published_or_final_version / Architecture / Master / Master of Architecture

published_or_final_version / abstract / toc / Social Work and Social Administration / Doctoral / Doctor of Philosophy

The purpose of this research was to understand the lived experience of a person with a substance addiction that uses or has used alternative therapies for treatment. A single-case study approach was used to understand the lived experiences of Jason, a male in his mid-forties who is healing from a substance addiction. Through in-person interviewing and reading personal manuscripts written by the participant, data were collected. The data were analysed and interpreted using phenomenological and integral hermeneutics. Through the interpretations, it was clear that a major contributing factor to Jason’s drug use was the negative experiences he was carrying from his past. Once he was able to let go of the negativity and let his higher power guide him, his healing journey took a positive turn. Today, Jason lives in the moment and does not need drugs to heal the hurt he is feeling inside. He uses his ultimate alternative method, derived from within himself, to guide his journey in recovery. / viii, 155 leaves ; 29 cm

Despite the fact that a lot of information exist in the literature regarding factors leading to drug abuse, consequences of drug abuse for adolescents; little exists that focuses on family support for adolescents after rehabilitation. The purpose of this study was to explore family support for adolescents after rehabilitation for drug abuse. The study was based on semi-structured interview based qualitative research. Findings during interviews was that the families have no clear understanding or are not skilled as to how to continue supporting the adolescents after they are discharged from the rehabilitation centre. What was also interesting according to the participants was that even in the rehabilitation centres families are not made part of or involved during the rehabilitation process. There is a need to make the rehabilitation centres aware that families need to be involved during the rehabilitation process of the adolescent so that it becomes easy for the families to continue supporting the adolescents after they have completed the rehabilitation process. / Health Studies / M.A. (Health Studies)

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / 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.

The purpose of this study was to determine what influence scheduled phone contacts would have on the extent of follow-through of continuing care recommednations by participants after treatment. Continuing care recommendations associated with ongoing sobriety include going to another level of care (individual therapy, group therapy, outpatient treatment), attending twelve-step meetings and communicating with a sponsor. Continuing care recommendations are typically written and referred to as a continuing care plan.

published_or_final_version / Social Work / Master / Master of Social Work

M.A. (Clinical Psychology) / The context of psychotherapy groups determine which factors are experienced as therapeutic. The nature of inpatient setting, the brief duration of the groups. and the concurrent nature of therapy were hypothesised as having a possible effect on which factors are perceived as therapeutic. For this particular study the added effect of substance dependency was taken into account. Each of these factors were discussed in a detailed review of the literature. The model of research used in the study was the attitudinal survey with the means of a questionnaire. The patients rank-ordered the relative importance of the various treatment experiences offered by Phoenix House. The primary research data was obtained by means of Yalom's (1985) therapeutic statement questionnaire. well validated in terms of reliability and validity. The statements have previously been used in a forced Q-sort method. In this study it was decided to leave it open as more factors may be rated as therapeutic than those achieved in a Q-sort. Time and expediency were also factors taken into account in using the questionnaire rating in an unforced manner. Open ended questions were used to obtain descriptive data regarding the helpfulness of group psychotherapy and their perceptions of concurrent therapy. A nonprobability sampling procedure was used. The present study addressed the following questions: 1. How do inpatients dependent upon substances perceive. in relation to other treatment methods, their group psychotherapy experiences? 2. Which aspects of the inpatient group psychotherapy experiences. as reflected in the therapeutic factors. seemto be perceived as most and least useful to people dependent upon substances? 3. How do the inpatients perceive their concurrent individual and group psychotherapy? 4. Do high and low valuers of inpatient group psychotherapy value different therapeutic factors?

M.A. (Psychology) / It is generally accepted that the management and treatment of individuals addicted to chemical substances or drugs entail challenges for the professions involved in drug contexts. In this dissertation a number of therapeutic systems in drug contexts are explored in aim of the treatment of people with drug addiction. In the literature survey it is indicated that the manner in which therapeutic intervensions are operationalized in drug treatment practices, are influenced by the organization's theoretical-philosophical orientation with regard to therapeutic treatment modes. This aspect is examined in the study on the basis of a critical discussion of the perspectives of the medical model and an alternative model, namely the adaptive model, concerning the therapeutic management of people addicted to drugs. It is further established from the literature that people with drug addiction problems are often treated within the boundaries of a therapeutic community and that various therapeutic interventions, namely individual psychotherapy, family therapy and group therapy, are also implemented in this therapeutic context. The present study specifically concentrates on an alternative approach concerning the therapeutic modes of treatment for individuals with drug addiction. One such an approach, as discussed in this study, entails that therapeutic approaches regarding people addicted to drugs, progress from a causal-theoretical manner of defining these people (for instance the view that individuals addicted to drugs have a progressive disease and that they are unable to take responsibility for their behaviour) to an approach based on the principles of interactional therapy and motivational milieu therapy {for instance the idea that such individuals have the ability to conduct their interpersonal relationships

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.