Supervised by Dr. Roquia Begum
Abstract
Drug abuse is a global health and social problem and the chrome drug users su 11cr From multiple dcbilitating consequences including an assumed emerging (vague sell-system. psychological literature is scant about the e11cts ol long term drug use on the selt-systemn of the chronic user and its role in maintenance of the drug taking behavior, Existing intervention models are inadequate to deal eIictively with chronic drug problem- The purpose o! the present study was to develop a psychotherapeutic model of intervention based on the understanding ol the sell-system ol the chronic drug users. A qualitative research design under grounded theory approach was adopted to stud three specilic study objectives. Using purposive saiupliiig technique twelve male pur1icpaiuts were drawn purposively From a drug rehabilitation centre of Dhaka City. In-depth interview and digital recording of the conversation were the main tools of data elicitation and collection technique. Data analysis consisted of transcription of the interviews, open coding followed by Focused and theoretical coding. Sixteen core theoretical categories were abstracted from the Focused codes which constituted the essential ingredients oF the sclt-systcm. Sell-system was conceptualized asi model of six iimtra and interacting subsystems. The model was analytically narrated into a grounded theory of tue studied phenomena i.e. chronic drug use and self-system. Flie model suggested that among a number off actors negative sell identity and low efficacy oF the I -sell were at the core of the chronic drug problem. It was also ciii pliasized that without sonic early remedial work of the se1lsystem the tools and techniques of relapse managemeilt will not be used by the client. A psychotherapeutic intervention model was also proposed based on the obtained sell-system where empowered l -seIl endorsed by improved sell identity were thought as major immediate goals of therapy and healthy sell-identity as the ultimate target the later will guarantee sustained recovery from the chronic drug problem. Some limitations of the study were identified, among them gender, class, setting bias and small sample SLC are note worthy. To assess the efficacy and also to raise comprehensiveness of the present model further research on chronic drug problem under psychology of sellsystcin and clinical trials were recommended.