关键词: Alcohol addiction Alcohol addiction treatment Anthropological proportion Dialectical phenomenology Identity Mental health recovery Phenomenological psychopathology Process of change Temporality

来  源:   DOI:10.1159/000538267

Abstract:
BACKGROUND: Currently, there is no scientific consensus on the concept of alcohol addiction recovery beyond substance use control. This conceptual issue challenges the implementation of therapeutic strategies and mental health policies that are unrestricted to symptomatic remission. Aiming to contribute to its definition, this study aimed to examine the recovery experience of individuals with alcohol addiction using dialectical phenomenological psychopathology (DPP) as a theoretical and methodological framework.
METHODS: A dialectical phenomenological analysis was conducted through an examination of online interviews with eight Brazilian, São Paulo state citizens who were self-declared to be undergoing alcohol addiction recovery (or who declared that they had completely recovered).
RESULTS: Participants\' reports generated eight categories that were subdivided into two groups. The first group indicated experiential elements of recovery, such as changes in self-relation, changes in interpersonal relations, and changes in time relations, giving new meanings to suffering and alcohol use, and recovery as a continuous process. The second group referred to how the participants interpreted recovery according to their worldviews: as a spiritual experience, moral reformation, and mentality change.
CONCLUSIONS: These categories can be understood through the lens of DPP as a process of change in the subjects\' being in the world, characterized by the continued management of their existential imbalances in the dimensions of spatiality, temporality, selfhood, and intersubjectivity. The results are preliminary when it comes to conceptualizing recovery but may help future studies to develop recovery-oriented therapeutic strategies.
摘要:
背景:目前,除了物质使用控制之外,对酒精成瘾恢复的概念没有科学共识。这个概念问题挑战了不限于症状缓解的治疗策略和心理健康政策的实施。旨在为其定义做出贡献,本研究以辩证现象学精神病理学(DPP)为理论和方法框架,探讨酒精成瘾患者的康复经验.
方法:通过对八名巴西人的在线访谈进行了辩证现象学分析,自宣称正在接受酒精成瘾康复的圣保罗州公民(或宣称他们已经完全康复)。
结果:参与者报告产生了八个类别,这些类别被细分为两组。第一组指出了恢复的经验要素,比如自我关系的变化,人际关系的变化,和时间关系的变化,赋予痛苦和酒精使用新的含义,和回收作为一个连续的过程。第二组提到参与者如何根据他们的世界观来解释恢复:作为一种精神体验,道德改革,和心态的变化。
结论:这些类别可以通过DPP的镜头理解为世界上主体的变化过程,其特点是继续管理他们在空间性维度上的存在失衡,时间性,自我,和主体间性。在概念化恢复方面,结果是初步的,但可能有助于未来的研究制定面向恢复的治疗策略。
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