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Conceptions and practices of an integrative treatment for substance use disorders involving Amazonian medicine: traditional healers' perspectives
Berlowitz, Ilana; Ghasarian, Christian; Walt, Heinrich; Mendive, Fernando; Alvarado, Vanessa; Martin-Soelch, Chantal.
Afiliação
  • Berlowitz, Ilana; University of Fribourg. Department of Psychology. Fribourg. CH
  • Ghasarian, Christian; University of Neuchâtel. Institute of Ethnology. Neuchâtel. CH
  • Walt, Heinrich; University of Zurich. Department of Oral- and Cranio-Maxillo-Facial Surgery. Zurich. CH
  • Mendive, Fernando; Takiwasi Centro de Rehabilitación de Toxicómanos y de Investigación de Medicinas Tradicionales. Tarapoto. PE
  • Alvarado, Vanessa; University of Applied Sciences Northwestern Switzerland. School of Applied Psychology. Olten. CH
  • Martin-Soelch, Chantal; University of Fribourg. Department of Psychology. Fribourg. CH
Braz. J. Psychiatry (São Paulo, 1999, Impr.) ; Braz. J. Psychiatry (São Paulo, 1999, Impr.);40(2): 200-209, Apr.-June 2018. tab, graf
Article em En | LILACS | ID: biblio-959211
Biblioteca responsável: BR1.1
ABSTRACT

Objective:

The harmful use of psychoactive substances represents one of today's largest public health problems. Yet, in spite of its global relevance, current treatment for substance use disorders (SUDs) is still not entirely successful. The purpose of this study was to investigate alternative treatments and conceptions from traditional Amazonian medicine adapted to SUDs.

Methods:

We conducted semi-structured interviews with 13 practicing experts at a well-established addiction treatment center in the Peruvian Amazon and performed qualitative content analysis on the collected data. Main categories were deductively defined and corresponding subcategories inductively developed.

Results:

Our findings revealed characteristic features and consequences, causes and antecedents, and treatment methods of SUDs as the main categories. Overall, concepts of disease etiology bore resemblance with contemporary biopsychosocial models of SUDs. The Amazonian therapeutic means however differed markedly from current Western ones. The main methods involved dietary retreats, healing ceremonies, and purging rituals. The integral application of Amazonian methods, as well as their traditional implementation according to prescribed ritual protocols, were emphasized by the experts as crucial for efficacy and safety of treatment delivery.

Conclusion:

We suggest further scientific attention to these therapies, including clinical studies, for which our results provide conceptual underpinnings. Findings from this research expand the cross-cultural understanding of SUDs and, in the long run, may enhance its treatment options.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Extratos Vegetais / Transtornos Relacionados ao Uso de Substâncias / Fitoterapia Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research Limite: Adult / Aged / Aged80 / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: PSIQUIATRIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Peru / Suíça País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Extratos Vegetais / Transtornos Relacionados ao Uso de Substâncias / Fitoterapia Tipo de estudo: Guideline / Prognostic_studies / Qualitative_research Limite: Adult / Aged / Aged80 / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: Braz. J. Psychiatry (São Paulo, 1999, Impr.) Assunto da revista: PSIQUIATRIA Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Peru / Suíça País de publicação: Brasil