scholarly journals Attitude towards disease and death in patients with drug addiction

Author(s):  
Tatyana Viktorovna Kapustina ◽  
Anastasiya Sergeevna Elzesser ◽  
Ekaterina Vadimovna Kondrateva

The characteristic difficulties in healing and relapse periods determine the need to study the psychological traits in patients with drug addiction. Studies of drug addicts' attitude to disease and death show how much they are aware of the seriousness of their illness and are ready for the rehabilitation process. The purpose of this study is to describe the attitude to disease and death, viewed from the component model a point of view, in patients with drug addiction. The authors compared 47 drug-dependent men (24-45 years old) undergoing rehabilitation to 45 conditionally healthy men (22-46 years old). Questionnaire, testing, associative experiment methods and statistical analysis methods (Mann–Whitney U test, angular transformation test named after Sir Ronald Aylmer Fisher, content analysis) were used in the work to process the results. The obtained results allowed to describe the attitude to disease and death at the level of thoughts and judgements (cognitive), emotions and feelings (emotional), actions (behavioural). Based on the results, conclusions were drawn about the activity of psychological defences associated with fear of death due to addiction, poor motivation to seek help with the intensity of experience in relation to one's dependence and ease of returning to it because of these experiences observed in most of the subjects. Thus, the study outlines a peculiar vicious circle with the target of psychotherapeutic work.

2020 ◽  
Vol 9 (4) ◽  
pp. 21-35
Author(s):  
A.A. Bekhter

Difficulties in the rehabilitation and treatment of drug addicts are associated with the peculiarities of their behavior, which are a consequence of a change in their personality. The author conducted an empirical study on two groups of drug-dependent men with a combined form of drug addiction at the stage of treatment (n=30) and rehabilitation with a remission period of about a year (n=30); healthy male volunteers (n=30) acted as a control group. The study was conducted on the basis of the Regional Clinical Psychiatric Hospital, Khabarovsk Territory, Department of Medical Rehabilitation for people with drug addiction disorders in Khabarovsk. All men participating in the study had a higher education, a family, and the average age of all subjects was 32 ± 10.1 years. The study used: Kellerman-Plutchik's “Life style Index” methods (adapted by Wasserman L.I., Eryshev O.F., Klubova E.B. et al., 2005); coping test by Lazarus R. and Folkman S. (adapted by T.L. Kryukova, Kuftyak E.V., Zamishlyaeva M.S., 2005); questionnaire “Proactive coping behavior” Greenglass E., Schwarzer R. et al. (adapted by Belinskaya E.P., Vecherin A.V., Agadullina E.R., 2018). The main features of reactive-proactive coping in groups of drug addicts are defined: in the first group, coping is emotionally-oriented and cognitive-oriented in nature with a focus on social and emotional support, the protection mechanisms “denial”, “projection”, “substitution”, “intellectualization” prevail; in the second group, the intensity of avoidance strategies in combination with proactive overcoming without a focus on external support is identified, intellectual defenses are combined with strategies for reflective analysis. The main differences between the two groups of drug addicts are in the nature of the relationship between defense mechanisms and reactive-proactive coping strategies, in the variation of reactive strategies and their orientation, in the features of building proactive behavior. Understanding the features of reactive-proactive coping with drug addicts can greatly facilitate the work of a psychologist in remedial and rehabilitation activities with patients focused on life planning during remission.


The paper discusses the basic psychological directions of the system of attitudes of drug addiction’s study. The analysis of the problem of the system of attitudes of drug addiction persons made it possible to consider the relationship of drug addicts as a triad of subject-subject attitude to the drug, subject-object attitude to other people and subject-object arritude to himself. Thus, the drug "humanizes", endowed with attributes of a person's mental life. Emotional attachment to the drug is "personalized," and its loss is experienced as the loss of some part of itself. Behavior in relation to the drug is manifested in his persistent search. While, another person is treated by drug addicts in terms of utility, acceptability, need, importance, importance for them. The result of the analysis of different points of view about the peculiarities of the system of attitudes among drug addicts was the construction of a model for studying the relationship of persons with drug addiction in the triad: the subject is a subjective attitude to the drug, the subject is the object relation to other people, and the subject is an objective relation to himself. Drug addicts, animate and personalize the drug, refer to it as a person. At the same time, their relation to other people and to themselves is reified, and others are perceived as objects for manipulation. The findings suggest that formation of subject-subject emotional stereotypes towards close women: mother and wife/girl who are based on the depreciation mother’s social status and further in exaggerating the negative qualities of a partner.


2020 ◽  
Vol 10 (2) ◽  
pp. 210-212
Author(s):  
TATYANA TIMOFEEVA ◽  

The article is devoted to the functions of the criminal Executive inspections of the Federal penitentiary service in monitoring convicted drug addicts. The statistical number of this category of convicts is analyzed, problematic issues are considered, contradictions and shortcomings in the legal regulation of the procedure for monitoring convicts suffering from drug addiction, and proposals are made to improve the legislative regulation of the procedure for monitoring convicted drug addicts.


