Amaç: Madde kullanımı ile başlayan bağımlılık birçok faktörün bir araya gelmesiyle oluşan süreçtir. Biyopsikososyal sorun olan iyileşme ve tekrarlamalarla seyreder. Bağımlılık tek boyutlu olmadığı için tedavi sürecide düşünülmemelidir. Dolayısıyla tedavisi bütüncül yaklaşımla ele alınmalıdır. Bu noktada tedavisinin sürekli uzun yıllar devam etmesi gerekmektedir. nedenle uygulanan tedavilerin ko...

Dual-diagnosis mentally ill patients, i.e. those characterized with substance abuse problems combined with mental health problems, are a challenge both for systems treating substance abusers and for mental health services. These patients are not easily integrated in either of these healthcare systems and/or are treated only for one aspect of their problem by each of these systems. For such pati...

OBJECTIVE The authors' goal was to assess the validity of DSM-IV diagnoses obtained with the Spanish versions of the Psychiatric Research Interview for Substance and Mental Disorders (PRISM) and the Structured Clinical Interview for DSM-IV (SCID) compared with the longitudinal, expert, all data (LEAD) procedure in a group of substance abusers. METHOD A total of 105 substance abusers recruited...

The influences of both Freud's and Bordin's concepts on the development of measures of the alliance are apparent. Bordin described three components in the alliance: goals, tasks, and bonds. In a well-functioning treatment relationship, the patient and therapist come to an agreement about the goals the patient wishes to achieve in the treatment. They also come to accept certain therapeutic tasks...

Three alcohol-dependent homosexual men with suicidal ideation and behavior consciously attempted to contract the acquired immune deficiency syndrome (AIDS) as a means of committing suicide. The authors briefly examine the interrelationship among alcoholism and substance abuse, homosexuality, suicidal behavior, and AIDS; implications for the substance abuse treatment setting are noted. Early dia...

BACKGROUND Loneliness is one of the psychological variables related to high risk behaviors that should be investigated more. OBJECTIVES The current study aimed to assess emotional, social, romantic, and familial dimensions of loneliness in drug abuser and nondrug abuser individuals. PATIENTS AND METHODS Two hundred and twenty eight individuals were enrolled in this cross sectional study. Hu...

Although investigators have established that compulsive polydrug abuse adversely affects intellectual efficiency, the effects of prolonged heroin use remain unclear. The issue was assessed by comparing levels of intellectual functioning, as measured by the Raven Progressive Matrices, with expected levels of visual memory, as measured by the Benton Revised Visual Retention Test (BVRT). Whereas s...