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Madde Bağımlılığı ve Farkındalık Terapisi: Tedavi Yöntemleri ve Örnek Sosyal Hizmet Uygulaması

Yıl 2025, Cilt: 18 Sayı: 1, 196 - 211, 30.04.2025

Zeynep Şevval Şen , Mehmet Zafer Danış , İhsan Kutlu

https://doi.org/10.37093/ijsi.1650018

Öz

Madde bağımlılığı, erişilebilirliğin artmasıyla bireysel ve toplumsal düzeyde giderek karmaşıklaşan psikolojik, sosyal ve ekonomik sorunlara sebep olmakta ve toplumsal çözülme sürecini hızlandırarak küresel ölçekte önemli bir halk sağlığı meselesine dönüşmektedir. Bu bağlamda mindfulness (bilinçli farkındalık) temelli stratejiler, bireylerin mevcut anı tarafsız bir şekilde deneyimlemelerini mümkün kılarak dürtüsel davranışları dizginleme, öz-denetimi artırma ve bağımlılık döngüsünü sona erdirme noktasında etkili bir yöntem olarak dikkat çekmektedir. Bilişsel ve duygusal regülasyonu destekleyen bu yaklaşımlar, bireylerin içsel farkındalıklarını güçlendirerek, madde kullanımını tetikleyen stres faktörleriyle baş etmelerine yardımcı olmaktadır. Kabat-Zinn tarafından ortaya konulan bilinçli farkındalık prensipleri, bağımlılık tedavisinde uygulanabilir özellikleriyle, bireylerin psikososyal dengesini yeniden inşa etmeye yönelik işlevsel bir model sunmaktadır.
Bu makale, farkındalık temelli yaklaşımların madde bağımlılığı tedavisindeki etkisini, sosyal hizmet alanındaki uygulama potansiyelini ve bireysel iyileşme süreçlerine katkılarını incelemeyi hedeflemektedir. Bilinçli farkındalık yöntemlerinin bireylerin psikososyal iyilik halini güçlendirme, stres toleranslarını artırma ve bağımlılığı uzun vadede yönetme kapasitesini artırmadaki rolü tartışılmış; bu yaklaşımların sosyal hizmet sistemine entegrasyonunun olası katkıları disiplinler arası işbirliği bağlamında değerlendirilmiştir.

