IMAGES CONSORTIUM MEETING

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• IMAGES CONSORTIUM MEETING
• St Petersburg, April 25-28, 2010
• Should someone do something concerning addiction?
  The French GP's Answers
• Chantal Mougin
• CNRS CERMES3-équipe CESAMES, Paris
• Centre de Recherche Médecine, Sciences, Santé,
  Santé Mentale et Société

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Seven General Practitioners (GPs) Focus Groups
in France

• From 2008 July to 2010 January
• Methods
• Gathering GPs
• They watch film extracts
• They comment freely, with a guide
• Their comments are transcribed
• The transcriptions are analysed

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We Proposed the following six Questions

• 1 Try to describe what is happening in this
  extract and how do the characters behave ?
• 2 What should have occurred before?
• 3 What should occur just afterwards?
• 4 How will the characters be 10 years from now?
• 5 Should this occur in real life?
• 6 Should someone do something concerning that
  problem?

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Two Main Questions

• Why do people get addicted?
• Should someone do something about it?

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12 Items

• 1 GPs can do something and have to do
  something 90 lines
• 2 GPs can do nothing 72
• 3 The State should vote measures 39
• 4 Psychiatrists should take care of addicts
  36
• 5 The addict is responsible for his
  problem 26
• 6 Specialized centres for addicts must take
  care of them 17
• 7 Several professionals should intervene
  social workers, organizations 17
• 8 Prevention is important 10
• 9 It is the Casinos fault 6
• 10 His wife should do something for her
  alcoholic husband 5
• 11 Someone should do something 5
• 12 I dont know who should 4

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1 - GPs can do something and have to do
something(90 lines)

• YES, WE CAN!
• We have to stay by them, to listen
• They suffer and we provide support
• We can prescribe substitution treatment
• We can send people to hospitals
• We can help some to stop drinking

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2 - GPs cannot do anything (72 lines)

• NO WAY !
• It is no use there is no medical answer
• They do not want to change
• It is not our mission
• We are not trained for addiction
• We need to send addicts to other professionals

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3 The State should vote measures(39 lines)

• Laws should protect people
• What about Prohibition?
• Taxes and rising prices have an impact
• Newspapers and internet give encouragments to
  drink or smoke
• Our Training must be improved and our role,
  reinforced
• The Legal System is the answer.

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4 Psychiatrists should take care of
addicts (36 lines)

• It is their job
• Addicts are psychotics

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5 The addict is responsibleits no use to try
and help him (26 lines)²

• They refuse to be helped
• They have no will
• We cannot motivate them
• They do not ask for help

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6 Specialized centres for addicts must take
care of them(17 lines)

• They know how to deal with addicts
• They choose the addicts they accept

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• 7 Several Professionals should intervene
• Social workers, Organizations
• (17 lines)

• A multidisciplinary network, together with
• Addicts specialists, the family doctor, the
  family
• The Police, Psychiatrists, GPs, Dieticians,
  Associations, Detox Centres

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8 Prevention is important(10 lines)

• Is it possible ?
• Is it our mission ?

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9 It is the Casinos fault(6 lines)

• They should forbid access to addict gamblers
• Instead of what, they encourage gambling, for
  profit.

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10 His wife should do something for her
alcoholic husband (5 lines)

• She abandoned him and it does not help
• She accepts his drinking to be consistent, she
  should resist and refuse

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11 Someone should do something(5 lines)

• provide some kind of structure
• convince
• take care
• be present
• But who ?

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12 I dont know who should (4 lines)

• I do not have the answer
• I dont know

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About Physically Abused Women

• They are in danger we have to take care of them
• We are responsible to protect them and their
  children
• Social Workers support them

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Conclusion

• French Physicians need Training in Addictology.

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Merci pour votre attention!27 avril 2010