on an alcohol-related problems AND COMPLEX AICAT: Italian Association of Territorial
Alcohology Club (method Hudolin)
approach MANIFEST ECOLOGICAL AND COMPLEX SOCIAL PROBLEMS alcohol related Why a Manifesto on an Ecological Social In talk and discuss the way Social Ecology and
complex to alcohol-related problems are often given for granted what it really is in its identity and its purpose.
Even now rich literature on the method Hudolin has never bothered to
give an explicit definition of the EFSA, which allows you to specify an essential and meaningful thing then it be.
This finding has generated in recent times the need for EASA groped for a definition, especially in light of the ongoing debate about being and becoming of the method Hudolin. The multiple stresses in this direction have been spelled out and incorporated into AICAT Executive Council held in Rome October 16, 2010, when some friends who had raised the issue were invited to work for the preparation of a draft of a document then subjected to a critical reading of the Permanent Forum during the Formation of San Benedetto del Tronto and a subsequent approval of the directive.
The text is also published today is the result of that path, has no ambitions di essere esaustivo (si rimanda ad altri doverosi approfondimenti); può essere proposto alla stregua di una traccia di presentazione in ogni contesto di informazione, sensibilizzazione e confronto nella comunità, nell’assoluta consapevolezza della necessità di un suo perenne aggiornamento da effettuare con cadenza periodica, aperto al contributo di tutti e capace di essere in reale sintonia con l’evoluzione dell’AES medesimo.
Salerno, gennaio 2011 Nello Baselice
L’Approccio Ecologico Sociale ai Problemi Alcolcorrelati e Complessi
Premessa L’Approccio Ecologico Sociale è stato ideato ed applicato daI Prof. Vladimir Hudolin,
experiencing it effectively in tackling alcohol-related problems, from a perspective of health promotion based on an original path that moves from theoretical and practical principles of social psychiatry and community medicine in the late twentieth century and that can be applied to the specific changes all behavioral problems. The approach is consistent with the complex set of documents, resolutions, action plans, the WHO has produced since 1978 with the Alma Ata Declaration which establishes the centrality:
a. deII'assistenza primary
b. Labour territorial
c. programs of the local community,
d. of promotion of the citizens programs for the protection and promotion of health, in a collaborative relationship with the professional system (partnership in action) in the specific field of practice of the principles established by the ecological and social.
Approach, referring to the information in independent scientific research that supports the decisions and action plans deIl'OMS, aims to develop programs that are able to: •
to respond to the needs of the person, placed in the context meaningful relationships and type of family and community, families and local communities;
• to focus the leadership of the person and his sense of responsibility
(empowerment).
• sensibilizzare chi opera in campo professionale ad attuare scelte personali coerenti, adeguando gli stessi processi formativi professionali e le pratiche professionali a quanto definito dall’Approccio Ecologico Sociale.
Esso trova la sua collocazione teorica nella teoria generale dei sistemi e nel lavoro sociale di rete con i relativi modelli concettuali.
Si avvale dell’esperienza pratica dei programmi alcologici territoriali centrati sulla lunga e consolidata esperienza dei Club degli Alcolisti in Trattamento, oggi Club Alcologici Territoriali, che hanno superato il concetto di "alcolismo malattia", definendo l’alcolismo uno stile di vita, cioè un comportamento socialmente accettato, with the gradual downsizing of the meaning of the term "alcoholism" wholly inadequate and incomplete to describe the complexity of "alcohol problems", and now, the system of clubs eliminated in the terminology and practice The term "treatment" should be abandoned because The vivid and rehabilitative aspects of care that can be confusing
exceeded the same concept of alcoholism.
's why the social-ecological approach is its rightful place in
complex reality that has tried to build healthy public policies capable of: a.
ensure accessibility to basic services,
b. overcome all forms of stigma socially deviant behavior,
c. encourage the participation of citizens in the processes of self-protection and self-promotion of health,
d. to ensure that the relationship between citizens and the professional world is marked by the principle of cooperation and democracy in their decisions,
e. build and consolidate the processes of community participation and community development based on their internal resources.
These objectives are contained in the general documentation of the WHO:
1. Declaration of Alma Ata
2. Ottawa Charter
3. Adelaide Declaration
4. Jakarta Declaration
5. Health for all in 2000
6. Health in the 21st Century Health 21
7. Urban Health Project that the different resolutions
8. The two action plans on alcohol
9. The European Charter on with his ethics and the ten strategies - Paris Conference - December 1995
10. The Global Strategy on Alcohol
The scientific and humanistic The thought and work of prof. Vladimir Hudolin express a synthesis of particular intensity and effectiveness, of the 900 great discoveries and advances that were emerging from from 800 and that today are an evolution and a continuity which in many ways Hudolin himself had widely anticipated. Its action
scientific and humanistic side of the field of psychiatry addressing the issue of human suffering trying to grasp the inner workings and relationships that are paramount, leaving the custodial role that marked the era of the asylum.