Anahtar Kelimeler

Madde Bağımlılığı Ruh Sağlığı Farkındalık Terapisi Sosyal Hizmet

Kaynakça

  • Academy of Medical Sciences. (2008). Brain science, addiction and drugs: An academy of medical sciences working group report (Chaired by Professor Sir Gabriel Horn FRS FRCP, pp. 32–52). https://acmedsci.ac.uk/viewFile/524414fc8746a.pdf
  • Arul, P., & Carter, P. R. (2017). Scope of social work profession in medical setting. Research on Humanities and Social Sciences, 7(17), 57-60.
  • Başar, M. R., Aydemir, İ., & Aktaş, S. (2022). Madde bağımlısı bireylerin ailelerinin karşılaştıkları psiko-sosyal ve ekonomik güçlükler ile sosyal dışlanma algılarının sosyal hizmet perspektifinden incelenmesi. Tıbbi Sosyal Hizmet Dergisi(19), 37-52. https://doi.org/10.46218/tshd.1062294
  • Berry, D. R., Wall, C. S. J., Tubbs, J. D., Zeidan, F., & Brown, K. W. (2023). Short-term training in mindfulness predicts helping behavior toward racial ingroup and outgroup members. Social Psychological and Personality Science, 14(1), 60-71.
  • Best, D., Rome, A., Hanning, K. A., White, W., Gossop, M., Taylor, A., & Perkins, A. (2010). Research for recovery: A review of the drugs evidence base. Scottish Government Social Research. https://www.gov.scot/resource/doc/321958/0103435.pdf
  • Bowen, S., Chawla, N., & Marlatt, G. A. (2010). Mindfulness-based relapse prevention for addictive behaviors. Journal of Consulting and Clinical Psychology, 78(3), 362–374.
  • Bowen, S., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., Clifasefi, S., Garner, M., Douglass, A., Larimer, M. E., & Marlatt, A. (2009). Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Substance Abuse, 30(4), 295–305. https://doi.org/10.1080/08897070903250084
  • Breslin, F. C., Zack, M., & McMain, S. (2002). An information-processing analysis of mindfulness: Implications for relapse prevention in the treatment of substance abuse. Clinical Psychology: Science and Practice, 9, 275–299. https://doi:10.1037/0021-843x.96.4.305
  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.
  • Cameron, C. D., Hutcherson, C. A., Ferguson, A. M., Scheffer, J. A., Hadjiandreou, E., & Inzlicht, M. (2019). Empathy is hard work: People choose to avoid empathy because of its cognitive costs. Journal of Experimental Psychology: General, 148(6), 962–976. https://doi.org/10.1037/xge0000595
  • Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance:The Philadelphia mindfulness scale. Assessment, 15(2), 204-223
  • Ceylan, M. E., & Türkcan, A. (2003). Araştırma ve klinik uygulamada biyolojik psikiyatri, 2. Cilt 1. Kitap: Alkol ve Madde Kullanım Bozuklukları. Genişletilmiş 2. Baskı. İstanbul: Küre Yayıncılık.
  • Chaiton, M., Cohen, J., O'Loughlin, J., & Rehm, J. (2010). Use of cigarettes to improve affect and depressive symptoms in a longitudinal study of adolescents. Addictive behaviors, 35(12), 1054–1060.
  • Condon, P., & Barrett, L. F. (2013). Conceptualizing and experiencing compassion. Emotion, 13(5), 817–821.
  • Csiernik, R., & McGaghran, C. (2013). Meeting professional competencies through specialized distance education: The McMaster University Addiction Studies Program. Journal of Teaching in Social Work, 33(4–5), 566–577.
  • Derin, M. (2025). Tıbbi sosyal hizmet müdahalelerinin önemi ve sosyal hizmet uzmanlarının rol ve işlevleri. Tıbbi Sosyal Hizmet Dergisi, 12(24), 136-149. https://doi.org/10.46218/tshd.1560780
  • Douaihy, A. B., Kelly, T. M., & Sullivan, C. (2013). Medications for substance use disorders. Social Work in Public Health, 28(3-4), 264–278.
  • Dylan, A. & Coates, J. (2016). Introduction to special issue: Mindfulness and social work. Journal of Religion & Spirituality in Social Work: Social Thought 35. 1-6. 10.1080/15426432.2015.1080606.
  • Er, F., Canatan Gençer, Ç., Barut, B., Kara, Y. (2020). Sosyal hizmet uygulamalarinda ekopsikolojiyi düşünmek. Aurum Sosyal Bilimler Dergisi, 5(1), 73-82.
  • George, T. P., & O’Malley, S. S. (2004). Current pharmacological treatments for nicotine dependence. Trends in Pharmacological Sciences, 25(1), 42–48. https://doi.org/10.1016/j.tips.2003.11.003
  • Goldberg, S. B., Pace, B., Griskaitis, M., Willutzki, R., Skoetz, N., Thoenes, S., Zgierska, A. E., & Rösner, S. (2021). Mindfulness-based interventions for substance use disorders. The Cochrane Database of Systematic Reviews, 10(10), CD011723. https://doi.org/10.1002/14651858.CD011723.pub2
  • Goldstein, R. Z., & Volkow, N. D. (2002). Drug addiction and its underlying neurobiological basis: Neuroimaging evidence for the involvement of the frontal cortex. American Journal of Psychiatry, 159(10), 1642–1652. https://doi.org/10.xxxx/ajp.159.10.1642
  • Hahn, T., Heinzel, S., Dresler, T., Plichta, M. M., Renner, T. J., Markulin, F., Jakob, P. M., Lesch, K. P., & Fallgatter, A. J. (2011). Association between reward-related activation in the ventral striatum and trait reward sensitivity is moderated by dopamine transporter genotype. Human brain mapping, 32(10), 1557–1565. https://doi.org/10.1002/hbm.21127
  • Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual andneural perspective. Perspectives on Psychological Science, 6(6),537–559.
  • Hurt RD, Sachs DP, Glover ED, Offord KP, Johnston JA, Dale LC, Sullivan PM. A comparison of sustained-release bupropion and placebo for smoking cessation. New England Journal of Medicine. 1997; 337(17):1195–1202.
  • Iranshahri, B. & Jenaabadi, H. (2015) The Effectiveness of Mindfulness Therapy in Controlling under Treatment Addicts’ Drug Cravings. Open Journal of Medical Psychology, 4, 88-98. doi: https://10.4236/ojmp.2015.43009.
  • Jha, Amishi & Morrison, Alexandra & Parker, Suzanne & Stanley, Elizabeth. (2017). Practice Is Protective: Mindfulness Training Promotes Cognitive Resilience in High-Stress Cohorts. Mindfulness. 8. https://10.1007/s12671-015-0465-9.
  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delta.
  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. https://doi:10.1093/clipsy/bpg016.
  • Kabat-Zinn, J. (2013). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Bantam Books.
  • Karakaş İnce, D., & Demir, S. (2023). Mindfulness-based cognitive therapy: A review. Journal of Gazi University Health Sciences Institute, 5(2), 77-82. https://doi.org/10.59124/guhes.1276584
  • Kaya-Akyüzlü, D., & Kayaaltı, Z. (2015). Kan, saç, idrar ve nefes örneklerinin bağımlılık yapan maddelerin analizinde kullanımı. Marmara Pharmaceutical Journal, 19(3), 232-237. Https://Doi.Org/10.12991/Mpj.20151900817
  • Kazemi, A. (2020). Prediction of the attitude towards drug use based on assertiveness and psychological hardiness (Doctoral dissertation, Barcelona University). https://www.tesisenred.net/bitstream/handle/10803/670586/alka1de1.pdf
  • Kelly, J. F., Greene, M. C., & Bergman, B. G. (2018). Beyond abstinence: Changes in indices of quality of life with time in recovery in a nationally representative sample of U.S. adults. Alcoholism: Clinical and Experimental Research, 42(4), 770–780. https://doi.org/10.1111/acer.13604
  • Korecki, J. R., Schwebel, F. J., Votaw, V. R., & Witkiewitz, K. (2020). Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments. Substance abuse treatment, prevention, and policy, 15(1), 51.
  • Kosten TR, O’Connor PG. (2003). Management of drug and alcohol withdrawal. New England Journal of Medicine, 348(18):1786–1795.
  • Lorenzetti, V., Gaillard, A., Beyer, E., Kowalczyk, M., Kamboj, S. K., Manning, V., & Gleeson, J. (2023). Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence. BMC Psychiatry, 23, Article 407. https://doi.org/10.1186/s12888-023-04789-7
  • McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA, 284(13), 1689–1695. https://doi.org/10.1001/jama.284.13.1689
  • Ögel K., Koç C., Aksoy A., Basabak .A, Evren C. (2012). Sigara, alkol ve madde bağımlılığı tedavi programı (SAMBA). Yeniden Yayınları, İstanbul,
  • Ryan, R. M., Brown, K. W., & Creswell, J. D. (2007). How integrative is attachment theory? Unpacking the meaning and significance of felt security. Psychological Inquiry, 18(3), 177-182. https://doi.org/10.1080/10478400701512778.
  • Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General's Report on Substance Abuse and Mental Health Services Administration (US), & Office of the Surgeon General (US). (2016). Facing addiction in America: The surgeon general's report on alcohol, drugs, and health. US Department of Health and Human Services. https://www.ncbi.nlm.nih.gov/books/NBK424857/ (Erişim tarihi: 17 Nisan 2025)
  • Swift RM. (2003) Topiramate for the treatment of alcohol dependence: Initiating abstinence. Lancet. 361(9370):1666–1667. [PubMed: 12767727]
  • Şencan F, Canatan K. (2020) Göç ve kentleşme sürecinde ergenleri madde kullanımına yönelten sosyal bağlamın analizi. Sosyal Çalışma Dergisi, 4(2):115–25.
  • United Nations Office on Drugs and Crime. (2023). World drug report 2023. United Nations. https://www.unodc.org/unodc/en/data-and-analysis/world-drug-report-2023.html
  • Westbrook, C., Creswell, J. D., Tabibnia, G., Julson, E., Kober, H., & Tindle, H. A. (2011). Mindful attention reduces neural and self-reported cue-induced craving in smokers. Social Cognitive and Affective Neuroscience, 6, 1–12. doi:10.1093/scan/nsr076.
  • Witkiewitz, K., Bowen, S., Harrop, E. N., Douglas, H., Enkema, M., & Sedgwick, C. (2014). Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Substance use & misuse, 49(5), 513–524. https://doi.org/10.3109/10826084.2014.891845
  • Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19(3), 211–228. https://doi.org/10.1891/jcop.2005.19.3.211
  • Zaki, J. (2014). Empathy: A motivated account. Psychological Bulletin, 140(6), 1608–1647. https://doi.org/10.1037/a0037679
  • Zubaroğlu Yanardağ, M., Bilge, M., & Yanardağ, U. (2020). Davranış Bağımlılığına Sahip Müracaatçılara Yönelik Sosyal Hizmet Uygulamaları Üzerine Bir Tartışma. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(4), 551-560. https://doi.org/10.34087/cbusbed.713866

