Made available in DSpace on 2017-06-01T18:09:01Z (GMT). No. of bitstreams: 1 michelle_maria_campos_carvalho.pdf: 1914610 bytes, checksum: 65ba75d624b499bc0b0b33badcdde2c9 (MD5) Previous issue date: 2016-07-19 / Crack usage has constituted a public health problem by the various individual, family and social consequences it causes. The aim of this study is to investigate the relationship between family support perspective of crack users, family and social technicians from the ATTITUDE program, analyzing the possible implications of these perceptions on the assistance for users and their families. We chose to develop the thesis in the format of articles. In the first article, we reviewed narratives based on 23 articles surveyed in the VHL databases Scielo Journals and Science Direct, in order to assess the contributions of these studies to public coping strategies with crack. The criteria adopted for the selection of items were: 1) articles on "crack and public policy," published in the last five years, and 2) studies with the population or on the Brazilian public policy. As a result, it was included nine epidemiological articles, three on clinical drug, three on contexts of use and violence, seven on social representation and media and one about family. Aspects such as change in Community assistance, intersectional policies, surveillance and epidemiological control, better integration between organizations working to reduce demand and increase in clinical research, were highlighted as important in proposing public policies. The second article is an answer to the main objective of the study, being conducted with 62 participants. Initially, it was applied to 46 crack users, linked to the Program ATTITUDE. Inventory of Family Support Perception (ISPF), which showed a high internal consistency (&#945; = 0.88). In the second phase, a semi-structured interview with eight selected users was conducted between the 46 initial four families and 12 social workers program. The average age of these users was 30 years (SD = 6.98), whose socio-demographic profile refers to users, mostly: not married (78.3%), who lived alone (52.2%), with incomplete primary education (63%) coming from families without coexistence between parents (65.2%) who responded to the IPSF with reference to the family of origin (87%). Significant correlations were found between living alone and having a low perception of family support (r = 0.324; p = 0.05). The factor analysis also showed a significant correlation between Factor 1 (affective-consistent), and family (r = 0.460; p = 0.01) and with whom resides (r = 0.309; p = 0.05). In the qualitative stage, a content analysis was performed, revealing themselves, in general, four main themes for users and families, such as: family influence, family relationships, dealing with problems and expression of feelings. For technicians, four other themes were identified: family contribution, therapeutic activities, approach to family and experience report. The predominance of the perception of a low family support (t (44) = -4.428, p <0.05), as evidenced in the quantitative analysis, was consonant with the speech of the other participants during the interview. In line with the literature, this study also found the prevalence of maternal support and peer influence overlapping the family s as observed in the link of users with crack. It is argued in the light of Social Cognitive Theory, the influence family self-efficacy and social modeling have on substance use. This reflection reveals the importance of executing a proposition already included in the National Policy for Social Assistance, which refers to a more systemic view on the issue of crack consumption, covering both user needs and their families. It is believed that the paradigms can be improved in order to encourage new policy models in the care of drug users, especially crack. / O consumo de crack tem se constituído numa problemática de saúde pública pelas diversas consequências individuais, familiares e sociais que provoca. O objetivo desse estudo foi investigar a relação entre a perspectiva de suporte familiar de usuários de crack, de familiares e de técnicos sociais do Programa ATITUDE, analisando as possíveis implicações dessas percepções na assistência aos usuários e seus familiares. Optou-se por desenvolver a dissertação na modalidade artigos. No primeiro artigo, foi realizada uma revisão narrativa baseada em 23 artigos pesquisados nas bases de dados BVS, Scielo Periódicos e ScienceDirect, no intuito de avaliar as contribuições dos estudos às estratégias públicas de enfrentamento ao crack. Os critérios adotados para a seleção dos artigos foram: 1) artigos sobre "crack e políticas públicas", publicados nos últimos cinco anos e, 2) estudos com a população ou sobre a política pública brasileira. Como resultado foram incluídos nove artigos epidemiológicos, três sobre clinica das drogas, três sobre contextos de uso e violência, sete sobre representação social e mídia e um sobre família. Aspectos como mudança na assistência comunitária, políticas intersetoriais, vigilância e controle epidemiológicos, melhor integração entre os organismos que trabalham para a redução da demanda e aumento de pesquisas clínicas, foram ressaltados como importantes para a proposição de políticas públicas. O segundo artigo vem atender ao objetivo principal do estudo, sendo realizado com 62 participantes. Inicialmente foi aplicado em 46 usuários de crack, vinculados ao Programa ATITUDE, o Inventário de Percepção de Suporte Familiar (ISPF), que apresentou uma elevada consistência interna (&#945;=0,88). Na segunda fase, foi realizada uma entrevista semi-estruturada com oito usuários selecionados entre os 46 iniciais, quatro familiares e 12 técnicos sociais do programa. A média de idade desses usuários foi de 30 anos (DP=6,98), cujo perfil sociodemográfico remete a usuários, em sua maioria: não casados (78,3%), que residiam sozinhos (52,2%), com ensino fundamental incompleto (63%), advindos de famílias sem convivência entre os pais (65,2%) e que responderam ao IPSF com referência à família de origem (87%). Foram encontradas correlações significativas entre morar sozinho e ter uma baixa percepção de suporte familiar (r=0,324; p=0,05). A análise por fator, também evidenciou uma correlação significativa entre o Fator 1 (afetivo-consistente) e tipo de família (r=0,460; p=0,01) e com quem reside (r=0,309; p=0,05). Na etapa qualitativa, foi realizada uma análise de conteúdo temática, revelando-se, em linhas gerais, quatro temáticas principais para usuários e familiares, quais sejam: influência familiar, relacionamento familiar, lidar com problemas e expressão de sentimento. Para os técnicos, foram identificadas outras quatro temáticas: contribuição familiar, atividades terapêuticas, abordagem à família e relato de experiência. A predominância da percepção de um baixo suporte familiar (t (44) = -4,428; p<0,05), evidenciada na análise quantitativa, foi consoante com a fala dos demais participantes durante a entrevista. Em consonância com a literatura, neste estudo também se constatou a predominância do apoio materno e a influência dos pares se sobrepondo à da família na relação dos usuários com o crack. Discute-se, à luz da Teoria Social Cognitiva, a influência que a autoeficácia familiar e a modelação social exercem sobre o consumo de substâncias. Essa reflexão nos revela a importância de se efetivar uma proposição já contemplada na Política Nacional de Assistência Social, que remete a um olhar mais sistêmico sobre a questão do consumo do crack, contemplando tanto as necessidades do usuário como de seus familiares. Acredita-se que os paradigmas poderão ser aprimorados no sentido de favorecer novos modelos de políticas na atenção aos usuários de drogas, em especial de crack.

