Psychotherapy and psychological consulting in rehabilitation programs of psychoactive substances abused
Abstract
Psychotherapy and psychological counseling in narcology are an important component of the therapeutic and prophylactic process and are used in the complex of rehabilitation measures. Is inseparable from medication, physiotherapy and psychosocial effects, begins at the earliest stages of treatment. The use of psychotherapy in the rehabilitation phase of chemically dependent persons is necessary and promising. Effective psychotherapeutic programs involve the use of a whole range of psychotherapeutic approaches that include various methods and forms of psychotherapy that are used by the community of specialists in unison with the complex of psychopharmacotherapy and other non-drug therapies. Each separate strategic stage of rehabilitation of substance addicts corresponds to a specific psychotherapeutic method. Psychotherapeutic rehabilitation measures in narcology should be personality-oriented, differentiated and comprehensive, including both psychotherapeutic rehabilitation measures and drug-centered rehabilitation approaches. In stages, the introduction of elements of the psychotherapy-rehabilitation approach, which is necessary from the very beginning, at the stage of acute conditions. If successful psychotherapy optimizes the totality of personal statuses seeking their harmonious disclosure and fixing the position of the individual in the desired statuses. The basic principles of psychotherapy abusing on surfactants are considered in unison with the modern concepts of treatment in general and include volunteering, individuality, complexity and refusal to use psychoactive substance.
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References
National report on the drugs situation in Ukraine for 2018 (as of 2017). [Electronic resource]. - Access mode: http://blog.ummcda.org.ua/моніторинг-наркотичної-та-алкогольн/]. [In Ukr.]
Degenhardt L, Charlson F, Ferrari A, Santomauro D, Erskine H, Mantilla-Herrara A, … Vos T. (2018). The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Psychiatry. Vol. 392, Issue 10152. P. 1015 – 1035. September, 22. pii: S2215-0366(18)30337-7. doi: 10.1016/S0140-6736(18)31310-2.
Narcology: nat. textbook; edited by I. K. Sosina, J. F. Chueva. — Kharkiv: Kollegium, 2014— 1428 p. [In Ukr].
Clinical psychotherapy in narcology: a guide for psychotherapists / edited by R.K. Nazirova, D.A. Fedoryaki, S.V. Lyashkovskaya. - The St. Petersburg Bekhterev Psychoneurological Research Institute, 2012. - 448 p. [In Russ.]
Causes of relapse and search for treatment reported by drug users in a rehabilitation unit / F.R.M. Carvalho, T. Brusamarelo, A.N. Guimarães [et al.] // Colombia Medica. – 2011. – Vol. 42, № 2 (Supl 1) – P. 57–62.
Valentik Yu.V. Rehabilitation in narcology: textbook / Yu. V. Valentik. - M. Progressive biomedical technologies, 2001. - 34 p. [In Russ.]
Dudko T.N., Zentsova N.I. Conceptual bases and complex program of medico-social rehabilitation of narcological patients. M.: Sport and Culture-2000, 2014. 264 p. [In Russ.]
Modern approaches in the organization of medico-social rehabilitation of narcological patients: methodical recommendations / E.A. Brunn, E.A. Koshkin, T.V. Agibalova [and others]. - M., 2013. - 124 p. [In Russ.]
Kaklugin N.V., Belkov S.N. Criteria for assessing the quality and certification of the provision of rehabilitation services to persons who allow non-medical consumption of narcotic drugs and psychotropic substances in various rehabilitation and pseudo-rehabilitation communities. Narcology 2016; (11): 76-95. [In Russ.]
Prochaska J., Diclemente С. Norcross J. In search of how people change: Applications to addictive behaviors // American psychologist. - 1992. Vol. 47. - P. 1102-1114.
Valentik Yu.A. Continual psychotherapy of patients with dependence on psychoactive substances // In the book Lectures on narcology edited by Ivanets H.H.M.: "Medpraktika", 2001. - S.269-287. [In Russ.]
Valentik Yu.V. Psychogenetic model of the patient’s personality with dependence on psychoactive substances // Narcology, No. 9, 2002. P.21-26. [In Russ.]
Rollnick S., Mason P., Putler C. Health Behavior Change. — A Guide for practitioners; Churchill Livingston, 1999. - 225 p.
Miller W.R. Motivation Enhancement Therapy: Description of Counseling Approach. Approaches to Drug Abuse Counseling. - NIDA, 2000. - P. 99-106.
Constantino M.J., Ametrano R.M., Greenberg R.P. Clinician Interventions and Participant Characteristics that Foster Adap tive Patient Expectations for Psychotherapy and Psychotherapeutic Change. Psychotherapy 2012; 49 (4): 557-569.
Tuchina O.D., Shustova S.A., Agibalova T.V., Shustov A.D., Tuchin P.V. The role of resistance and psychological defense mechanisms in psychotherapy of narcological patients. Issues of narcology 2016; (9-10): 42-50. [In Russ.]
