打破耻辱:在12步恢复计划中公开谈论MOUD
Steven Klein1, Juan Franco1, Adam Scioli1
1Caron Treatment Centers, Wernersville, PA, United States of America.
Journal of substance use and addiction treatment
|November 5, 2025
概括
药物治疗阿片类药物使用障碍 (MOUD) 在一些康复社区中仍然受到耻辱,尽管有证据表明其有效性. 这种观点要求接受MOUD作为物质使用障碍 (SUD) 恢复的重要工具.
科学领域:
- 成 药物 药物 药物 药物
- 恢复科学 恢复科学
- 公共卫生 公共卫生
背景情况:
- 对阿片类药物使用障碍 (MOUD) 药物的耻辱感在一些12步恢复社区中仍然存在,例如匿名酒者 (AA) 和匿名麻醉者 (NA).
- 这种观点挑战了MOUD与清醒不相容的观点,尽管有证据支持其在治疗物质使用障碍 (SUD) 中的有效性.
- 在AA的创始文献和当代NA文献中,对精神病药物的历史矛盾有助于这种持续的耻辱.
研究的目的:
- 探讨拯救生命的药理干预 (MOUD) 和传统的12步奖学金信仰之间的紧张关系.
- 检查恢复社区中对MOUD的耻辱的起源和当代表现.
- 倡导对奖学金原则进行新的解释,包括基于证据的治疗和个人康复路径.
主要方法:
- 一个临床地基,叙事驱动的第一人称视角.
- 对历史的AA文献和当代的NA文献进行检查,涉及药物使用和"清洁"一词.
- 分析作为医生和个人长期康复的个人经验.
主要成果:
- 尽管在减少渴望,复发和过量死亡方面已被证明有效,但MOUD受到污名.
- 在12步计划中,赞助商,文学和群体规范往往会加强对MOUD的抵抗.
- 这种抗药性使患者处于危险之中,并破坏了康复过程.
结论:
- 在康复社区中对MOUD的污名化对基于证据的治疗构成重大障碍.
- 需要对12步原则进行新的解释,以接受MOUD并肯定多样化的恢复途径.
- 真正的清醒不应该需要在拯救生命的药物和社区成员之间做出选择.
关键词:
这是一个12步计划.药物中毒药物 药物中毒药物匿名酒者 (AA) 组织这是一种布普伦诺芬.治疗阿片类药物使用障碍 (MOUD) 的药物无名麻醉者 (NA) 无名麻醉者阿片类药物使用障碍 (OUD)恢复的耻辱 恢复的耻辱更多相关视频
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