The main purpose of this study is to examine the relationships between drugs of choice that family members abused and the non-addicted family member's levels of self-disclosure, self-disclosure avoidance, and trust.

Addiction is one of the most significant problems facing contemporary society. Consequently many scholars, institutions and clinicians have sought to understand this complex phenomenon, as is evident in the abundance of etiological models of addiction in existence today. A literature review pointed that there is little consensus regarding the nature and etiopathogenesis of addiction, and integrative models have not yet been able to provide the sought-after integration. In addressing this problem, this study offers a theoretical analysis of the paradigmatic and meta-paradigmatic suitability of Integral Theory in the design of an integrated metatheory of addiction. The data consisted of the most prominent etiological theories and models of addiction. The study focused on several essential features constituting the architectonic of any metatheory that attempts to provide conceptual scaffolding for the construction of a comprehensive metatheory of addiction. The criteria for the construction of a metatheory were conceptual integration, ontological span, ontological depth, empirical validity and internal consistency. Integral Theory was critically assessed in terms of each of the abovementioned criteria. The study suggests that Integral Theory is eminently suitable as a philosophical foundation for the development of an integrated metatheory of addiction. / Psychology / M. A. (Psychology)

Drug abuse is a very common problem these days; and this problem is especially rampant among the young people of South Africa. Early problems in family management, the antisocial behaviour of the child, and peer pressure and rejection ignite the early onset of substance abuse. Treatment programmes and therapeutic methods to treat chemical dependency are available and utilised, but the high relapse rate and lack of support from family members and dysfunctional families, as well as the fears and challenges expressed by in-patient youth about being reintegrated with their families and a lack of supporting literature in this regard remain a cause for concern and need to be considered by the social work profession in order to plan effective intervention strategies. In response to this situation a research project was undertaken with the purpose of exploring and describing the perceptions, expectations, fears and needs of chemically dependent youth in a rehabilitation centre about being integrated into their family systems in an attempt to forward recommendations to assist social workers in rendering effective therapeutic services to service users in rehabilitation centres who have a substance abuse problem. A qualitative approach was utilised following an explorative, descriptive and contextual research design. The study was conducted at an in-patient rehabilitation centre called the Dr Fabian and Florence Ribeiro Treatment Centre in Cullinan, Gauteng Province in South Africa. Data were collected by means of semi-structured interviews. A sample of participants was selected by using purposive sampling from a population of service users in the Dr Fabian and Florence Ribeiro Centre who are chemically dependent. Data were analysed according to the framework provided by Tesch (cited in Creswell, 2003). Guba‘s model (cited in Krefting, 1991) was employed for data verification. The research findings point to the fact that participants had both negative and positive perceptions about going back to their respective families. On the one hand, there were negative perceptions shared. These were founded on a feeling of worry about the fact that their families criticised them a lot or that their families would not accept that they had changed, would still treat them like addicts, and not trust them. Furthermore, they feared relapse, triggers in their environment and family members who were abusing a substance. On the other hand, some participants perceived the reintegration with their families, following treatment, in a positive light as they were looking forward to joining them again after being in v treatment for three months.They were excited about the fact that they had been granted an opportunity where they could show their families that they have changed and have the chance of starting a new life. Moreover, part of the research findings point to the fact that some of the participants‘ families had already organised employment, a place for them to stay and financial