Betydningen av helsepersonells kjærlighet og mangel på kjærlighet i rusbehandling
DOI:
https://doi.org/10.7557/14.5752Nyckelord:
kjærlighet, ruslidelse, omsorg, forståelse, ekthet, likeverdAbstract
Kjærlighet er det mest fundamentale for menneskets eksistens, og den er avgjørende for at helsehjelpen oppleves omsorgsfull. Ruslidelser er komplekse, og ofte preget av selvkritikk, skam og skyld. Hensikten med denne studien var å få dypere forståelse for pasienter i rusbehandling sine opplever av hvordan helsepersonells kjærlighet og deres mangel på kjærlighet kan komme til uttrykk. Kvalitative intervju ble gjennomført med fire pasienter som var innlagt til behandling på to institusjoner som tilbyr tverrfaglig spesialisert rusbehandling. Data ble analysert ved hjelp av Lindseth og Nordberg sin fenomenologisk hermeneutiske metode. Resultatene viste at kjærlighet kommer til uttrykk som omsorg, ved at man opplever å bli forstått, at man blir møtt med autentisitet og likeverd, og at man får den hjelpen man trenger. Når disse fenomenene var fraværende i relasjonen med helsepersonellet, opplevede deltakerne at verdigheten ble krenket og at det kunne være vanskelig å fullføre behandlingen.
Statistik
Referenser
Litteratur
Alvsvåg, H. (2012). Kärlek. I L. Wiklund Gustin & I. Bergbom (Red.), Vårdvetenskapliga begrepp i teori och praktik (s. 251-263). Lund: Studentlitteratur.
Alvsvåg, H. (2017). Kärlek. I L. Wiklund Gustin & I. Bergbom (Red.), Vårdvetenskapliga begrepp i teori och praktik (s. 327-340). Lund: Studentlitteratur.
Arman, M. (2015). Vårdande. Vårdande med grundvärden- värdighet, helhet och caritas. I M. Arman, K. Dahlberg & M. Ekebergh (Red.), Teoretiska grunder för vårdande (s. 180-188). Stockholm: Liber AB.
Arman, M. & Rehnsfeldt, A. (2006). Vårdande som lindrar lidande: Etik i vårdandet (2. utg.). Stockholm: Liber AB.
Chen, G. (2019). The Role of Self-Compassion in Recovery from Substance Use Disorders. OBM Integrative and Complementary Medicine, 4(2). https://doi.org/10.21926/obm.icm.1902026
Chen, G., Elisha, E., Timor, U. & Ronel, N. (2015). Why do Adolescents Drop Out of a Terapeutic Community for People With Drug Addiction? Journal of Child and Adolenscent Substance Abuse, 26(1), 65-77. https://doi.org/10.1080/1067828X.2014.918002.
Cournoyer, L-G., Brochu, S., Landry, M. & Bergeron, J. (2007). Therapeutic alliance, patient behavior and drop out in a drug rehabilitation program: the moderating effect of clinical subpopulations. Society for the Study of Addiction, 102, 1960-1970. https://doi.org/10.1111/j.1360-0443.2007.02027.x.
Curtis, J. & Harrison, L. (2001). Beneath the surface: collaboration in alcohol and other drug treatment. An analysis using Foucault's three modes of objectification. Journal for Advances Nursing, 34 (6), 737-744.
Danda, M. (2012). Attitudes of Health Care Professionals Towards Addictions Clients Accessing Mental Health Services: What Do We Know and How can this be used to Improve Care? Journal of Ethics in Mental Health, 7(5).
Edlund, M. & Lindwall, L. (2017). Värdighet. I L. Wiklund Gustin & I. Bergbom (Red.) Vårdvetenskapliga begrepp i teori och praktik (s.201-210). Lund: Studentlitteratur.
Eriksson, K. (1986). Vårdandets idè. Stockholm: Almquist & Wiksell.