Substance Abuse and Awareness Therapy: Treatment Methods and Sample Social Work Practice

Yıl 2025, Cilt: 18 Sayı: 1, 196 - 211, 30.04.2025

Zeynep Şevval Şen , Mehmet Zafer Danış , İhsan Kutlu

https://doi.org/10.37093/ijsi.1650018

Öz

Substance addiction causes increasingly complex psychological, social and economic problems at the individual and societal levels due to increased accessibility, accelerating the process of social disintegration and becoming a major public health issue on a global scale. In this context, mindfulness-based strategies stand out as an effective method to curb impulsive behaviors, increase self-control and end the cycle of addiction by enabling individuals to experience the present moment objectively. These approaches, which support cognitive and emotional regulation, help individuals cope with the stressors that trigger substance use by strengthening their inner awareness. The principles of mindfulness put forward by Kabat-Zinn offer a functional model for rebuilding the psychosocial balance of individuals with its applicable features in addiction treatment.
This article aims to examine the impact of mindfulness-based approaches in substance addiction treatment, their application potential in the field of social work and their contribution to individual recovery processes. The role of mindfulness methods in strengthening individuals' psychosocial well-being, increasing their stress tolerance, and enhancing their capacity to manage addiction in the long term is discussed; the possible contributions of integrating these approaches into the social work system are evaluated in the context of interdisciplinary collaboration.