The pillars of this philosophy that are the backbone of social-ecological Approach are:
1. The findings of psychoanalysis and in particular its application to small and large groups of people to the development of the therapeutic community model
2. The social psychiatry: the social-ecological approach is founded on the principles of social psychiatry
trying to overcome the stigma of deviant behavior and the limits "tagging" of the classical diagnostic, giving rise to the experience therapeutic community, an effective tool to overcome the logic of the asylum. Hudolin elaborates further the concept of therapeutic community, and migrates into the mechanism of functioning of local communities to deal with alcohol-related problems.
3. The general systems theory.
Hudolin introduces the principles of general systems theory, highlighting the potential for accountability, and in overcoming the psychic and spiritual (or social culture) that is attributed to the dynamics of family and community. The genius of Hudolin action is to overcome any "mechanism" strategic-relational dimension to emphasize instead the emotional and spiritual (or social culture). Indicated by Hudolin systems are vital, feed on the emotional component that you build right in the relational process, never neglect the person, but it captures the changing expression in the changing relational contexts.
4. Cybernetics and ecology of the mind is an evolution of the previous paragraph that has been able to realize
Hudolin. He stressed the importance of building empathy
establishing unequivocally that every human being is in itself an autonomous
and at the same time belongs to a relational context. The context affects the relationship
through mutual interference processes that require constant mediation which lifetime in a perspective of growth and maturation. This interference has a level of mutual learning through transcendence, to truly hear each other, in themselves, in its irreducible diversity and originality.
5. The work of social network and its models. The ecological approach recognizes the concept of social network and in his study how more "green" for the knowledge of human communities and their balances; behind the problems of the community from alcohol-related ones, there is always an imbalance of their networks.
6. The family approach. The social-ecological approach considers the crucial involvement
the family and extended family networks. Family involvement does not imply any de-empowerment of each individual member of the family, nor is it intended to adhere to ideological visions that transform his family into a sort of icon of salvation, The family is a place of contradiction and resources.
7. The science of complexity. The social-ecological approach is an effective tool
reading of the phenomena that avoids all forms of fragmentation, but especially
indicates programs that move in the field of participation,
culture, transdisciplinarity and transcultural. Within the complex is presence should focus multiple cultures in local communities, and as a result of the globalization process, both as a form of generational subcultures.
8. The processes of participation. Hudolin its action rooted in local communities to which club they belong, even when they are in forms of association.
9. The antropospiritualità (or social culture).
scientific research, particularly that relating to the neurosciences or cognitive sciences, has tried to investigate the most mysterious and essential human dimension, the spirituality, as the set of cultural variables that impact significantly on our so of being and living.
10. Ethics.
The reference is to the individual and collective behavior, whether it's of choices generated by the necessity of everyday life, whether it's career choices.
In both cases, the ethical dimension requires you to define what the rules are
that are acceptable and which not, without any bias, but with the indication that it defines what are their points of reference. Moreover, the idea of \u200b\u200ban ethical code, which contains and exceeds the genetic code, puts the efforts to found the human society on the planet based on new socially shared values, particularly those of peace and rejection of war.
11. Transcendence.
It 's the ability to go beyond ourselves, beyond our ego, our need to grasp the membership of a higher order, whether natural, inter-human or divine. The recognition of the transcendent forces us to the question of belonging rather than of ownership.
12. Meditation.
E 'the willingness to listen and to resonate within us the speech of others, without judging, recognizing his reasons and so that our
also being accepted. It 'an attitude of peace and mediation
that does not change the essence and conditions of each individual, but makes them available to
box. It promotes personal growth and human relationships through openness to dialogue
13. Instruments. Post
the centrality of alcoholism Club Place, the methodology uses
instruments suitable for the execution of a program of alcohol related area - Social Ecological Approach - Method Hudolin, providing the necessary training sessions and awareness-raising and organizational model established by the Centre Spatial alcoholism functional.
Social Ecological Approach (AES) The meaning
approach means asking how to read, interpret a phenomenon and, consequently
, to promote change. Regarding lo specifico
campo alcologico l’approccio indicato da Hudolin deve essere collocato nelle strategie di popolazione che sono caratterizzate dall’evidenza scientifica che per ridurre l’incidenza e la prevalenza delle problematiche alcol correlate è necessario modificare, riducendolo, il consumo medio della popolazione. Questo ha come suo presupposto una disponibilità di avviare programmi che modifichino la cultura generale, sanitaria e sociale nei confronti delle bevande alcoliche, caratterizzata oggi:
a. da una tendenza a promuovere i consumi definiti "responsabili" o moderati,
b. dal distinguere in modo netto i bevitori dagli alcolisti o alcol dipendenti, applicando un modello fortemente medicalizzato which focuses on particular aspects of alcohol-related problems;
c. from pursuing the model of social learning as the main way for people to get used to the familiar, from an early age, alcoholic beverages and avoid those that are defined and excesses that are substantiated in security issues and public policy;
d. dall'enfatizzare the Mediterranean model of drinking considered protective with respect to the possible occurrence of more serious alcohol-related problems.
