{"id":17454,"date":"2020-12-14T09:28:31","date_gmt":"2020-12-14T08:28:31","guid":{"rendered":"https:\/\/dirkvanbabylon.com\/?p=17454"},"modified":"2026-08-17T17:10:04","modified_gmt":"2026-08-17T15:10:04","slug":"addiction-premiere-ligne","status":"publish","type":"post","link":"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-premiere-ligne\/","title":{"rendered":"Addiction : premi\u00e8re ligne"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Je n\u2019\u00e9tais heureusement pas le seul \u00e0 voir le danger d\u2019une initiative gouvernementale qui mena\u00e7ait de porter atteinte \u00e0 des droits fondamentaux. Ce rapport parlementaire me para\u00eet \u00eatre un beau document historique qui montre \u00e9galement \u00e0 quel point les mentalit\u00e9s ont chang\u00e9, \u00e0 un rythme diff\u00e9rent en Flandre et \u00e0 Bruxelles. Finalement, l\u2019utilit\u00e9 du m\u00e9decin g\u00e9n\u00e9raliste dans l\u2019accueil et le traitement \u00e0 long terme des personnes d\u00e9pendantes \u00e0 l\u2019h\u00e9ro\u00efne a tout de m\u00eame \u00e9t\u00e9 reconnue.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">De loin, la plupart d\u2019entre eux sont le mieux \u00e0 leur place en premi\u00e8re ligne. Ce qui distingue le m\u00e9decin g\u00e9n\u00e9raliste des autres disciplines, c\u2019est l\u2019approche globale, int\u00e9grale et totale des probl\u00e8mes de sant\u00e9, surtout lorsqu\u2019ils sont imbriqu\u00e9s les uns dans les autres comme dans le cas des probl\u00e8mes graves de d\u00e9pendance. Nous pouvons nous attaquer simultan\u00e9ment \u00e0 diff\u00e9rentes couches du probl\u00e8me.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nous occupons \u00e0 cet \u00e9gard une position unique dans le cadre des soins et de l\u2019aide, et nous remplissons une fonction charni\u00e8re dans la gare de triage de la m\u00e9decine. D\u00e8s que vous avez en traitement quelqu\u2019un dont vous savez qu\u2019il reviendra chercher une prescription, vous pouvez \u00e9galement entreprendre toutes sortes d\u2019autres d\u00e9marches qui se r\u00e9v\u00e9leront utiles. Nous pouvons par exemple d\u00e9pister des maladies infectieuses telles que le sida, la syphilis ou les h\u00e9patites B et C, les traiter nous-m\u00eames ou orienter le patient de mani\u00e8re cibl\u00e9e, selon leur gravit\u00e9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Autrefois, bien davantage qu\u2019aujourd\u2019hui, nous avions affaire \u00e0 beaucoup de consommation de drogues par voie intraveineuse, l\u2019h\u00e9ro\u00efne ou d\u2019autres substances \u00e9tant directement inject\u00e9es dans la circulation sanguine. Nous sommes en 2020 au moment o\u00f9 j\u2019\u00e9cris ceci. J\u2019ai commenc\u00e9 vers 1994. Je vois encore aujourd\u2019hui des patients de cette \u00e9poque. Cela signifie qu\u2019il existe une patient\u00e8le qui, depuis un quart de si\u00e8cle, se pr\u00e9sente \u00e0 intervalles r\u00e9guliers afin de poursuivre son traitement.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ce sont en g\u00e9n\u00e9ral des gens devenus tr\u00e8s calmes, qui ne feraient de mal \u00e0 une mouche et sont parfaitement int\u00e9gr\u00e9s dans la soci\u00e9t\u00e9. Ce sont aussi les patients les plus fid\u00e8les qui soient, parce qu\u2019ils sont devenus d\u00e9pendants des soins. Ce qui est tout de m\u00eame un fameux casse-t\u00eate. Tout n\u2019a pas encore \u00e9t\u00e9 dit \u00e0 ce sujet et j\u2019y reviendrai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ce qui compte, c\u2019est qu\u2019au fil des ann\u00e9es, un lien solide se cr\u00e9e presque \u00e0 votre insu et que vous avez besoin de tr\u00e8s peu de mots pour vous comprendre. Pour beaucoup, l\u2019offre d\u2019un traitement de substitution \u00e0 la m\u00e9thadone a fait une \u00e9norme diff\u00e9rence dans leur vie, avec un effet impressionnant sur leur int\u00e9gration sociale et leurs possibilit\u00e9s d\u2019\u00e9panouissement personnel.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">La grande diff\u00e9rence est que nous avons abandonn\u00e9 le sevrage comme objectif ultime, parce qu\u2019il est souvent illusoire de vouloir l\u2019atteindre lorsque tant d\u2019autres \u00e9l\u00e9ments r\u00e9clament notre attention. C\u2019est pourquoi la th\u00e9orie de la r\u00e9duction des risques m\u00e9rite tous les \u00e9loges : elle attire notre attention sur tout ce que nous pouvons effectivement faire pour am\u00e9liorer le sort de la personne qui sollicite de l\u2019aide tout en continuant \u00e0 consommer, et cela peut s\u2019av\u00e9rer particuli\u00e8rement efficace.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cette voie m\u00e8nera plus rapidement au r\u00e9tablissement et \u00e0 la gu\u00e9rison que la volont\u00e9 acharn\u00e9e de faire cesser la consommation. Nous nous proposons, dans ce livre, d\u2019examiner un certain nombre de probl\u00e8mes et la mani\u00e8re de les aborder.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Je n\u2019\u00e9tais heureusement pas le seul \u00e0 voir le danger d\u2019une initiative gouvernementale qui mena\u00e7ait de porter atteinte \u00e0 des droits <a href=\"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-premiere-ligne\/\" class=\"more-link\">[&#8230;]<\/a><\/p>\n","protected":false},"author":2,"featured_media":17456,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[381],"tags":[331],"class_list":["post-17454","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sortir-de-la-dependance","tag-peter-van-breusegem","authors-peter-van-breusegem"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - 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