Eriksson, K. (1990). Pro Caritate. Vasa: Åbo Akademi.
Eriksson, K. (1993). Möten med lidanden. Vasa: Åbo Akademi.
Eriksson, K. (1995). Det lidende mennesket. Oslo: Tano Aschehoug.
Eriksson, K. (2018). Vårdvetenskap, vetenskapen om vårdandet. Om det tidlösa i tiden. Stockholm: Liber AB.
Fekjær, H. O. (2008). Rus: bruk, motiver, skader, behandling, forebygging, historie (3. utg.) Oslo: Gyldendal akademisk.
Hemberg, J. (2015). The source of life, love-health`s primordial wellspring of strength. Doktorgradsavhandling, Åbo akademi, Finland. https://urn.fi/URN:ISBN:978-951-765-789-1
Hemberg, J. (2017a). Experiencing Deeper Dimensions of Gratitude, Well-being and Meaning in Life after Suffering. International Journal of Caring Sciences, 10(1), 10-16.
Hemberg, J. (2017b). Finding Keys for Alleviating Human Suffering. International Journal of Caring Sciences, 10(1), 47-53.
Hemberg, J., Eriksson, K. & Nyström, L. (2017). Love as the Original Source of strength for Life and Health. International Journal of caring Sciences, 10(2), 629-636.
Hilli, Y. & Eriksson, K. (2017). The home as ethos and caring: A concept determination. Nursing ethics, 26(2), 425-455. https://doi.org/10.1177/0969733017718395
Holland, J., Rozalski, V., Beckman, L., Rakhkovskaya, L., Klingspon, K., Donohue, B., Williams, C., Thompson, L. & Gallagher-Thompson, D. (2015). Treatment Preferences of Older Adults with Substance Use Problems. Clinical Gerontologist, 39(1), 15–24. https://doi.org/10.1080/07317115.2015.1101633.
Kassel J. D. & Veilleux J. C. (2010). Introduction: The complex interplay between substance abuse and emotion. I J. D. Kassel (Red.), Substance abuse and emotion (s. 3-12.). Washington, DC: American Psychological Assosiation.
Karlsson, M. (2017). ’Bry sig om’- ett vårdvetenskapligt praxisbegrepp. I L. Wiklund Gustin & I. Bergbom, (Red.), Vårdvetenskapliga begrepp i teori och praktik (s.341-350). Lund: Studentlitteratur.
Lindseth, A. & Norberg, A. (2004). A phenomenological hermeneutical method for researching lived experience. Scandinavian Journal for Caring Science, 18(2), 145-153.
Martinsen, K. (2012). Løgstrup og sykepleien. Oslo: Akribe.
Melin, Y., Eklund, M. & Lindgren, B-M. (2017). Experinces of Living With Opioid Dependence: An Interview Study Among Individuals Paticipating in Medication-Assisted Treatment. Issues in Mental Health Nursing, 38, 9-17. https://doi.org/10.1080/01612840.2016.1235638
Midtbø, T. & Råholm, M-B. (2014). Når autonomien blir den verse fienden for pasienten. I H. Alvsvåg, O. Førland & F. Jacobsen (Red.), Rom for omsorg? (s. 193-207). Bergen: Fagbokforlaget.
Meier, P. & Donmall, M. (2006). Differences in client and therapist views of their working alliance in drug treatment. Journal of Substance Use, 11(1), 73- 80. https://doi.org/10.1080/14659890500137004.
