Spontaneous harm reduction: a barrier for substance-dependent individuals seeking treatment?
OBJETIVE: Greater information regarding motivations and treatment barriers faced by substance-dependent individuals has clinical and public health implications. This study aimed to formulate hypotheses regarding psychological, social and family variables that can be constructed as motivations or sub...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Psiquiatria (ABP)
2005-12-01
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| Series: | Brazilian Journal of Psychiatry |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462005000400004&lng=en&tlng=en |
| _version_ | 1811266752108036096 |
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| author | Bruno José Barcellos Fontanella Egberto Ribeiro Turato |
| author_facet | Bruno José Barcellos Fontanella Egberto Ribeiro Turato |
| author_sort | Bruno José Barcellos Fontanella |
| collection | DOAJ |
| description | OBJETIVE: Greater information regarding motivations and treatment barriers faced by substance-dependent individuals has clinical and public health implications. This study aimed to formulate hypotheses regarding psychological, social and family variables that can be constructed as motivations or subjective barriers for the early seeking of formal treatment. METHODS: A qualitative study was conducted in an intentional sample (selected through saturation and variety of types) of 13 substance-dependent individuals who sought treatment. In-depth, semi-structured interviews were conducted using open questions, and the transcribed data were subjected to qualitative analysis. RESULTS: Four types of spontaneous harm reduction measures were identified, according to the subjective logic of each participant: having some periods at rest (not using and recovering from adverse effects); caretaking by close acquaintances (relatives, partners, drug dealers and alcoholic beverage sellers); selectivity regarding substance source, type and means of administration; establishing "healthy" limits of ingestion. CONCLUSIONS: The measures identified might represent barriers to the early seeking of treatment but might also represent spontaneous learning of abilities beneficial to future treatment. Health care professionals should take into consideration their existence and should address them in clinical settings. Issues representative of the formulated categories should be presented in structured questionnaires used in future quantitative studies of barriers to treatment in this population. |
| first_indexed | 2024-04-12T20:48:57Z |
| format | Article |
| id | doaj.art-33fc9695a8a349d890316922612a3c38 |
| institution | Directory Open Access Journal |
| issn | 1809-452X |
| language | English |
| last_indexed | 2024-04-12T20:48:57Z |
| publishDate | 2005-12-01 |
| publisher | Associação Brasileira de Psiquiatria (ABP) |
| record_format | Article |
| series | Brazilian Journal of Psychiatry |
| spelling | doaj.art-33fc9695a8a349d890316922612a3c382022-12-22T03:17:11ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X2005-12-0127427227710.1590/S1516-44462005000400004S1516-44462005000400004Spontaneous harm reduction: a barrier for substance-dependent individuals seeking treatment?Bruno José Barcellos Fontanella0Egberto Ribeiro Turato1Universidade Federal de Minas GeraisUniversidade Estadual de CampinasOBJETIVE: Greater information regarding motivations and treatment barriers faced by substance-dependent individuals has clinical and public health implications. This study aimed to formulate hypotheses regarding psychological, social and family variables that can be constructed as motivations or subjective barriers for the early seeking of formal treatment. METHODS: A qualitative study was conducted in an intentional sample (selected through saturation and variety of types) of 13 substance-dependent individuals who sought treatment. In-depth, semi-structured interviews were conducted using open questions, and the transcribed data were subjected to qualitative analysis. RESULTS: Four types of spontaneous harm reduction measures were identified, according to the subjective logic of each participant: having some periods at rest (not using and recovering from adverse effects); caretaking by close acquaintances (relatives, partners, drug dealers and alcoholic beverage sellers); selectivity regarding substance source, type and means of administration; establishing "healthy" limits of ingestion. CONCLUSIONS: The measures identified might represent barriers to the early seeking of treatment but might also represent spontaneous learning of abilities beneficial to future treatment. Health care professionals should take into consideration their existence and should address them in clinical settings. Issues representative of the formulated categories should be presented in structured questionnaires used in future quantitative studies of barriers to treatment in this population.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462005000400004&lng=en&tlng=enTranstornos relacionados ao uso de substânciasAlcoolismoAceitação pelo paciente de cuidados de saúdeCuidados médicosEntrevista psicológicaPesquisa qualitativaRedução do dano |
| spellingShingle | Bruno José Barcellos Fontanella Egberto Ribeiro Turato Spontaneous harm reduction: a barrier for substance-dependent individuals seeking treatment? Brazilian Journal of Psychiatry Transtornos relacionados ao uso de substâncias Alcoolismo Aceitação pelo paciente de cuidados de saúde Cuidados médicos Entrevista psicológica Pesquisa qualitativa Redução do dano |
| title | Spontaneous harm reduction: a barrier for substance-dependent individuals seeking treatment? |
| title_full | Spontaneous harm reduction: a barrier for substance-dependent individuals seeking treatment? |
| title_fullStr | Spontaneous harm reduction: a barrier for substance-dependent individuals seeking treatment? |
| title_full_unstemmed | Spontaneous harm reduction: a barrier for substance-dependent individuals seeking treatment? |
| title_short | Spontaneous harm reduction: a barrier for substance-dependent individuals seeking treatment? |
| title_sort | spontaneous harm reduction a barrier for substance dependent individuals seeking treatment |
| topic | Transtornos relacionados ao uso de substâncias Alcoolismo Aceitação pelo paciente de cuidados de saúde Cuidados médicos Entrevista psicológica Pesquisa qualitativa Redução do dano |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-44462005000400004&lng=en&tlng=en |
| work_keys_str_mv | AT brunojosebarcellosfontanella spontaneousharmreductionabarrierforsubstancedependentindividualsseekingtreatment AT egbertoribeiroturato spontaneousharmreductionabarrierforsubstancedependentindividualsseekingtreatment |