P. Del Rio Szupszynski,Andressa Celente de Ávila |
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Abstract
This chapter aims to present the Transtheoretical Model of Behavioral Change (TTM) and its main constructs. The intention is to expose the applicability in the treatment of substance dependence and it explains how the model is structured. TTM has two central constructs: the Stages of Change and the Mechanisms of Change. The Stages of Change are called the temporal part of the model, with a definition of stages in relation to the motivation of a person. The Stages of Change are Precontemplation, Contemplation, Preparation, Action, and Maintenance. In addition to the stages, an explanation about the Mechanisms of Change will be carried out in the text. The mechanisms are the “gears” that make people change motivational stages. Mechanisms of change are the ., the . return to drug use, the . (pros and cons), the ., and the .. Many research works were cited in order to illustrate the applicability of the model in different contexts. And finally, the main instruments of evaluation of TTM in Brazil have been described. In light of the above, it is clear promising results the model has to offer in the treatment of substance abuse.
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| 29 |
Evidence-Based Practice in Psychotherapy for Substance Use Disorders |
Fernanda Machado Lopes,Vanessa Dordron de Pinho,Laisa Marcorela Andreoli Sartes |
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Abstract
The evidence-based practice, which recommends that the professional should direct his/her conduct based on scientific data, was a movement that started in the 1990s in medicine and later became part of the other healthcare areas. In psychology, more precisely regarding psychotherapy, such practice recommends that clinical intervention integrate the expertise of the psychotherapist with the best available research evidence for the case in question, considering also the characteristics of the patient and the probability of him/her engaging in treatment. On this topic, this chapter presents the concepts of evidence-based practice in psychology and discusses evidence-based psychotherapy in the treatment of substance use disorder. Literature review studies with and without meta-analysis are presented and discussed on the evaluation of the efficacy and effectiveness of types of treatment interventions for drug-related problems and on the implementation of evidence-based programs for the prevention and treatment of drug addiction. Finally, a clinical case is reported that illustrates the application of an evidence-based psychotherapy intervention to treat alcohol use disorder.
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| 30 |
Evidence-Based Practice in Psychotherapy for Substance Use Disorders |
Fernanda Machado Lopes,Vanessa Dordron de Pinho,Laisa Marcorela Andreoli Sartes |
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Abstract
The evidence-based practice, which recommends that the professional should direct his/her conduct based on scientific data, was a movement that started in the 1990s in medicine and later became part of the other healthcare areas. In psychology, more precisely regarding psychotherapy, such practice recommends that clinical intervention integrate the expertise of the psychotherapist with the best available research evidence for the case in question, considering also the characteristics of the patient and the probability of him/her engaging in treatment. On this topic, this chapter presents the concepts of evidence-based practice in psychology and discusses evidence-based psychotherapy in the treatment of substance use disorder. Literature review studies with and without meta-analysis are presented and discussed on the evaluation of the efficacy and effectiveness of types of treatment interventions for drug-related problems and on the implementation of evidence-based programs for the prevention and treatment of drug addiction. Finally, a clinical case is reported that illustrates the application of an evidence-based psychotherapy intervention to treat alcohol use disorder.
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| 31 |
The Application of Motivational Interviewing to the Treatment of Substance Use Disorder |
Neliana Buzi Figlie,Janaina Luisi Turisco Caverni |
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Abstract
The objective of this chapter is to present the posture and clinical style of the professional, through the basic premises of action according to the reference of the motivational interview in the treatment of substance use disorder (SUD), which aims to strengthen the union between professional and client, thus providing a functioning in favor of change. This chapter discusses the communication style of the motivational interviewer through the basic communicative skills to know, directing – guiding – following, as well as the performance through the essential skills under the acronym OARS (open questions – affirmation – reflection and summary), with an emphasis on the need for identification by the professional of the six types of change talk (desire – skills – reason – need – commitment – action and taking steps). Finally, after decades of experience training health professionals from countries around the world, the key skills for learning the motivational interviewing in eight stages are presented.
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| 32 |
The Application of Motivational Interviewing to the Treatment of Substance Use Disorder |
Neliana Buzi Figlie,Janaina Luisi Turisco Caverni |
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Abstract
The objective of this chapter is to present the posture and clinical style of the professional, through the basic premises of action according to the reference of the motivational interview in the treatment of substance use disorder (SUD), which aims to strengthen the union between professional and client, thus providing a functioning in favor of change. This chapter discusses the communication style of the motivational interviewer through the basic communicative skills to know, directing – guiding – following, as well as the performance through the essential skills under the acronym OARS (open questions – affirmation – reflection and summary), with an emphasis on the need for identification by the professional of the six types of change talk (desire – skills – reason – need – commitment – action and taking steps). Finally, after decades of experience training health professionals from countries around the world, the key skills for learning the motivational interviewing in eight stages are presented.
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发表于 2025-3-21 19:20:34