Social Ecological Approach acknowledges in accordance with the WHO:
1. the dangers of alcohol itself,
2. his being a drug particularly harmful to the individual, family and society
,
3. that there are levels of consumption which might be considered risk-free,
4. that it must guarantee people the real and concrete possibility to choose between drinking alcoholic beverages or abstain, as a right that every citizen has to act, independently, according to his beliefs after the correct information.
The ecological approach establishes that everyone should think about their drinking,
regardless of the amount consumed by consumption styles and the degree of expressed
problematic, thereby avoiding the invitation to reflect on drinking and rivolto solo a chi è ritenuto più problematico, forma evidente di categorizzazione discriminante e di stigma. Il consumo di bevande alcoliche deve essere considerato un fattore di rischio che, sul piano individuale, ciascuno ha la possibilità e la libertà di assumere. Si reputa comunque necessario che la comunità si doti di misure e regole finalizzate al bene comune nei confronti dei danni prodotti dal consumo di bevande alcoliche (bere passivo). Per quest'ultima ragione promuove e sostiene tutte le iniziative di politiche pubbliche per la salute finalizzate a:
a. a ridurre la disponibilità degli alcolici, con ragionevoli e motivate argomentazioni, in particolare per i giovani e per le categorie più a rischio
b. to promote lifestyles more protective of public welfare. The term Ecological
recognize the links between people and between
different components that make up a family or local community. It is recognized
also a relationship between alcohol consumption and problematic consumption of improperly expressed as defined normal and abnormal, thereby accepting that there can be no discontinuity categorical, but an ongoing process that characterizes the behavior of drinking.
Ecology indicated by Hudolin has nothing to do with environmentalism, but
deals with the functioning of human beings is the way they stand on the floor relations is their way of seeing and thinking about the world. The Social Ecological Approach
stringency has in itself the necessity of overcoming the constant
acquired positions, well represented at the level of concreteness
the multiplication constant of the Club and its associated forms, as well as from
constant adaptation to cultural and social occurring. Social
The term emphasizes the evidence that all behavior problems, including alcohol-related, but also cultural, economic and political rights, have their origins and their resolution in existing social relations. It also emphasizes the value of the social contract that founds the human community and that is from the construction of a shared code of ethics.
is often perceived and cited the Beauty (Aesthetics) club, which is the product of continuous attention to ethics, without which there can be no process of socialization with the characteristics of love, friendship, solidarity, respect for diversity and transcultural.
These are the founding principles of the Social Ecological Approach and the choice of continuing growth and maturation size in a harmonious also capable of changing the culture of the community.
Ethics is the evolutionary process ontogenetico, filogenetico e storico-culturale che si è strutturato nella nostra coscienza e ci fa scegliere tra ciò che riteniamo pensabile e giusto agire e ciò che riteniamo né pensabile, né giusto.
L’abito di ciascuno, il suo ethos, il suo stile di vita, l’insieme delle sue tensioni ideali, rappresenta la libertà e la responsabilità di ciascuno. L’etica, ciò che agli altri dobbiamo, deve essere condizione e vincolo per la libera scelta dell’ethos e deve rappresentare la consapevolezza del proprio dovere nei confronti degli altri.
La sottolineatura del sociale contenuta nell’Approccio Ecologico Sociale, non è una
contrapposizione disciplinare nei confronti of health, but the recovery of the Community dimension of the persons who constitute the "Societas", the evolved form of coexistence in which the conflict is not restricted or denied, but is welcomed into the relational dynamics. In this sense, the health and systems are integral to the development of a given society.
The office is also the root of membership of the Club to the community, the objective of building, from the Club Alcohology Territorial local alcoholism programs, aimed at changing the existing culture and dominant and provide a space for reflection, thought and therefore for growth and maturation to those who, throughout their life, are directly or indirectly to reflect on the relationship with alcohol.
In summary, the social-ecological approach is therefore the framework within which to apply the method Hudolin establishing the centrality of his action in size antropospirituale (or socio-cultural), understood as a multidimensional reading of the human in its complexity and in his inexhaustible network of relationships. It 's a mobile frame, dynamic, full of nuances, not comparable to the classical forms of professionalization, medicalization or psychiatrization, but able to communicate and interact for better coping with these alcohol-related problems.
Edited by: N. Baselice, G. Corliano, R. Cuni, F. Marcomini, MT Salerno
