Florida USA August 0308 2015 The dual commitment of a naval outpatient clinic of the Brazilian Navy specialized in chemical dependency both with the patients and the institution ID: 779479
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Slide1
Elizabeth Halpern
Addiction Therapy 2015Florida, USAAugust 03-08, 2015
Slide2The dual commitment of a naval outpatient clinic of the
Brazilian Navy specialized in chemical dependency:both with the patients and the institution
4th International Conference and Exhibition on Addiction Research & TherapyAugust 3-5, 2015Florida, USA
Slide3Elizabeth
Halpern
PhD in Mental HealthFEDERAL UNIVERSITY of RIO DE JANEIROPsychiatry INSTITUTEPost-doctoral student and scholarof the Psychiatry Institute, UFRJFrigate-Commanderof the BRAZILIAN NAVYHealth Department ChiefNAVY CENTRAL HOSPITAL
Slide4CEDEQ
The creation of the Center for Chemical Dependency – CEDEQ – is a pioneer initiative of the Brazilian Navy, unparalleled
amongst the Brazilian Armed Forces.
Slide5Research central objective and
methodsObjective
Investigate the influence of the naval organization in the construction of the patients’ alcoholismMethods Ethnography in the CEDEQParticipant observation in two therapeutic groupsOpen-ended interviews with patientsSingle-case study
Slide6Some Results of the
Major StudyMain result: Institutional issues participate in the construction of the patients’ alcoholism.
Further results: The existence of a double commitment of the CEDEQ, both with the patients’ treatment and the institutional needs and goals.
Slide7Therapeutic Commitment
Slide8Therapeutic Commitment
The therapeutic approach is based on the principles of the Twelve Steps of Alcoholics Anonymous and B
ehavioral techniques, focusing on:Rehabilitation;Achievement of sobriety.
Slide9Patients are seen as
responsible for their "illness“;The team
usually states that they will never be "cured“.Therapeutic Commitment
Slide10MILITARY Commitment
Slide11Therapists
and patients are committed to the naval system because
the CEDEQ is part of the military structure;It is an extension of their working space, a place where they share the same codes, rules, and language.MILITARY Commitment
Slide12This Clinic partially reproduces
the institutional view that blames individuals for their deviant acts derived from alcohol addiction
;The CEDEQ must keep the administration informed about their therapeutic status;Confidentiality is mostly preserved, but some aspects have to be reported: absences, frequency, relapses, and discharges.MILITARY Commitment
Slide13Results
Expected/common subjects Certain subjects usually emerge along the therapy:Relationships /
family / love and sex;Financial problems;Self-realization / dreams / obstacles;Addictive behaviors / symptoms.
Slide14Results
Predominant subjectsRelationships with superiors /
colleagues /subordinates;Career / complaints / failures / accomplishments;Daily routine / maneuvers / deployments;Heavy / risky / boring duties.The predominant topics discussed are related to the working journey:
Slide15Results
Crucial “ordinary issues”HOWEVER,
“Ordinary issues” may be central to the therapeutic process, though they may be seen as trivial and be overlooked:Before / during / after the group sessions, patients spend a time explaining the reasons for being absent / late / withdrawals, due to working needs / problems / obstacles,
frequently presenting medical waivers or duty rosters.
Slide16Results
Crucial “ordinary issues”By doing so, they
expose the peculiar aspects that they are facing that reveal the correlation between their medical condition (alcoholism) and the working journey:I’ve missed in the last session because everyone had to prepare the barracks for an inspection.I know that my treatment is important, but the pressure in the Battalion is great.My colleagues think I go to CEDEQ to avoid the hard work.
Slide17Alcohol and Navy
Libation in the naval workplace is a cultural tradition. They usually began to drink
since their admission in the Navy:Every Friday is happy hour on board. In every corner, near the Battalion, there is a bar! My colleagues invite me to drink every day.
Slide18The esprit de corps usually
requires the consumption of alcoholic beverages among
colleagues to execute tasks:Alcohol and DAILY TASKSThose who work embarked know the ‘cleaning system’: scrubbing and cleaning all day long when we arrive at the port! Then, the chief distribute ‘cachaça’ to help us finish the job.
Slide19They are always referring to Navy
: concerns, desires, failures, disputes, and fellowships/
It is like an “addiction”, both loving and hating it;Brazilian Navy and drinking practices are central themes of their lives, their first and major interest.THE MAIN SUBJECT: NAVY
Slide20The dual commitment helps to understand
the peculiarities of the organization that contribute
to the emergence of these patients’ alcoholism.Conclusion
Slide21Despite all the shortcomings of the naval life, the Brazilian Navy is a haven
in the face of innumerable existing difficulties in Brazil.
Slide22Limitations of the Study
Because the consumption of alcohol in the Brazilian Navy is an innovative and delicate subject to be studied
, the CEDEQ and its patients were the best choice available;Further studies with a larger sample should be carried out to investigate in which extent the institution contributes to “construct” the naval contingent's alcoholism.
Slide23OBRIGADO!
THANK YOU!
Slide24Addiction Therapy 2016
Website: addictiontherapy.conferenceseries.comMeet the eminent gathering once again at
Addiction Therapy 2016Miami, USAOctober 06-08, 2016