a Department of Psychology , New York University , New York , NY , USA.
J Psychoactive Drugs. 2019 Jan-Mar;51(1):85-92. doi: 10.1080/02791072.2018.1564157. Epub 2019 Jan 17.
This article outlines a liberation-focused model of addiction treatment. Drawing on the Latin root word "addictus", addiction is seen as slavery and freedom, rather than the cessation of drug and alcohol use, is proposed as a viable, alternative treatment goal. Freedom is defined as: (1) the capacity to create a life of social and internal complexity and multiplicity; (2) the ability to make choices from an array of options; and (3) the possibility of engaging in long-term, goal-directed behavior. This vision of personal liberation is then embedded within a biopsychosocial model of care and treatment. Examples of how biomedical, psychological, and social interventions can each serve to promote the goal and experience of freedom and liberation are provided. Engaging in identity projects and using harm reduction interventions and philosophies are also seen as key to this transformative journey.
本文概述了一种以解放为重点的成瘾治疗模式。受拉丁语“addictus”一词的启发，成瘾被视为奴役，而不是停止使用毒品和酒精，被提议作为一种可行的、替代的治疗目标。自由被定义为：（1）创造社会和内部复杂多样生活的能力；（2）从一系列选项中做出选择的能力；（3）从事长期、目标导向行为的可能性。然后，这种个人解放的愿景被嵌入到生物心理社会的关怀和治疗模式中。提供了生物医学、心理和社会干预措施如何能够促进自由和解放的目标和体验的例子。参与身份项目以及使用减少伤害干预措施和理念也被视为这一变革之旅的关键。
