Suivant le parcours de leurs vies, les toxicomanes vivent le chaos ; ils n’arrivent pas à voir le bout du tunnel. Ils ne savent pas réfléchir d’une façon constructive, profiter des opportunités et d’élaborer des plans bien déterminés pour se réaliser. L’adoption du toxicomane de la gestion de soi peut contribuer à développer chez lui les capacités d’observation, de réflexion, d’analyse, de contrôle de soi… D’après les résultats obtenus, nous pouvons constater que : 1. Les toxicomanes ont plus de difficultés cognitives que les non toxicomanes. 2. Le sentiment de satisfaction personnelle chez les toxicomanes est plus bas que chez les non toxicomanes. 3. La stabilité émotionnelle positive chez les non toxicomanes est beaucoup plus grande que celle des toxicomanes 4. La stabilité émotionnelle négative chez les toxicomanes est plus développée que chez des non toxicomanes. La gestion de soi aide le toxicomane à intégrer le plaisir dans la vie relationnelle, comme elle peut l’aider à appliquer les qualités acquises et préparer de nouvelles expériences. / Following the path of their life, the drug addicts live the chaos; they fail to see the end of the tunnel. They don’t know how to think in a constructive way, to take advantages of opportunities and to develop plans well determined to be achieved. The adoption of the drug addicts self-management can help to develop his capacity of observation, reflection, analysis, self-control… Regarding the obtained results, we note the followings observations: 1. The drug addicts show more cognitive difficulties than the non addicts. 2. The addicts show less self satisfaction than non addicts. 3. The drug addicts show a much more positive emotional stability than non addicts. 4. The drug addicts show as well a more negative and developed emotional stability than non addicts. The self-management helps the drug addicts to integrate the pleasure in the relationships as it may help to apply the acquired qualities and to prepare new experiences.

Sammanfattning Syfte och frågeställningar Syftet med studien är att undersöka den fysiska aktivitetens betydelse för den psykiska och fysiska hälsan i samband med behandling hos personer i tidigare narkotikamissbruk kombinerat med samsjuklighet. - Hur påverkar fysisk aktivitet den upplevda fysiska och psykiska hälsan hos män i åldern 23-29 i tidigare narkotikamissbruk kombinerat med samsjuklighet(1)? - Hur upplever vårdarna att fysisk aktivitet påverkar klienternas generella mående efter utförd fysisk aktivitet? - Hur ser vårdarna på fysisk aktivitet som en del av behandling för tidigare narkotikamissbruk kombinerat med samsjuklighet? Metod I denna studie ingick 8 personer, fyra män i åldern 23-29 år som befann sig i behandling, och fyra anställda, varav två män och två kvinnor i åldern 27-76 år. Behandlingshemmet som studien genomfördes på erbjuder behandling för personer med olika former av missbruk och psykiska diagnoser. Den fysiska aktivitet som utförs på behandlingshemmet är gymträning och promenader. Semistrukturerade intervjuer genomfördes med både klienter och anställda om deras uppfattning kring fysisk och psykisk hälsa i samband med fysisk aktivitet i behandlingsprogrammet. Resultat Fysisk aktivitet kan positivt påverka främst den fysiska men också den psykiska hälsan hos män i åldern 23-29 år med tidigare narkotikamissbruk kombinerat med samsjuklighet. Enligt vårdarna påverkar den fysiska aktiviteten klienterna positivt till bland annat ett lugn och dämpad rastlöshet. Den fysiska aktiviteten ses även som en positiv faktor inom behandling då vårdarna anser att den kan tänkas hjälpa mot avhållsamhet, struktur i vardagen och mer samarbetsvilja. Slutsats Människor som tidigare haft narkotikamissbruk i kombination med samsjuklighet har uttryckligen beskrivit välmående, lugn och ett lättat sinne i samband med fysisk aktivitet. Dock kan studiens resultat inte alls appliceras på hela populationen i denna kategori. (1) Samsjuklighet saknar en tydlig definition, men kan innebära att klienten har komplexa vårdbehov och kan även innebära en funktionsnedsättning i kombination med missbruk, om somatiska sjukdomar finns hos klienten (Aleris 2017-05-07)

