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Cognitive Remediation and Emotion Skills Training (CREST) for eating disorders patients and its therapeutic use in the treatment of addiction
Zlesáková, Marie ; Vacek, Jaroslav (advisor) ; Pavlovská, Amalie (referee)
Cognitive Remediation and Emotion Skills Training (CREST) is a method successfully implemented in the treatment of eating disorders, that helps improve cognitive and emotional deficits. As patients with eating disorders and substance abuse have similar neuropsychological impairments and have also a high co-morbidity in both disorders, we can consider using CREST in the treatment of addiction. The introduction part is based on views of various authors on the issue of eating disorders, their comorbid psychiatric diseases and mechanisms associated with eating disorders and substance addiction. Further I describe the neuropsychological deficits found in both diseases, the possibilities of their rehabilitation and finally I present the CREST program. The aim of the research was to evaluate the quality of the program implementation. I focused on comparing the process, satisfaction and benefit of the intervention in 4 patients with eating disorders and 8 patients with substance addiction co-morbidity. Data were collected from the diagnostic screening of substance-related disorders, by analyzing medical documentation and participating observations in 10 CREST lessons. Key data source were also satisfaction and benefit questionnaires, and the focus group after the end of the program. The results showed,...
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Case study of the homeless person addicted to the addictive substances in the third degree prison
HERÁKOVÁ, Eliška
This work deals with the issue of homeless people dependent on addictive substances in third degree prison. The topic of the thesis is focused on a concrete studied person and the causes of formation of his life situation as well as certain consequences. The aim of the work is to find out the formative causes of a drug addicted homeless person in third degree prison and a detailed life story of the person. I concentrated on the homeless people issue, then addictive drugs, and lastly, on the prison system. I mostly focused on the issue in the theoretical part of the work. The stated issues are processed by the qualitative research using the case study of the studied person, semi-structured interviews with the person and his family. Next, for evaluation I integrated the open coding method that I used in the interviews. Consequently, I interpreted the coding and transformed it into minutely described diagrams to be used for the work results. The solution provides a detailed look at the stated life situation of the studied person. This look contains all the life parts of the person as well as the opinions and views of his family, that is why it is possible to define a life functioning of the studied person. In the research we found out that the studied person had a problem at birth already, which concerned his retarded development, he was also influenced by something for all his life, either by situations like his father´s attitude to his upbringing and his supportive attitude to alcohol from the early childhod, or by people around him. As people´s influence concerned, these were mostly so called friends, who misused his weakness to be manipulated easily. Due to the above mentioned situations the person became familiar with a drug life and, consequently, with criminal offence, that caused the present imprisonment in third degree jail. I would try to use the achieved knowledge in my future practice as the processed results showed a great variety of factors influencing the studied person. It is hardly possible to find the only main cause of such persons´ problems, and therefore it is difficult to solve their problems or, at least, to reduce their aftereffects and consequences.
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