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从酒精和其他药物成瘾中康复的药剂师:一项访谈研究。

Pharmacists recovering from alcohol and other drug addictions: an interview study.

作者信息

Bissell L, Haberman P W, Williams R L

出版信息

Am Pharm. 1989 Jun;NS29(6):19-30. doi: 10.1016/s0160-3450(15)31759-1.

Abstract

An interview study of 86 pharmacists recovering from alcohol or other drug addiction was conducted to describe their experiences during development of and recovery from the addiction. Patterned after similar studies of other recovering health-care professionals, the study permitted comparisons with these other groups. Many felt inadequately prepared to recognize or deal with warning signs of problems of addiction in themselves or others. Forty-four had been arrested; 45 had experienced unemployment because of drinking or other drug use; 16 lost their licenses. Eighteen reported suicide attempts, 13 by drug overdose. Most reported experiences that are regarded as late-stage events, although 50 had never been subject to board action because of their drinking and other drug use. The use of chemicals interfered with the pharmacists' lives long before they were consciously worried about it. For 18, recovery occurred through the assistance of mutual-help groups alone; others had a variety of treatment experiences. Fewer pharmacists reported addiction to only alcohol than did other health-care professionals. Very few reported addiction to parenteral drugs, a significant deviation from the other groups studied. Pharmacists differed from other groups also in that they were extra scrupulous in reporting acts of dishonesty associated with their addiction, which may make their behavior appear worse than that of the other groups when the opposite may be the case. The profession must begin to answer questions about how recovering pharmacists should be treated, and what the role of professional groups in their recovery is.

摘要

对86名从酒精或其他药物成瘾中康复的药剂师进行了一项访谈研究,以描述他们在成瘾发展和康复过程中的经历。该研究仿照其他康复医护人员的类似研究进行,以便与其他群体进行比较。许多人觉得自己没有足够的准备来识别或应对自身或他人成瘾问题的警示信号。44人曾被捕;45人因饮酒或使用其他药物而失业;16人失去了执照。18人报告有自杀企图,其中13人是药物过量。大多数人报告的经历被视为晚期事件,尽管50人从未因饮酒和使用其他药物而受到委员会的处分。早在药剂师有意识地担心之前,化学物质的使用就已经干扰了他们的生活。18人仅通过互助小组的帮助就实现了康复;其他人则有各种各样的治疗经历。与其他医护人员相比,报告仅对酒精成瘾的药剂师较少。很少有人报告对注射药物成瘾,这与其他研究群体有显著差异。药剂师与其他群体的不同之处还在于,他们在报告与成瘾相关的不诚实行为时格外谨慎,这可能会使他们的行为看起来比其他群体更糟糕,而实际情况可能恰恰相反。该行业必须开始回答关于如何对待康复药剂师以及专业团体在他们康复过程中的作用等问题。

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