Covid-19

Rundio, Al

doi:10.1097/jan.0000000000000404

Cited by 3 publications

(1 citation statement)

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“…Stigma can become internalized and lead to self-stigma, where the negative beliefs of public stigma are applied to one's self-concept (Watson et al, 2007). Laura's experience in the residential treatment program clearly contained elements of a confrontational treatment approach that has its roots in earlier addictions treatment philosophies, which were often moralistic (Rundio & Lorman, 2015) and included confrontation of denial (Polcin, 2003) as an essential element. According to the Substance Abuse and Mental Health Services Administration (2019), “Confrontational treatment approaches increase client resistance and discord in the counseling relationship” (p. ix).…”

Section: Discussionmentioning

confidence: 99%

It's Not Denial, It's Stigma

Harding

2021

UJAN

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Addictions nurses often encounter barriers to care for clients such as stigma, especially in settings outside addictions specialty care. This article utilizes a case-study format to show and discuss concepts related to client engagement in recovery and overcoming stigma. Laura, a 65-year-old woman, presents with a worsening of her alcohol use disorder in the setting of a recent retirement, worsening symptoms of major depressive disorder, and the stressors associated with the COVID-19 pandemic. She presents with her depression and is reluctant to discuss her alcohol use, after a past experience in a program that utilized a confrontational approach. Her primary care provider describes her as “in denial,” but this case study will discuss elements including stigma, self-stigma, and the culture of addictions treatment and their impact on recovery. Finally, this presentation will describe how the addictions nurse can leverage a person-centered and recovery-oriented approach to promote engagement and positive problem solving with the client and the care team.

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Section: Discussionmentioning

confidence: 99%