>Magister Scientiae - MSc / New therapeutic strategies are needed for a diverse array of poorly understood neurological impairments. These include neurodegenerative disorders such as Parkinson’s disease and Alzheimer’s disease, and the psychiatric disorders such as depression, anxiety and drug dependence. Popular neuropharmacotherapies have focused on dopamine (DA), serotonin (5HT), γ-aminobutric acid (GABA) and glutamate systems (Jupp & Lawrence, 2010). However recent research points to the sigma receptor (σR) as a possible neuromodulatory system. Due to its multi-receptor action, the σR can trigger several significant biological pathways. This indicates its ideal potential as a drug target to effectively minimise drug dosage and potential side effects. Currently there are a limited number of σR ligands available and few possess the selectivity to significantly show σR’s role in neurological processes. Polycyclic amines have shown notable sigma activity and provide an advantageous scaffold for drug design that can improve pharmacodynamic and pharmacokinetic properties (Banister et al., 2010; Geldenhuys et al., 2005). Aryl-heterocycle amine groups were also shown to improve σR activity (Piergentili et al., 2009).

Made available in DSpace on 2017-06-01T18:08:57Z (GMT). No. of bitstreams: 1 fabiola_barbosa_ramos_silva.pdf: 1453902 bytes, checksum: 0bad1ddecb5835e8b491b28700f6d213 (MD5) Previous issue date: 2014-07-05 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / In this research, drug addiction is not synonymous with the dependence on a psychoactive substance, but it is understood as an intense and exclusive relationship in which drug use is also established as a function in mental life. This work aims to analyze landslides in demand for treatment by drug addiction over voluntary admission. Its specific objectives are: to identify the specifics of the drug addict's entry into a treatment institution; investigate the demand of destinations in the accommodation of the route; place the management mode of the institutional place in clinical practice with drug addicts; and articulate the biases of the meeting - between drug addict and institution - with the discourse in vogue in post-modernity. The core of the research is to determine the natural effects of psychoanalytical listening at the institutional level, in favor of subversion of the subject. If to the addicted the drug participate as a dismissal of the subject, to be presented pasted, speaking of himself, only from his use of drugs, the way forward is to offer words. The direction of the treatment, to fetch hear the toxic function of the drug, rather than solely to mind with the use or non-use of a psychoactive substance, can enable the guy who works with his addiction to drugs find room for a significant slide, and that can be placed in work your enjoyment so. Therefore, an engaged institution in the addiction clinic needs to be doubly warned of its function: First, dodge the traffic in line with the institution's postmodern principles, which exalts excess joy and erasing the boundaries ; and second, should know that only to the price of standing in the place of the impossible that it appears as a possible place addressing. The survey was conducted in RAID Institute, an NGO, following the psychoanalytic in its clinical and institutional management and works in prevention and treatment of people of both sexes who voluntarily choose to join it because of problems related to abuse or addiction to alcohol and other drugs. Participated in this research, drug addicts in treatment, fully housed in the institution. Through interviews we tried to go the way that evokes addiction, and reflect the specificities of this Clinic. In conjunction with the cases it is possible to recognize the unique significance and representation of drug use in drug addiction, one of the ways of dealing with the discomfort to invest in toxic as real solution to the subjectivity. Such shifts promoted by the person who is named as abuse drug addict and brings his drug use and volunteer in the hospital, during the course can consent to realize the role that the toxic occupies in his psychic life, and get involved in that. The willingness in treatment is a fundamental ethical component, in that it only from the availability of each subject will be possible to build new itineraries for your own desire. / Nesta pesquisa, a toxicomania não é sinônimo de dependência de uma substância psicoativa, e sim, é compreendida como uma relação intensa e exclusiva, em que o uso de drogas se estabelece também como uma função na vida psìquica. Este trabalho se propõe analisar os deslizamentos na demanda de tratamento por parte do toxicômano, ao longo do internamento voluntário. Tem como objetivos especìficos: identificar as especificidades da entrada do toxicômano em uma instituição de tratamento; investigar os destinos da demanda no percurso do internamento; situar o modo de manejo do lugar institucional na prática clìnica com toxicômanos; e articular os vieses do encontro - entre toxicômano e instituição - com o discurso em voga na pós-modernidade. O cerne da investigação é averiguar os efeitos singulares da escuta psicanalìtica no âmbito institucional, em favor da subversão do sujeito. Se para o toxicômano a droga participa como uma destituição do sujeito, ao apresentar-se colado, falando de si, somente a partir do uso que faz da droga, a via indicada consiste em ofertar palavras. A direção do tratamento, ao buscar ouvir a função tóxica da droga, ao invés de tão somente ocupar-se com o uso ou não uso de uma substância psicoativa, pode possibilitar que o sujeito que atua com sua toxicomania encontre espaço para um deslize significante, e que seja possìvel colocar em trabalho o seu modo de gozo. Portanto, uma instituição engajada na clìnica da toxicomania precisa estar duplamente advertida de sua função: primeiro, esquivar-se do modelo de instituição consonante com os princìpios pós-modernos, que exaltam o excesso de gozo e o apagamento do limite; e segundo, deve saber que é só ao preço de conseguir suportar o lugar do impossìvel que ela configura-se como um lugar possìvel de endereçamento. A pesquisa foi realizada no Instituto RAID, uma Organização Não Governamental, que segue a orientação psicanalìtica em seu manejo clìnico-institucional e trabalha na prevenção e tratamento de pessoas de ambos os sexos que, voluntariamente, optam por acompanhamento devido a problemas relacionados ao uso abusivo ou dependência de álcool e outras drogas. Participaram desta pesquisa, toxicômanos em tratamento, albergados integralmente na instituição. Por meio de entrevistas buscou-se percorrer os sentidos que a toxicomania evoca, e refletir as especificidades dessa Clìnica. Na articulação com os casos é possìvel reconhecer a singular significação e representação do uso de drogas na toxicomania, um dos modos de lidar com o mal-estar ao investir no tóxico como solução real para a subjetivação. Tais deslocamentos promovidos pelo sujeito que se nomeia toxicômano e traz como queixa seu uso de drogas pode no curso do internamento voluntário consentir em perceber a função que o tóxico ocupa em sua vida psìquica, e implicar-se nisso. A voluntariedade no tratamento é um componente ético fundamental, na medida em que, somente a partir da disponibilidade de cada sujeito será possìvel a construção de novos itinerários para o seu próprio desejo.

