Percepção de suporte social e significados atribuídos por usuários de substâncias psicoativas às configurações vinculares

Abstract

It is notable the relevance of Psychoactive Substance use as a health care theme. Public policies care for people with substance use disorders currently are the main way of intervention and psychosocial attention stands out as therapeutic method. The social aspects foment are featured as important pillars in scientific works in care development. Therefore the social support and how the one with a mental disorder realize it are indispensable. That support is present in the Psychosocial Attention Centers Alcohol and other Drugs (CAPS AD). It is understood that the social groups formation has naturally the community established bonds between its members, soon it is relevant the assigned meanings to bond phenomena in this study. Objectives: Comprehend how social support is noticed by psychoactive substance users, as well the assigned meanings to the bonds configuration. Methods: 30 people were interviewed. It was a convenience sample in a quanti-qualitative approach, observed with a psychoanalysis theoretical reference. Two tools were used for data collect, the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) and the Social Support Perception Scale for Adults (EPSUS-A). Open interviews were recorded with the guiding question: "Do you identify any relation between drug use and your social life?". Results: The ASSIST pointed that alcohol and crack/cocaine stands out with intensive treatment suggestion, followed by tobacco with brief intervention suggestion and a significant indicates a social support perception classified as low in all four studied factors: affective, social interaction, instrumental and problems coping. When the subject is asked to think about his social bonds, it is noticed a trend to look himself away from the social group, out of the society. The psychoactive substance use appears as the main factor for this absent and the abstinence as the condition for social group participation. Conclusion: Public health policies, as the CAPS AD, can promote social support and cohesion actions, in order to claim the subject as a social group participant, decreasing the stigma and developing his concepts of citizenship and civility.