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Possibilities and limits of alternative treatment and recovery from addiction by the psychedelic experience
Césarová, Eva ; Kalina, Kamil (advisor) ; Mravčík, Viktor (referee)
Backgroud: Current research suggests that psychedelics might have a significant therapeutic potential for the treatment of addictions, as well as the treatment of depression, anxiety, post-traumatic stress disorder and other mental illnesses. The current renaissance of psychedelic research, as well as changes in the approach towards these substances we see in some countries, suggest that it is only a matter of time until psychedelics are officially used as a therapeutic tool in treatment. The progressive field of addictology in the Czech Republic could be one of the pioneers of psychedelic research in the treatment of addictions. Aim: The theoretical part of this work provides insights into the current events in the field of psychedelic research in the Czech Republic and in the world. The research part maps the perspectives and attitudes of Czech experts and representatives of leading institutions (areas of addictology, research on psychedelics and mental health and state administration) on the use of psychedelics in the treatment of addictions. The aim of this work was to find out how these experts approach this issue and what possibilities and limits of implementation of research on psychedelics in the treatment of addictions they perceive. Methods: Twelve respondents took part in a qualitative...
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Non-medical use of buprenorphine in Georgia: prevalence, socio-demographic and environmental correlates, treatment and policy options
Otiashvili, David ; Miovský, Michal (advisor) ; Kalina, Kamil (referee) ; Vorel, František (referee)
Extramedicínské (zne)užívání buprenorfinu v Gruzii a efektivní léčebná intervence MUDr. David Otiashvili Abstrakt Background Since early 2000s, the nonmedical abuse of buprenorphine (Subutex®) tablets, presumably smuggled from EU countries, has represented major phenomena of the problem drug scene in the Republic of Georgia. In a country with relatively high level of injecting drug use (estimated 40,000 persons, i.e. 1.5 % of population aged 15-64, of whom over 50% inject buprenorphine), this represent a major public health problem that needs detailed description and comprehensive set of interventions. Aim (i) To describe the extent of nonmedical buprenorphine ab/use in the Republic of Georgia, the characteristics of the nonmedical ab/users and their motivations for seeking and using the black market buprenorphine. Subsequently, (ii) to plan and pilot-test a treatment intervention that would be more specific and effective than the simple detoxification and/or harm reduction modalities available in Georgian on a routine basis. Setting Four regional centres of Georgia were included into the descriptive part of the study: the cities of Tbilisi, Gori, Zugdidi, and Batumi. The intervention (sub)study was conducted in one Tbilisi addiction treatment clinic. Participants and methods For the descriptive part of the...
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Qualitative analysis of the experience and evaluation of the recovery process of users of addictive substances with schizophrenic disorders
Blažíčková, Eliška ; Kalina, Kamil (advisor) ; Minařík, Jakub (referee)
This work deals with the issue of dual diagnosis, namely patients with schizophrenic disease who are addicted to drugs and their view of the anxiety process. Theoretical background research is devoted to schizophrenic disease, addictive disorders and specifics in the treatment of patients with dual diagnosis. The aim of this research was to find out how users of addictive substances with a schizophrenic circuit disorder evaluate and experience the process of their anxiety. To create the above goal, I set the main research question, concretized by three sub- questions: (1) How do drug users with schizophrenic disorders assess and experience the process of their anxiety? (1.1.) "How do drug users with schizophrenic disorders have insight into their difficulties in treatment?" (1.2.) "How the level of these difficulties changed before the end of treatment"? (1.3.) "What aspects of recovery do these patients consider important?" The research set was selected by methods of improbable purpose. The research group finally consisted of four patients, i.e. hospitalized in the Psychiatric Hospital X. Sources of data for the case study in this case are medical documentation of patients (anamnestic data, records of group and individual therapies) and semi-structured interviews. The obtained data fixed by audio...
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Transactional Analysis Approaches Aplicable in Working with Clients in Low-Treshold Addictology Services
Staňková, Nora ; Šulová, Lenka (advisor) ; Šípek, Jiří (referee) ; Kalina, Kamil (referee)
Te aim of the research dissertation thesis is to introduce transactional analysis as a practi- cal tool applicable for efective communication with clients in low-threshold addictology services. Te main objective is the discovery of ego-states that clients use in communication with employees, determining the representation of individual ego-states at both client and employee side. A partial goal is to observe the methods of communication with the client, which lead to the provision of services in the framework of Adult to Adult transactions. Te output usable in real life is a manual of communication between employees and clients using principles of transaction analysis. Te research group consists of 88 observed, recorded and evaluated interviews between employees and clients of the low-threshold addictology service Drop In Prevention and Treatment of Drug Addiction Center, specifcally in the Drop In Low-threshold Center. Tey were active users of illegal addictive substances who have requested some service from the spectrum of harm reduction services at the time of the research. Te thesis uses qualitative research in the form of text and word analysis used in the com- munication of clients and employees in the Drop In Low-threshold Center with the aim of capturing the usual communication...