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La maternité des femmes dépendantes aux substances psychoactives est aujourd'hui une question de santé publique. Notre recherche porte sur la prédictivité potentielle des remaniements psychiques observés pendant la grossesse de femmes toxicomanes sur la qualité du processus de maternalité et l'investissement de l'enfant. Elle correspond ainsi à une étude clinique et projective psychodynamique de l’évolution du fonctionnement psychique et des représentations liées à l’enfant de la femme toxicomane et/ou substituée devenant mère. Pour ce faire, nous nous appuyons sur l’analyse d’entretiens semi-directifs et de tests projectifs de femmes consommatrices d’opiacés et/ou sous traitement de substitution aux opiacés et de femmes non toxicomanes, entre le dernier trimestre de grossesse et les un an de l’enfant. Un second versant de cette étude propose un état des lieux des modalités d’accompagnement des femmes enceintes et mères consommatrices de drogues illicites sur le territoire Ouest-Normand ainsi qu’un projet d’accompagnement spécifique et pluridisciplinaire de cette population, élaboré au sein d’un CSAPA (Centre de Soins, d’Accompagnement et de Prévention en Addictologie). / Motherhood among women addicted to psychoactive substances is a public health concern. Our research concerns the predictive potential of the psychic reorganizations observed during pregnancy on the quality of motherhood process and of investment of the child. It is thus a psychodynamic clinical and projective study of the evolution of the psychic functioning and the representations bound to the child of drug addict woman and/or woman receiving opiate substitution treatments becoming a mother. In order to do this, we rely on the analysis of semi-directive interviews and projective tests of women opiate users and\or women receiving opiate substitution treatments and of non-addicted women, between the last quarter of pregnancy and on one year old of the child. A second part of this study proposes a state of play of welfare measures for pregnant addicted women and addicted mothers on West-Norman territory. It also proposes a project of specific and multidisciplinary accompaniment of this population which is developed within a CSAPA (Center of addiction care, support and prevention).