Anahtar Kelimeler

Substance Addiction Mental Health Mindfulness Therapy Social Work

Kaynakça

  • Academy of Medical Sciences. (2008). Brain science, addiction and drugs: An academy of medical sciences working group report (Chaired by Professor Sir Gabriel Horn FRS FRCP, pp. 32–52). https://acmedsci.ac.uk/viewFile/524414fc8746a.pdf
  • Arul, P., & Carter, P. R. (2017). Scope of social work profession in medical setting. Research on Humanities and Social Sciences, 7(17), 57-60.
  • Başar, M. R., Aydemir, İ., & Aktaş, S. (2022). Madde bağımlısı bireylerin ailelerinin karşılaştıkları psiko-sosyal ve ekonomik güçlükler ile sosyal dışlanma algılarının sosyal hizmet perspektifinden incelenmesi. Tıbbi Sosyal Hizmet Dergisi(19), 37-52. https://doi.org/10.46218/tshd.1062294
  • Berry, D. R., Wall, C. S. J., Tubbs, J. D., Zeidan, F., & Brown, K. W. (2023). Short-term training in mindfulness predicts helping behavior toward racial ingroup and outgroup members. Social Psychological and Personality Science, 14(1), 60-71.
  • Best, D., Rome, A., Hanning, K. A., White, W., Gossop, M., Taylor, A., & Perkins, A. (2010). Research for recovery: A review of the drugs evidence base. Scottish Government Social Research. https://www.gov.scot/resource/doc/321958/0103435.pdf
  • Bowen, S., Chawla, N., & Marlatt, G. A. (2010). Mindfulness-based relapse prevention for addictive behaviors. Journal of Consulting and Clinical Psychology, 78(3), 362–374.
  • Bowen, S., Chawla, N., Collins, S. E., Witkiewitz, K., Hsu, S., Grow, J., Clifasefi, S., Garner, M., Douglass, A., Larimer, M. E., & Marlatt, A. (2009). Mindfulness-based relapse prevention for substance use disorders: a pilot efficacy trial. Substance Abuse, 30(4), 295–305. https://doi.org/10.1080/08897070903250084
  • Breslin, F. C., Zack, M., & McMain, S. (2002). An information-processing analysis of mindfulness: Implications for relapse prevention in the treatment of substance abuse. Clinical Psychology: Science and Practice, 9, 275–299. https://doi:10.1037/0021-843x.96.4.305
  • Brown, K. W., & Ryan, R. M. (2003). The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology, 84(4), 822–848.
  • Cameron, C. D., Hutcherson, C. A., Ferguson, A. M., Scheffer, J. A., Hadjiandreou, E., & Inzlicht, M. (2019). Empathy is hard work: People choose to avoid empathy because of its cognitive costs. Journal of Experimental Psychology: General, 148(6), 962–976. https://doi.org/10.1037/xge0000595
  • Cardaciotto, L., Herbert, J. D., Forman, E. M., Moitra, E., & Farrow, V. (2008). The assessment of present-moment awareness and acceptance:The Philadelphia mindfulness scale. Assessment, 15(2), 204-223
  • Ceylan, M. E., & Türkcan, A. (2003). Araştırma ve klinik uygulamada biyolojik psikiyatri, 2. Cilt 1. Kitap: Alkol ve Madde Kullanım Bozuklukları. Genişletilmiş 2. Baskı. İstanbul: Küre Yayıncılık.
  • Chaiton, M., Cohen, J., O'Loughlin, J., & Rehm, J. (2010). Use of cigarettes to improve affect and depressive symptoms in a longitudinal study of adolescents. Addictive behaviors, 35(12), 1054–1060.
  • Condon, P., & Barrett, L. F. (2013). Conceptualizing and experiencing compassion. Emotion, 13(5), 817–821.
  • Csiernik, R., & McGaghran, C. (2013). Meeting professional competencies through specialized distance education: The McMaster University Addiction Studies Program. Journal of Teaching in Social Work, 33(4–5), 566–577.
  • Derin, M. (2025). Tıbbi sosyal hizmet müdahalelerinin önemi ve sosyal hizmet uzmanlarının rol ve işlevleri. Tıbbi Sosyal Hizmet Dergisi, 12(24), 136-149. https://doi.org/10.46218/tshd.1560780
  • Douaihy, A. B., Kelly, T. M., & Sullivan, C. (2013). Medications for substance use disorders. Social Work in Public Health, 28(3-4), 264–278.
  • Dylan, A. & Coates, J. (2016). Introduction to special issue: Mindfulness and social work. Journal of Religion & Spirituality in Social Work: Social Thought 35. 1-6. 10.1080/15426432.2015.1080606.