Neff, K. D. (2003). Self-compassion: An alternative conceptualization of a healthy attitude toward oneself. Self and Identity. Psychology Press. 2: 85-101. https://doi.org/10.1080/15298860390129863
Ness, O., Borg, M. & Davidson, L. (2014). Facilitators and barriers in dual recovery: a literature review of first-person perspectives. Advances in dual diagnosis, 7, 107-117. https://doi.org/10.1108/ADD-02-2014-0007
Nordfjærn, T., Rundmo, T. & Hole R. (2010). Treatment and recovery as perceived by patients with substance addiction. Journal of Psychiatric and Mental Health Nursing, 17, 46-64. https://doi.org/10.1111/j.1365-850.2009.01477.x
Pettersen, H., Landheim, A., Skeie, I., Biong, S., Brodahl, M., Oute, J & Davidson, L. (2019). How Social Relationships Influence Substance Use Disorder Recovery: A Collaborative Narrative Study. Substance Abuse: Research and Treatment, 13, 1-8. https://doi.org/10.1177/1178221819833379.
Rehnsfeldt, A. (2015). Livsförståelse som utgångspunkt för patientens perspektiv. I L. Wiklund Gustin (Red.), Vårdande vid psykisk öhelsa- på avancerad nivå (2. Utg.) (s. 61-76). Lund: Studentlitteratur.
Repstad, P. (2007). Sosiologiske perspektiver for helse og sosialarbeidere. (2. utg.). Oslo: Universitetsforlaget AS.
Skogen, J. C., Torvik, F. A., Hauge, L. J., Reneflot, A. & Ostling, G. L. (2019). Rusbruklidelser i Norge. Folkehelseinstituttet. Hentet 04.04.20 fra: https://www.fhi.no/nettpub/hin/psykisk-helse/ruslidelser
Solberg, H. & Nåden, D. (2019). It is just that people treat you like a human being: The meaning of dignity for patients with substance use disorders. Journal of Clinical Nursing, 29(3-4), 480-491. https://doi.org/10.1111/jocn.15108
Thorkildsen, K. M., Eriksson, K. & Råholm, M.-B. (2014). Kierkegaard’s works of love reflected through the lens of caring. International journal for human caring, 18(3), 36-41. https://doi.org/10.20467/1091-5710.18.3.36
Thorkildsen, K. M., Eriksson, K. & Råholm, M.-B. (2015). The core of love when caring for patient suffering from addiction. Scandinavian Journal for Caring Science, 29(2), 353-60. https://doi.org/10.1111/scs. 12171.
Von Post, I. (2000). Professionell - at vara etisk i din hålling. I K. Eriksson & U. Å. Lindström (Red.), Gryning. Vasa: Åbo Akademi.
Von Post, I. (2003). Naturlig, den ursprungliga tilliten, det spontana, det äkta och ädla i vårdandet. I K. Eriksson & U. Å. Lindström (Red.), Gryning II. Klinisk vårdvetenskap. Vasa: Åbo Akademi.
Wiklund, L., Lindström, U. Å. & Lindholm, L. (2006). Suffering in addiction- a struggle with life. Theoria, Journal of Nursing Theory, 15(2).
Wiklund, L. (2008a). Existential aspects of living with addiction - Part I: Meeting challenges. Journal of Clinical Nursing, 17(18), 2426-34. https://doi.org/10.1111/j.1365-2702.2008.02356.x.
Wiklund, L. (2008b). Existential aspects of living with addiction - Part II: Caring needs. A hermeneutic expansion of qualitative findings. Journal of Clinical Nursing, 17(18), 2435-43. https://doi.org/10.1111/j.1365-2702.2008.02357.x.
Wiklund Gustin, L. (2017) Medlidande och ‘compassion’. I L. Wiklund Gustin, & I. Bergbom, (Red.), Vårdvetenskapliga begrepp i teori och praktik (s. 353- 364). Lund: Studentlitteratur.
World Health Organization (2022). International Classification of Diseases 11th Revision. Hentet 05.06.22 fra: https://icd.who.int/browse11/l-m/en#/http://id.who.int/icd/entity/590211325
The World Medical Association (2018). WMA Declaration of Helsinki-Ethical Principles for Medical Research Involving Human Subjects. Hentet 09.07.20 fra: https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical- principles-for-medical-research-involving-human-subjects/
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