IMPACT OF PROXIMAL RELATIONSHIPS ON DRUG USE: A STUDY IN THERAPEUTIC COMMUNITIES

Abstract

Drug use is an ancient practice, but its associated disorders represent a contemporary public health challenge. This study investigates the impact of proximal processes in childhood/adolescence and adulthood on substance use, focusing on the role of Therapeutic Communities (TCs). Using a qualitative methodology, 19 residents of TCs in the state of Rio de Janeiro were interviewed. Instruments included a screening test (ASSIST), a sociodemographic inventory, and semi-structured interviews. Content analysis of the interviews was supported by the Requalify.ai software, which proved to be an efficient tool for categorizing and visualizing qualitative data. Results indicate that factors such as dysfunctional family environments, violence, and early onset of consumption, often mediated by peer influence, are determining risk factors. On the other hand, peer social support within TCs emerges as a crucial protective factor, associated with positive changes reported by participants. The sample revealed an overrepresentation of Black and Brown individuals, highlighting the racial dimension in the history of drug use in Brazil. The study concludes that proximal relationships are decisive in both the etiology and recovery of substance use disorders, and that TCs, although controversial, can offer a supportive environment that favors change, especially through peer support and cohabitation.