assistance. From the research findings it became clear that the participants harboured the following expectations towards the families with whom they were reuniting: They need the family‘s love and support; to trust them again: to mend severed relationships and spend quality time together; to provide practical and material help, and for the family to be educated on addiction and for the family to accompany them to aftercare. In terms of research findings directed at the site (i.e., the rehabilitation centre) where the research was conducted the participants indicated that they needed more activities, they would like their families to be part of their recovery process, and expressed the need for individual sessions apart from group sessions and aftercare services. In terms of recommendations it was apparent that community members, community organisations and the government sector need to develop and launch chemical substance abuse prevention and awareness programmes through various media, (i.e. articles in newspapers, magazines, talks and documentaries on radio and television, community gatherings and meetings in all communities). Moreover, it is recommended that parents should take responsibility for monitoring and countering substance abuse in their children. Families need to be empowered through talks, attending parenting skills training, workshops and group meetings. South Africa needs to develop a policy focusing on families. Furthermore, it is recommended that treatment centres need to provide individual sessions, family therapy, aftercare services and more extramural activities, if these are not included in their treatment regime. / Social Work / M.A. (Social Science)

Незаконный оборот наркотических веществ, его употребление и сбыт влекут за собой множество действий, противоправного характера, возрастает рост употребления наркотиков среди молодого поколения, наркомания стала почти субкультурной тенденцией, поддерживаемой современной музыкой, которая значительно влияет, формирует и меняет мировоззрение, происходит переворот ценностей, которые были сформированы на протяжении многих лет и веков. Такое развитие ситуации требует нового подхода к решению проблемы наркотической зависимости в молодежной среде. В диссертационном исследовании представлены теоретические основы исследования наркотической зависимости в молодежной среде, рассмотрена медико-социальная реабилитация молодежи, эмпирической базой исследования наркозависимой молодежи выступила клиника лечения зависимостей «Свободные люди» г. Алматы, в которой было проведено исследование. В данной исследовательской работе был сделан акцент на вторичную и третичную профилактику, предложены профилактические меры, которые эффективны при комплексном использовании, целенаправленном подходе, при точной ориентации на целевую аудиторию. Определено, что профилактическая работа должна быть систематической, постоянной, мониторинговой, охватывающая молодежь и систему в целом, с созданием жизненных условий, которые моделируют оптимальные, жизненные условия и предотвращают повторное употребление и вступление в зависимость. Реабилитационная работа должна доставлять импульсы для более активного вступления в контакт с другими и с самим собой. / Illicit drug trafficking, its use and sale entail many illegal actions, the growth of drug use among the younger generation is increasing, drug addiction has become almost a subcultural trend supported by modern music, which significantly influences, shapes and changes the worldview, there is a revolution of values that have been formed over many years and centuries. This development of the situation requires a new approach to solving the problem of drug addiction among young people. The dissertation research presents the theoretical foundations of the study of drug addiction in the youth environment, the medical and social rehabilitation of youth is considered, the empirical basis for the study of drug-dependent youth was the addiction treatment clinic "Free People" in Almaty, in which the study was conducted. In this research work, emphasis was placed on secondary and tertiary prevention, preventive measures were proposed that are effective with a comprehensive use, a targeted approach, with an accurate orientation to the target audience. It is determined that preventive work should be systematic, constant, monitoring, covering young people and the system as a whole, with the creation of living conditions that simulate optimal living conditions and prevent repeated use and addiction. Rehabilitation work should provide impulses for more active contact with others and with oneself.