  • Er, F., Canatan Gençer, Ç., Barut, B., Kara, Y. (2020). Sosyal hizmet uygulamalarinda ekopsikolojiyi düşünmek. Aurum Sosyal Bilimler Dergisi, 5(1), 73-82.
  • George, T. P., & O’Malley, S. S. (2004). Current pharmacological treatments for nicotine dependence. Trends in Pharmacological Sciences, 25(1), 42–48. https://doi.org/10.1016/j.tips.2003.11.003
  • Goldberg, S. B., Pace, B., Griskaitis, M., Willutzki, R., Skoetz, N., Thoenes, S., Zgierska, A. E., & Rösner, S. (2021). Mindfulness-based interventions for substance use disorders. The Cochrane Database of Systematic Reviews, 10(10), CD011723. https://doi.org/10.1002/14651858.CD011723.pub2
  • Goldstein, R. Z., & Volkow, N. D. (2002). Drug addiction and its underlying neurobiological basis: Neuroimaging evidence for the involvement of the frontal cortex. American Journal of Psychiatry, 159(10), 1642–1652. https://doi.org/10.xxxx/ajp.159.10.1642
  • Hahn, T., Heinzel, S., Dresler, T., Plichta, M. M., Renner, T. J., Markulin, F., Jakob, P. M., Lesch, K. P., & Fallgatter, A. J. (2011). Association between reward-related activation in the ventral striatum and trait reward sensitivity is moderated by dopamine transporter genotype. Human brain mapping, 32(10), 1557–1565. https://doi.org/10.1002/hbm.21127
  • Hölzel, B. K., Lazar, S. W., Gard, T., Schuman-Olivier, Z., Vago, D. R., & Ott, U. (2011). How does mindfulness meditation work? Proposing mechanisms of action from a conceptual andneural perspective. Perspectives on Psychological Science, 6(6),537–559.
  • Hurt RD, Sachs DP, Glover ED, Offord KP, Johnston JA, Dale LC, Sullivan PM. A comparison of sustained-release bupropion and placebo for smoking cessation. New England Journal of Medicine. 1997; 337(17):1195–1202.
  • Iranshahri, B. & Jenaabadi, H. (2015) The Effectiveness of Mindfulness Therapy in Controlling under Treatment Addicts’ Drug Cravings. Open Journal of Medical Psychology, 4, 88-98. doi: https://10.4236/ojmp.2015.43009.
  • Jha, Amishi & Morrison, Alexandra & Parker, Suzanne & Stanley, Elizabeth. (2017). Practice Is Protective: Mindfulness Training Promotes Cognitive Resilience in High-Stress Cohorts. Mindfulness. 8. https://10.1007/s12671-015-0465-9.
  • Kabat-Zinn, J. (1990). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Delta.
  • Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: Past, present, and future. Clinical Psychology: Science and Practice, 10, 144–156. https://doi:10.1093/clipsy/bpg016.
  • Kabat-Zinn, J. (2013). Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness. Bantam Books.
  • Karakaş İnce, D., & Demir, S. (2023). Mindfulness-based cognitive therapy: A review. Journal of Gazi University Health Sciences Institute, 5(2), 77-82. https://doi.org/10.59124/guhes.1276584
  • Kaya-Akyüzlü, D., & Kayaaltı, Z. (2015). Kan, saç, idrar ve nefes örneklerinin bağımlılık yapan maddelerin analizinde kullanımı. Marmara Pharmaceutical Journal, 19(3), 232-237. Https://Doi.Org/10.12991/Mpj.20151900817
  • Kazemi, A. (2020). Prediction of the attitude towards drug use based on assertiveness and psychological hardiness (Doctoral dissertation, Barcelona University). https://www.tesisenred.net/bitstream/handle/10803/670586/alka1de1.pdf
  • Kelly, J. F., Greene, M. C., & Bergman, B. G. (2018). Beyond abstinence: Changes in indices of quality of life with time in recovery in a nationally representative sample of U.S. adults. Alcoholism: Clinical and Experimental Research, 42(4), 770–780. https://doi.org/10.1111/acer.13604
  • Korecki, J. R., Schwebel, F. J., Votaw, V. R., & Witkiewitz, K. (2020). Mindfulness-based programs for substance use disorders: a systematic review of manualized treatments. Substance abuse treatment, prevention, and policy, 15(1), 51.
  • Kosten TR, O’Connor PG. (2003). Management of drug and alcohol withdrawal. New England Journal of Medicine, 348(18):1786–1795.