Baykenov E.B. Motivational counseling at various stages of drug treatment: guidelines. Pavlodar, 2010. 49 p. [In Russ.]
Agibalova T.V. Compliance psychotherapy of patients with alcohol dependence / Agibalova T.V., Goloshchapov I.V., Rychkova O.V. // Narcology. - 2010. - T.9. - No. 3 (99). - S. 70–76. [In Russ.]
Psychotherapy in narcology - a review of evidence-based models of psychotherapeutic intervention: international experience. Part 1. Psychotherapy as an empirically sound treatment method. / Agibalova T.V., Shustov D.I., Koshkina E.A., Tuchina O.D. // Issues of Addiction Medicine. - 2015. - №2.- P. 69-81. [In Russ.]
Psychotherapy in narcology - a review of evidence-based models of psychotherapeutic intervention: international experience. Part 2. Empirically-based methods of psychotherapy of narcological diseases. / Agibalova T.V., Shustov D.I., Tuchina O.D., Tuchin P.V. // Issues of Addiction Medicine. – 2015. – №5. – P. 46-65. [In Russ.]
Belokolodov V.V., Malkova E.E. Clinical and socio-psychological factors that determine the motivation for treatment and rehabilitation in drug-addicted patients at various stages of inpatient treatment // Narcology. - 2016. - T. 15, No. 2 (170). - P. 38–44. [In Russ.]
Kozhina G.M. Evaluation of the effectiveness of psychoeducation in the structure of rehabilitation of patients with alcohol dependence / GM Kozhina, VV Litvinenko // ScienceRise: Medical Science. - 2018. - № 9 (26). - P. 58–61. [In Ukr.]
Petitjean S.A. A randomized, controlled trial of combined cognitive-behavioral therapy plus prizebased contingency management for cocaine dependence // Drug and Alcohol Dependence. 2014. Vol. 145. P. 94—100.
Standard and Innovative Strategies in Cognitive Behavior Therapy // Ed. by Irismar Reis de Oliveira, inTech. 2012. 202 p.
Melekhin A. I. Strategies of cognitive-behavioral psychotherapy in the rehabilitation of polynarcomania / Melyokhin A.I.,Veselkova Yu.V. // Counseling psychology and psychotherapy. - 2015. - №2. - P. 93–115. [In Russ.]
Baranova L.M Application of methods of cognitive-behavioral psychotherapy and self-regulation in the treatment of patients with tobacco smoking / Baranova L.M. // Health. Medical ecology science. - 2016. - №1. - P. 52–55. [In Russ.]
Practice on family psychotherapy: current models and methods: a textbook for doctors and psychologists / edited by E.G. Eidemiller. - 2nd edition, Corrected and supplemented - SPb .: Speech, 2010. - P. 344-387. [In Russ.]
Gromova IA Peculiarities of the parental family in psychoactive substance addicts / Gromova IA, Olifirovich NI .. // South Russian Journal of Social Sciences. - 2018. - Vol.19. - №2. - P. 132–141. [In Russ.]
Mendelevich V.D., Makushina O.P. The relationship of alcohol and drug dependence in adolescents with the nature of their relationship with parents // Journal of Neurology and Psychiatry. S.S. Korsakova. - 2013. - Vol. 113, - № 6 (Issue 2: Alcoholism). - P. 72–74. [In Russ.]
Titova V.V. Study of the effectiveness of group psychotherapy for patients with heroin addiction: author. diss. for the sciences. degree of Cand. / Titova V.V., 2014. - 30 p. [In Russ.]
Bukaeva S.K. The use of group art therapy in the rehabilitation of drug users. Pavlodar, 2002. - 32 p. [In Russ.]
Ilyuk R.D., Berno-Bellucke I.V. Aggressiveness as a target of Gestalt-therapeutic work with consumers of psychoactive substances // Psychotherapy in the system of medical sciences during the formation of evidence-based medicine. - SPb., 2006. - P. 162-163[In Russ.]
Berezin C.B. Prevention of teenage and adolescent drug addiction. M.: Publisher of Institute of Psychotherapy, 2000. – 256 p. [In Russ.]
Katkov AL Drug counseling at the stages of opioid-dependent medical and social rehabilitation // Issues of narcology of Kazakhstan. - Pavlodar, 2007. - Vol. VII, No. 4. - P. 7-11. [In Russ.]
Musienko G. A. Features of psychotherapy for alcohol dependence in young people [Electronic resource] // Actual questions of modern psychiatry and narcology: A collection of scientific papers of the Institute of Neurology, Psychiatry and Narcology of the Academy of Medical Sciences of Ukraine and Kharkiv Regional Clinical Psychiatric Hospital No. 3 (Saburova Dacha) dedicated to the 210th anniversary of Saburova Dacha / Edited by Petryuk P.T., Bacherikova A.N. . - Kyiv – Kharkiv, 2010. - V. 5. - Access mode: http://www.psychiatry.ua/books/actual/paper073.htm. [In Russ.]