No description available.

This study examines the relationship between adolescent depressive symptomology and substance abuse. From a literature study six hypotheses were developed. A quantitative empirical study, undertaken in a South African high school, investigated the level of adolescent depressiVe symptomology and substance abuse, as well as the relationship between the two. The influence of various moderator variables was also examined. In line with most international studies, the relationship between adolescent depressive symptomotogy and substance abuse was found to be significant. This research has shown that adolescent depressive symptomology is significantly and positively correlated with earlier age at onset of substance abuse as well as frequency of usage. There appear to be gender differences in the way adolescents deal with their depression in terms of substance abuse. In addition, risk factors for depression and substance abuse were confirmed. Recommendations have been made based on these results / Educational Studies / M.Ed.

Heroin dependence, which is escalating within South Africa, has become a symbol of the social disorder of the times - associated with materialism, poverty, crime, the problems of a society in transition, the disadvantaged, and the inner cities. However, that is not to say that all those who misuse heroin develop a problem or become dependent. In reality, only a small minority of heroin users develop a dependence, but for those who do it can result in unpleasant and potentially terrifying experiences/consequences, that can often be extremely difficult to escape from. That is not to say that recovery from dependence to heroin is not possible. Indeed, contrary to the beliefs of many people, the reality is that many people do eventually recover. Despite the vast sums of money devoted to treatment intervention of heroin dependants in the South Africa and worldwide, the processes by which recovery occur remain fairly unclear. Moreover, relatively little is known about the contribution of interventions and processes in facilitating such recovery. The statistical and content analysis of the data revealed that one of the most important factors identified in allowing successful behaviour modification and promoting recovery was psychosocial and pharmacological intervention, which seemed to produce a range of positive effects that facilitated natural healing processes. However, a range of other factors alongside intervention were also important in promoting behaviour modification. This study has provided important information, from forty recovering heroin dependants themselves, on the many factors that are important in achieving abstinence, in allowing recovery to be maintained in the longer term, and in potentially allowing an eventual exit from heroin dependence. A number of difficulties encountered in intervention were also identified. The statistical findings of the study support the `maturing out' hypothesis of heroin dependence (c² = 16.841; r = 0.001; df = 3). Ethnicity, highest level of education, employment status, marital status, biological parents' marital status or whether biological parents were deceased or not did not relate to any of the identified behavioural indices associated with heroin dependence recovery. A framework for the development of a contextual heroin dependence recovery model is also discussed. / Psychology / (M.A.(Psychology))

Text in English / An increasingly recognised prevention approach for substance use entails reduction in risk factors and enhancement of promotive or protective factors in individuals and the environment surrounding them during their growth and development. However, in order to enhance the effectiveness of this approach, continuous study of risk aspects targeting different cultures, social groups and mixture of society has been recommended. This study evaluated the impact of potential risk and protective factors associated with family management and relations on adolescent substance abuse in South Africa. Exploratory analysis and cumulative odds ordinal logistic regression modelling was performed on the data while controlling for demographic and socio-economic characteristics on adolescent substance use. The most intensely used substances were tobacco, cannabis, cocaine, heroin and alcohol in decreasing order of use intensity. The specific protective or risk impact of family management or relations factors varied from substance to substance. Risk factors associated with demographic and socio-economic factors included being male, younger age, being in lower education grades, coloured ethnicity, adolescents from divorced parents and unemployed or fully employed mothers. Significant family relations risk and protective factors against substance use were classified as either family functioning and conflict or family bonding and support. Several family management factors, categorised as parental monitoring, discipline, behavioural control and rewards, demonstrated either risk or protective effect on adolescent substance use. Some factors had either interactive risk or protective impact on substance use or lost significance when analysed jointly with other factors such as controlled variables. Interaction amongst risk or protective factors as well as the type of substance should be considered when further considering interventions based on these risk or protective factors. Studies in other geographical regions, institutions and with better gender balance are recommended to improve upon the representativeness of the results. Several other considerations to be made when formulating interventions, the shortcomings of this study and possible improvements as well as future studies are also suggested. / Psychology / M. A. (Psychology)

