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Health care institutions In health care units, treating drug addiction is the responsibility of a team of professionals, generally with training in the field of biomedical sciences and, in a few, rare cases, in the area of social sciences.
The treatment follows bureaucratic, formal protocols and based on criteria of abstinence. In the specific cases of crack patients, institutions based on negative images of crackheads are structured to deal with individuals who are unkempt, out of control, dangerous, immoral and irresponsible.
The health care system is organize based on ideological paradigms imbued with the political interests of those who subsidize planning and actions, aimed at their own merits, although political discourse focuses on treating drugs as a priority.
In the case of drug user care centers, the physical structure itself reveals the lack of attention with which this population is dealt with. The majority of the institutions are housed ad hoc in unfinished, discolored, decaying buildings, with piles of paper and damaged equipment and scarce material and human resources. Added to the ideological schema and the physical structure, drug addiction treatment establishments expect the team to embody the proposals contained in the pre-defined protocols and goals, with no room for autonomy or creativeness.
Quite the opposite, their actions are dominated and controlled through camouflaged strategies which define career paths, reinforcing dichotomized and mechanized performance and creating real internal cracks. Moreover, the team is depleted, lacking in qualified training or ongoing professional education to enable them to meet the complexities of treating drug addiction.
This contributes significantly to disillusionment with the job, with prejudices towards the drug using patient, especially those who use crack, and disdain for the conditions of these subjects. Alternatively, some professionals take individual, onerous initiative to seek supervision or training courses; others rely on spontaneous knowledge and intuition and still others make themselves comfortable and limit themselves unreflectingly to automatized tasks.
This results in inaccuracy in concepts, diagnosis, prognosis, mistakes in referrals and in dealing with delicate, unexpected situations which occur daily in such institutions and, of course, in efficacious treatment.
These factors directly affect frustrated attempts on the part of the technicians and in doing a job in which they daily have to deal with a difficult working day, and with the suffering and distress of the users. In this context, it is possible to risk the affirmation that the technical team reproduces the social structure, organized on order and sustained by the discursive logic of hegemony and subordination and, simultaneously, must judge the patient who has lost control of their life with their excessive drug use.
As a result of this, the professionals shut themselves up within their own identities, making it difficult to exchange ideas, to be open to other fields of knowledge, to have contact with other institutions, other ways of caring for users and to see reality outside of the walls of the institution.
Thus, in this context, working in networks, indispensable for the three-pronged approach of subject, substance and social context, is compromised, whereas private practices, subordinated to political macro-systems, to mechanization of professional activities and to unwanted results of treatment become routine. Belo Horizonte: Sigma, In contrast, supported on unsuccessful treatment rates, the moralist models and obsolete physical structures, the political and ideological discourses responsible for circulating stereotyped images of patients gain more ground and lead to intensification of the fear of crack and crackheads.
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From this point of view, illness is considered a deviance from the norms and precepts of normality, either by desire, by the irresponsible decision of the subject or by their inability to deal with, respect or obey social norms, and is something to be corrected.
Thus, treatments projects based on curative practices, with medicalized and standardized activities prescribed by experts, aiming to reorder their path, their desires and their behavior, making them more obedient and useful to social mechanisms Foucault, FOUCAULT, M. Vigiar e punir. Thus, a vicious circle is created, compulsively looking for the substance, for treatment in health care units, dropping out of treatment, relapses and failed treatment.
On the other hand, these institutions can become a useful resource for drug users, especially crack users, who make use of them as a means of obtaining something beneficial to them, more clemency from Justice or as an escape from difficult situations with dealers or the police, etc.
Thus, like any other human being, users make use of a wide variety of social games and tricks in their symbolic world, in a bid to overcome their grotesque fate. The illness can also be a sort of talisman, used as an argument by lawyers in legal proceedings, trying to avoid a severe sentence for their client. Although this process, with all its ills, is reproduced, the resistance of treatment institutions to recognizing the lack of success of the biomedical model is notorious, as is the difficulty of reviewing and reinventing forms of dealing with the problem of drugs, and everything it implies, in contemporary society.
