Resumen

Introduction: the evaluation of methadone maintenance programs reports generally positive outcomes. Objective: to explore the psychosocial factors that contribute to achieve treatment goals even when patients live in conditions of precariousness and exclusion. Method: qualitative study of multiple cases, with a sample of 12 interviews with patients participating in a maintenance and detoxification program with methadone; a thematic and discursive-narrative analysis was undertaken. Results: we identified the predominance of a typical discursive scheme composed of clearly differentiated narrative segments: previous conditions, establishment of a relationship with the therapeutic system, process of adjustment as a part of treatment and social reintegration. Two main themes were also identified: addiction and dealing with substances, and the problem of normative integration; there was also an experience of acceptance and recognition that constitutes a central factor for treatment. Discussion and conclusion: these findings are discussed in light of the disaffiliated conditions of people using injected heroin and the need to consider psychosocial and normative adjustment as a relevant factor for treatment and social reintegration, which leads to the suggestion to include psychotherapeutic interventions to accompany and reinforce the process.

Palabras clave: social reintegration social stigma heroin dependence methadone qualitative research.

2020-03-26   |   118 visitas   |   Evalua este artículo 0 valoraciones

Vol. 42 Núm.4. Julio-Agosto 2019 Pags. 173-84 Salud Ment 2019; 42(4)