Text in English with abstracts in English and Sesotho / Chemical substance abuse remains a major global health and social problem in a South African context. Social workers are one of the professionals who provide social welfare services to adolescents abusing chemical substances. However, social workers are not prepared enough in terms of training and workshops to provide drug dependency treatment to adolescents abusing chemical substances. This study therefore contributes to an emerging body of literature on chemical substance abuse, as there is a lack of information within the Department of Social Development in Lepelle Nkumpi Municipality of Limpopo concerning social workers’ preparedness, experiences and challenges in rendering services to adolescents abusing chemical substances. Furthermore, the study will generate new information that will assist the Department of Social Development to make necessary changes to social welfare services rendered to adolescents abusing chemical substances, and consideration will be given when drafting a framework for treating chemical substance abuse. A qualitative approach was adopted to explore, describe and contextualise social workers’ preparedness, experiences and challenges experienced during their work. Participants were selected using a non-probability technique of purposive sampling. As a data collection method, in-depth, one on one semi-structured interviews were conducted with seven social workers working with adolescents abusing chemical substances. Data was analysed using Tesch’s eight steps and verified using Guba and Lincoln’s model to test the trustworthiness of the data. Ethical considerations adhered to throughout this study were informed consent, right to privacy, avoidance of deception, debriefing of participants and management of information. Findings of the study confirmed that there are no clear guidelines in rendering social welfare services to adolescents abusing chemical substances by social workers. The study further revealed that social workers’ training is generic in nature, therefore they are not well trained to render services to adolescents abusing chemical substances. They therefore lack resources and support to adequately execute social welfare services to adolescents abusing chemical substances. Lack of services for adolescents was also identified as a burning issue. Furthermore, treatment and prevention of chemical substance abuse is overlooked. Based on the research findings, recommendations pertaining to social work practice, social work training and education, social welfare policy, and further research were put forward. / Tshomisho ya diokobatsi e dula e le taba e kgolo ya hloba boroko ka ga lefapa la maphelo le tsa setshaba le lefase ka bophara ga mmogo le Africa Borwa. Badirela-leago ke ba bangwe ba ditsibe bao ba fanago ka ditirelo go baswa bao ba shomishago diokobatsi. Badirela-leago ga se ba lokishetswe go lekanenego ge go etla go ditaba tsa dithuto le tsebo go baswa bao ba shomishago diokobatsi. Thuto ye e tlaleletsa go hlahlo ya tshedimusho yeo elego gona ka diokobatsi, ka ge go hloka tsebo e feleletsego go lekolla gore badirela-leago ba e tukisheditse go tsona,le tseo ba hlakanego le tsona le mathata ao ba gahlanago le ona ge ba shomishana le baswa bao ba shomishago diokobatsi, ka lefapa la kgoro ya badirela-leago ya Masepala wa Lepelle-Nkumpi Limpopo. Go isha pele, thuto ye e tlo utulla tshedimusho e mpsha yeo e tlo thushango ba lefapa la kgoro ya badirelaleago go dira di phetogo tse bohlokwa tsa go amana le ditirelo tsa baswa bao ba shomishago diokobatsi. Tsebo e tletsego e shomishetswe go hlahloba, go hlalosa le go latela maemo a badirela leago ka maikemishetso, tsebo yeo banago le yona le mathata ao ba hlakanago le ona ge ba efa ditirelo go baswa bao ba shomishago diokobatsi. Ba tsea karolo mo thutong ye ba kgethilwe ka go shomisha mokgwa wo osa tsebiwego gore go tlo kgethwa bomang, gola gona le morero wa gore go tlo kgethiwa bjang. Tsenelelo ya poledishano gare ga ba tsea karolo ka o tee ka o tee le Monyakishishi, e swerwe bjalo ka mokgwa wa go kgobokantsha tshedimusho le ba direla-leago ba shupa, bao ba filwego ditirelo go baswa ba go shomisha diokobatsi. Go sekwasekwa ga ditshedimusho gotswa go ba tsea karolo go shomishitswe go tswa go Tesch’s dikgato tse seswai (Creswell, 2009:186) tsaba tsa netefatswa gotswa go tshomisho ya Guba and Lincoln’s model (1991:215-222). Melao ya Boitswaro e naganetswe ka mo thutong ye ka go latelela tumelelo ya tsebo, ditokelo tsa sephiri, go efoga go foraforetswa ka maaka, le go fana ka dikeletso le tsamaisho ya ditshedimusho gotswa go ba tsea karolo. / Social Work / M.A.(S.S.) (Social Work)