Toward a Phenomenological Assessment of Values in Alcohol Misuse

Soares M.J.F.R.a,b· Messas G.a,b

Author affiliations

aDepartment of Mental Health, Santa Casa de São Paulo School of Medical Sciences, São Paulo, Brazil
bCollaborating Centre for Values-based Practice in Health and Social Care, St Catherine’s College, Oxford, UK

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Article / Publication Details

First-Page Preview

Abstract of Research Article

Received: February 09, 2022
Accepted: August 31, 2022
Published online: October 25, 2022

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 0

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: https://www.karger.com/PSP

Abstract

Introduction: Alcohol misuse emerges from a complex range of psychopathological experiences and personal and cultural values. For this reason, understanding the reasons why a person seeks treatment is crucial to effective care. This study aimed to identify the values which guide the decision-making process of persons seeking voluntary hospitalization for treatment for alcohol misuse, as well as the values of significant others. Methods: A phenomenological investigation was conducted through interviews with 25 individuals (and family members) who had voluntarily admitted themselves to a hospital in São Paulo, Brazil, with the objective of maintaining abstinence from alcohol dependence. Results: The main factors that determined the treatment-seeking decision were damage to social relationships and fear of illness and deterioration of the physical condition; the factors related to treatment expectations were restoring personality and awareness of morbidity; and the single factor considered most important to the success of the treatment was willpower. Conclusions: The results of this study contribute to developing strategies for bringing care closer to the patient’s perspective of the disease and encourage their active participation in the formulation of care.