  • Lorenzetti, V., Gaillard, A., Beyer, E., Kowalczyk, M., Kamboj, S. K., Manning, V., & Gleeson, J. (2023). Do mindfulness-based interventions change brain function in people with substance dependence? A systematic review of the fMRI evidence. BMC Psychiatry, 23, Article 407. https://doi.org/10.1186/s12888-023-04789-7
  • McLellan, A. T., Lewis, D. C., O'Brien, C. P., & Kleber, H. D. (2000). Drug dependence, a chronic medical illness: implications for treatment, insurance, and outcomes evaluation. JAMA, 284(13), 1689–1695. https://doi.org/10.1001/jama.284.13.1689
  • Ögel K., Koç C., Aksoy A., Basabak .A, Evren C. (2012). Sigara, alkol ve madde bağımlılığı tedavi programı (SAMBA). Yeniden Yayınları, İstanbul,
  • Ryan, R. M., Brown, K. W., & Creswell, J. D. (2007). How integrative is attachment theory? Unpacking the meaning and significance of felt security. Psychological Inquiry, 18(3), 177-182. https://doi.org/10.1080/10478400701512778.
  • Substance Abuse and Mental Health Services Administration (US); Office of the Surgeon General (US). Facing Addiction in America: The Surgeon General's Report on Substance Abuse and Mental Health Services Administration (US), & Office of the Surgeon General (US). (2016). Facing addiction in America: The surgeon general's report on alcohol, drugs, and health. US Department of Health and Human Services. https://www.ncbi.nlm.nih.gov/books/NBK424857/ (Erişim tarihi: 17 Nisan 2025)
  • Swift RM. (2003) Topiramate for the treatment of alcohol dependence: Initiating abstinence. Lancet. 361(9370):1666–1667. [PubMed: 12767727]
  • Şencan F, Canatan K. (2020) Göç ve kentleşme sürecinde ergenleri madde kullanımına yönelten sosyal bağlamın analizi. Sosyal Çalışma Dergisi, 4(2):115–25.
  • United Nations Office on Drugs and Crime. (2023). World drug report 2023. United Nations. https://www.unodc.org/unodc/en/data-and-analysis/world-drug-report-2023.html
  • Westbrook, C., Creswell, J. D., Tabibnia, G., Julson, E., Kober, H., & Tindle, H. A. (2011). Mindful attention reduces neural and self-reported cue-induced craving in smokers. Social Cognitive and Affective Neuroscience, 6, 1–12. doi:10.1093/scan/nsr076.
  • Witkiewitz, K., Bowen, S., Harrop, E. N., Douglas, H., Enkema, M., & Sedgwick, C. (2014). Mindfulness-based treatment to prevent addictive behavior relapse: theoretical models and hypothesized mechanisms of change. Substance use & misuse, 49(5), 513–524. https://doi.org/10.3109/10826084.2014.891845
  • Witkiewitz, K., Marlatt, G. A., & Walker, D. (2005). Mindfulness-based relapse prevention for alcohol and substance use disorders. Journal of Cognitive Psychotherapy, 19(3), 211–228. https://doi.org/10.1891/jcop.2005.19.3.211
  • Zaki, J. (2014). Empathy: A motivated account. Psychological Bulletin, 140(6), 1608–1647. https://doi.org/10.1037/a0037679
  • Zubaroğlu Yanardağ, M., Bilge, M., & Yanardağ, U. (2020). Davranış Bağımlılığına Sahip Müracaatçılara Yönelik Sosyal Hizmet Uygulamaları Üzerine Bir Tartışma. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, 7(4), 551-560. https://doi.org/10.34087/cbusbed.713866
Toplam 49 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Danışmanlık, Refah ve Toplum Hizmetleri, Sosyal Hizmetler (Diğer), Sosyal Psikoloji
Bölüm Makaleler
Yazarlar

Zeynep Şevval Şen 0009-0006-6697-4459

Mehmet Zafer Danış 0000-0001-6214-2643

İhsan Kutlu 0000-0002-5668-3491

Yayımlanma Tarihi 30 Nisan 2025
Gönderilme Tarihi 4 Mart 2025
Kabul Tarihi 25 Nisan 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 18 Sayı: 1

Kaynak Göster

APA Şen, Z. Ş., Danış, M. Z., & Kutlu, İ. (2025). Madde Bağımlılığı ve Farkındalık Terapisi: Tedavi Yöntemleri ve Örnek Sosyal Hizmet Uygulaması. International Journal of Social Inquiry, 18(1), 196-211. https://doi.org/10.37093/ijsi.1650018
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