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• W2015018059 abstract "Cet article poursuit le double objectif d’une recension des écrits et d’une mise à jour de la documentation sur le thème de la rémission sans traitement des personnes souffrant d’une consommation problématique d’alcool. Il est établi à partir d’une sélection de 26 publications parmi les 95 références recensées. Longtemps considérée comme un phénomène d’intérêt négligeable, la rémission sans traitement acquiert ses lettres de noblesse dans les pays anglo-saxons. De solides études empiriques montrent que la majorité des sujets qui ont une consommation problématique ne consultent jamais mais qu’une importante partie d’entre eux arrive malgré tout à atteindre une rémission. Ce phénomène permet de constater que les trajectoires de changement sont multiples, hétérogènes, et peuvent se situer en dehors de l’utilisation des services de réadaptation. D’importantes lacunes demeurent au niveau de l’opérationnalisation du concept et des méthodes qui permettent de dépister cette population cachée. Néanmoins, les principaux facteurs explicatifs font ressortir le déterminisme de l’environnement et les conséquences négatives de la consommation, notamment sur la santé et les ressources financières.This article pursues the double goal of a review of the literature and of an update of the documentation on remission without treatment for individuals with dual diagnosis disorders. It has been elaborated from a selection of 26 publications among the 95 selected listed references. The difficulties in the responsibility of taking charge of patients, the increase in demand, the low rate of success of the treatment are all elements that made natural recovery seem an impossible phenomenon. This article explores the items related to natural recovery and provides the groundwork for a better definition of this phenomenon : must one regard natural recovery as a reduction in the volume of alcohol consumed, as a reduction in the clinical signs of alcohol disorders ? What is the time required before one can assume the stability of the phenomenon and the avoidance of relapses ? These questions must be considered as empirical studies show that the majority of people with a problematic use of alcohol never consult a physician, but that a substantial part does reach a state of remission. How can we understand this data ? The studies show that remission without treatment, observed on a range of serious disorders related to alcohol, happens more often with people whose problems are less serious and who have intrinsic resources. The studies show that rather than a formal model of abstinence, natural recovery may be a pathway out of addiction in which certain forms of consumption remain present (except in cases of severe problematic use where complete abstinence is mandatory). This data thus questions the capacity of reaching these populations and also questions the current objectives of treatments. A compilation of several studies has allowed us to propose an estimate of the rate of prevalence of remission without treatment. Finally, a summary of the principal instigating factors and of the duration of remissions based on quantitative and qualitative studies is proposed as well as a comparison with other substances. In brief, this phenomenon shows alcoholism in a different light. Pathways of change are multiple and heterogeneous and may be found without calling for rehabilitation services. However, important gaps remain on the operational level of the concept and on the methods to reach this hidden population. Nevertheless, the main explanatory factors emphasize the determinism of the environment and more particularly the negative consequences of consumption on health and on financial resources." @default.
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• W2015018059 date "1976-04-01" @default.
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• W2015018059 title "Spontaneous recovery in alcoholics: A review and analysis of the available research" @default.
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• W2015018059 doi "https://doi.org/10.1016/0376-8716(76)90023-5" @default.
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