The Master Thesis, which is called Managerial competence in social and health services focused on drug addicted clients is formed by two sections. The main goal is "Ideal manager of services fufused on drug addicted clients". The theoretical part is concerned on drug addiction, services in Czech republic, especially in Prague, social and health care and competence, which are join in it. In these chapters are described some definitions and goals. The practical part is based on quantitative research for managers. These managers were asked about their opinion and some hard data about manual and competences about thein organization. There are some recomandation and plan of ideal manager fot these services in the conclusion. Key Words Drug addiction, services focused on drug addicted clients, social work, health care, personality.

The work focuses on the different approaches, theories, trends, and specifics of women's motivation and reasons to join social field work. In the empirical part of the work, we focused on finding out the paths of women to field work, their initial motivation and explore the topics of sexual and bullying behaviour, safety, and the importance of supervision. The research was carried out to prepare this diploma thesis. In this context, the aim of the research was to describe the execution of social field work from the perspective of women and analyse their path to this work, their motivation, the issue of sexual and bullying behaviour and safety in the period January-June 2020. Keywords Streetwork team, streetworker, drug addiction, security, supervision, gender, the role of women

The purpose of the study was to explore the complex ways in which chemsex and internalised homophobia may be linked. The study sought to: Elucidate the concept of internalised homophobia; determine the challenges experienced by gay men and how psychoactive drugs influence their sexual relationships with other men; and also explore a possible relationship between chemsex and internalised homophobia. The study hopes to contribute to a better understanding of the challenges that are faced by gay people and the reasons why some gay men participate in chemsex. A total of eleven participants were identified from an LGBTIQ+ friendly drug rehabilitation centre and a gay bath house in Cape Town. A qualitative approach was used to conduct the study by conducting semi structured interviews with each participant. The theoretical framework used to elucidate the concept of internalised homophobia among the LGBTIQ+ community was underpinned by the minority stress model. This model was used to explain the concepts of homophobia and internalised homophobia. The methodological framework used was qualitative research, which focuses on the stories of individuals and is concerned with the social construction of the individual’s life, and specifically Thematic Analysis which assisted in identifying patterns or themes in people’s accounts. The findings were that even though there is a relationship between internalise homophobia and chemsex, there are many other factors and influences that play a role, such as the individuals' backgrounds, their experiences in coming out as gay, and other life circumstances. In conclusion, the study suggests that there is much more that can be done to break down the stigma and prejudice facing the LGBTIQ+ community, which is a first step towards addressing the chemsex phenomenon and related psychological consequences. / Psychology / M.A. (Psychology)

Earlier research shows that persons who inject drugs are in heightened need of healthcare and medical assistance. But research has also shown that it can be difficult for them to receive care and assistance due to their circumstances. Sweden has a long history of restrictive drug policy and practice. This has affected how care for drug users has been managed and formed. In recent years, due to a change in the Swedish legislation, it has become easier to establish needle exchange programs. As a result, there has been an increase in the number of needle exchange programs during the last five years. The aim of this study was to examine the harm reducing work that is done within the swedish needle exchange program. For this, the study primarily focused on how the staff perceived harm reduction work, its possibilities and difficulties. The data was collected through four semistructured interviews with staff at needle exchanges in Sweden. The participants were either nurses or counselors, working at either newer or more established needle exchanges. The data was coded into the following themes; Reduction of harm- and transmission of infectious diseases, The outlook on drug abuse and The importance of treatment and relations. The results show that harm reduction is perceived to be a pragmatic alternative to the traditional care of drug users by the staff. The participants do stress that needle exchange programs by themselves aren't enough to reduce the harms of addiction. The results also highlight the importance of the relational- and emotional work, which is a real factor for effective harm reduction work. By developing trust and relations, the target groups' needs are both easier expressed and met at needle exchanges.