Rehabilitation clinics The paradigms which guide treatment in rehabilitation clinics — Rehab - are based on religion and on work and are related to diseased souls, morals and bodies provoked by excess or by transgressing social norms. To re-establish themselves, the individual needs to go through a process of taking responsibility and repairing the damage they have done, experiencing guilt and deeming their punishment to be deserved.
In this case, the illness would be a curse stemming from disobedience and, to treat it, the subject needs to learn to obey and accept social order with humility. This ritual may require the subject to read the bible, or involve the 12 steps to recovery, or it may be verbal testimony, making spiritual energy and faith emerge from those who have experienced recovery, translated as abstinence.
The statements of those who have recovered serve as a model for those who are in the process of constructing their faith. The combination of the word of God with knowledge of human acts and belief may lead to the decision to submit to treatment. The meanings of the texts are transformed and assigned new meaning using cultural codes which serve to educate, guide and exemplify correct behavior. However, the subject can only learn the meaning given to the texts by recognizing their own error disobedience or deviance , reflect and learn from their attitudes.
Thus, deviations and sins are reinforced and marked anew with evangelical norms.
The subject recognizing their own state in order to start the recovery process is a rite of passage which unfailingly requires guilt and victimization.
The individual has to have hit rock bottom. This moment is symbolic for the treatment teams in both rehab clinics and health centers. At this time, the team is authorized to intervene and has the power to act for the other and be really empowered. Normalization is translated into moral principles, through criteria of good behavior, faith, religion, work and total abstinence.
This signifies being cured, limited to following norms set by religious conversion and a moral review of lifestyle. In this context, the professionals tend to attribute etiology of morbid processes to a form of metaphorical, symbolic causality, or to a moral transgression. It is a struggle between good and evil, represented by the demonic power the drug has over the individual. Challenges of drug addiction and crack clinics The problem drug, in particular crack addiction clinics, be they health care institutions or rehab centers, is patients being officially discharged and authorized to leave.
There are few who complete the treatment project, some drop out, others run away and others force the family to take responsibility for their leaving. This is due to the high incidence of relapse, regardless of the type of institution. This situation is even more serious when the substances being used is crack.
Patients using this drug rarely manage to conclude their treatment cycle. This situation is the topic of clinical meetings and of scientific debate and is the driving force behind the feeling of medical failure in dealing with drug addiction. If the issue is examined from the point of view of being discharged and cured based on the criteria of abstinence , we can be sure that there is no cure, or that the abstinence is probably an illusion. In general, motivation for treatment occurs when drug use in considered a problem by the patient themselves, by their families and by the professionals following their progress, such as in the workplace, in health care institutions, religious organizations and legal institutions.
In general, treatment is sought when the case is considered to be serious, either because of social, emotional and professional, or physical the most common effects and damage. This situation leads to suffering, threats and low self-esteem — not only for the addict but for those around them — and becomes a motivator for seeking help; in other words, the subject expects support to rid themselves of symptoms of drug taking which make them uncomfortable.
Throughout history, the inexplicability of afflictions, pain, suffering and worry about malaise was essential in creating medical explanatory strategies which, from the point of view of those who suffer, or those around them, clarify nothing. Iliness: from cause to meaning. Concepts of health, illness and disease: a comparative perspective.
Oxford: Berg, Conception and understanding of the disease is only possible through socially constructed images, related to the body or to a part of it, and to the intensity of the suffering. So, treatment and its success are also a social construction. Thus, the motivation for the demand for treatment and treatment types which meet it are the result of how the disease is perceived.
The combination of suffering — something inexplicable — and how biomedical techniques combat it result in a mix of spirituality and rationality.
However, the way of constructing and typifying the disease is out of tune with socio-cultural paradigms, social processes and the perspective of the professionals.
In other words, physical discomfort, suffering and pain are recorded in order of significance and treated according to the order of symptoms. This mismatch results in the patient viewing the treatment services and the professionals with distrust and insecurity and blaming themselves for constant relapses. In contrast, in traditional medicine with the shaman or healer as a figure of spiritual power to cure, the rituals are organized to include the suffering subject and those around them.
