{"title":"倦怠概念作为研究成瘾障碍患者亲属照顾影响的理论框架。","authors":"Alexandra M Shishkova, Victor V Bocharov","doi":"10.11621/pir.2022.0307","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Relatives of patients withaddictive disorders often face significant difficulties in their daily lives. Although the burnout concept is currently considered a significant and promising theoretical framework for studying family members who care for chronically ill patients, its application has encountered considerable difficulties in the area of addiction treatment.</p><p><strong>Objective: </strong>This article explores the methodology for studying the psychological issues arising in families affected by addictive disorders. We analyzed the social, economic, and cultural conditions of the different study models developed in this field, and identified the difficulties hindering the acceptance of the burnout concept as a theoretical construct for investigation.</p><p><strong>Results: </strong>There are several main obstacles to the burnout concept's application to studying the psychology of addictive patients' families. These obstacles are: 1) a stigmatizing attitude toward the relatives, labelling them as dysfunctional/codependent, or merely passive recipients adjusting to stressful and challenging circumstances; 2) a sole focus on the destructive elements of the \"informal caregiver - addicted patient\" relationship dynamics; 3) underestimation of relatives' willingness, experience, and knowledge in the care of their addicted family member and failure to recognize their right to participate in treatment decision-making; and 4) lack of specialized tools for assessing burnout and its opposite pole - the engagement of addicts' relatives during the patients' care.</p><p><strong>Conclusion: </strong>Application of the burnout concept as a theoretical framework allows us to reformulate many psychopathological phenomena described in the family members of addicts, and expands the perspective of psychotherapy by providing the opportunity to conduct interventions to improve relatives' functioning as caregivers. This, in turn, will contribute to the effectiveness of treatment outcomes for bothaddicts and their families.</p>","PeriodicalId":44621,"journal":{"name":"Psychology in Russia-State of the Art","volume":"15 3","pages":"111-132"},"PeriodicalIF":1.1000,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833605/pdf/","citationCount":"1","resultStr":"{\"title\":\"The Burnout Concept as a Theoretical Framework for Investigating the Caregiving Impact of Relatives of Patients withAddictive Disorders.\",\"authors\":\"Alexandra M Shishkova, Victor V Bocharov\",\"doi\":\"10.11621/pir.2022.0307\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Relatives of patients withaddictive disorders often face significant difficulties in their daily lives. Although the burnout concept is currently considered a significant and promising theoretical framework for studying family members who care for chronically ill patients, its application has encountered considerable difficulties in the area of addiction treatment.</p><p><strong>Objective: </strong>This article explores the methodology for studying the psychological issues arising in families affected by addictive disorders. We analyzed the social, economic, and cultural conditions of the different study models developed in this field, and identified the difficulties hindering the acceptance of the burnout concept as a theoretical construct for investigation.</p><p><strong>Results: </strong>There are several main obstacles to the burnout concept's application to studying the psychology of addictive patients' families. These obstacles are: 1) a stigmatizing attitude toward the relatives, labelling them as dysfunctional/codependent, or merely passive recipients adjusting to stressful and challenging circumstances; 2) a sole focus on the destructive elements of the \\\"informal caregiver - addicted patient\\\" relationship dynamics; 3) underestimation of relatives' willingness, experience, and knowledge in the care of their addicted family member and failure to recognize their right to participate in treatment decision-making; and 4) lack of specialized tools for assessing burnout and its opposite pole - the engagement of addicts' relatives during the patients' care.</p><p><strong>Conclusion: </strong>Application of the burnout concept as a theoretical framework allows us to reformulate many psychopathological phenomena described in the family members of addicts, and expands the perspective of psychotherapy by providing the opportunity to conduct interventions to improve relatives' functioning as caregivers. This, in turn, will contribute to the effectiveness of treatment outcomes for bothaddicts and their families.</p>\",\"PeriodicalId\":44621,\"journal\":{\"name\":\"Psychology in Russia-State of the Art\",\"volume\":\"15 3\",\"pages\":\"111-132\"},\"PeriodicalIF\":1.1000,\"publicationDate\":\"2022-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9833605/pdf/\",\"citationCount\":\"1\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychology in Russia-State of the Art\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11621/pir.2022.0307\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHOLOGY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology in Russia-State of the Art","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11621/pir.2022.0307","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, MULTIDISCIPLINARY","Score":null,"Total":0}
The Burnout Concept as a Theoretical Framework for Investigating the Caregiving Impact of Relatives of Patients withAddictive Disorders.
Background: Relatives of patients withaddictive disorders often face significant difficulties in their daily lives. Although the burnout concept is currently considered a significant and promising theoretical framework for studying family members who care for chronically ill patients, its application has encountered considerable difficulties in the area of addiction treatment.
Objective: This article explores the methodology for studying the psychological issues arising in families affected by addictive disorders. We analyzed the social, economic, and cultural conditions of the different study models developed in this field, and identified the difficulties hindering the acceptance of the burnout concept as a theoretical construct for investigation.
Results: There are several main obstacles to the burnout concept's application to studying the psychology of addictive patients' families. These obstacles are: 1) a stigmatizing attitude toward the relatives, labelling them as dysfunctional/codependent, or merely passive recipients adjusting to stressful and challenging circumstances; 2) a sole focus on the destructive elements of the "informal caregiver - addicted patient" relationship dynamics; 3) underestimation of relatives' willingness, experience, and knowledge in the care of their addicted family member and failure to recognize their right to participate in treatment decision-making; and 4) lack of specialized tools for assessing burnout and its opposite pole - the engagement of addicts' relatives during the patients' care.
Conclusion: Application of the burnout concept as a theoretical framework allows us to reformulate many psychopathological phenomena described in the family members of addicts, and expands the perspective of psychotherapy by providing the opportunity to conduct interventions to improve relatives' functioning as caregivers. This, in turn, will contribute to the effectiveness of treatment outcomes for bothaddicts and their families.
期刊介绍：
Established in 2008, the Russian Psychological Society''s Journal «Psychology in Russia: State of the Art» publishes original research on all aspects of general psychology including cognitive, clinical, developmental, social, neuropsychology, psychophysiology, psychology of labor and ergonomics, and methodology of psychological science. Journal''s list of authors comprises prominent scientists, practitioners and experts from leading Russian universities, research institutions, state ministries and private practice. Addressing current challenges of psychology, it also reviews developments in novel areas such as security, sport, and art psychology, as well as psychology of negotiations, cyberspace and virtual reality. The journal builds upon theoretical foundations laid by the works of Vygotsky, Luria and other Russian scientists whose works contributed to shaping the psychological science worldwide, and welcomes international submissions which make major contributions across the range of psychology, especially appreciating the ones conducted in the paradigm of the Russian psychological tradition. It enjoys a wide international readership and features reports of empirical studies, book reviews and theoretical contributions, which aim to further our understanding of psychology.
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