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Alcohol in the Bible
Linhartová, Hana ; Šejvl, Jaroslav (advisor) ; Kalina, Kamil (referee)
Backgrounds - The bible is one of the most important books of history. Its content extends inter alia to the field of addictology. There are many references to alcohol use in the bible, and the effects of alcohol on man are also described. Objectives - The aim of this work is to map and describe alcohol in the bible. His forms in which he appears in the bible and on what occasions he is used. Furthermore, I map the effects of its use and the related attitude of the bible and God to the use of alcohol. Methods - I used a method of analyzing written documents. Using the Quota Selection Method, I searched for terms related to alcohol drinking (Drunkenness, Wine,…) using the online Bible 21. I analyzed these excerpts and included them in the tufts created, the categories according to the way alcohol was used in the bible. Next, I compared these excerpts with the same excerpts in the Bible: Český studijní překlad (Bible: Czech Study Translation) and looked for possible translation and meaning mismatches. The selected excerpts I mention in this work I chose purely subjectively. To calculate the amount of search terms, I used search tools in the online Bible 21. Results - The reference to alcohol in the bible is considerable. Most is represented by the word wine, which is 140x and the expression drunk...
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Attachment at addicted women in an aftercare programme - a qualitative research
Podzimková, Anna ; Kalina, Kamil (advisor) ; Riegel, Karel Dobroslav (referee)
The thesis deals with the theory of attachment at addicted women in an aftercare programme. It is divided into a theoretical and a practical part. In the theoretical part the term attachment is explained, the foundations of several theories underpinning the connection of the addiction with relational disorders are described and the specifics of female addiction are described. The practical part is build on five interviews with selected set of respondents. In the practical part is described in detail the method used for the data collecting, Adult Attachment Interview, the method of the data analysis, Current Relationship Interview and the summary and final analysis of all the interviews. The aim was to find out if there are similarities in an attachment of addicted women, compare their family and partner relationships. The research claims that the similarities between addicted women in an attachment are striking. Four out of five women have an uncertain attachment to both parents and all 5 women have an uncertain attachment to their fathers. Four out of five women have a preoccupied state of mind - angry, to their fathers. The similarities are also in describing of the womens childhood experiences with their parents, especially with their fathers. This early relationship with father influence the...
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Addictive substance abuse as a self-medication in eating disorders
Holubičková, Lucie ; Kalina, Kamil (advisor) ; Rolová, Gabriela (referee) ; Minařík, Jakub (referee)
Introduction: The thesis deals with the relationship between substance use and eating disorder. In particular, it focuses on the phenomenon of self-medication substance abuse among women who have experienced an eating disorders. The theoretical part provides a comprehensive picture of the studied issue, supported by Czech and international research in the area. The empirical part is based on qualitative data collection and consists of a combination of short case studies and thematic analysis. Objectives: The main aim of the thesis is to map out and find out whether women who suffer from eating disorders use addictive substances, including alcohol, for the purpose of self-medication. The thesis also aims to find out whether there is a difference between the different forms of eating disorders and the pattern of substance use. Sample: The research sample consisted of 10 women aged 19 - 38 years who have had experiences with eating disorders. Methods: The method of semi-structured interview was chosen for the purpose of the research. The data obtained were presented using short case reports. The case studies were supplemented by a timeline and a test battery, which consisted of AUDIT, DAST and FTND questionnaires for better orientation of the researcher. The data were subsequently analyzed through...
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Substance using mothers and their motivation for treatment in the therapeutic community
Kotrla, Barbora ; Kalina, Kamil (advisor) ; Richterová-Těmínová, Martina (referee)
Purpose: While our modern society seems to have learnt how to accept and tolerate drug-addicted men, drug-addicted women on the other hand are even typically confronted with prejudice and contempt from the part of society. We should pay more attention to gender problematics despite the addiction background. We should map the motivation and circumstances that could on one side convince women to addiction treatment and on the other side prevent them from taking treatment and completing it. Goals: The first goal of this thesis was to map the circumstances and motivation that bring female clients - substance-using mothers with their children - to treatment in the therapeutic community. The second target was to find out which specific motivational determinants keep female clients in treatment. The third aim of this work was to find out which area of CMRS questionnaire is most involved in the motivation of clients. Research Methodology: Research data collection took place in July and August 2018 in one particular therapeutic community. A semi-structured interview was conducted with clients followed by two short CMRS and DAST questionnaires. Research Target Group: The target research group consisted of eight clients from the therapeutic community. All clients were mothers in the age of 24 - 35 years....
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Case management in low-treshold centers - case study
Hlobilová, Hana ; Kalina, Kamil (advisor) ; Bém, Pavel (referee)
its boundaries, the recovery principle, patient's motivation and the case management provides the description of changes in client's motivation to abstain and f consequently, written down and recorded with the organization's internal system and was also carried out. The client's casuistry was chosen by method of ultimate selection, as it Studying the qualitative relation and its effects on client's transformation progress, it may client's positive relation with the counsellor could imply their occurrence. Further, aspects - - -
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Case study of a client primarily using marijuana treated in children's and adolescents' outpatient addiction service
Brtníková, Vendula ; Kulhánek, Adam (advisor) ; Kalina, Kamil (referee)
Background: Children's and adolescents' treatment is a newly established approach in addiction services in the Czech Republic. Issues raised by clients relate to confusion in the system and are related to therapists' uncertainty for prognosis treatment outcomes estimation. Furthermore, professionals often struggle with their own insecurities related to working with clients under the age of 18 years. There is limited knowledge necessary for adjusting to sustainable treatment and effective interventions for these clients. Aims: This study aims to present methods and techniques of addiction treatment using a case study of a specific client. This illustration aims to understand the needs of a particular target group and the specifics of this type of treatment. The goal of this thesis is to describe the state of this client during a specific therapeutic work with the aim to present possible matching of his needs and interventions. A partial aim is to identify the specifics in the clinical work of a specialist in the field of addictions with this particular type of clients. An important goal that emerges from this case work is the final evaluation of possible procedures for professionals in the field of children's and adolescents' addiction treatment. Methods: The concept of this study is based on...
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