Full text
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| Author(s): |
Cristiana Nelise de Paula Araujo
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Ribeirão Preto. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto (PCARP/BC) |
| Defense date: | 2018-06-07 |
| Examining board members: |
Clarissa Mendonça Corradi Webster;
Ana Karenina de Melo Arraes Amorim;
Carla Guanaes Lorenzi;
Marcelo Dalla Vecchia
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| Advisor: | Clarissa Mendonça Corradi Webster |
| Abstract | |
In Brazil, the health policies that include care for alcohol and other drug users are recent. Despite the existence of community services, the drug users hospitalization is very frequent. Over the last years, compulsory and involuntary hospitalization has been applied on a large scale, especially, requested by families of people who consume alcohol and drugs. Studies shown few scientific evidences of the efficiency of those hospitalizations. This study aims to understand how the meanings about the compulsory or involuntary hospitalization of the person that uses alcohol and other drugs were constructed with the families. To achieve this, it has been a qualitative study, with social constructionist referential. The corpus consisted in 15 semistructured interviews conducted with the families of drug users that were previously taken by involuntary or compulsory hospitalization. The selection participant technique was made through snowball selection. The project was approved in the Ethical Committee of FCLRPUSP. In first place, it was made thematic analysis of interviews, considering the construction of meanings inside the historic-cultural context, their experiences of life, and their social interactions. In second place, a case study was made through one of the interviews conducted in order to analyze discourses involved in the seeking process of involuntary and compulsory hospitalizations. To achieve this, it was selected an interview with a participant who had requested 23 involuntary and five compulsory hospitalizations for her son. The corpus of analysis consisted by the full transcription of this interview and the field notes referring to it. Through the thematic analysis was constructed four themes: (1) Meanings about involuntary and compulsory hospitalization, in which the hospitalizations were construed such as education, care, abstinence, relief mainly for family members, protection from the dangers of the street, from drug dealers, police, and death. (2) Problematic drug uses consequences, such as reports of changes in the user behaviors, accumulation of losses in the drug users life, and the perceived stigma. (3) Feelings of the family, involving guilt, despair, frustration, shame and hopelessness in the face of this problem. (4) Attempts to help the family member, due to not knowing the community services for drug treatment and to focus only on abstinence. Through the discourses analysis, it were constructed three narratives: (1) individualistic discourse and deficit discourse that helped to position her son as somebody who is defined by his failures, and resulting in new hospitalizations. (2) Individualistic discourse and blaming the mother since she was described as overprotective, flawed, and powerless. (3) Alternative discourse based on the relational perspective that invited the mother and son to engage in a collaborative conversation, creating a context where new forms of understanding can emerge. In order to reduce the number of hospitalizations of drug users, it is necessary to support their relatives by publicizing services for community treatment, and helping the family to deal with distress. (AU) | |
| FAPESP's process: | 15/22929-7 - Construction of meanings within the drug addiction users family about involuntary or compulsory hospitalization |
| Grantee: | Cristiana Nelise de Paula Araujo |
| Support Opportunities: | Scholarships in Brazil - Master |