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首页> 外文期刊>Scandinavian journal of caring sciences. >Drinking resumption: problematic alcohol use relapse after rehabilitation. A phenomenological hermeneutical perspective
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Drinking resumption: problematic alcohol use relapse after rehabilitation. A phenomenological hermeneutical perspective

机译：恢复饮酒：康复后有问题的饮酒复发。现象学的解释学视角

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The majority of patients being treated for alcohol abuse disorders experience one or more relapses after treatment. The fact that people use this inebriant in a way leading to so much harm and suffering might seem a conundrum. Therapists, family and others might find the person's relapse to be dramatic and upsetting, and one might question whether the person has the sufficient will or motivation to change. However, few previous studies have explored relapse from the patient's perspective. The aim of this study was to illuminate the patient's lived experience of relapse and to develop a deeper understanding of this phenomenon. The study consisted of qualitative interviews using a phenomenological hermeneutical approach. Three main themes emerged from the analyses: 'craving', 'self-image' and 'time'. The findings were discussed in the context of phenomenological literature. Cravings could occur unpredictably; nevertheless, craving was a common experience for the patients and signified a risk of relapse. Bodily experiences of craving were frequently mentioned, and alcohol addiction could be understood as to be a disease or a learned habit. Self-image was, at times, adversely affected by relapse episodes. Therefore, feelings of shame, self-respect and recognition were significant concepts. This study found that the perception of time as past, present and future greatly influenced the participants' experiences of relapse and rehabilitation. Thus, relapse was an upsetting and dramatic experience that could cause great discomfort and sometimes life-threatening situations. However, relapse could also be viewed as a planned event. This study highlights important truth and reality about alcoholism and relapse grounded in people's lived experience.
机译：大多数因酗酒障碍而接受治疗的患者在治疗后都会经历一次或多次复发。人们以这种愚昧无知的方式导致如此多的伤害和痛苦的事实似乎是一个难题。治疗师，家人和其他人可能会发现该人的复发非常剧烈且令人沮丧，并且可能会质疑该人是否有足够的意愿或动力去改变。但是，以前很少有研究从患者的角度探讨复发的情况。这项研究的目的是阐明患者的复发经验，并加深对该现象的了解。该研究包括使用现象学解释学方法的定性访谈。分析中出现了三个主要主题：“渴望”，“自我形象”和“时间”。在现象学文献的背景下讨论了这些发现。渴望可能会意外地发生;然而，渴望是患者的普遍经历，并表示有复发的危险。人们经常提到对身体的渴望，酒精成瘾可以理解为一种疾病或一种习性。自我形象有时会受到复发发作的不利影响。因此，羞耻感，自尊心和认可感是重要的概念。这项研究发现，对时间的过去，现在和未来的感知极大地影响了参与者的复发和康复经验。因此，复发是一种令人沮丧的戏剧性经历，可能会导致极大的不适感，有时甚至危及生命。但是，复发也可以看作是计划好的事件。这项研究突出了关于酒精中毒和复发的重要真理和现实，这些都是基于人们的生活经验。

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