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Le traitement orienté en phases en addictologie
by
Ansgar Rougemont-Bücking, Valérie Rossier, Jacques Eicher, Jean-Philippe Falcheri, Diego Noetzli, Aviva Veron, Coralie Zumwald, Cédric Perriard, Fabio Rollo, Erika Castro, Loïc Menneret and Jacques Besson
Cited by 2 | Viewed by 31
Abstract
Phase-oriented therapy in addictology: an integrative concept for the long-term treatment of patients suffering from addictive disorders Addictive disorders can be conceptualized as bonding disorders. People suffering from these conditions partially lose their capacity to be in contact with themselves and others and,
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Phase-oriented therapy in addictology: an integrative concept for the long-term treatment of patients suffering from addictive disorders Addictive disorders can be conceptualized as bonding disorders. People suffering from these conditions partially lose their capacity to be in contact with themselves and others and, generally speaking, to be within the world. The psychoactive drug, along with the compulsive-addictive behavior, acts as a substitute for the missing bonding. Consequently, the recovery from the disturbed attachment patterns is crucial for the therapeutic process. In many cases, an interpersonal trauma lies at the origin of the broken bond with the community. Phase- oriented treatment (POT) has been established as a conceptual framework that guides therapeutic interventions in the setting of complex post-traumatic disorders. As numerous patients with addiction disorders display a history of psychotrauma, POT is a useful approach for treating these patients. The four distinct phases of POT are comprised of: alliance, stabilisation, integration, and reconnection. The progressive recovery of beneficial bonding competencies culminates in a state of “finding peace and a place” within the community, although trauma sequelae and functional limitations often persist. This article discusses concrete clinical implications that arise when treating patients with severe and chronic forms of addiction by means of POT.
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