del Barrio Lourdes Rodriguez, Cyr Céline, Benisty Lisa, Richard Pierrette
Cien Saude Colet. 2013 Oct;18(10):2879-87. doi: 10.1590/s1413-81232013001000012.
Autonomous Medication Management (GAM) is an innovative approach developed in partnership with medication users. It takes their subjective experience into account and strives to place the individual at the center of pharmacological treatment in psychiatry with a view to improving well-being and quality of life. It creates spaces of open dialogue on the issue of medication amongst users, physicians and their family and friends. This article is derived from a research study and presents the principles, practices and main impacts of GAM on how people relate to their medications and the physicians who prescribe them. The major positive effects were the users' clearer understanding of their experience of taking psychiatric medication and their rights, the reduction or elimination of sudden and unsupervised treatment interruptions and the users' sense of having more control over their treatment. It includes inner experience and life, an improved relationship with professionals and space for negotiation with the physician and, lastly, changes to prescriptions that significantly improved well-being and recovery. The distinguishing features of GAM are described and compared with other approaches, giving a voice to people who take medication.
自主药物管理(GAM)是一种与药物使用者合作开发的创新方法。它考虑到他们的主观体验,并努力将个人置于精神病药理学治疗的中心,以改善幸福感和生活质量。它在使用者、医生及其家人和朋友之间就药物问题创造了开放对话的空间。本文源自一项研究,介绍了自主药物管理的原则、实践及其对人们与药物及开处方医生关系的主要影响。主要的积极影响包括使用者对服用精神科药物的体验和自身权利有更清晰的认识,减少或消除突然且无监督的治疗中断,以及使用者对治疗有更多掌控感。它涵盖内心体验和生活、与专业人员关系的改善以及与医生协商的空间,最后是显著改善幸福感和康复状况的处方变化。文中描述了自主药物管理的显著特征,并与其他方法进行了比较,让服药者有了发声的机会。