van der Meer Sanchez Zila, Nappo Solange A
Federal University of São Paulo, Psychobiology Department, Brazilian Center of Information of Psychotropic Drugs (CEBRID), São Paulo, Brazil.
Soc Sci Med. 2008 Aug;67(4):638-46. doi: 10.1016/j.socscimed.2008.04.009. Epub 2008 May 22.
The main objective of the present work is to understand the processes used in emerging Catholic and Protestant religious interventions for recovery from drug dependence, from the vantage point of individuals subjected to them. A qualitative method and an intentional sample selected by criteria were adopted for this investigation, which was conducted in São Paulo, Brazil. An in-depth semi-structured interview was conducted with 57 predominantly male former drug users who fit the criteria: they had been submitted to non-medical religious treatments to treat dependence and were abstinent for at least 6 months. Crisis was found to be the main reason leading interviewees to seek treatment; this includes, losing family, losing employment, and experiencing severe humiliation. Evangelicals most used religious resources exclusively as treatment, showing strong aversion to the role of doctors and to any type of pharmacological treatment. A common feature of Catholic and Protestant groups is the importance ascribed to praying and talking to God, described by subjects as strongly anxiolytic, and a means to control drug craving. Confession and forgiveness, through faith conversion or penitences, respectively, appeal strongly to the restructuring of life and increase of self-esteem. Religious interventions were considered effective by the individuals who underwent them and were seen as attractive for the humane, respectful treatment they delivered. The key aspects of this type of treatment are social support provided by the receiving group, equal treatment, and instant, judgment-free acceptance. The success of these actions, then, is not only due to some "supernatural" aspect, as might be assumed, but also more to the unconditional dedication of human beings to their peers. Given the difficulty in treating drug dependence, religious interventions could be used as a complementary treatment for conventional therapies.
本研究的主要目的是从接受新兴天主教和新教宗教戒毒干预措施的个人角度,了解这些措施所采用的过程。本调查采用定性方法,并通过标准选取了意向性样本,调查在巴西圣保罗进行。对57名主要为男性的符合标准的戒毒者进行了深入的半结构化访谈:他们曾接受非医学宗教治疗以戒除毒瘾,且已戒毒至少6个月。危机被发现是导致受访者寻求治疗的主要原因;这包括失去家庭、失去工作以及遭受严重羞辱。福音派大多仅将宗教资源用作治疗手段,对医生的作用和任何类型的药物治疗表现出强烈反感。天主教和新教团体的一个共同特点是祈祷和与上帝交谈的重要性,受访者称这具有很强的抗焦虑作用,也是控制毒瘾渴望的一种方式。通过信仰转变或忏悔分别进行的忏悔和宽恕,对生活的重塑和自尊的提升具有强烈吸引力。接受宗教干预的个人认为这些干预措施是有效的,并因其提供的人道、尊重的治疗方式而具有吸引力。这种治疗方式的关键方面是接受群体提供的社会支持、平等对待以及即时、无评判的接纳。那么,这些行动的成功不仅如人们可能认为的那样归因于某些“超自然”因素,更多的是归因于人们对同伴的无条件奉献。鉴于治疗毒瘾存在困难,宗教干预可作为传统疗法的补充治疗手段。