{"id":17488,"date":"2020-12-07T10:32:55","date_gmt":"2020-12-07T09:32:55","guid":{"rendered":"https:\/\/dirkvanbabylon.com\/?p=17488"},"modified":"2026-08-24T10:02:00","modified_gmt":"2026-08-24T08:02:00","slug":"addiction-ordre","status":"publish","type":"post","link":"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-ordre\/","title":{"rendered":"Addiction : Ordre"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">En cas de besoin, nous pouvions \u00e9galement faire appel \u00e0 une supervision, au cours de laquelle un sp\u00e9cialiste apportait son \u00e9clairage sur les cas difficiles. Il y a des moments de d\u00e9couragement o\u00f9 l\u2019on se dit qu\u2019on n\u2019en peut plus. Le pire, c\u2019est lorsqu\u2019une personne dont on s\u2019occupait se suicide. Cela vous atteint profond\u00e9ment. Parfois, les choses tournent mal et nous devons aussi l\u2019accepter, m\u00eame \u00e0 contrec\u0153ur.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">J\u2019ai rapidement appris que la prise en charge de l\u2019usager de drogues ne devait d\u00e9sormais plus \u00eatre ax\u00e9e uniquement sur l\u2019arr\u00eat de la consommation, mais bien davantage sur la limitation des dangers et des risques li\u00e9s \u00e0 celle-ci, dans une perspective de r\u00e9duction des risques : <\/span><i><span style=\"font-weight: 400;\">Harm Reduction<\/span><\/i><span style=\"font-weight: 400;\"> en anglais. Je me suis ensuite efforc\u00e9 de faire \u00e9galement quelque chose, du c\u00f4t\u00e9 n\u00e9erlandophone de Bruxelles, pour am\u00e9liorer les comp\u00e9tences des m\u00e9decins.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00c0 la demande du Cercle des m\u00e9decins g\u00e9n\u00e9ralistes de Bruxelles, j\u2019anime quatre soir\u00e9es de formation continue par an, qui accordent \u00e9galement une place \u00e0 la discussion et \u00e0 l\u2019\u00e9tude de cas. La prise en charge des addictions en premi\u00e8re ligne ne repose pas uniquement sur les connaissances techniques, mais aussi sur les relations \u00e9motionnelles avec des personnes qui souffrent.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Dans les circonstances que je viens de d\u00e9crire, j\u2019ai \u00e9t\u00e9 contraint, \u00e0 partir de 1994, de commencer \u00e0 prescrire des MMT : <\/span><i><span style=\"font-weight: 400;\">methadone maintenance therapy<\/span><\/i><span style=\"font-weight: 400;\">. En n\u00e9erlandais : traitement d\u2019entretien \u00e0 la m\u00e9thadone. Il s\u2019agit de prescrire pendant une longue p\u00e9riode de la m\u00e9thadone aux usagers d\u2019h\u00e9ro\u00efne, en quantit\u00e9 suffisante pour leur permettre de cesser leur consommation d\u2019h\u00e9ro\u00efne.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">En soi, c\u2019est un jeu d\u2019enfant, car la m\u00e9thadone et l\u2019h\u00e9ro\u00efne se fixent sur les m\u00eames r\u00e9cepteurs du cerveau et exercent donc une action \u00e9quivalente. Comme la m\u00e9thadone est en r\u00e9alit\u00e9 plus puissante, elle peut supplanter l\u2019h\u00e9ro\u00efne. Cela pr\u00e9sente un certain nombre d\u2019avantages qui seront abord\u00e9s \u00e0 la fin de ce livre.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Au d\u00e9but, cette approche \u00e9tait encore assez controvers\u00e9e. Les autorit\u00e9s belges ne savaient pas tr\u00e8s bien comment l\u2019aborder. La d\u00e9livrance de stup\u00e9fiants constituait dans ce pays une infraction au regard de la loi du 24 f\u00e9vrier 1921. Celle-ci fut modifi\u00e9e en 2003. Depuis lors, elle \u00e9tablit une distinction entre le cannabis et les autres drogues illicites (coca\u00efne, h\u00e9ro\u00efne, ecstasy, speed, \u2026).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">En 1994, nous ne pouvions encore rien en pr\u00e9sager et nous \u00e9tions confront\u00e9s \u00e0 une l\u00e9gislation totalement obsol\u00e8te.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>En cas de besoin, nous pouvions \u00e9galement faire appel \u00e0 une supervision, au cours de laquelle un sp\u00e9cialiste apportait son \u00e9clairage sur les cas <a href=\"https:\/\/dirkvanbabylon.com\/fr\/addiction-et-dependance\/sortir-de-la-dependance\/addiction-ordre\/\" class=\"more-link\">[&#8230;]<\/a><\/p>\n","protected":false},"author":2,"featured_media":17489,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[381],"tags":[331],"class_list":["post-17488","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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