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References World Health Organization. Global status report on alcohol and health 2018. Geneva, Switzerland: World Health Organization; 2018. Nutt DJ, Gual A, Anderson P, Rehm J. Why less is always more in the treatment of alcohol use disorders. JAMA Psychiatry. 2019;76(4):359–60. Connor JP, Haber PS, Hall WD. Alcohol use disorders. Lancet. 2016;387(10022):988–98. Messas GP, Fukuda L, Pienkos E. A phenomenological contribution to substance misuse treatment: principles for person-centered care. Psychopathology. 2019;52(2):85–93. Lieberman DZ, Cioletti A, Massey SH, Collantes RS, Moore BB. Treatment preferences among problem drinkers in primary care. Int J Psychiatry Med. 2014;47(3):231–40. Fulford KWM. The value of evidence and evidence of values: bringing together values based and evidence-based practice in policy and service development in mental health. J Eval Clin Pract. 2011;17(5):976–87. Sackett DL, Straus SE, Richardson WS, Rosenberg W, Haynes RB. Evidence-based medicine: how to practice and teach EBM. 2nd ed. Edinburgh; London: Churchill Livingstone; 2000. Sadler JZ. Values in psychiatric diagnosis and classification. In: Fulford KWM, Davies M, Gipps RGT, Graham G, Sadler J, Stanghellini G, et al. , editors. The oxford handbook of philosophy and psychiatry. Oxford: Oxford University Press; 2013. p. 753–79. Stanghellini G, Ballerini M. Values in persons with schizophrenia. Schizophr Bull. 2007;33(1):131–41. Fuchs T. Values as relational phenomena: a sketch of an enactive theory of value. In: Muhling M, Gilland DA, Förster Y, editors. Perceiving truth and value: interdisciplinary discussions on perception as the foundation of ethics. Göttingen: Vandenhoeck & Ruprecht; 2019. p. 23–42. Fulford KWM. Vectors of best practice: an introduction to part III, practice. In: Stoyanov D, Stanghellini G, Van Staden W, Wong MT, Fulford KWM, editors. International perspectives in values-based mental health practice: case studies and commentaries. Berlin: Springer Nature; 2021. p. 129–38. Messas G. The existential structure of substance misuse. In: A psychopathological study. Springer Nature; 2021. Fusar-Poli P, Estradé A, Stanghellini G, Venables J, Onwumere J, Messas G, et al. The lived experience of psychosis: a bottom-up review co-written by experts by experience and academics. World Psychiatry. 2022;21(2):168–88. The Lancet Psychiatry (Editorial). The things themselves. Lancet Psychiatry. 2021;8(3):169. Messas G, Fulford KWM. A values-based phenomenology for substance use disorder: a new approach for clinical decision-making. Estudos de Psicologia. 2021;38:e200102. Fulford KWM, Handa A. New resources for understanding patients' values in the context of shared clinical decision-making. World Psychiatry. 2021;20(3):446–7. Messas G, Fukuda L, Fulford KWM. The dialectics of altered experience: how to validly construct a phenomenologically based diagnosis in psychiatry. Front Psychiatry. 2022;13:867706. Fernandez AV. Phenomenology, typification, and ideal types in psychiatric diagnosis and classification. In: Bluhm R, editor. Knowing and acting in medicine. Lanham, MD: Rowman & Littlefield International; 2016. p. 39–58. Klinke ME, Fernandez AV. Taking phenomenology beyond the first-person perspective: conceptual grounding in the collection and analysis of observational evidence. Phenom Cogn Sci. 2022. van Emmerik-van Oortmerssen K, Blankers M, Vedel E, Kramer F, Goudriaan AE, van den Brink W, et al. Prediction of drop-out and outcome in integrated cognitive behavioral therapy for ADHD and SUD: results from a randomized clinical trial. Addict Behav. 2020;103:106228. Copello AG, Velleman RDB, Templeton LJ. Family interventions in the treatment of alcohol and drug problems. Drug Alcohol Rev. 2005;24(4):369–85. Bauer S, Strik W, Moggi F. Motivation as a predictor of drinking outcomes after residential treatment programs for alcohol dependence. J Addict Med. 2014;8(2):137–42. Rubak S, Sandbaek A, Lauritzen T, Christensen B. Motivational interviewing: a systematic review and meta-analysis. Br J Gen Pract. 2005;55(513):305–12. Grekin ER, Beatty JR, McGoron L, Kugler KC, McClure JB, Pop DE, et al. Testing the efficacy of motivational strategies, empathic reflections, and lifelike features in a computerized intervention for alcohol use: a factorial trial. Psychol Addict Behav. 2019;33(6):511–9. Fonsi Elbreder M, Carvalho De Humerez D, Laranjeira R. Analysis of the obstacles related to treatment entry, adherence and drop out among alcoholic patients. Riv Psichiatr. 2009;44(6):351–6. McKay JR, Hiller-Sturmhofel S. Treating alcoholism as a chronic disease: approaches to long-term continuing care. Alcohol Res Health. 2011;33(4):356–70. Batra A, Müller CA, Mann K, Heinz A. Alcohol dependence and harmful use of alcohol. Dtsch Arztebl Int. 2016;113(17):301–10. Crowe SF, Cammisuli DM, Stranks EK. Widespread cognitive deficits in alcoholism persistent following prolonged abstinence: an updated meta-analysis of studies that used standardised neuropsychological assessment tools. Arch Clin Neuropsychol. 2019;35(1):31–45. Sakiyama HMT, de Fatima Rato Padin M, Canfield M, Laranjeira R, Mitsuhiro SS. Family members affected by a relative’s substance misuse looking for social support: who are they? Drug Alcohol Depend. 2015;147:276–9. Orford J, Padin MDFR, Canfield MJ, Sakiyama HMT, Laranjeira R, Mitsuhiro SS. The burden experienced by Brazilian family members affected by their relatives’ alcohol or drug misuse. Drugs Educ Prev Policy. 2017;26(2):157–65. Messas G. Plea for using dialectical phenomenological psychopathology as an approach for substance-use disorders. Clin Neuropsychiatry. 2021;18(4):185–7. Messas GP, Soares MJRF. Alcohol use disorder in a culture that normalizes the consumption of alcoholic beverages: the conflicts for decision-making. In: Stoyanov D, Stanghellini G, Van Staden W, Wong MT, Fulford KWM, editors. International perspectives in values-based mental health practice: case studies and commentaries. Berlin: Springer Nature; 2021. p. 163–70. Tomes N. The patient as a policy factor: a historical case study of the consumer/survivor movement in mental health. Health Aff. 2006;25(3):720–9. Hyshka E, Karekezi K, Tan B, Slater LG, Jahrig J, Wild TC. The role of consumer perspectives in estimating population need for substance use services: a scoping review. BMC Health Serv Res. 2017;17(1):217. Druss BG. Do we know need when we see it? Psychiatr Serv. 2007;58(3):295. Article / Publication Details

First-Page Preview

Abstract of Research Article

Received: February 09, 2022
Accepted: August 31, 2022
Published online: October 25, 2022

Number of Print Pages: 7
Number of Figures: 0
Number of Tables: 0

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: https://www.karger.com/PSP

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