In this case, the suffering individual is the principal character in the healing process which takes place in their own context, involving other social figures. Throughout history, health care has been discussed and studied, especially in the fields of medical knowledge and social sciences. Los procesos asistenciales.
The principal motivator in seeking care, in the case of drug addicts and in the specific case of crack, is the loss of social ties, clinical problems due to snorting cocaine mixed with solvents, malnutrition and lack of sleep and legal problems or problems with drug dealers.
Thus, for the patient, cure is associated with ridding themselves of these uncomfortable symptoms underlying their loyal and pleasurable relationship with the drug. Therefore, the patient wants to be free of the symptom, not of the drug. This expectation is supported by the biomedical model of abstinence which, although controversial, has gained ground in the legal, medical and religious spheres and neutralizes the creation and use of different forms of care — different from pre-defined treatment protocols — during the treatment and after discharge.
Carl Nagel Index
On the other hand, the meaning drug use and its effects are given by the individual user influences their perception of institutions and demand for treatment. If the use, compulsive or otherwise, s pleasurable, the user will not want to relinquish the enjoyment the drug provides.
Thus, when the initial malaise is alleviated and the user feels free from these pitfalls, they deem themselves ready to return to their day-to-day existence, interrupting the treatment process idealized by the health care professional. This decision is individual and dispenses with the opinion of those who think they can control the pleasure of others. From this perspective, the patient does not refuse treatment, as is believed by professionals and managers in drug addiction treatment centers, rather, they feel themselves to be cured of what was bothering them.
Thus, there is a mismatch between the two individuals involved in the treatment process; the professional and the patient. Patients and crackheads: a necessary classification It can certainly be said that it is an almost unforgivable mistake to determine one single profile for crack patients; it is equally possible to guarantee that the figure of the crackhead presented and created by the media is not totally accurate.
Thus, it behooves us not to reinforce stigma attached to certain individuals and social groups. In moments of crisis, this patient needs to be hospitalized and medicated to stabilize their condition. Post-discharge, they may be followed up in mental health units, on an outpatient basis, by doctors and other health care professionals.
In this situation, for this particular profile, and only when there is danger to self or others, compulsory hospitalization is recommended. Whatever the situation, it is essential to maintain the psychotic profile stable in order to approach the issue of substance use. It is, therefore, essential to analyze their surroundings and the formal and informal networks of relationships.
This is a mechanism manipulated so as to escape from difficult situations, such as being on the run from dealers or from the police, to claim sickness benefit or other benefits or to escape from family pressures. Lisa desrochers original sin epub files Buy the Original Sin ebook.
This acclaimed book by Lisa Desrochers is available at eBookMall. Original Sin. Original Sin ePub can be read on any device that can open ePub files. File Size: Kb. Language: ENG.
Copy From Text: Disabled. Twentytwo year old Hilary McIntyre would like nothing more than to forget her past. She lives in central California with her husband and two very busy daughters. Buy a cheap copy of Original Sin book by Lisa Desrochers. Luc Cain was born and raised in Hell, but he isnt feeling as demonic as usual latelythanks to Frannie Cavanaugh and the unique power she never realized she had. Free shipping over If theres a Hell on Earth, its high school.She: After taking my clothes off in your presence, I want to bare my soul with perfect candour and show myself just as I am, in essence, as if I left all behind, only to wander.
He struggles with his changing feelings toward Frannie, and by the end, discovers she's changed more than his mind. Personal Demons started when her demon, Lucifer Cain popped into her head and begun to tell his story.
They show lucidity and suffering and are able to analyze the context within which they find themselves, their networks and to recognize the weakening or loss of social, family and emotional ties. Regina Medeiros Abstract This article is a partial product of a research conducted in the metropolitan region of Belo Horizonte in order to understand the mechanisms involved in the social and symbolic link between trafficking of crack cocaine and the spread of violence, compulsive use of this substance, treatments and health care services attention tofor the users.
Both: Rain or shine, there will be no need for saviours of my role as a woman in all weathers. In the specific cases of crack patients, institutions based on negative images of crackheads are structured to deal with individuals who are unkempt, out of control, dangerous, immoral and irresponsible.
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