Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)

Detalhes bibliográficos
Autor(a) principal: Daniel Jones
Data de Publicação: 2020
Outros Autores: Santiago Luján Cunial
Tipo de documento: Artigo
Idioma: eng
spa
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485
Resumo: The article analyzes interactions between therapeutic experiences and affective relations in the history of patients with chronic health conditions: persons with problematic drug use receiving therapeutic care in religious devices and persons with HIV under clinical care and antiretroviral therapy. The article uses a qualitative methodology based on in-depth interviews. The hypothesis is that the treatments (pharmacological or psychological) usually prove insufficient to provide adequate therapeutic responses to these two chronic conditions. Both groups acknowledged the central importance of affective dimensions for adherence to the proposed treatment regimens and a comprehensive (and thus more effective) approach to HIV and drug addictions. The article concludes by presenting a notion of adherence that extrapolates individual behavior involving mere compliance with prescribed treatments. Adherence is less a personal than a collective experience, in which family, peer networks, and professionals and other therapeutic reference persons play a central role.
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spelling Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)Los vínculos afectivos en la adherencia a tratamientos por VIH y por consumos problemáticos de drogas (Argentina, 2014-2016)Incurable PatientsTreatmentsPatient ComplianceDrugsHIVPacientes IncurablesTratamientosCooperación del PacienteDrogasVIHThe article analyzes interactions between therapeutic experiences and affective relations in the history of patients with chronic health conditions: persons with problematic drug use receiving therapeutic care in religious devices and persons with HIV under clinical care and antiretroviral therapy. The article uses a qualitative methodology based on in-depth interviews. The hypothesis is that the treatments (pharmacological or psychological) usually prove insufficient to provide adequate therapeutic responses to these two chronic conditions. Both groups acknowledged the central importance of affective dimensions for adherence to the proposed treatment regimens and a comprehensive (and thus more effective) approach to HIV and drug addictions. The article concludes by presenting a notion of adherence that extrapolates individual behavior involving mere compliance with prescribed treatments. Adherence is less a personal than a collective experience, in which family, peer networks, and professionals and other therapeutic reference persons play a central role.El presente artículo analiza los cruces entre experiencias terapéuticas y vínculos afectivos en las trayectorias de dos grupos de pacientes con padecimientos crónicos: personas con consumos problemáticos de drogas en tratamiento en dispositivos religiosos de atención terapéutica; y personas con VIH bajo atención clínica y tratamiento antirretroviral. El artículo parte de una estrategia metodológica cualitativa, basada en entrevistas en profundidad. La hipótesis es que los tratamientos (farmacológicos o psicológicos) usualmente resultan insuficientes para brindar respuestas terapéuticas adecuadas a estos dos padecimientos crónicos. Los grupos entrevistados reconocen la centralidad de las dimensiones afectivas para la adherencia a las pautas de tratamiento propuestas y para un abordaje integral, y consecuentemente más efectivo, del VIH y de las adicciones a las drogas. El artículo concluye presentando una noción de adherencia que excede el comportamiento individual de mero cumplimiento de las prescripciones de los tratamientos. La adherencia es menos una experiencia personal que colectiva, en la que el entorno cercano de familiares, redes de pares y profesionales y otros referentes terapéuticos juegan un papel central.O presente artigo analisa as intersecções entre experiências terapêuticas e vínculos afetivos nas trajetórias de dois grupos de pacientes com padecimentos crônicos: pessoas com consumos problemáticos de drogas em tratamento dentro de locais religiosos de atenção terapêutica; e pessoas com HIV sob os cuidados clínicos e tratamento antirretroviral. O artigo parte de uma estratégia metodológica qualitativa, baseada em entrevistas em profundidade. A hipótese é que os tratamentos (farmacológicos ou psicológicos) comumente resultam insuficientes para proporcionar respostas terapêuticas adequadas para estas duas doenças crônicas. Os grupos entrevistados reconhecem a centralidade das dimensões afetivas para a aderência nas pautas dos tratamentos propostos e para uma abordagem integral, e consequentemente mais efetiva, do HIV e da dependência as drogas. O artigo conclui apresentando uma noção de aderência que excede o comportamento individual de mero cumprimento das prescrições dos tratamentos. A aderência é menos uma experiência pessoal do que coletiva, em que o ambiente familiar, as redes de pares e profissionais junto com outros referentes terapêuticos jogam um papel central.Reports in Public HealthCadernos de Saúde Pública2020-05-08info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmltext/htmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485Reports in Public Health; Vol. 36 No. 5 (2020): MayCadernos de Saúde Pública; v. 36 n. 5 (2020): Maio1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZengspahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485/16582https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485/16583https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485/16584https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485/16585Daniel JonesSantiago Luján Cunialinfo:eu-repo/semantics/openAccess2024-03-06T15:29:58Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7485Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:36.448411Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)
Los vínculos afectivos en la adherencia a tratamientos por VIH y por consumos problemáticos de drogas (Argentina, 2014-2016)
title Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)
spellingShingle Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)
Daniel Jones
Incurable Patients
Treatments
Patient Compliance
Drugs
HIV
Pacientes Incurables
Tratamientos
Cooperación del Paciente
Drogas
VIH
title_short Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)
title_full Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)
title_fullStr Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)
title_full_unstemmed Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)
title_sort Affective relations and treatment adherence for HIV and problematic drug use (Argentina, 2014-2016)
author Daniel Jones
author_facet Daniel Jones
Santiago Luján Cunial
author_role author
author2 Santiago Luján Cunial
author2_role author
dc.contributor.author.fl_str_mv Daniel Jones
Santiago Luján Cunial
dc.subject.por.fl_str_mv Incurable Patients
Treatments
Patient Compliance
Drugs
HIV
Pacientes Incurables
Tratamientos
Cooperación del Paciente
Drogas
VIH
topic Incurable Patients
Treatments
Patient Compliance
Drugs
HIV
Pacientes Incurables
Tratamientos
Cooperación del Paciente
Drogas
VIH
description The article analyzes interactions between therapeutic experiences and affective relations in the history of patients with chronic health conditions: persons with problematic drug use receiving therapeutic care in religious devices and persons with HIV under clinical care and antiretroviral therapy. The article uses a qualitative methodology based on in-depth interviews. The hypothesis is that the treatments (pharmacological or psychological) usually prove insufficient to provide adequate therapeutic responses to these two chronic conditions. Both groups acknowledged the central importance of affective dimensions for adherence to the proposed treatment regimens and a comprehensive (and thus more effective) approach to HIV and drug addictions. The article concludes by presenting a notion of adherence that extrapolates individual behavior involving mere compliance with prescribed treatments. Adherence is less a personal than a collective experience, in which family, peer networks, and professionals and other therapeutic reference persons play a central role.
publishDate 2020
dc.date.none.fl_str_mv 2020-05-08
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485
dc.language.iso.fl_str_mv eng
spa
language eng
spa
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https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485/16583
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485/16584
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7485/16585
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dc.format.none.fl_str_mv text/html
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dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 36 No. 5 (2020): May
Cadernos de Saúde Pública; v. 36 n. 5 (2020): Maio
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
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