2021 ◽  
Vol 18 (1) ◽  
pp. 13-19
Author(s):  
A.I. Rabadanova ◽  

The steady growth in the number of drug addicts, especially among young people, dictates the need to find ways to prevent and treat this disease. In this regard, there is a need for a more detailed study of the mechanisms of the course of this disease using modern research methods, such as atomic force microscopy and fluorescence analysis of amino acid residues. Purpose of the work: to reveal the structural and functional state of erythrocyte membranes in drug addiction. Materials and methods. The studies were carried out on the erythrocyte membranes of 60 subjects suffering from heroin addiction. The shape and topography of the erythrocyte surface were studied, and spectral analysis of the proteins of the erythrocyte membranes was carried out. Results. The conducted AFM studies of erythrocyte membranes indicate the heterogeneity of the surface mechanical properties of the erythrocyte membranes of drug addicts. The data obtained indicate an acceleration of the aging process of erythrocytes in drug addiction, which goes in two ways: the formation of outgrowths on the plasmolemma, which subsequently die off (echinocytes) and invagination of the plasmolemma of erythrocytes (spherocytes). The fluorescence spectrum of amino acids in erythrocytes of drug addicts is characterized by a significant decrease in the intensity of almost all peaks and a shift of the fluorescence peak to the short-wave region. Findings. With drug addiction, changes in the structural integrity of red blood cells are noted. In people with drug addiction, in comparison with healthy people, there is a higher variability of the morphology of erythrocytes, which is expressed in a significant increase in the proportion of echinocytes and spherocytes against the background of a significant decrease in the number of discocytes. For the membrane proteins of erythrocytes of drug addicts, conformational changes are characteristic, manifested in a decrease in the intensity of fluorescence of aromatic amino acids, which indicates their structural modification and significant vulnerability of the hematopoietic system. They are largely determined by changes in the fluorescence intensity of tryptophan and, to a lesser extent, tyrosine, which indicates the preservation of the three-dimensional structure of the protein.


2021 ◽  
Vol 27 ◽  
pp. 63-96
Author(s):  
INTISAR SHAHBAZ ◽  

Abstract The problem of drug addiction for individuals, especially young people, is one of the most dangerous pests that cause many problems in various health, social and psychological aspects facing every society, but rather the whole world. The phenomenon of drug addiction often leaves individuals with dangerous negative effects on their behavior, whether towards themselves or towards others, and this requires the relevant institutions to strive for important and constructive solutions to reform such individuals, and then rid them of their negative behaviors, rehabilitate them and integrate them into society, to become active and effective individuals through their adoption of positive behaviors that are acceptable in line with the values, customs and traditions of their societies to which they belong. Therefore, our current study came to shed light on the most important effects resulting from the phenomenon of drug addiction among individuals through achieving the two research objectives which seek to know: 1- Causes of addiction to drug use among individuals 2- The effect of drug abuse on society. Upon verifying the two research objectives by relying on the analytical method of literature and previous studies, the two researchers reached the following results: First - The most important causes of youth addiction to drugs are poverty, begging, loss of one or both parents, the presence of a criminal in his family, invalid education and other various phenomena and deviations. Second - The symptoms of drug addiction push the addicted person to adopt deviant behaviors, as well as afflicting the addicted individual to psychological and mental pressures, and then afflicting his family with chronic diseases, in addition to the family breakdown occurring in the homes of drug addicts. Key words: drugs; Drug effect; The individual and society.


2020 ◽  
Vol 73 (3) ◽  
pp. 517-520
Author(s):  
Anastasia I. Furdychko ◽  
Marta P. Ilchyshyn ◽  
Irena R. Fedun ◽  
Adriana Ya. Barylyak ◽  
Oksana M. Slaba ◽  
...  

The aim: To study the effect of drug addiction and smoking on the status of periodontal tissues in patients with hepatobiliary pathology. Materials and methods: 58 smokers, 63 drug addicts with hepatobiliary pathology were examined and 92 persons of comparison group (with inflammatory periodontal diseases affected by hepatobiliary pathology, without addiction). Examination of patients included determination of iodine number by Svrakov, S-L and Stallard hygiene indices, PMA index and index PBI. Results: The results of examination of smokers are worse in patients with cirrhosis than in patients with chronic toxic hepatitis and non-alcoholic steatohepatitis and also the results of these two groups was significantly worse than that of the comparison group (iodine number by Svrakov – 1,4 times and 1,3 times higher, PMA index – 1,7 times and 1,4 times worse, in accordance). The results of the study showed that drug addicts patients are worse values in patients with cirrhosis than in patients with chronic toxic hepatitis and non-alcoholic steatohepatitis and also the results of these two groups was significantly worse than that of the comparison group (iodine number by Svrakov – 1,5 times and 1,4 times higher, PMA index – 1,7 times and 1,5 times worse, in accordance). Conclusions: Presence of hepatobiliary pathology in smokers and drug addicts increases the risk of periodontal diseases.


2016 ◽  
Vol 12 (4) ◽  
pp. 289 ◽  
Author(s):  
Nalini Vadivelu, MD ◽  
Sukanya Mitra, MD, MAMS ◽  
Alice M. Kai, BA ◽  
Gopal Kodumudi, MS ◽  
Karina Gritsenko, MD

Opioid dependence can occur due to prescription opioid use, recreational opioid use, or as a result of opioid use for the treatment of drug addiction. Pain control in these patients is truly a challenge. It is important to understand the patient's condition such as the phenomenon of drug dependence, drug addiction, and pseudo-addiction to provide effective analgesia. This may be accomplished using appropriate multimodal therapies and by treatment of coexisting diseases such as anxiety. The goal is to provide effective analgesia, prevent cognitive and emotional problems, and produce a positive postoperative rehabilitation process. Multimodal options include pharmacological and nonpharmacological approaches, psychological support, and interventional pain procedures, all focused toward providing optimal pain control while preventing undertreatment, withdrawal symptoms, and other complications.


1991 ◽  
Vol 27 (1) ◽  
pp. 43-50 ◽  
Author(s):  
F. Facy ◽  
D. Rosch ◽  
P. Angel ◽  
D. Touzeau ◽  
J.P. Cordonnier ◽  
...  

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