Almanza-Avendaño Ariagor Manuel, Romero Mendoza Martha, Gomez-San Luis Anel Hortensia
Facultad de Ciencias Humanas, Universidad Autónoma de Baja California, Mexicali, Mexico.
Dirección de Investigaciones Epidemiológicas y Psicosociales, Instituto Nacional de Psiquiatría, Ciudad de México, Mexico City, Mexico.
Front Psychiatry. 2021 Aug 17;12:649961. doi: 10.3389/fpsyt.2021.649961. eCollection 2021.
There are multiple discourses on addictions that influence the way in which relatives interpret the substance use of a family member. The purpose of this study is to understand the influence of these discourses on the construction of use as a problem by relatives of people in recovery. Narratives were obtained on the path of the illness to identify the phases in the construction of use as a problem and the influence of the discourses on each phase. The process has four successive phases: normalization, impasse, exasperation, and adoption of the treatment ideology. This process goes from the legitimization of use to its moral interpretation and subsequently to the transition to medical discourse. It is concluded that it is important to reduce the influence of the moral discourse in order to facilitate timely detection and early care, as well as to design interventions focused on the reconstruction of use as a problem.
关于成瘾存在多种论述，这些论述影响着亲属解读家庭成员物质使用情况的方式。本研究的目的是了解这些论述对康复者亲属将使用视为问题的建构过程的影响。通过获取关于疾病历程的叙述，以确定将使用视为问题的建构阶段以及各论述在每个阶段的影响。该过程有四个连续阶段：正常化、僵局、恼怒以及接受治疗理念。这个过程从使用的合法化到其道德解读，随后转向医学论述。研究得出结论，减少道德论述的影响对于促进及时发现和早期护理以及设计专注于将使用重构为问题的干预措施很重要。
