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Caring for patients in alcohol-dependent: Prejudices and attitudes against alcoholic patients

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  1. Summary
  2. Introduction
  3. Status of the problem
  4. The nature of the disorder
  5. Attitudes of patients
  6. Attitudes of caregivers
  7. Relational strategies and proposals
  8. Bibliography

Alcoholic patients often uncomfortable caregivers in general and doctors in particular. Trigger behavior among health professionals emotional reactions that directly affect the nature of the therapeutic relationship. These reactions, called against-attitudes, are rooted in the relationships that caregivers have with alcohol in their relationship with their experiences of phenomena of dependence and in how they view their care-giving role. Knowledge of these attitudes against-should enable the caregiver to overcome in order to provide a therapeutic relationship emerged prejudice.
The motivational model of a hand and knowledge of biological, psychosocial or psychological condition and social experiences of patients in their disease on the other hand, are powerful tools to help understand and therefore more effective in alcoholic patients their desire to rebuild or simply to live their difficulties.Often ignored, even despised by caregivers in general and doctors in particular, alcoholic patients are more than any other patient, not only because of a stigma, but also a malaise that captures therapists and obstacles in their desire to heal, ambition for the less legitimate but sometimes suffers motivations unclear, even unrealistic. (1) The result of this situation is to divide the body of the crudely caregivers into two, namely those for whom the alcoholic patients represent a group save and those who, on the contrary, it is unnecessary to devote their time because their situation is in any way without hope. Between these two attitudes a little grotesque, caregivers often have difficulty in a relationship exist footprint of both realism and humanity

[...] It is often in the questioning of our "fantasy of omnipotence" therapy that we care, develop attitudes of blocking and defending against those patients who relapse and increasing failures in life. Status of the Problem In a Canadian study patients were interviewed in the waiting room of their doctor general. Among these patients considered to have difficulties with alcohol. During the consultation, two of them have made a clear request, eighteen identified the problem and eighteen have not spoken. Thirteen cases were un-interpretable. [...]

[...] Being aware of against-the attitudes and prejudices, to develop, to be able to verbalize, can transform the relationship we have with patients in general and alcohol in particular. The relationship with the sick alcoholic is a complex and rich if you take the time to stop and take time to understand the issues. Alcoholic patients are human beings whose suffering defeat caregivers and leads, if they are not careful, to the non- therapeutic. Accept the eyes of his peers on our therapeutic relationships can help us advance in our knowledge of ourselves and our patients. [...]

[...] Attitudes of Patients Even if the definition of alcohol dependence have been refined in recent years born with two major international classifications (DSM-IV ICD-10), the lack of objective markers makes it difficult to acceptance by patients this diagnosis often experienced as a "label of shame." Identify alcohol- dependent is a painful step in the journey towards recovery and many patients are rationalizing their behavior and minimize the consequences thereof. This attitude of defense that did not, for example, those dependent on nicotine, will exacerbate the nursing home the feeling of losing time with patients who refuse to face facts . [...]

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