Clinical care for substance abuse and alcoholism requires knowledge of the patient's culture.
Thorough assessment should include prescriptions for substance use, proscriptions against substance use, and knowledge of permitted-but-not-required substances in the patient's culture.
Clinicians should be aware of the differing patterns of pathogenic use among diverse cultures.
Poor enculturation during childhood or leaving one's cultural origins can increase the risk of substance disorders.
Skill in taking a cultural history aids in identifying these premorbid factors as well as in planning successful treatment.
Cultural affiliation can influence access to and availability of treatment.
Patients should have culturally consistent role models during treatment.
Some treatment approaches merely need to be applied in a culturally sensitive manner ; others may be thought of as « culture bound, » relevant for one group but not for another.
Clinicians should guide patients in choosing appropriate « cultures of recovery. » From a group perspective, cultural groups should consider the potential pathogenicity to culturally prescribed practices of substance use, should adapt models of recognition and intervention that are culturally consistent, and should be beware of using a particular substance as a counterculture symbol.
Mots-clés Pascal : Psychiatrie, Trouble psychiatrique, Milieu culturel, Alcoolisme, Toxicomanie, Substance toxicomanogène, Environnement social, Norme sociale, Facteur risque, Etiologie, Traitement, Prévention, Article synthèse, Homme
Mots-clés Pascal anglais : Psychiatry, Mental disorder, Cultural environment, Alcoholism, Drug addiction, Drug of abuse, Social environment, Social norm, Risk factor, Etiology, Treatment, Prevention, Review, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0588466
Code Inist : 002B18H03. Création : 01/03/1996.